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MB-4183 - USA (Texas) - Agent of Record and Benefits and Insurance Administration Services - Deadline June 17,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4183

Government Authority located in Texas; USA based organization looking for expert vendor for agent of record and benefits and insurance administration services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide agent of record and benefits and insurance administration services including medical, dental, vision, life, accidental death, long term disability, etc.
- Serve the city as an advisor regarding the preparation of the city's RFQ for health plan design, business rules, and content including COBRA, HIPAA section 125 program, dental, vision, long and short-term disability, life insurance benefits and their components, and employee assistance program.
- Serve the city as an advisor regarding voluntary insurance products and their components to provide the optimum voluntary benefit package.
- Review, on an ongoing basis, the existing employee benefit programs for competitiveness, appropriateness and overall acceptance by plan participants.
- Serve and assist the city in negotiating benefits provider contract(s) resulting from the review and recommendations noted above including the use of available provider networks. Provide the city underwriting data and evaluation services to support contract modifications such as benefit differentials and funding options.
- Negotiate, when appropriate, long term rate(s)/service guarantees designed to meet the service delivery and financial plan of the city.
- Assist the city in preparing and presenting periodic reports to the city council, city manager or human resources director on the progress, applicability and overall benefit of a specific plan.
- Review utilization rates on a quarterly basis and evaluate each on the city's best option as it relates to fully-funded plans.
- Assist the city with plan design changes, plan implementation strategies, plan design and benefits communications relating to coverage; integrating appropriate assignments of duties to vendors, while maintaining proper oversight and responsibilities.
- Review new or proposed administrative services provided by outside vendor(s) to determine the most effective and efficient service delivery strategies.
- Assist the city with premium funding projections during its annual budget process.
- Review long-term healthcare contribution philosophy and budgetary agenda and best strategies for applying identified resources to a meaningful long-term benefit package.
- Provide the city with overall plan management and quality assurance services including, but not limited to the following topics:
o Customer Service
o Regulatory Compliance and Reporting
o COBRA/HIPAA
o Open Enrollment
o Benefit Review/Design
o Cost Containment
o Renewal Negotiations
o Contract Analysis
o Competitive Bidding
o Employee Benefits Administration Platform
o Transition & Implementation of Plan
o Vendor Compliance
o Analysis and Selection of Vendor
o Claims Audit & Review
o Benefits Summary
o Billing Administration
o Budgeting
o Employee Wellness Program
- Act as the city's representative to all outside insurance vendors; collecting information and making periodic presentations to staff, employees and city council, as requested, of their offerings.
- Provide periodic comparisons of plans of benefits and employer and employee contributions to area cities and comparable businesses.
- Provide periodic reports using carrier data on claims and fixed expenses, and relate those to total premium and expectations for renewal. Add historical perspective to premium and claims data for all coverage and provide reports as needed by the city.
- Provide national, regional and local medical inflation data and compare that to specific city plan inflation.
- Review and make recommendations to the city on carrier cost containment mechanisms, as relates to return on investment and participant impact.
- Meet periodically with the city's staff relating to levels of customer service received from various carriers, and where required intercede with both parties to assist in problem resolution.
(2) All questions must be submitted no later than May 22, 2020.

[C] Eligibility:

- Onshore (USA Organization Only);

[D] Work Performance:

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

Expiry Date : Wednesday, 17 June, 2020

Question Answer Deadline : Friday, 22 May, 2020

Category : Medical Billing and Coding

Country : USA

State : Texas

Cost to Download This RFP Document : $ 5

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