MB-3132 - USA (Georgia) - Flexible Benefits Administration, Voluntary Benefits and Brokerage Services - Deadline June 13,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3132

Government Authority located in Georgia; USA based organization looking for expert vendors for Flexible Benefits Administration, Voluntary Benefits and Brokerage Services.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide Flexible Benefits Administration, Voluntary Benefits and Brokerage Services for County benefit programs including medical, pharmacy, dental, life, LTD, workers’ compensation administration, voluntary benefit administration, flexible benefits administration, clinic administration, wellness incentives, excess insurance, firefighter cancer benefits, etc.
- Coordinate annual marketing of insured programs for excess insurance coverage for workers' compensation and recommend coverage
- Coordinate annual marketing of excess insurance coverage for medical benefits and recommend coverage.
- Facilitate annual review of Summary Plan Descriptions (SPD) with the administrators to ensure SPD reflects administrators’ system of record to process claims and contract requirements.
- Facilitate annual review of Benefits Summaries with the administrators to ensure summaries reflects administrators’ system of record to process claims and contract requirements.
- Regularly gather and review claims data for trending purposes; make recommendations for responding to identified trends, when indicated.
-  Prepare annual premium recommendations for self-funded benefit programs including COBRA.
- Prepare and present periodic reports, as requested, which include complete accounting of fees and claims charged to the County, relevant observations regarding changes in the benefits industry, recommendations for changes and/or improvements, if applicable. Provide performance updates throughout the year, with detailed analyses and evaluation of costs.
-  Maintain active, ongoing relationship with County service vendors to ensure smooth operation, delivery of services, and facilitating prompt review and resolution of benefit and/or claims administration issues.
- Make regularly scheduled visits to Cobb County to work with staff to solve problems and assist with benefit administration.
- Review annual actuarial reports for OPEB and make any necessary recommendations to be considered included.
- Must be knowledgeable regarding all Federal and State laws that impact benefits or other services, products offered by the County (including but not limited to: COBRA, HIPAA, FMLA, PPACA, etc.). Must be readily available and serve as a consistent resource to the County regarding same.
- Review billing (weekly, bi-weekly, and/or monthly) from vendors, for purposes of reconciliation. Assure correct terms are applied and make recommendation regarding issuance of payment.
-  Advise the County on wellness programs and services.
- Serve as liaison with County onsite clinic administrator as well as coordinate data integration with benefit vendors.
- Upon request, must perform any tasks that are reasonably associated with services required by County.
(2) A mandatory pre-proposal conference will be held on May 30 ,2019.
(3)  All question must be submitted no later than June 4, 2019.
(4) 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 : Thursday, 13 June, 2019

Pre-proposal Conference Date : Thursday, 30 May, 2019

Question Answer Deadline : Tuesday, 4 June, 2019

Category : Medical Billing and Coding

Country : USA

State : Georgia

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