MB-3683 - USA (Florida) - Health Plan Administration Services - Deadline January 28,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3683

Government Authority located in Florida; USA based organization looking for health plan administration services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide health plan administration services for plan designs and added value programs to mitigate the claims expense, and improve overall health of our covered population.
- Third party administrators for services related to managing our self-funded health program for active employees,
- Full-time onsite customer service representative, Dedicated account management team, Full-time onsite Wellness representative, Claims and eligibility management, Network services and access, Utilization Management, Disease Management (terminated June 30, 2011), Reporting and data interfaces, Annual wellness fund, Behavioral Health, PBM Management, Flexible Spending Account (FSA) Administration, Stop Loss, Open Enrollment marketing materials fund, COBRA Administration (paid for by CIGNA, administered by Discovery Benefits),
- Motivate Me wellness platform, Pay COBRA beneficiary claims, verify claimant’s eligibility for benefits based on eligibility requirements furnished by the schoolboard,
- Assist the School Board with the development of strategies for the further development of the
Center for Employee Health. Detail creative strategies you have utilized with other clients that
have onsite clinics,
- Develop out-of-the-box initiatives to drive increased wellbeing and engagement among the
District’s employees, dependents and student body at large. This would include people
covered and not covered on the medical plans,
- Attend meetings, if requested by the School Board,
- Maintain compliance with Florida and federal laws confidentiality by having adequate system
security features,
- Maintain compliance with federal guidelines for PPACA, ADEA, Medicare, HIPAA, and
COBRA, as well as all Florida-mandated benefits,
- Banking arrangements for claims funding will be in accordance with School Board standards
using ACH debit method,
- Confirm accounting procedures and practices to generally accepted accounting principles,
- Maintain proper records for tax reporting purposes,
- Retain medical claims history online for minimum of 24 months.
(2) A pre-proposal conference will be held on January,8,2020.
(3) All question must be submitted no later than January 13,2020.

[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, 28 January, 2020

Pre-proposal Conference Date : Wednesday, 8 January, 2020

Question Answer Deadline : Monday, 13 January, 2020

Category : Medical Billing and Coding

Country : USA

State : Florida

Budget : Government Authority located in Florida; USA based organization looking for health plan administration services.

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