Administered by University of Maine System
Office of Strategic Procurement
Request for Proposal (RFP)
HEALTH & WELFARE BENEFITS
CONSULTING
RFP #2026-020
Issued Date: April 2, 2026
Response Deadline Date/Time: April 22, 2026, 11:59 p.m. EST
Response Submission Information:
Submitted electronically to UMSResponses@maine.edu
Email Subject Line – RC: Health & Welfare Benefits Consulting -
RFP#2026-020
Response Contact Information:
Email: UMSResponses@maine.edu
Request for Proposal (IT) – Health & Welfare Benefits Consulting
Dated: April 2, 2026
Contents
1.0 INTRODUCTION...................................................................................................................... 3
1.1 Definitions, Background, Purpose and Specifications............................................... 3
1.2 General Information........................................................................................................... 7
1.3 General Submission Provisions ................................................................................... 11
2.0 EVALUATION AND AWARD PROCESS ........................................................................... 13
2.1 Evaluation Criteria ........................................................................................................... 13
2.2 Award ................................................................................................................................. 15
2.3 Tie Bids .............................................................................................................................. 15
2.4 Negotiations...................................................................................................................... 15
2.5 Award Protest ................................................................................................................... 15
3.0 RESPONSE FORMAT REQUIREMENTS........................................................................... 16
3.1 General Format Instructions.......................................................................................... 16
3.2 Response Format Instructions...................................................................................... 16
University of Maine System RFP
Rev. 08/16/2023
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Request for Proposal (IT) – Health & Welfare Benefits Consulting
Dated: April 2, 2026
1.0
INTRODUCTION
1.1 Definitions, Background, Purpose and Specifications
1.1.1
Definitions
The University of Maine System will hereinafter be referred to as the "University."
or “UMS” Respondents to the document shall be referred to as "Respondent(s)” or
“Respondent”.
The Respondent to whom the Agreement is awarded shall be referred to as the
"Contractor."
The University of Maine System and other components of the University shall be
referred to as “Multi-Institution”.
1.1.2 Background
Overview
Established in 1968, the University of Maine System (UMS) unites six distinctive
public universities, comprising 10 campuses and numerous centers, in the
common purpose of providing quality higher education while delivering on its
traditional tripartite mission of teaching, research, and public service.
A comprehensive public institution of higher education, UMS serves more than
30,000 students annually and is supported by the efforts of more than 2,000 full-
time and part-time faculty, more than 3,000 regular full-time and part-time staff.
The System consists of seven universities: The University of Maine (UMaine),
including its regional campus the University of Maine at Machias (UMM); the
University of Maine at Augusta (UMA); the University of Maine at Farmington
(UMF); the University of Maine at Fort Kent (UMFK), the University of Maine at
Presque Isle (UMPI); and the University of Southern Maine (USM). The System
also includes the University of Maine School of Law and the University of Maine
Graduate and Professional Center.
Employee Benefits Context
The University of Maine System provides comprehensive health and welfare
benefits to approximately 6,500 benefit-eligible employees across all campuses
including employees who work remotely throughout the United States.
Approximately 85% of UMS employees are represented by various labor unions,
including faculty unions (Associated Faculties of the Universities of Maine,
MEA/NEA and The Maine Part-Time Faculty Association, AFT Local 4593),
service and maintenance unions (Teamsters Local 340), and professional staff
unions (University of Maine Professional Staff Association & Associated Clerical
Office, Laboratory and Technical Staff of the Universities of Maine, MEA/NEA).
This high level of unionization requires specialized expertise in collective
bargaining environments and multi-employer benefit plan administration.
UMS currently operates a self-insured health plan with stop-loss coverage; a self-
insured dental plan, vision, life, and disability benefits; and provides an Employee
Assistance Program (EAP). For eligible retirees, UMS offers the option of
participating in a group plan or the Retiree Health Exchange with a Health
Reimbursement Account (HRA). The UMS seeks to optimize benefit plan design,
manage costs, and streamline administration while maintaining competitive
University of Maine System RFP
Rev. 08/16/2023
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Request for Proposal (IT) – Health & Welfare Benefits Consulting
Dated: April 2, 2026
benefits that support employee recruitment and retention across Maine's higher
education landscape.
1.1.3
Purpose
The University of Maine System is seeking responses to provide Health and
Welfare Benefits Consulting as defined in this document. This document provides
instructions for submitting responses, the procedure and criteria by which the
Respondent(s) will be selected, and the contractual terms which will govern the
relationship between the University and the awarded Respondent(s).
The University requires expert consulting services to navigate the complex
landscape of employee benefits in a highly unionized, multi-campus higher
education environment. The selected consultant will provide strategic guidance on
benefit plan design; proactive vendor management including strategic
procurement, negotiation, and contract support; and cost containment strategies,
regulatory compliance, and support work with various groups including trustees
and labor unions. The consultant must have demonstrated experience working
with self-insured health plans, pharmacy benefit managers, union-represented
employees, and preferably higher education institutions. In addition, the consultant
must be experienced working with retiree group health and individual marketplace
vendors.
Key objectives include:
• Optimizing benefit plan design while being cost-effective
• Ensuring regulatory compliance across all benefit programs
• Supporting data collection and analysis regarding collective bargaining
negotiations related to benefits
• Supporting UMS Board of Trustees and Committee discussions
• Recommending and implementing innovative cost containment strategies
• Evaluating and managing vendor relationships
• Providing actuarial and financial analysis services
• Leveraging consortium purchasing opportunities where appropriate
• Educating UMS management and internal groups on national health and
benefits trends, laws and regulations, health savings and improvement
opportunities, and risks
UMS provides a comprehensive set of benefits programs for active and retired
employees based on the following schedule:
Participating Group
UMS Employees
UMS Retirees
Medical Dental Vision FSA
Yes
Yes
Yes Yes
Yes
Yes
EAP
Yes
Yes
HRA
Yes –
Marketplace
only
University of Maine System RFP
Rev. 08/16/2023
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Request for Proposal (IT) – Health & Welfare Benefits Consulting
Dated: April 2, 2026
As of March 1, 2026, the subscriber contract census of the eligible groups is:
Participating Group
Active Employees
Non-Medicare Retirees
Medicare Advantage
Retirees
COBRA
Medical Dental Vision FSA DCA HSA EAP HRA
4,017 4,426 3,072 882 121 623 5,350 N/A
50
150
N/A N/A N/A N/A
200 N/A
1,865
524
N/A N/A N/A N/A 3,100 1,235
9
14
14
0
0 N/A
N/A N/A
The UMS health insurance is provided to employees and retirees as follows:
• A third-party Administrative Services Only (ASO) agreement for its self-
insured PPO medical plan offered to active employees and pre-65
retirees. The options include a Copay plan or an IRS qualified High
Deductible Health Plan (HDHP) with a Health Savings Account (HSA).
• For its Medicare-eligible (post-64) retirees:
o A fully insured group Medicare Advantage program.
o Alight Medicare Marketplace whereby retirees can select
individual health plans tailored to their needs. Retirees can
shop for coverage—including Medicare Advantage, Medigap
(supplemental), prescription drug, dental, vision, and hearing
plans—using Alight’s portal. Those enrolling in individual plans
through this option are also eligible for a University-funded
HRA.
Pharmacy Benefit Management (PBM) service for the PPO plan is provided by
Capital RX on a carved-out basis.
In addition to medical plan offerings, UMS also offers dental to all eligible
employees through Northeast Delta Dental and Vision Insurance through
EyeMed. COBRA and FSAare through WEX; Retiree billing is through EBPA;
EAP is through Compsych; Life, AD&D, STD, LTD, and Maine’s Paid Family
Medical Leave Act (PFMLA) are through the Standard.
Respondents should review 1.1.4 Specifications / Scope of Work of this
document to see the full Scope of Services/Products required.
The University is committed to providing increased access and opportunity to
diverse businesses including but not limited to: Lesbian, Gay, Bisexual and
Transgender Business Enterprise (LGBTQ+BE); Minority Business Enterprise
(MBE); Service-Disabled Veteran Business Enterprise (SDVBE); Small Business
Enterprise (SBE); veteran-owned; service-disabled veteran-owned; HUBZone;
small disadvantaged business; women-owned; minority-owned; Veteran Business
Enterprise (VBE); and Women’s Business Enterprise (WBE).
University of Maine System RFP
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This page summarizes the opportunity, including an overview and a preview of the attached documents.