MB-3389 - USA (Texas) - Active Care Health Benefit Program - Deadline October 16,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3389

Government Authority located in Texas; USA based organization looking for expert vendor for active care health benefit program.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide active care health benefit program
- These duties include claim adjudication, member communications, transition of ongoing care, and data transfer,
- The enrolment vendor administers enrolments and coverage changes during the annual plan enrolment period (July and August of each year) and throughout the plan year,
- Pays all claims based on the eligibility data provided by the enrolment vendor,
- Apprise employees and spouse and qualified dependents at the time of initial enrolment of the availability of the option to continue coverage,
- Upon notification by the enrolment vendor of a qualifying event, the Contractor will provide an acceptable application form to the participant, Contractors shall be responsible for all aspects of COBRA administration for its members that qualify for continuation coverage, including, but not limited to all related administrative expenses, legally required notices and communications, and billing and collection of premium,
- Eligible employees of participating entities and their eligible dependents will provide Social Security numbers on enrolment applications,
- Administrative services that are not considered core services may be sub-contracted by the contractor to any third party that is acceptable,
- Core Services are limited to Account Management and Customer Service, and must be performed,
- To facilitate this goal, the contractor is responsible for providing a variety of information to members enrolled, including the creation and maintenance of digital media content across websites, email, and social media platforms, as well as written materials,
- Contractor will be responsible for developing materials within standards, which include but are not limited to error-free content and grammar, conform to specifications, and use plain language that is easily understood by participants who communicate in english or Spanish, materials may mention a specific administrator or contractor but the materials must clearly identify as being sponsored and not the contractor or administrator,
- The ability to review and claim information; coverage documents, such as benefit booklets, resource guides, participant forms, and summary of benefit and coverage documents, contact information for customer service, and the ability to print a participant ID card,
- Provide a toll-free customer service line with sufficient staff to provide plan participants with ready access to customer service and claims personnel.
(2) A pre-proposal conference will be held on August 28, 2019.
(3) All the questions must be submitted no later than August 30, 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, 16 October, 2019

Pre-proposal Conference Date : Wednesday, 28 August, 2019

Question Answer Deadline : Friday, 30 August, 2019

Category : Medical Billing and Coding

Country : USA

State : Texas

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