MB-3363 - USA (South Dakota) - Employee Benefits Program - Deadline September 24,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3363

Government Authority located in South Dakota; USA based organization looking for expert vendor for employee benefits program.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide employee benefits program offers self-funded Medical Benefits to Active employees, COBRA participants and Non-Medicare retirees.
- Account Based Plans: Health Reimbursement Accounts (HRA), Health Savings Accounts (HSA),
and Flexible Spending Accounts (FSA) Administration Services.
- Claims Administration include provide claims forms, receive claims and process payments of benefits in accordance with the plan designs, correspond with participants if additional information is necessary to complete the processing of claims, determine benefits payable under the plan, pursuant to the terms and conditions of the state’s benefit plan, complying with federal and state laws, coordinate benefits payable under the plan and with other benefit plans, if applicable, provide notice to the participants regarding the reason(s) for denial of benefits (which are denied) and provide for the review of such denied claims, provide an explanation of benefits resulting from claims transactions to plan participants, provide 1099 and 5498 forms, as appropriate, perform recovery of payments of $25 or more, provide full claims fiduciary services (all levels of appeals – no litigation), provide all levels of full and fair review of claims, claim denials and member appeals, determination of payment or denial of claims or of appealed claims will be made by the contractor following appropriate analysis and review.
(2) A pre-proposal conference webinar will be held on August 12, 2019.
(3) A letter of intent due on August 19, 2019.
(4) All question must be submitted no later than August 26, 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 : Tuesday, 24 September, 2019

Pre-proposal Conference Date : Monday, 12 August, 2019

Question Answer Deadline : Monday, 26 August, 2019

Category : Medical Billing and Coding

Country : USA

State : South Dakota

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