MB-3177 - USA (Connecticut) - Health and Welfare Benefits Consultant Services - Deadline June 3,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3177

Government Authority located in Connecticut; USA based organization looking for expert vendors for health and welfare benefits consultant services.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide health and welfare benefits consultant services to provide a full range of services related to the design, implementation, maintenance, communication and improvement of the Town and Board of Education’s employee benefits program, including employee health, life and disability benefits including Assisting with the development and implementation of health, dental and vision insurance plan design, Assisting with benefit changes such as coordinating benefit changes with the incumbent carrier, assisting with open enrolment meetings, and communicating changes to employees, conducting on-going evaluation of plan design and claims utilization. Reporting on and presenting results of plan design evaluation and claims utilization analysis to the Town and Board of Education, elected bodies and employee groups, Monitoring claim performance, Conducting cost analysis of benefit plan options as requested, Performing a rate analysis, evaluating, and negotiating all health and dental insurance renewals for each plan year. Monitoring insurance carrier’s actuarial and renewal assumptions. Assisting in annual budget development process for determining appropriate allocation rates and levels of reserve, Ensuring accurate follow through on all negotiated contractual arrangements made between the Town and Board of Education and any administrators or insurance carriers utilized by the Town Board of Education, Ensuring that all negotiated administrative fees/premium arrangements and other arrangements with any administrator and/or insurance carriers are strictly followed, Assisting with intervening and resolving claims and plan administration issues with carriers and providers related to all plans, Assisting with negotiating with the Town and Board of Education labour groups as it relates to employee benefits. Assisting with developing proposals, costing proposals, and presenting information to policy bodies and labour groups. Providing expert testimony at mediations and arbitrations as required, Advising the Town and Board of Education on a full range of employee benefits related issues. Providing routine group benefit and general health care consulting advice. Attending meetings with key Town and Board of Education staff members as necessary, providing advice to the Town and Board of Education regarding regulatory compliance, including to Affordable Care Act (ACA) regulations. Providing written template communications to employees about regulatory changes impacting benefits, Assisting and providing recommendations in order to fulfil compliance requirements with State and Federal regulations, statutes and mandates (COBRA, HIPAA, FMLA, ACA, etc.), Proactively advising the Town and Board of Education of legislative updates and market trends, When necessary, conducting RFP and evaluation processes for health and dental insurance, Advising on, and serving as, the broker for life and disability insurance, Monitoring all contracts and maximizing management’s information available through all providers. R. Periodically attending meetings of, and making presentations to, the elected boards of the Town and the Board of Education such as the Town Council, the Board of Education and the Board of Finance.
(2) The contract term will be for three years.

[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, 3 June, 2019

Category : Medical Billing and Coding

Country : USA

State : Connecticut

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