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MB-3141 - USA (Wisconsin) - COBRA Administration Services - Deadline June 19,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3141

Government Authority located in Wisconsin; USA based organization looking for expert vendor for COBRA administration services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide COBRA administration services.
- Provide a designated account manager who has authority to act on behalf of the offerors’ firm assigned to this account,
- Provide with timely written notice of any staffing changes among key members of its account team within fifteen days of the change, reserves the right to review and approve any such replacements, also at any time request a change in any member of its account team,
- Provide timely legal and legislative updates,
- Provide all data and records necessary to administer the program to a new contractor within thirty days,
- Provide aggregate enrolment data on a quarterly basis and meet with staff a minimum of annually to review to review the program and account status,
- Record keeping services program administration
- Provide a paperless solution including web-based communications, enrolment and account access for both participants and plan sponsor, must include user-friendly reporting capabilities for plan sponsor,
- Maintain accurate participant information including Social Security numbers or other identifying numbers, enrolment dates, and election amounts,
- Maintain accurate records for all claims paid,
- Provide weekly electronic notification on required funding by plan type and plan year,
- Reconcile funds and prepare monthly accounting statements to benefits staff including revenues received, number of claims paid by plan type, plan year, account balance, and expense detail,
- Provide an established, written, systematic procedure for appeal of denied claims,
- Provide multiple options for participants to apply for claims reimbursement mail, facsimile, e-mail, internet, etc.,
- Provide the ability to process claims simultaneously for different plan years,
- Process claims and payments to participants no less than once per week,
- Enrolment services: Take over processing and payment of claims remaining from the previous plan year,
- Conduct on-site open enrolment meetings to support implementation and annual enrolment activities upon request,
- Customer service education communication: develop marketing materials to educate employees about the program benefits and the responsibilities of participants with a focus on increasing program participation.
(2) An optional pre-proposal conference will be held on May 29, 2019.
(3) All the questions must be submitted no later than June 7, 2019.

[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 : Wednesday, 19 June, 2019

Pre-proposal Conference Date : Wednesday, 29 May, 2019

Question Answer Deadline : Friday, 7 June, 2019

Category : Medical Billing and Coding

Country : USA

State : Wisconsin

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