Tender: Administrator for Transport for London Private Medical Benefit Scheme – from 1 April 2027

About

Transport for London (TfL) is seeking a supplier to act as Administrator for its Private Medical Benefit scheme, to manage the scheme from 1 April 2027 under an initial three-year contract with a TfL option to extend for up to two further years. The Administrator will assess claims and pay treatment costs for a scheme currently financed via a trust covering c. 7,100 employees and their eligible dependants, with no guaranteed minimum membership or activity. TfL requires a provider that can deliver high-quality administration including efficient claims processing, a responsive member helpline and proactive account management, and that can procure and manage medical treatment spend to support positive member outcomes while demonstrating robust cost control through appropriate treatment pathways such as direct access to musculoskeletal services and open referral networks. Bidders must also demonstrate effective implementation and transition management to ensure continuity of service and minimal disruption. The estimated contract value in the notice is based on anticipated administration fees and stop-loss insurance premiums over the maximum five-year term and is indicative only, not a guarantee of spend, supplier revenue or membership levels.