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MB-3274 - USA (Maryland) - Flexible Spending Account, Health Savings Account and Commuter and Mass Transit Benefits Administration Services - Deadline August 5,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3274

Government Authority located in Maryland; USA based organization looking for expert vendor for flexible spending account, health savings account and commuter and mass transit benefits administration services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide flexible spending account, health savings account and commuter and mass transit benefits administration services,
- The primary objective is of a third-party administrator with full knowledge, capability and resourcefulness to effectively administer the FSA program including eligible claims reimbursement, record keeping, enrolment services, participant education and communications in accordance,
- Account Support:
- Provide a designated experienced senior account executive with the ability to make timely decisions,
- Maintain compliance with plan requirements, provide notice of any changes in legislation affecting the administration of flexible spending accounts and health savings accounts. provide solutions and advice on changes in a timely manner including a cost analysis and an implementation plan, if necessary,
- Provide online access for the County to enrol participants and make account changes as necessary,
- Biweekly check-in service calls with account team,
- Biweekly communication of all funding discrepancies to the County,
- Conduct annual meeting with the County to review account and administration,
- Program Administration:
- Record keeping services must offer a paperless solution for both plan participants and the county including, but not limited to, web communications, self-service tools and resources, enrolment capabilities and account access,
- Participant information must be kept secure and accurate,
- Maintain compliance with Health Insurance Portability and Accountability Act,
- Provide standard FSA/HSA electronic statement that includes claim type (manual, debit card, etc.), date of service, date of transaction, member type (employee/dependent) and type of service (medical, prescription, dental, etc.),
- Provide electronic claim, payment reimbursement, and enrolment reports by subgroup,
- Provide electronic notification on required funding by plan type and year on a weekly Basis,
- Must be able to accept wire transfers and ACH of funds for payment by the County,
- Ability for participants to submit reimbursement requests via secure website and several other options (mail, facsimile, e-mail, mobile upload),
- Provide several options for participants to receive reimbursements,
- Provide all plan information necessary to illustrate compliance as required by law,
- Perform non-discrimination testing for FSA plans at a minimum of every two times per plan year: first day of plan year, mid-point, and last day of plan year,
- Provide ad-hoc reporting as requested by the County,
- Provide clear, written guidelines including timelines for the process of handling uncertain claims, corrections and reversals,
- Provide clear, written guidelines including timelines for the process of handling denied claims,
- Provide participants with a debit card option that has an option to go paperless for certain reports including but not limited to forfeiture warnings, electronic opt out for paper communications, etc,
- Enrolment and Data Services:
- Provide data files including enrolment in a mutually agreeable format,
- Sftp password must never expire,
- Maintain separate accounts or subgroups as required,
- Ability to process and pay claims remaining from the previous plan year,
- Customer Service:
- Provide representatives available between the hours of 8:00AM and 5:00PM EST by local or toll-free customer service number,
- Educate employees through marketing materials on the program benefits to increase program participation,
- Provide marketing materials at no additional costs,
- Provide same or next-day responses and/or resolutions to inquiries made by participants or the County,
- The offeror will provide initial and periodic orientation to all eligible users on how to utilize the program,
- The offeror will provide periodic training on supervisory and management personnel in the proper utilization of the management referrals,
- The right to review, revise and approve all communications prepared by the Offeror prior to distribution to employees.

[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, 5 August, 2019

Category : Medical Billing and Coding

Country : USA

State : Maryland

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