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AGENDA ITEM REVIEW FORM |
3.A.
Special Employee Benefit Trust Board Meeting
- Meeting Date:
- 06/24/2025
- Department Head:
- Adela Cortez
- Submitted By:
- Maria Barajas Gutierrez, Human Resources Coordinator, Human Resources Department
ITEM:
Discussion and action on any and all matters regarding a Request for Proposals for a Third-Party Administrator and Medical Provider Administrator for the Mexico Network. (Adela Cortez, Director of Human Resources).
SUMMARY:
A Third-Party Administrator (TPA) and a Medical Provider Administrator (MPA), are entities that perform key administrative functions for a health plan, including billing, claims processing, recordkeeping, and ensuring regulatory compliance. The City of San Luis currently contracts with Personify and SIARMED to provide administrative services for our health plan. Our current contracts expire on June 30, 2026.
To promote transparency, foster competition and secure the most effective solutions, the City of San Luis recommends issuing a Request for Proposals (RFP). RFPs serve as strategic tools to evaluate value, pricing structures and service capabilities across potential vendors.
Key benefits of issuing an RFP include:
If approved by the Board of Trustees, the RFP will be announced on January 5, 2026.
To promote transparency, foster competition and secure the most effective solutions, the City of San Luis recommends issuing a Request for Proposals (RFP). RFPs serve as strategic tools to evaluate value, pricing structures and service capabilities across potential vendors.
Key benefits of issuing an RFP include:
- Ensuring competitive pricing
- Facilitating a transparent selection process
- Encouraging vendor accountability
- Promoting detailed documentation
- Identifying specialized expertise
- Supporting informed decision-making
- Enhancing service outcomes
- Fostering innovation
If approved by the Board of Trustees, the RFP will be announced on January 5, 2026.
RECOMMENDATION / SUGGESTED MOTION:
I MOVE TO APPROVE THE STAFF’S RECOMMENDATION AND INITIATE THE DEVELOPMENT OF THE REQUEST FOR PROPOSALS FOR A THIRD-PARTY ADMINISTRATOR AND MEDICAL PROVIDER ADMINISTRATOR AS PRESENTED.
Fiscal Impact
Fiscal Impact:
N/A