MB-3715 - USA (Hawaii) - Medical Benefits and Pharmacy Benefit Management Services - Deadline February 4,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3715

Government authority located in Hawaii; USA based organization looking for expert vendor for medical benefits and pharmacy benefit management services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide active and retiree medical and chiropractic benefits with integrated fully insured prescription drug benefits or pharmacy benefit management services for a standalone self-insured prescription drug plan.
- Contractor shall have a call center in the State with knowledgeable staff available to answer inquiries from EUTF members regarding: (1) the benefits provided by Contractor; (2) Contractor’s benefit plans, forms, and procedures; (3) enrollment status; (4) premium costs; (5) claims and claim procedures; (6) COBRA; and (7) other matters pertaining to the benefit plans provided under the contract.  The call center must record and retain all calls for a minimum of one year from the date of the call.
- The medical plan must also have a toll-free line for EUTF members that is open and available during those hours.
- The prescription drug plan must have a toll-free line for EUTF members that is open and available 24 hours a day, seven days a week.
- The fees charged during the term of the contract are to include all of the post termination services in addition to claim adjudication and payment, including financial reporting, claim appeal processing, management of the self-funded banking arrangements, eligibility and retroactive adjustment to eligibility and continuation of COBRA processing for the participants enrolled in COBRA benefits at the time of termination Run Out Claim Administration.
- COBRA Administration: - Contractor is required to administer all aspects of compliance under COBRA, including eligibility, election of coverage, billing and collection of premium, termination and annual termination notification.
- For more information describe in documents.
(2) A pre-proposal conference will be held on January 7, 2020.
(3) All question must be submitted no later than January 17, 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, 4 February, 2020

Pre-proposal Conference Date : Tuesday, 7 January, 2020

Question Answer Deadline : Friday, 17 January, 2020

Category : Medical Billing and Coding, Call Center and Answering

Country : USA

State : Hawaii

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