Self-Funded Medical and Pharmacy Claims Administration Services

The City of Greenville and Greenville Utilities Commission are seeking proposals for self-funded medical and pharmacy claims administration services for their employees and dependents.

CITY OF GREENVILLE (NC)


General
Open (open)
311-25-26-50
Jul 17, 2026 05:00 PM
Jun 17, 2026 07:19 PM
3 years base + 3 × 1 year options
Minority-Owned BusinessWoman-Owned Business
Request for Proposal (RFP)
Local
Original Solicitation Links
Contact
Leah Futrell
Submission Instructions
Description

The City of Greenville and Greenville Utilities Commission (COG/GUC) are seeking proposals for self-funded medical and pharmacy claims administration services for their healthcare plans, covering approximately 2,812 members. The services will include claims administration, customer service, and account management, with a focus on cost-effective solutions and quality healthcare delivery. The selected vendor will be expected to manage future medical cost inflation and provide integrated services. The contract term is an initial three-year period with annual renewals thereafter. Proposals must be submitted electronically by Friday, July 17, 2026, at 5:00 PM EDT.

Classification Codes
NAICS524292Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
PSCAN46HEALTH SERVICES - MANAGEMENT AND SUPPORT
Smart Codes
medical claims administrationpharmacy claims administrationhealthcare plan administration
Specifications
Service Only
Requirements
Required
  • Commercial General Liability — $1,000,000.00
  • Professional Liability — $1,000,000.00
  • Workers Compensation
  • Employer's Liability — $1,000,000.00
  • Commercial Automobile Insurance — $1,000,000.00
Required
  • Minimum 3 references
  • Within the last 3 years
  • Client point of contact required for each reference
Documents
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