Project Information

Bid Title

RFP 26-006 PEEHIP Pharmacy Benefit Consulting Services for Fiscal Years 2027 – 2031

Issuing Agency

The Retirement Systems of Alabama

Location

Alabama

Published Date

May 5, 2026

Closing Date

Jun 11, 2026

Government Level

State & Local

Status

Closed

Original Source

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Project Description

RFP 26-006 PEEHIP Pharmacy Benefit Consulting Services for Fiscal Years 2027 – 2031

This Request for Proposals (RFP) solicits proposals for the performance of pharmacy benefit consulting services for a five-year period beginning October 1, 2026, and ending September 30, 2031, for the Public Education Employees’ Health Insurance Plan (PEEHIP). The services shall include both ongoing services performed on a recurring basis and as-needed services performed upon request and approval by PEEHIP. The services will focus on controlling PEEHIP’s total drug spend on specialty and non-specialty drugs across the pharmacy and medical benefits, with limited consulting support related to PEEHIP’s retiree Medicare Advantage Prescription Drug Plan (MAPDP). Proposers are expected to possess strong analytical capabilities, in-depth pharmacy benefit expertise, and the ability to provide practical recommendations to assist PEEHIP in managing formularies, utilization, and prescription drug spend.

RFP 26-006

RFP 26-006 Questions and Answers

Contact:
Taylor Benefield
Taylor.Benefield@rsa-al.gov

Deadline for receipt of questions:
May 1, 2026, @ 2:00 p.m.

Proposals Due:
June 11, 2026, 2:00 p.m. CST

Attachment Preview

REQUEST FOR PROPOSALS

FOR

PHARMACY BENEFIT CONSULTING SERVICES

FOR

THE

PUBLIC EDUCATION EMPLOYEES’ HEALTH INSURANCE

PLAN

FOR

FISCAL YEARS

2027 through 2031

RFP 26-006

Issue Date: April 17, 2026

This RFP Contains Information Under the Following Headings:

SECTION I

General Information for the Proposer

A. Purpose

B. Background

C. Other Information

D. Proposal Opening

E. Key Dates

F. Scope of Services

G. Payment Schedule

H. Selection of Firm(s)

I.

Addenda to the RFP

J.

Contact Point

K. Minimum Experience Qualifications

SECTION II

Submission Requirements

A. Technical Proposal

B. Cost Proposal

SECTION III

Criteria for Evaluation

A. General

B. PEEHIP’s Rights

C. Termination

D. Cost and Price Analysis

E. Proposal Evaluation Form

SECTION IV

Additional Documents

A.

State of Alabama Disclosure Statement

B.

Sample PEEHIP State Contract

C.

Immigration Compliance Certificate

D.

Proposer Profile Form

E.

Proposer References Form

F.

PEEHIP Statement on HIPAA Compliance Documentation

G.

Sample Business Associate Agreement

H.

IRS Form W-9

I.

Non-Disclosure Agreement

J.

IT Security Questionnaire

K.

Certification of Bidder or Proposer

SECTION I

General Information for the Proposer

A. Purpose:

This Request for Proposals (RFP) solicits proposals for the performance of pharmacy benefit consulting services

for a five-year period beginning October 1, 2026, and ending September 30, 2031, for the Public Education

Employees’ Health Insurance Plan (PEEHIP). The services shall include both ongoing services performed on a

recurring basis and as-needed services performed upon request and approval by PEEHIP. The services will focus

on controlling PEEHIP’s total drug spend on specialty and non-specialty drugs across the pharmacy and medical

benefits, with limited consulting support related to PEEHIP’s retiree Medicare Advantage Prescription Drug Plan

(MAPDP). Proposers are expected to possess strong analytical capabilities, in-depth pharmacy benefit expertise,

and the ability to provide practical recommendations to assist PEEHIP in managing formularies, utilization, and

prescription drug spend.

B. Background:

The PEEHIP provides health insurance benefits for all full-time employees and certain part-time employees of the

Alabama public educational institutions, which provide instruction at any combination of grades K-14. These

insurance benefits are also available to retired employees with a portion of the retiree's cost paid through the

employer premium for active employees. Coverage is also offered to eligible dependents.

Members have the following choices for health insurance coverage as follows:

• Hospital medical administered by Blue Cross and Blue Shield of Alabama – Actives and Non-Medicare

eligible retirees and eligible dependents.

• Prescription Drug coverage administered by Express Scripts – Actives and Non-Medicare eligible retirees

and eligible dependents.

• Health Maintenance Organization – Viva – Actives and Non-Medicare eligible retirees.

• Medicare Advantage Prescription Drug Plan (MAPDP) – Humana – Medicare eligible retirees and

Medicare eligible dependents of retirees

• Optional Coverage administered by Southland Benefit Solutions, LLC, – consisting of Dental, Hospital

Indemnity, Vision, and Cancer.

• Supplemental Hospital Medical administered by Blue Cross and Blue Shield of Alabama—supplemental

coverage for Actives and Non-Medicare eligible retirees

Members electing one of the hospital medical plans must pay a small amount each month for single coverage plus

an additional amount if the member elects family coverage. Additionally, members may select the optional coverage

plans or supplemental plan in lieu of the hospital medical coverage. Members electing hospital medical coverage

may also elect to pay an additional amount to acquire one or more of the optional plans.

Claims paid by third party administrators and payments to HMOs for Fiscal Years 2023-2025 are summarized as

follows (cash basis):

TPA

Medical - BCBS of AL

Drug - ESI

MAPDP

HMO - VIVA

Optionals - CDIV - Southland

Flex

Other (e.g., ADPH)

Total Claims

(Amount in Millions)

2023

$ 1,013

$

$ 254

$

$ 77

$

$ 20

$

$ 63

$

$

8

$

$

5

$

$ 1,440

$

2024

1,043

288

57

18

60

9

6

1,481

2025

$ 1,119

$ 247

$ 203

$ 19

$ 66

$ 10

$

5

$ 1,669

Number of Members with medical contracts and number of dependents enrolled in PEEHIP Medical Coverage and

Optional Coverage as of January 31, 2026:

As of January 31, 2026

Hospital/Medical

Hosp/Med

Supplemental

Total Hosp/Med

Humana

Viva Health

Total Hospital/Medical

Active

Retired

Total

Total Covered

Single Family Single Family Single Family Contracts Persons

35,297 52,286 3,753 5,580 39,050 57,866

96,916 230,639

188 1,537

546

770

734 2,307

3,041 8,596

35,485 53,823 4,299 6,350 39,784 60,173

99,957 239,235

-

- 40,442 20,437 40,442 20,437

60,879 80,907

727

518

133

90

860

608

1,468 2,747

36,212 54,341 44,874 26,877 81,086 81,218 162,304 322,889

As of January 31, 2026

Optional Plans

Active

Retired

Total

Total Covered

Single Family Single Family Single Family Contracts Persons

Cancer

3,850 6,175 4,636 5,127 8,486 11,302

19,788 39,054

Dental

24,340 45,564 28,777 30,718 53,117 76,282 129,399 272,384

Vision

8,585 13,678 7,071 9,488 15,656 23,166

38,822 81,865

Indemnity

2,608

All optional plans are with

Southland

3,825

2,503

2,249

5,111

6,074

11,185 22,141

PEEHIP also implemented a MAPDP effective January 1, 2017. The member count for this program is approximately

81,000 (included above), and the plan is currently administered by Humana.

C. Other Information:

Additional terms and conditions applicable to, and hereby incorporated within, this RFP and all proposals

submitted in response to this RFP are located at https://www.rsa-al.gov/about-rsa/itb-rfp/ and titled:

• RSA Reservation of Rights and Requirements for ITBs and RFPs

• RSA Standard Terms and Conditions for Solicitations and Contracts

• RSA Procedure for Resolution of Controversies

By submitting a proposal, all proposers are deemed to have agreed to all terms and conditions included

within the above documents unless a proposer provides RSA with a document clearly stating its exceptions

to any term or condition, along with a detailed justification, therefore.

Other documents that are considered as part of this RFP may be located via the internet as follows:

RSA’s website – www.rsa-al.gov

PEEHIP information on RSA’s website – www.rsa-al.gov/index.php/members/peehip/

Alabama Secretary of State’s website – www.sos.alabama.gov

PEEHIP Law – Code of Alabama 1975, Title 16, Chapter 25A, Article 1

Flexible Benefits Plan Law – Code of Alabama 1975, Title 16, Chapter 25A, Article 2

D. Proposal Opening:

Please submit one printed non-redacted and one printed redacted copy of your proposal, and a digital copy (non-

redacted and redacted) on a USB drive in a sealed envelope with the following plainly marked on the front:

PEEHIP

Pharmacy Benefit Consulting Services Proposal

RFP 26-006

Opening June 11, 2026

Proposals sent via UPS or FedEx:

Proposals sent via U.S. Mail:

Taylor Benefield

Accounting Dept.

Retirement Systems of Alabama

201 South Union Street

Montgomery, AL 36104

Taylor Benefield

Accounting Dept.

Retirement Systems of Alabama

P.O. Box 302150

Montgomery, AL 36130-2150

Proposals may be hand delivered to Taylor Benefield of the Retirement Systems Building, 7th floor, 201 South

Union Street, Montgomery, Alabama. Proposals will be accepted until 2:00 p.m. CST on June 11, 2026. Proposals

will not be accepted after this date and time. Proposals will be opened after 2:00 p.m. CST on June 11, 2026.

PEEHIP reserves the right to reject any and all responses to this RFP.

Any questions regarding this RFP must be submitted electronically via email by May 1, 2026, at 2:00 p.m. CST to

Taylor Benefield at Taylor.Benefield@rsa-al.gov.

All responses to this solicitation may be subject to public disclosure upon request. Proposers should be

aware of the Open Records Act (Ala. Code §36-12-40), the Alabama Trade Secrets Act (Ala. Code §8-27-1 and

§8-27-6), and the Public Record Status of Certain Procurement Information statute (Ala. Code §41-4-115).

Commodity Codes

• NAICS 541611Administrative Management and General Management Consulting Services

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