MB-3138 - USA (Virginia) - GLOBAL - Voluntary Benefits Service - Deadline June 18,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3138

Government Authority located in Virginia; USA based organization looking for expert vendor for voluntary benefits service.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide voluntary benefits service.
- The city seeks a provider who can sufficiently mirror current plan designs and provide best and final pricing.
- The city is interested in reviewing proposals that mirror the current plan designs under a "group policy" model versus an individual model.
- The city is also interested in reviewing proposals for a group voluntary short-term disability option with a base plan and a buy-up option. both should integrate with retirement system disability and ensure employees do not receive more than 100% of their salary while on short term disability.
- All offerors should assume full-replacement of each of the current plans offered.
- All offerors benefit policies shall include language that allows employees and their dependents to continue voluntary worksite coverage at the same rate after they leave employment by paying the carrier directly.
- The selected provider will need to provide high quality, efficient program administration and services, including, but not limited to:
- Maintaining central claims and membership files (including the identification number or other identifying number, dates of coverage, type of coverage, etc.) for each covered member.
- Maintaining payment records.
- Having the capability of wire transfer of funds, paying members directly, providing state-of-the-art data tracking and claims payment services.
- Maintaining separate accounts or sub-groups as required by the city.
- Provide accurate payroll deduction data to the city on a timely basis. Be responsible for all reconciliation of premium and payroll records.
- Prepare and send bills to the city monthly for their respective employees and eligible dependents. The city deducts payroll deductions the same month as duet thus payments to provider will be made during the month as billed and not in advance.
- Provide the option of online services for eligibility, billing, enrollment, and member services.
- Allow the city to pay monthly premiums and other expenses as reflected in the city's payroll records. The city may not pay as billed, may self-bill, or list bill at the city choice. The city will audit bill eligibility records quarterly and allow the offeror to audit records as necessary.
- Demonstrate capability to communicate, enroll and administer voluntary worksite programs at no cost to the city.
- Provide detailed data required by the city provider to support annual strategies and other reports upon request. The data required is a detailed extraction of eligibility, monthly enrollment, premium and claims by line of coverage.
- Provide an administrative procedure manual to the city to be used to administer the program, including necessary forms and instruction.
- Meet with the city within ten (10) business days after the notice of award date to review the voluntary worksite benefits, account administration, present the proposed communication material, and to jointly establish a preliminary implementation plan, open enrollment program and schedule.
- Furnish and deliver at no cost to each enrolled employee a certificate of coverage outlining and defining all covered services, limitations and exclusions, schedule of benefits, and other plan information requirements.
- Furnish sufficient copies of a detailed summary of benefits, limitations, and exclusions for each eligible employee during open enrollment periods
- Provide the city the insurance contracts, as well as any other contractual documents necessary to administer this coverage no later than fifteen (15) days after notice of award.
- Provide open enrollment materials in hard copy and PDF format for internet and intranet posting.
- Provide staff to participate in annual open enrollment meetings, monthly on-site orientation meetings for new employees as needed, and health and benefit fairs.
- Process paper and electronic eligibility and enrollments for the city.
- Provide employee on-line enrollment capability.
- Assist with periodic evaluation and paper bill reconciliation.
(2) Contract term will be two years.

[C] Eligibility:

Global (World-wide)

[D] Work Performance:

Global, companies from all over the world can apply for this. However, Vendor may need to visit client location for onsite meetings.

[E] Proposal Submission:

proposal can be submitted via E-mail.

Expiry Date : Tuesday, 18 June, 2019

Category : Medical Billing and Coding, Global

Country : USA

State : Virginia

RFP Expired

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