Medical and Prescription Drug Stop Loss Insurance

The City of Georgetown is seeking proposals for specific and aggregate medical and prescription drug stop loss insurance for its self-funded employee benefit plans, with three deductible options and specified renewal protections.

City of Georgetown > Purchasing Department


General
Open
202703
Nov 13, 2026 07:00 PM
Oct 21, 2026 07:10 PM
3 years base + 2 × 1 year options
Request for Proposal (RFP)
Local
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Original Solicitation Links
[

Request for Proposal-202703

]

medical / rx stop loss

Contact
nicole.abrego@georgetowntexas.gov
+15129308454
510 West 9th Street, Georgetown, TX, USA
Submission Instructions
Description

The City seeks a qualified insurer to provide specific and aggregate medical and prescription drug stop loss coverage for its self-funded employee benefit plans. Proposals must include three specific-deductible scenarios ($150,000, $200,000, and $250,000), a 125% aggregate corridor, and a $1,000,000 aggregate maximum for each scenario. The requested coverage basis is broad run-in/Paid-12, with no claimant-specific lasers or exclusions, No New Laser protection for the 2028 renewal, and a renewal rate cap of no more than 50%. Respondents must disclose pricing, fees, underwriting assumptions and conditions, coverage terms, exclusions, and any deviations, and provide a specimen policy and applicable endorsements. The response must include the completed Exhibit E pricing form, the City's Stop Loss Questionnaire (Exhibit A-1), responses to the coverage and underwriting requirements, a specimen policy and applicable policy materials, claims-administration and service information, financial stability and stop loss experience information, at least three comparable references using Exhibit C, and the completed Certifications and Acknowledgments (Exhibit B). The proposal must also identify any exceptions to the agreement terms. The City evaluates price, coverage and underwriting terms, claims administration and service, financial stability and experience, and past performance and references.

Classification Codes
NAICS524130Reinsurance Carriers
PSCG007Government Health Insurance Programs
Smart Codes
medical stop loss insuranceprescription drug stop loss insuranceaggregate stop loss coverage
Specifications
Service Only
Timeline
Nov 05, 2026 11:00 PM-Questions Due
Nov 13, 2026 08:00 PM-Proposal Submission Deadline and Public Opening
Nov 13, 2026 08:00 PM-Public Closing (optional)
Meeting ID: 248 710 880 457 50; passcode: eq2jp6Pw. Dial in: +1 512-672-8405,,609965477#; phone conference ID: 609 965 477#.
Requirements
Scored
  • Minimum 3 references
  • Within the last 2 years
  • Client point of contact required for each reference
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