State of Delaware Medical Third-Party Administration Services

The State of Delaware, Department of Human Resources, on behalf of the State Employee Benefits Committee (SEBC), is seeking proposals for professional services to administer its medical insurance benefit. This includes managing the Group Health Insurance Plan (GHIP) for approximately 124,780 active and retired employees and their dependents. The selected Third-Party Administrator (TPA) will be responsible for administering current medical plan options and potentially a new Health Savings Account (HSA) qualified plan. The contract will involve managing enrollment, claims processing, member services, and ensuring compliance with various healthcare regulations and state requirements. The State is looking for an organization with extensive experience in medical TPA services, a strong reputation, and innovative solutions to manage costs and improve health outcomes for plan participants.