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Private Medical Benefits Administrator

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Summary

Machine-generated summary

Transport for London (TfL) is procuring an Administrator for its Private Medical Benefit under a new contract starting 1 April 2027. The contract runs for an initial three years with an option to extend for up to two further years at TfL's sole discretion. The Administrator will manage the scheme for around 7,100 employees and eligible dependants, including claims assessment, payment of treatment costs, a member helpline and cost control mechanisms such as direct access to musculoskeletal services. No minimum member numbers are guaranteed. The estimated value covers administration fees and stop-loss insurance premiums over the maximum five-year term. No deadline or procedure details are stated in the 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.

Official source

Source: Find a Tender Service (UK Cabinet Office / Crown Commercial Service)

Always verify details on the official notice.

Last verified against Find a Tender Service (UK Cabinet Office / Crown Commercial Service) 1 month ago

Documents on Find a Tender Service (UK Cabinet Office / Crown Commercial Service) (English)

View the official notice

More from this buyer

Full buyer profile

8 open tenders right now

This buyer has no award history in this sector yet. Usual winners, Financial & insurance services - United Kingdom

Company Wins Total awarded Last win
Arthur J. Gallagher Insurance Brokers Ltd 11 €2.3M Aug 2026
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KPMG LLP 3 €759,475 Aug 2026
EVOUCHERS LIMITED 2 €1.7M Aug 2026
AVC Wise Limited (T/a My Money Matters) 2 €454,227 Aug 2026

Based on 77 awards with a linked company profile over the last 2 years.

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Market context

Avg. open tender · Financial & insurance services
€11,043,088
3,084 open across Europe right now 54% above sector average
Buyer track record on Aperlena
89 notices tracked · 65 awarded
€107,777,711 in awarded contracts

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