MB-4280 - USA (Texas) - Stop Loss Reinsurance Services - Deadline July 1,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4280

Government Authority located in Texas; USA based organization looking for expert vendor for stop loss reinsurance services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide stop loss reinsurance services or the city’s self-funded medical and prescription health plans, which are administered and benefits.
- The city currently has three medical plans with pharmacy
- Handling of Claims and Customer Service:
- The contractor must agree to deliver quality customer service to the city and its employees, as well as follow all applicable regulations and industry standards
- Any billing issues related to servicing the contract, the employees, or the city must be rectified immediately
- Payment will not be due until thirty days after the date the invoices are received, or the work is performed, whichever is later
- The city reserves the right to review all of the contractor’s invoices after payment and recover any overpayments discovered in such review
- Continuity of Coverage:
- All employees and dependents covered by the current plan are to receive immediate coverage under the new plans
- Fair credit will be allowed for all or any part of deductibles, coinsurance, etc. satisfied prior to the October 1, 2020 effective date for all plans
- Claims Experience Monitoring:
- The contractor shall provide monthly reports allowing the city to monitor claims experience on a monthly basis
(2) All question must be submitted no later than June 23, 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, 1 July, 2020

Question Answer Deadline : Tuesday, 23 June, 2020

Category : Medical Billing and Coding

Country : USA

State : Texas

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