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MB-2855 - USA (Texas) - Health and Ancillary Benefits Plan Administration Services - Deadline March 12,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2855

Government Authority located in Texas; USA based organization looking for expert vendor for health and ancillary benefits plan administration services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide health and ancillary benefits plan administration services to partially self-funded medical benefits (claims administration and provider network), employee assistance program, continuation of coverage administration, section 125 flexible spending account administration, and health savings account administration, through one vendor in order to provide coordination of the employee benefits and to ensure administrative efficiency.
- Claims administrator will provide the district with an account management team that at a minimum includes an account manager, a designated contact for resolving claims issues, a designated contact for enrollment / eligibility, and a designated representative for resolving billing
issues, monthly reporting that will permit the district to monitor utilization and to manage their employee benefits, this reporting includes medical claim extracts to be provided to our consultant, annual yearend report that at a minimum includes a presentation with peer group comparisons, normative comparisons, and recommendations to improve the plan’s efficiency and performance, reports with diagnosis and prognosis information for the renewal and procurement of stop loss, including case management reports, employee identification cards delivered to the employee’s home address that includes benefit information, address for claims submission, toll free number for provider eligibility verification, a toll free number for contacting customer service and pharmacy information, benefit booklets and summary plan descriptions in an electronic format for posting on the district’s web site and printed materials as deemed necessary, provide on-line internet access to claims and enrollment information to the district and to the covered individual, staff to assist with the annual open enrollment, staff to provide guidance to the district’s wellness committee and to assist in implementing wellness programs, the filing of all notices and reports required by the stop loss carrier, the system flexibility to administer the district’s benefits without the district being required to adopt the administrator’s “corporate” benefit design, Subrogation services.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location

Expiry Date : Tuesday, 12 March, 2019

Category : Medical Billing and Coding

Country : USA

State : Texas

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