State of New Hampshire

Buyer seeks a partner to administer medical benefits for its self-funded Employee and Retiree Health Benefit Plan covering approximately 27,300 lives. The contract includes managing provider networks, claims processing, and wellness programs. Buyer requires preferred outpatient surgery and lab locations throughout New Hampshire and a comprehensive value-based purchasing approach. The contract will run from January 1, 2026 through December 31, 2029 with potential extension options.

• 3/27/2025 - Deadline for Bidder Inquiries
• 4/3/2025 - Response to Bidder Inquiries
• 4/17/2025 - Proposal Due Date
• 8/1/2025 - Contract Implementation Period Start
• 1/1/2026 - TPA Effective Date

• Licensed to provide third party administration services in New Hampshire
• Demonstrate financial stability with recent financial reports
• Maintain adequate network provider access throughout the service area
• Offer preferred outpatient surgery and lab locations statewide
• Administer current plan designs for active and retiree health plans
• Provide national network for non-Medicare retiree health plans

• Administer medical benefits for self-funded employee and retiree health plans
• Provide preferred outpatient surgery and lab locations throughout New Hampshire
• Implement value-based purchasing and contracting strategies
• Administer comprehensive wellness program with incentives
• Support health promotion incentive programs offering payments up to $300
• Administer biometric screening and health risk assessment programs
• Coordinate with the State's pharmacy benefits manager
• Provide telehealth services and behavioral health programming
• Implement an employee incentive shopping program
• Manage comprehensive provider networks with adequate statewide coverage