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MB-3046 - USA (Texas) - Insurance Benefits Consultant Services - Deadline May 6,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3046

Government Authority located in Texas; USA based organization looking for expert vendor for insurance benefits consultant services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide insurance benefits consultant services to self-funded benefits and insurance, including medical, dental, vision, life and accidental death, etc also to provide competitive and affordable benefit plans which are accessible to all eligible employees and retirees
- Serve as an advisor regarding, and including the preparation for health plan design and content including cobra, flexible spending account, section 125 program, dental, vision, long and short-term disability, life insurance benefits and their components and employee assistance program,
- Review, on an ongoing basis, the existing employee benefit programs for competitiveness,
appropriateness and overall acceptance by plan participants,
- Provide underwriting data and evaluation services to support contract modifications such as benefit differentials and funding options,
- Negotiate, when appropriate, long term rate service guarantees designed to meet the service
delivery and financial plan,
- Assist in preparing periodic reports on the progress, applicability and overall benefit of a specific plan,
- Review utilization rates on a quarterly basis and evaluate each on the best option as it relates
to self-funded or fully-funded plans,
- Assist with plan design changes, plan implementation strategies, plan design and benefits communications relating to coverage, integrating appropriate assignments of duties to vendors, while maintaining proper oversight responsibilities,
- Assist with premium funding projections during its annual budget process, review long term
healthcare contribution philosophy and budgetary agenda and best strategies for applying
identified resources to a meaningful long-term benefit package,
- Provide with overall plan management and quality assurance services including, but not
limited to the following: claims reporting, benefit review design, stop-loss management, customer service, plan administration and claims services, renewal negotiations, competitive bidding, transition and implementation of plan, underwriting services, analysis and selection of vendor, benefits summary, benefits communications services, regulatory compliance and reporting, COBRA/HIPAA, open enrolment, cafeteria plan administration, cost containment, contract analysis, ERISA, vendor compliance, claims audit and review, budgeting, actuarial services, wellness program,
- Provide periodic reports using carrier data on claims and fixed expenses, and relate those to total
premium and expectations for renewal. add historical perspective to premium and claims data for
all coverage and provide reports.
(2) All the questions must be submitted no later than May 1,2019.
(3) The contract term will be for one year.

[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 : Monday, 6 May, 2019

Question Answer Deadline : Wednesday, 1 May, 2019

Category : Medical Billing and Coding, Professional, Consulting, Administrative or Management Support Services

Country : USA

State : Texas

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