Private Medical Benefits Administrator

{
    "tag": [
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    "id": "ocds-h6vhtk-0684e8-2026-07-20T13:56:25+01:00",
    "date": "2026-07-20T13:56:25+01:00",
    "ocid": "ocds-h6vhtk-0684e8",
    "initiationType": "tender",
    "parties": [
        {
            "id": "GB-PPON-PHMT-6197-NWNZ",
            "name": "Transport for London",
            "identifier": {
                "scheme": "GB-PPON",
                "id": "PHMT-6197-NWNZ"
            },
            "address": {
                "streetAddress": "5 Endeavour Square",
                "locality": "London",
                "postalCode": "E20 1JN",
                "country": "GB",
                "countryName": "United Kingdom",
                "region": "UKI41"
            },
            "contactPoint": {
                "email": "BSFAribaAdministration@tfl.gov.uk"
            },
            "roles": [
                "buyer"
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            "details": {
                "url": "https://tfl.gov.uk/",
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                        "id": "publicAuthorityCentralGovernment",
                        "scheme": "UK_CA_TYPE",
                        "description": "Public authority - central government"
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                    {
                        "id": "publicUndertaking",
                        "scheme": "UK_CA_TYPE",
                        "description": "Public undertaking"
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                ]
            }
        },
        {
            "id": "GB-COH-05379716",
            "name": "TOWERS WATSON LIMITED",
            "identifier": {
                "scheme": "GB-COH",
                "id": "05379716"
            },
            "additionalIdentifiers": [
                {
                    "scheme": "GB-PPON",
                    "id": "PCQM-4544-RGMV"
                }
            ],
            "address": {
                "streetAddress": "Watson House",
                "locality": "Reigate",
                "postalCode": "RH2 9PQ",
                "country": "GB",
                "countryName": "United Kingdom",
                "region": "UKJ26"
            },
            "contactPoint": {
                "email": "craig.brown@wtwco.uk"
            },
            "roles": [
                "procuringEntity"
            ],
            "roleDetails": "Towers Watson Limited is supporting TfL with this procurement as external healthcare advisors",
            "details": {
                "url": "https://www.wtwco.com/en-gb/solutions/investments"
            }
        }
    ],
    "buyer": {
        "id": "GB-PPON-PHMT-6197-NWNZ",
        "name": "Transport for London"
    },
    "planning": {
        "milestones": [
            {
                "id": "engagement",
                "type": "engagement",
                "description": "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.",
                "dueDate": "2026-05-01T23:59:59+01:00",
                "status": "scheduled"
            }
        ],
        "documents": [
            {
                "id": "035029-2026",
                "documentType": "marketEngagementNotice",
                "noticeType": "UK2",
                "description": "Preliminary market engagement notice on Find a Tender",
                "url": "https://www.find-tender.service.gov.uk/Notice/035029-2026",
                "datePublished": "2026-04-17T10:28:36+01:00",
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                "id": "035201-2026",
                "documentType": "marketEngagementNotice",
                "noticeType": "UK2",
                "description": "Preliminary market engagement notice on Find a Tender",
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    "tender": {
        "id": "WS2526527732",
        "legalBasis": {
            "id": "2023/54",
            "scheme": "UKPGA",
            "uri": "https://www.legislation.gov.uk/ukpga/2023/54/contents"
        },
        "title": "Private Medical Benefits Administrator",
        "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.",
        "items": [
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                "additionalClassifications": [
                    {
                        "scheme": "CPV",
                        "id": "66000000",
                        "description": "Financial and insurance services"
                    }
                ],
                "deliveryAddresses": [
                    {
                        "region": "UKI",
                        "country": "GB",
                        "countryName": "United Kingdom"
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                        "country": "GB",
                        "countryName": "United Kingdom"
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                        "region": "UKI",
                        "country": "GB",
                        "countryName": "United Kingdom"
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                ],
                "relatedLot": "1"
            }
        ],
        "mainProcurementCategory": "services",
        "aboveThreshold": true,
        "lots": [
            {
                "id": "1",
                "contractPeriod": {
                    "startDate": "2027-04-01T00:00:00+01:00",
                    "endDate": "2030-03-31T23:59:59+01:00",
                    "maxExtentDate": "2032-03-31T23:59:59+01:00"
                },
                "hasRenewal": true,
                "status": "active",
                "value": {
                    "amountGross": 15560000,
                    "amount": 14480000,
                    "currency": "GBP"
                },
                "awardCriteria": {
                    "criteria": [
                        {
                            "type": "quality",
                            "name": "Technical quality criteria",
                            "numbers": [
                                {
                                    "number": 75,
                                    "weight": "percentageExact"
                                }
                            ]
                        },
                        {
                            "type": "quality",
                            "name": "Social Value criteria",
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                "suitability": {
                    "sme": true
                },
                "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)."
                }
            }
        ],
        "status": "active",
        "value": {
            "amountGross": 15560000,
            "amount": 14480000,
            "currency": "GBP"
        },
        "procurementMethod": "selective",
        "procurementMethodDetails": "Competitive flexible procedure",
        "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. TfL 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. Following 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."
        },
        "coveredBy": [
            "GPA"
        ],
        "submissionMethodDetails": "Access to the procurement documents is restricted. Suppliers wishing to participate in this procurement must be registered on SAP Ariba. https://s1-eu.ariba.com/Sourcing/Main/ad/selfRegistration?realm=TfL Once 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. All communication must be conducted via the Ariba portal. Applications or, where applicable, tenders must be submitted to the above-mentioned address",
        "submissionTerms": {
            "electronicSubmissionPolicy": "allowed",
            "languages": [
                "en"
            ]
        },
        "expressionOfInterestDeadline": "2026-08-20T15:00:00+01:00",
        "enquiryPeriod": {
            "endDate": "2026-07-31T15:00:00+01:00"
        },
        "awardPeriod": {
            "endDate": "2026-12-21T23:59:59Z"
        },
        "documents": [
            {
                "id": "conflictOfInterest",
                "documentType": "conflictOfInterest",
                "description": "Not published"
            },
            {
                "id": "068249-2026",
                "documentType": "tenderNotice",
                "noticeType": "UK4",
                "description": "Tender notice on Find a Tender",
                "url": "https://www.find-tender.service.gov.uk/Notice/068249-2026",
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        "hasRecurrence": true,
        "recurrence": {
            "dates": [
                {
                    "startDate": "2031-05-05T23:59:59+01:00"
                }
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    },
    "language": "en"
}