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Private Medical Benefits Administrator

Transport for London

This public procurement record has 3 releases in its history.

Tender

20 Jul 2026 at 13:56

UK4 - Tender Notice
PlanningUpdate

17 Apr 2026 at 13:28

UK2 - Preliminary Market Engagement Notice
Planning

17 Apr 2026 at 10:28

UK2 - Preliminary Market Engagement Notice
Summary of the contracting process

Transport for London is procuring a private medical benefits administrator to manage its employee healthcare scheme. The service will include assessing claims, paying treatment costs, managing medical treatment spend, supporting appropriate treatment pathways and helping achieve positive member outcomes. The administrator will provide an efficient claims process, a responsive member helpline and proactive account management for TfL and scheme members. The scheme is financed through a trust and covers approximately 7,100 employees and eligible dependants, although activity levels and membership numbers are not guaranteed. The work is delivered in the United Kingdom. This is a services opportunity, classified under financial and insurance services. TfL is the buyer, with Towers Watson Limited supporting the procurement as external healthcare advisers.

The procurement has reached tender: TfL has invited offers through a selective competitive flexible procedure under the Procurement Act 2023. Expressions of interest are due by 20 August 2026 at 15:00, and enquiries close on 31 July 2026 at 15:00. Suppliers must register on SAP Ariba and request access to the sourcing event before submitting. The contract is planned to run from 1 April 2027 to 31 March 2030, with two possible one-year extensions, giving a latest end date of 31 March 2032. Its estimated value is £14.48 million excluding VAT and £15.56 million including VAT over the maximum five-year term; this is indicative and not guaranteed spend or revenue. Evaluation is weighted 75% technical quality, 10% social value and 15% commercial criteria. TfL may negotiate and invite final tenders.

This opportunity suits private medical benefits administrators, healthcare insurers and related providers with the infrastructure to administer claims and pay treatment costs for a substantial employee scheme. Strong candidates will be able to demonstrate robust control of medical treatment spend, experience managing claims through suitable treatment pathways, and the ability to use approaches such as direct access to musculoskeletal services and open referral networks. The requirement also favours suppliers with a responsive member helpline, effective account management and a clear focus on member outcomes. Providers must have the capability and capacity to implement and transition the scheme while maintaining continuity and minimising disruption. Experience delivering high-quality administration for employers, trusts or comparable healthcare schemes would be relevant. Small and medium-sized enterprises are considered suitable for this procurement.

How relevant is this notice?

Notice Information

Notice Title

Private Medical Benefits Administrator

Notice 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. The 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. The 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. TfL 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. Bidders 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. The 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.

Lot Information

Lot 1

Renewal: 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).

Planning Information

Transport for London intends to hold optional one‑to‑one meetings with interested suppliers. The meetings will be used to explain the requirement, what our priorities are, proposed procurement route and any Q&A's. We 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. To register your interest and arrange a one-to-one meeting, please contact Chris Stratton (ChrisStratton@tfl.gov.uk) Participation 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.

Notice Details

Publication & Lifecycle

Open Contracting ID
ocds-h6vhtk-0684e8
Publication Source
Find A Tender Service
Latest Notice
https://www.find-tender.service.gov.uk/Notice/068249-2026
Current Stage
Tender
All Stages
Planning, Tender

Procurement Classification

Notice Type
UK4 - Tender Notice
Procurement Type
Standard
Procurement Category
Services
Procurement Method
Selective
Procurement Method Details
Competitive flexible procedure
Tender Suitability
SME
Awardee Scale
Not specified

Common Procurement Vocabulary (CPV)

CPV Divisions

66 - Financial and insurance services

CPV Codes

66000000 - Financial and insurance services

Notice Value(s)

Tender Value
£14,480,000 £10M-£100M
Lots Value
£14,480,000 £10M-£100M
Awards Value
Not specified
Contracts Value
Not specified

Notice Dates

Publication Date
20 Jul 20261 months ago
Submission Deadline
31 Jul 2026Expired
Future Notice Date
1 May 2026Expired
Award Date
Not specified
Contract Period
1 Apr 2027 - 31 Mar 2030 3-4 years
Recurrence
2031-05-05

Notice Status

Tender Status
Active
Lots Status
Active
Awards Status
Not Specified
Contracts Status
Not Specified

Buyer & Supplier

Contracting Authority (Buyer)

Main Buyer
Transport for London
Contact Name
Available with D3 Tenders Premium →
Contact Email
Available with D3 Tenders Premium →
Contact Phone
Available with D3 Tenders Premium →

Buyer Location

Locality
LONDON
Postcode
E20 1JN
Postcode Area
East London
Country
England
Major Region (ITL 1)
TLI London
Basic Region (ITL 2)
TLI4 Inner London - East
Small Region (ITL 3)
TLI41 Hackney and Newham
Delivery Location
TLI London
Local Authority
Newham
Electoral Ward
Stratford Olympic Park
Westminster Constituency
Stratford and Bow

Further Information

Notice Documents

Open Contracting Data Standard (OCDS)

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The Open Contracting Data Standard (OCDS) is a framework designed to increase transparency and access to public procurement data in the public sector. It is widely used by governments and organisations worldwide to report on procurement processes and contracts.

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