NAICS Classification 524292 Government Contracts

The Justification for Other Than Full and Open Competition (JOFOC) for Pharmacy Benefit Management (PBM) support is posted in accordance with Revolutionary Federal Acquisition Regulation Overhaul (RFO) 6.301.

THIS IS A SOURCES SOUGHT NOTICE AND REQUEST FOR INFORMATION ONLY. It is not a solicitation, does not constitute a commitment by the Government, and no contract will be awarded from this notice. Responses will not be reimbursed. The U.S. Office of Personnel Management (OPM) is conducting market research for the follow-on acquisition of BENEFEDS, the Government-sponsored enrollment, premium and allotment administration, and customer service platform supporting the Federal Employees Dental and Vision Insurance Program (FEDVIP), the Federal Flexible Spending Account Program (FSAFEDS), and the Federal Long Term Care Insurance Program (FLTCIP). The anticipated requirement includes FEDVIP enrollment and eligibility services; premium and payroll-allotment administration across more than fifty payroll and annuity providers; a bilingual multi-channel contact center; education, communications, and Open Season support; the information systems, security authorization, privacy, accessibility, and continuity functions that underpin the services; reporting; fraud, waste, and abuse prevention; and transition-in and transition-out. The current contract, IDIQ 24322622D0006, was competitively awarded June 28, 2022; services for calendar year 2027 are being provided under a task order on that contract. OPM anticipates award of the follow-on in spring 2027 with full services beginning on or about December 31, 2027. OPM seeks (1) capability and business-size information from firms of all sizes, including small businesses in every socioeconomic category, to support its small business determination, and (2) industry comments on the anticipated requirement, the draft performance standards, the transition approach, and the contract structure — including anything OPM has not listed that a capable benefits administrator would expect to see specified. The attached notice describes the requirement and the information requested; Attachment 1 is the required response format. Questions about this notice are due by 3:00 p.m. ET, Wednesday, October 14, 2026, by email to [email protected] and [email protected]. Responses are due by 3:00 p.m. ET, Monday, October 26, 2026, by email to both addresses with the subject line "BENEFEDS SSN/RFI Response — [Company Name]". OPM may invite selected respondents to 30-minute virtual sessions during the week of November 2, 2026. All communication is through the two points of contact above; do not contact other OPM personnel.

25 Sep 2026: Uploaded signed version of the basic RFP and Amendment 0001 that updates the sensitivity labels of Section J, Attachment J-5b and Exhibits L-7, L-8, L-9. This acquisition is for the continuing requirement for health care claims processing, customer support and other associated administrative services (e.g. submission of TRICARE encounter data and provider certification) of dual-eligible Medicare and TRICARE beneficiaries who receive medical services within the United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and Northern Mariana Islands. USC Title 10, Chapter 55, and USC Title 32, National Defense, Code of Federal Regulations (CFR) Part 199, outline the benefit structure, administrative functions and the various health care programs, including TMEP2. This is a full and open competitive source selection, using best value trade-off procedures in accordance with RFO Federal Acquisition Regulation (RFO FAR) 15.2, Evaluation and Award, as supplemented with Defense FAR Supplement and the DoD Source Selection Procedures (August 2022). The contract awarded will be a Firm Fixed-Price contract. The contract will have a one 12-month base period of transiotion-in activiteis, seven 1-year periods for healthcare delivery, a one 12-month contract period for transition-out activities, and a potential 6-month extension of services permitted per RFO FAR Clause 52.217-8, Option to Extend Services, for a potential total period of performance of 8.5 years.

25 Sep 2026: Uploaded signed version of the basic RFP and Amendment 0001 that updates the sensitivity labels of Section J, Attachment J-5b and Exhibits L-7, L-8, L-9. This acquisition is for the continuing requirement for health care claims processing, customer support and other associated administrative services (e.g. submission of TRICARE encounter data and provider certification) of dual-eligible Medicare and TRICARE beneficiaries who receive medical services within the United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and Northern Mariana Islands. USC Title 10, Chapter 55, and USC Title 32, National Defense, Code of Federal Regulations (CFR) Part 199, outline the benefit structure, administrative functions and the various health care programs, including TMEP2. This is a full and open competitive source selection, using best value trade-off procedures in accordance with RFO Federal Acquisition Regulation (RFO FAR) 15.2, Evaluation and Award, as supplemented with Defense FAR Supplement and the DoD Source Selection Procedures (August 2022). The contract awarded will be a Firm Fixed-Price contract. The contract will have a one 12-month base period of transiotion-in activiteis, seven 1-year periods for healthcare delivery, a one 12-month contract period for transition-out activities, and a potential 6-month extension of services permitted per RFO FAR Clause 52.217-8, Option to Extend Services, for a potential total period of performance of 8.5 years.