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MB-4121 - USA (Connecticut) - Health Benefits Consultant Services - Deadline May 19,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4121

Government Authority located in Connecticut; USA based organization looking for expert vendor for health benefits consultant services.

[A] Budget: looking For Proposal

[B] Scope of Service:

(1) Vendor needs to provide health benefits consultant services to minimize rate increases for all insurances, analyse current plans and recommend future plans,
- Market all insurances and stop loss to include, but not be limited to, preparation of bid specifications, evaluation of proposals received, and recommendations on contracts to be signed for with effective date,
- Coordinate and review necessary demographic data for marketing,
- To change carriers following the marketing process, manage and review ensuring that the selected vendor provides benefits that are comparable to or better than those currently in effect,
- Provide a disruption analysis relative to the provider, pharmacy, hospital and appropriate other vendor networks, attend various employee, committee as necessary,
- Review current plan experience, claims, and market trends, and negotiate cost savings and renewal premiums with all insurance providers on an as needed basis,
- Periodically review the health insurance plans, claims and fees and provide a reasonability analysis in comparison with industry norms,
- Ensure that any self-funding arrangements with third party administrators are appropriately managed,
- Monitor the third party administrator’s actuarial assumptions under self-insured programs, if applicable,
- Intervene and resolve with providers, problems that may arise regarding claims, proper coverage, routine administration and day-to-day account service,
- Provided with accurate management reports/utilization, review on comment information from all carriers on a continuing basis,
- information and recommendations on new health insurance programs, more cost-effective products, funding options, future trends in employee benefit plans and plan designs,
- Analyse annual renewals for all self-insured and insured plans and periodically solicit coverage proposals from alternative providers for insurance coverage as well as stop loss coverage,
- Develop strategies for presentation and implementation of any new benefit program to employees, unions, other employee,
- Serve in an advisory capacity during negotiations with collective bargaining units,
- Includes costing and analysing benefit proposals, providing counsel to negotiators, and testifying at negotiation, mediation, and arbitration sessions as needed,
- Coordinate employee communications and conduct employee informational meetings for current benefit plans and as new programs are implemented, etc.
(2) A contract term will be for three years.

[C] Eligibility:

Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

[E] Proposal Submission:

Response can be submitted digitally via Email or Online.

Expiry Date : Tuesday, 19 May, 2020

Category : Medical Billing and Coding

Country : USA

State : Connecticut

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