Family Medical Self-Insurance Program Administration Service

This tender seeks a service provider to administer the Family Medical Self-Insurance Program. The contracting entity is SERVICIO INDUSTRIAL DE LA MARINA S.A. (SIMA PERU), located in the CALLAO department. The procurement process is identified as CP SER-SM-6-2025-SIMA PERU-1, utilizing a Public Service Competition method for contracting.

The scope of the service likely involves the comprehensive management and operational oversight of the self-insurance program designed to cover medical expenses for families. This would typically include, but not be limited to, enrollment management, claims processing and adjudication, provider network management, financial administration of funds, reporting, and ensuring compliance with relevant regulations. The objective is to ensure the efficient and effective delivery of medical benefits to beneficiaries while maintaining fiscal responsibility for the program.

Key requirements for bidders are expected to include demonstrated experience in managing health insurance or self-insurance programs, robust financial stability, a strong understanding of healthcare regulations, and the capacity to provide high-quality administrative services. The provider will be responsible for the day-to-day operations of the program, acting as a crucial intermediary between the beneficiaries, healthcare providers, and the contracting entity. This service is vital for ensuring the well-being of the families covered under the program and supporting the overall objectives of SERVICIO INDUSTRIAL DE LA MARINA S.A.

This is a services contract in the health and medical services, information and communication technology and finance and banking sectors, with a focus on Health Financing, Network Infrastructure, Insurance and Public Finance. Located in Peru, Latin America, this opportunity is open to firms and consortiums, with an estimated budget of PEN 492,793.

Published through Peru SEACE, a national government procurement portal. Public procurement tenders follow the country's national bidding regulations and may have specific eligibility and documentation requirements for services in the health and medical services sector. Service contracts are typically evaluated on both technical quality and price, and may require bidders to demonstrate relevant experience and qualified personnel. This contract has already been awarded. The information is published for transparency and market intelligence purposes.