This RFQ solicits quotes for an
Insurance Benefit Manager (IBM) to process client cost-shares on medical
insurance claims. Quotes are due July 2, 2025, 2:00 PM Eastern Time. Questions are due June 24, 2025, 2:00 PM Eastern Time. All quotes must be submitted electronically via email to ***@***. *. * contract will be awarded through the state's e-procurement system, njstart (www. ***. *. *). Bidders must review the State of New Jersey Standard Terms and Conditions, and various forms and certifications (ownership disclosure, investment activities in Iran,
investigations, McBride Principles, service performance within the US, confidentiality, subcontractor utilization, pay-to-play prohibitions, vendor/bidder certification, affirmative action, security due diligence questionnaire, business registration, certification of non-involvement in prohibited activities in Russia or Belarus) must be submitted with the quote. The successful bidder must have a business continuity plan or emergency response plan, and provide implementation, communication, and contract management plans. The scope of work includes coordinating and making timely payments for medical deductibles, copayments, coinsurance, and client out-of-pocket responsibilities for approved HIV-related health care costs. The contractor must be operational by November 1, 2025. Additional requirements include adequate cash flow, transaction processing capacity, payment processing timeframes, and compliance with HIV care standards and requirements.