RFP #25-MAS-0426 Medical Administration Services

Agency:	IDEA Public Schools
State:	Texas
Type of Government:	State & Local
NAICS Category:	561110 - Office Administrative Services
Posted Date:	Feb 10, 2026
Due Date:	Mar 18, 2026
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TEXAS

Request for Proposal

#25-MAS-0426

FULLY INSURED AND LEVEL FUNDED MEDICAL AND

RX COVERAGE SERVICES

Purchasing Department

2115 West Pike Blvd

Weslaco, TX 78596

solicitations@ideapublicschools.org

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Contents

PART I – CURRENT CONDITIONS/BACKGROUND ............................................................................................. 4

PART II – SCOPE AND SPECIFICATIONS OF THE PROPOSAL .......................................................................... 5

PART III – PROPOSAL SUBMISSION & REQUIREMENTS .................................................................................. 8

PART IV – EVALUATION CRITERIA .................................................................................................................... 10

PART V – GENERAL TERMS AND CONDITIONS ACKNOWLEDGEMENT.................................................... 11

PART VI - SUPPLEMENTAL TERMS AND CONDITIONS.................................................................................. 14

PART VII – REQUIRED ATTACHMENTS ............................................................................................................. 16

Attachment A – Title Page ....................................................................................................................................... 16

Attachment B – Vendor Acknowledgement............................................................................................................ 17

Attachment C – Evidence of Insurance................................................................................................................... 18

Attachment D – IDEA Conflict of Interest Form................................................................................................... 19

Attachment E – Texas Ethics Commission Form CIQ .......................................................................................... 20

Attachment F – Felony Conviction Disclosure Statement ..................................................................................... 22

Attachment G – Certification Regarding Lobbying .............................................................................................. 23

Attachment H – Contract Provisions for Contracts Involving Federal Funds .................................................... 24

Attachment H – Contract Provisions for Contracts Involving Federal Funds (cont’d) ..................................... 25

Attachment H – Contract Provisions for Contracts Involving Federal Funds (cont’d) ..................................... 26

Attachment I – Reference Sheet............................................................................................................................... 27

Attachment J – Litigation, Terminations, Claims.................................................................................................. 28

Attachment K – Proposed Pricing ........................................................................................................................... 29

(Fully Insured or Level Insured Funded Medical & RX Coverage)..................................................................... 29

Attachment L – IRS Form W-9 ............................................................................................................................... 30

Attachment M – Deviations and Exceptions........................................................................................................... 31

Attachment N – Certification Regarding Drug-Free Workplace ......................................................................... 32

Attachment O – Child Support Certification ......................................................................................................... 33

Part IX: APPENDICES............................................................................................................................................... 34

Part X: ADDENDA .................................................................................................................................................... 35

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Assistant Director of Procurement: Mia Harris Email: solicitations@ideapublicschools.org

Purpose of Request for Proposal (RFP): IDEA Public Schools (“IDEA”) is accepting proposals from qualified

and experienced firms to provide Fully Insured or Level Funded Medical and RX Coverage services, for

eligible IDEA employees and their enrolled dependents

The purpose of this Request for Proposal (“RFP”) is to identify a reliable, experienced, and scalable vendor capable

of administering comprehensive medical, pharmacy, wellness, and behavioral health benefit programs in

compliance with applicable federal and state regulations, while supporting IDEA’s operational needs, compliance

obligations, and employee benefit objectives.

IDEA Public Schools reserves the right to revise, clarify, or amend the specifications of this RFP at any time prior

to the proposal submission deadline. Respondents are encouraged to review the solicitation carefully and submit

written requests for clarification regarding any ambiguity, conflict, discrepancy, omission, or error identified

within the RFP.

Any revisions or amendments will be issued in the form of a written addendum and distributed to all parties known

to have received the RFP. It is the responsibility of each Respondent, prior to submitting a Proposal, to verify

whether any addenda have been issued and to acknowledge receipt of all addenda as part of the Proposal

submission.

To request copies of the claims reports, disruption reports, and census files, please reach out to Niki Ross at

niki.ross@marshmma.com or Taylor Compton at taylor.compton@marshmma.com.

Timeline:

All dates and times are tentative and subject to change.

First Advertisement Date/Issue Date:

Sunday, February 8, 2026

Second Advertisement Date:

Sunday, February 15, 2026

Virtual Pre-Proposal Meeting:

Respondent Question Cut-Off Date:

Questions Response from IDEA:

Proposals Due by Date & Time:

Anticipated Evaluation Period:

Anticipated Board Meeting & Approval:

Initial Proposed Contract Term:

Renewal option #1:

Renewal option #2:

Renewal option #3:

Wednesday, February 18, 2026 @ 10:00 AM CST

Wednesday, February 25, 2026, no later than 12:00 PM CST

Wednesday, March 4, 2026

Wednesday, March 18, 2026, no later than 2:00 PM CST

Monday, March 23, 2026 – Wednesday, April 15, 2026

April 2026

July 1, 2026-June 30, 2027

July 1, 2027-June 30, 2028 (rate cap requested)

July 1, 2028-June 30, 2029

July 1, 2029-June 30, 2030

Pre-Proposal

Conference

A virtual pre-proposal meeting will be held at 10:00 AM CST via TEAMS video

conference on Wednesday, February 18, 2026. Attendance is strongly encouraged.

Questions regarding this RFP must be submitted in writing to

solicitations@ideapublicschools.org no later than 12:00 PM CST on Wednesday, February

25, 2026. The subject line must read “Questions-RFP #25-MAS-0426 FULLY

INSURED OR LEVEL FUNDED MEDICAL AND RX COVERAGE SERVICES”.

Respondents are responsible for reviewing questions and answers prior to submitting a

proposal. Oral communications regarding this RFP shall not be binding and shall in no way

excuse a Respondent from the obligations set forth in this proposal. While the pre-proposal

meeting is non-mandatory, it is highly encouraged that all potential respondents participate

and attend.

Join TEAMS Meeting: Microsoft Teams Meeting

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Meeting ID: 299 729 962 498 41

Passcode: GE3vb6wU

Proposal Submission: Proposals may be submitted using the Public Purchase or Self-Service website, or by

sending one (1) clearly identified hard copy ORIGINAL of the Proposal to:

IDEA Public Schools

RFP #25-MAS-0426 FULLY INSURED AND LEVEL FUNDED MEDICAL AND RX COVERAGE

SERVICES

Attn: Purchasing Department

2115 West Pike Blvd

Weslaco, TX 78596

Proposals must be received by IDEA by the due date and time in the timeline. Each proposal must be sealed

and clearly labeled with the required information; failure to comply may result in disqualification.

Note: Faxed or emailed Proposals will not be accepted. Acceptance Period is 120 days from the date of the

proposal submission deadline unless otherwise stated in writing.

Eligible Respondents: Respondents must not be debarred or suspended by federal or state-funded agencies and

must have the legal authority to transact business in Texas. Additionally, respondents must affirmatively

demonstrate responsibility and good standing, which may be considered as part of the performance evaluation

criteria. Respondents may withdraw their proposals in writing at any time prior to the submission deadline, without

penalty or prejudice.

PART I – CURRENT CONDITIONS/BACKGROUND

Introduction: IDEA Public Schools (“IDEA”) is a Texas non-profit corporation and a tax-exempt organization

pursuant to Section 501(c)(3) of the Internal Revenue Code. Pursuant to Chapter 12, Subchapter D of the Texas

Education Code and its Contract for Charter with the Texas State Board of Education, as renewed by the

Commissioner of Education, IDEA is an open-enrollment charter holder, governmental entity, and public school

system. IDEA transforms education by preparing graduates to succeed in college and life. IDEA is a growing

network of high-performing charter schools serving students located throughout Texas in the Austin, El Paso,

Houston, Permian Basin, Rio Grande Valley, San Antonio, and Tarrant County regions.

IDEA serves primarily low-income students in underserved areas of both rural and urban communities. Over 80%

of IDEA students are considered low-income, and one in every three students is the first in their family to go to

college. Since the first graduating class in 2007, nearly 100% of seniors have been accepted and matriculated to a

college or university every year. Thanks to a rigorous path to college, IDEA students attend selective universities

throughout the country, win national awards and scholarships, and complete college at a rate six times the national

average for low-income students.

Note: While IDEA’s program, curriculum, and mission has been replicated to serve students in other states,

this Request for Proposals and any subsequent contract is only for goods and services provided to IDEA’s Texas-

based charter school and campuses.

Project Background:

IDEA provides employer-sponsored medical benefits to eligible full-time employees and their enrolled

dependents. Historically, medical coverage has included multiple plan options, including Provider Preferred

Organization(PPO) and high-deductible health plan (HDHP) designs, with both employer-funded and employee-

contributed components.

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IDEA seeks to evaluate alternative network plan options, including Exclusive Provider Organization (EPO) and

Health Maintenance Organization (HMO) Network options in addition to the PPO and HDHP plan options, with

an emphasis on cost efficiency, regulatory compliance, network access, employee experience, and reporting

transparency.

Respondents should assume a large, geographically and multi-state distributed employee population and

demonstrate experience administering benefit programs for organizations of comparable size and complexity.

PART II – SCOPE AND SPECIFICATIONS OF THE PROPOSAL

Proposal Specifications: The following describes the scope of services and performance requirements that the

selected Respondent(s) will be required to meet. Failure to address or fully describe the capabilities to meet the

requirements of this section may result in disqualification or reduced evaluation scores. IDEA reserves the right to

make multiple awards or a single award, as determined to be in its best interest.

Funding Model Clarification

IDEA Public Schools is seeking proposals for Fully Insured or Level Funded Medical and RX Coverage Services.

Respondents must submit a proposal for only one funding arrangement:

1. Fully Insured plans, or

2. Level Funded plans

Do not submit proposals that include both funding arrangements.

IDEA reserves the right to evaluate and award based on the funding model(s) determined to be in IDEA’s best

interest and is not obligated to select both models or all proposed options.

Section 1: Overview

IDEA Public Schools is seeking qualified vendors to provide Fully Insured and Level Funded Medical and RX

Coverage Services, which may include:

• Fully Insured Medical, Pharmacy, and Wellness Plan Administration

• Behavioral Health

• Diabetes Management

• Fertility/Pregnancy Programs

• Wellness Program / Biometric Screenings

• Musculoskeletal Programs

• Weight Management

• Mobile App

• Pharmacy Containment Solutions

• Telehealth

• Network access and provider management

• Claims processing and adjudication

• Member services and customer support

• Eligibility and enrollment administration

• Reporting, analytics, and compliance support

• Onsite/Virtual Dedicated Representative

• Wellness Funds

• Implementation Funds

• 2nd Year Rate Cap

Respondents may submit proposals for only one (1) of the following options:

• Option 1: Fully Insured Medical and RX Plans

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This page summarizes the opportunity, including an overview and a preview of the attached documents.

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