Private Medical Benefits Administrator

{
  "id": "068249-2026",
  "tag": [
    "tender"
  ],
  "date": "2026-07-20T13:56:25+01:00",
  "ocid": "ocds-h6vhtk-0684e8",
  "buyer": {
    "id": "GB-PPON-PHMT-6197-NWNZ",
    "name": "Transport for London"
  },
  "tender": {
    "id": "WS2526527732",
    "lots": [
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        "id": "1",
        "value": {
          "amount": 14480000,
          "currency": "GBP",
          "amountGross": 15560000
        },
        "status": "active",
        "renewal": {
          "description": "The proposed new contract will be for an initial period of three years, with the option to extend up to an additional two years (1+1)."
        },
        "hasRenewal": true,
        "suitability": {
          "sme": true
        },
        "awardCriteria": {
          "criteria": [
            {
              "name": "Technical quality criteria",
              "type": "quality",
              "numbers": [
                {
                  "number": 75,
                  "weight": "percentageExact"
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              ]
            },
            {
              "name": "Social Value criteria",
              "type": "quality",
              "numbers": [
                {
                  "number": 10,
                  "weight": "percentageExact"
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            },
            {
              "name": "Commercial criteria",
              "type": "price",
              "numbers": [
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                  "number": 15,
                  "weight": "percentageExact"
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        },
        "contractPeriod": {
          "endDate": "2030-03-31T23:59:59+01:00",
          "startDate": "2027-04-01T00:00:00+01:00",
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            "country": "GB",
            "countryName": "United Kingdom"
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        "additionalClassifications": [
          {
            "id": "66000000",
            "scheme": "CPV",
            "description": "Financial and insurance services"
          }
        ]
      }
    ],
    "title": "Private Medical Benefits Administrator",
    "value": {
      "amount": 14480000,
      "currency": "GBP",
      "amountGross": 15560000
    },
    "status": "active",
    "coveredBy": [
      "GPA"
    ],
    "documents": [
      {
        "id": "conflictOfInterest",
        "description": "Not published",
        "documentType": "conflictOfInterest"
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      {
        "id": "068249-2026",
        "url": "https://www.find-tender.service.gov.uk/Notice/068249-2026",
        "format": "text/html",
        "noticeType": "UK4",
        "description": "Tender notice on Find a Tender",
        "documentType": "tenderNotice",
        "datePublished": "2026-07-20T13:56:25+01:00"
      }
    ],
    "procedure": {
      "features": "This procurement is being conducted using the Competitive Flexible Procedure under the Procurement Act 2023. Bidders will submit an Initial Tender comprising qualification, technical, commercial and contractual responses. Qualification requirements will be assessed first and only bidders meeting the Conditions of Participation and mandatory qualification requirements will progress to full evaluation.\nTfL will evaluate compliant tenders against the published award criteria and may seek clarifications where required. TfL reserves the right to undertake one or more rounds of negotiation with compliant bidders on technical, commercial, contractual and delivery matters. Following negotiation, TfL may refine its requirements, award criteria, evaluation methodology and tender documentation where permitted under the Procurement Act 2023 and will communicate any changes equally to all participating bidders.\nFollowing negotiations, bidders may be invited to submit a Final Tender. TfL reserves the right to award the contract on the basis of Initial Tenders without negotiation. The contract will be awarded to the bidder submitting the Most Advantageous Tender."
    },
    "legalBasis": {
      "id": "2023/54",
      "uri": "https://www.legislation.gov.uk/ukpga/2023/54/contents",
      "scheme": "UKPGA"
    },
    "recurrence": {
      "dates": [
        {
          "startDate": "2031-05-05T23:59:59+01:00"
        }
      ]
    },
    "awardPeriod": {
      "endDate": "2026-12-21T23:59:59Z"
    },
    "description": "Transport for London (TfL) is seeking to procure an Administrator for its Private Medical Benefit under  new contract commencing on the 1 April 2027. The contract will run for an initial three-year period with an option to extend for a further two years (1+1), at TfL's sole discretion.\nThe Administrator will be expected to manage the Private Medical Benefit on behalf of TfL, including assessing claims and paying treatment costs. The scheme is currently financed via a trust with c. 7,100 employees and their eligible dependants. TfL does not guarantee any minimum number of Scheme Members or volume of activity under the contract.\nThe administration service is of critical importance to TfL. The successful Administrator will be expected to deliver high quality service to both TfL and the Scheme Members, including an efficient claims process, responsive member helpline and proactive account management support.\nTfL is seeking an Administrator that can effectivley procure and manage medical treatment spend while supporting positive member outcomes. The selected provider should be able to demonstrate robust cost control capabilities and experience of managing claims spend through appropriate treatment pathways. This includes the use of mechanisms such as direct access to musculoskeletal services and open referral networks, which form part of the benefit design and help deliver an effective claims journey whilst controlling costs.\nBidders must also demonstrate their ability to manage the implementation and transition of the scheme effectively, ensuring continuity of service and minimal disruption to TfL and Scheme Members.\nThe estimated contract value stated within this notice is based on the anticipated administration fees and stop-loss insurance premiums over the maximum potential contract term of five years. The estimated value stated in this notice reflects projected administration fees and stop loss insurance premiums across the maximum potential five year contract term. The stated value is indicative only and should not be interpreted as a guarantee of contract spend, supplier revenue or membership levels during the term of the contract.",
    "enquiryPeriod": {
      "endDate": "2026-07-31T15:00:00+01:00"
    },
    "hasRecurrence": true,
    "aboveThreshold": true,
    "submissionTerms": {
      "languages": [
        "en"
      ],
      "electronicSubmissionPolicy": "allowed"
    },
    "procurementMethod": "selective",
    "mainProcurementCategory": "services",
    "submissionMethodDetails": "Access to the procurement documents is restricted. \nSuppliers wishing to participate in this procurement must be registered on SAP Ariba. https://s1-eu.ariba.com/Sourcing/Main/ad/selfRegistration?realm=TfL\nOnce registered, suppliers should notify TfL of their interest in the opportunity by contacting chrisstratton@tfl.gov.uk and providing their organisation name and Ariba Supplier ID. TfL will then add the supplier to the relevant Ariba Sourcing Event, enabling access to the procurement documents and participation in the tender process.\nAll communication must be conducted via the Ariba portal.\nApplications or, where applicable, tenders must be submitted to the above-mentioned address",
    "procurementMethodDetails": "Competitive flexible procedure",
    "expressionOfInterestDeadline": "2026-08-20T15:00:00+01:00"
  },
  "parties": [
    {
      "id": "GB-PPON-PHMT-6197-NWNZ",
      "name": "Transport for London",
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        "region": "UKI41",
        "country": "GB",
        "locality": "London",
        "postalCode": "E20 1JN",
        "countryName": "United Kingdom",
        "streetAddress": "5 Endeavour Square"
      },
      "details": {
        "url": "https://tfl.gov.uk/",
        "classifications": [
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      "identifier": {
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        "scheme": "GB-PPON"
      },
      "contactPoint": {
        "email": "BSFAribaAdministration@tfl.gov.uk"
      }
    },
    {
      "id": "GB-COH-05379716",
      "name": "TOWERS WATSON LIMITED",
      "roles": [
        "procuringEntity"
      ],
      "address": {
        "region": "UKJ26",
        "country": "GB",
        "locality": "Reigate",
        "postalCode": "RH2 9PQ",
        "countryName": "United Kingdom",
        "streetAddress": "Watson House"
      },
      "details": {
        "url": "https://www.wtwco.com/en-gb/solutions/investments"
      },
      "identifier": {
        "id": "05379716",
        "scheme": "GB-COH"
      },
      "roleDetails": "Towers Watson Limited is supporting TfL with this procurement as external healthcare advisors",
      "contactPoint": {
        "email": "craig.brown@wtwco.uk"
      },
      "additionalIdentifiers": [
        {
          "id": "PCQM-4544-RGMV",
          "scheme": "GB-PPON"
        }
      ]
    }
  ],
  "language": "en",
  "initiationType": "tender"
}

{
  "id": "035201-2026",
  "tag": [
    "planningUpdate"
  ],
  "date": "2026-04-17T13:28:53+01:00",
  "ocid": "ocds-h6vhtk-0684e8",
  "buyer": {
    "id": "GB-PPON-PHMT-6197-NWNZ",
    "name": "Transport for London"
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    "description": "Transport for London (TfL) are reviewing the existing Private Medical Benefit and will be appointing an Administrator with a new contract commencing on 1 December 2026.  The contract will run for an initial three-year period with an option to extend for a further two years.\nThe Administrator will be expected to manage the Private Medical Benefit on behalf of TfL including assessing claims and paying treatment costs.  The Private Medical Benefit is currently financed via a Trust with c. 6,900 employees included within the plan plus their eligible dependants.\nAdministration service is extremely important to TfL. TfL's chosen administrator needs to provide excellent service to both TfL and the Private Medical Benefit members.   This includes offering a quality claims helpline and claims process for plan members as well as a proactive account management service to TfL.\nTfL are keen to work with an administrator who can procure and manage medical treatment spend appropriately.  The selected provider should be able to demonstrate that they can control costs effectively and work with TfL to manage the claims spend.  This includes the use of claims pathways such as direct access musculoskeletal services and open referral networks that are mandated within the benefit design to facilitate an efficient claims journey for plan members whilst controlling costs.\nAdministrators must demonstrate their ability to manage the transition of the scheme effectively and seamlessly, with no disruption to TfL or members of the Private Medical Benefit.",
    "aboveThreshold": true,
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        "country": "GB",
        "locality": "London",
        "postalCode": "E20 1JN",
        "countryName": "United Kingdom",
        "streetAddress": "5 Endeavour Square"
      },
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        "url": "https://tfl.gov.uk/",
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        "country": "GB",
        "locality": "Reigate",
        "postalCode": "RH2 9PQ",
        "countryName": "United Kingdom",
        "streetAddress": "Watson House"
      },
      "details": {
        "url": "https://www.wtwco.com/en-gb/solutions/health-and-benefits"
      },
      "identifier": {
        "id": "05379716",
        "scheme": "GB-COH"
      },
      "roleDetails": "Willis Tower Watson is supporting TfL with this procurement as external healthcare advisors.",
      "contactPoint": {
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      "additionalIdentifiers": [
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  "language": "en",
  "planning": {
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        "id": "035201-2026",
        "url": "https://www.find-tender.service.gov.uk/Notice/035201-2026",
        "format": "text/html",
        "noticeType": "UK2",
        "description": "Preliminary market engagement notice on Find a Tender",
        "documentType": "marketEngagementNotice",
        "datePublished": "2026-04-17T13:28:53+01:00"
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    "milestones": [
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        "type": "engagement",
        "status": "scheduled",
        "dueDate": "2026-05-01T23:59:59+01:00",
        "description": "Transport for London intends to hold optional one‑to‑one meetings with interested suppliers.\nThe meetings will be used to explain the requirement, what our priorities are, proposed procurement route and any Q&A's.\nWe are anticipating to host the one-to-one meetings on the 30th of April and 1st of May 2026, but if required and possible we can schedule the meeting for a different date and time.\nTo register your interest and arrange a one-to-one meeting, please contact Chris Stratton (ChrisStratton@tfl.gov.uk)\nParticipation in this early market engagement is entirely voluntary and is not a condition of participation in any subsequent procurement process. No supplier will receive any preferential treatment or advantage as a result of taking part."
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  "initiationType": "tender"
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{
  "id": "035029-2026",
  "tag": [
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  "date": "2026-04-17T10:28:36+01:00",
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            "scheme": "CPV",
            "description": "Accident and health insurance services"
          }
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    ],
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    "legalBasis": {
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      "uri": "https://www.legislation.gov.uk/ukpga/2023/54/contents",
      "scheme": "UKPGA"
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    "description": "Transport for London (TfL) are reviewing the existing Private Medical Benefit and will be appointing an Administrator with a new contract commencing on 1 December 2026.  The contract will run for an initial three-year period with an option to extend for a further two years.  \nThe Administrator will be expected to manage the Private Medical Benefit on behalf of TfL including assessing claims and paying treatment costs.  The Private Medical Benefit is currently financed via a Trust with c. 6,900 employees included within the plan plus their eligible dependants. \nAdministration service is extremely important to TfL. TfL's chosen administrator needs to provide excellent service to both TfL and the Private Medical Benefit members.   This includes offering a quality claims helpline and claims process for plan members as well as a proactive account management service to TfL. \nTfL are keen to work with an administrator who can procure and manage medical treatment spend appropriately.  The selected provider should be able to demonstrate that they can control costs effectively and work with TfL to manage the claims spend.  This includes the use of claims pathways such as direct access musculoskeletal services and open referral networks that are mandated within the benefit design to facilitate an efficient claims journey for plan members whilst controlling costs. \nAdministrators must demonstrate their ability to manage the transition of the scheme effectively and seamlessly, with no disruption to TfL or members of the Private Medical Benefit.",
    "aboveThreshold": true,
    "mainProcurementCategory": "services"
  },
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      "name": "Transport for London",
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        "region": "UKI41",
        "country": "GB",
        "locality": "London",
        "postalCode": "E20 1JN",
        "countryName": "United Kingdom",
        "streetAddress": "5 Endeavour Square"
      },
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        "url": "https://tfl.gov.uk/",
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        "postalCode": "RH2 9PQ",
        "countryName": "United Kingdom",
        "streetAddress": "Watson House"
      },
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        "url": "https://www.wtwco.com/en-gb/solutions/investments"
      },
      "identifier": {
        "id": "05379716",
        "scheme": "GB-COH"
      },
      "roleDetails": "Willis Tower Watson is supporting TfL with this procurement as external healthcare advisors.",
      "contactPoint": {
        "email": "Philip.Hough@wtwco.com"
      },
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          "id": "PCQM-4544-RGMV",
          "scheme": "GB-PPON"
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  "planning": {
    "documents": [
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        "id": "035029-2026",
        "url": "https://www.find-tender.service.gov.uk/Notice/035029-2026",
        "format": "text/html",
        "noticeType": "UK2",
        "description": "Preliminary market engagement notice on Find a Tender",
        "documentType": "marketEngagementNotice",
        "datePublished": "2026-04-17T10:28:36+01:00"
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        "dueDate": "2026-05-01T23:59:59+01:00",
        "description": "Transport for London intends to hold optional one‑to‑one meetings with interested suppliers. \nThe meetings will be used to explain the requirement, what our priorities are, proposed procurement route and any Q&A's.\nWe are anticipating to host the one-to-one meetings on the 30th of April and 1st of May 2026, but if required and possible we can schedule the meeting for a different date and time.\nTo register your interest and arrange a one-to-one meeting, please contact Chris Stratton (ChrisStratton@tfl.gov.uk)\nParticipation in this early market engagement is entirely voluntary and is not a condition of participation in any subsequent procurement process. No supplier will receive any preferential treatment or advantage as a result of taking part."
      }
    ]
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  "initiationType": "tender"
}