MB-4525 - USA (Texas) - Agent of Record - Deadline September 17,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4525

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

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide agent of record for third party administrator.
- Agent who meets the service requirements and engagement responsibilities which include, but may not be limited to: serve as an advisor regarding health plan design and content including cobra, review, on an ongoing basis, the existing employee benefit plan for competitiveness, appropriateness and overall acceptance by plan participants, serve and assist in negotiating benefit provider contract(s) resulting from review and recommendations, provide evaluation services to support contract modifications such as benefit differentials and funding options, prepare periodic reports on the progress, applicability and overall benefit of the specific plans, assist in claims review and management, review utilization rates on a quarterly basis and evaluate accordingly, assist with plan design changes, plan implementation strategies, plan design and/or benefits communications relating to coverage; integrating appropriate assignments of duties to vendor, while maintaining proper oversight/ responsibilities, assist with premium funding projections during the 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, act as the city's representative; collecting information and making periodic presentations to staff, as requested, of benefit plan, provide comparisons and make recommendations of benefit plans and employer/employee contributions, provide periodic reports using carrier data on claims and fixed expenses, and relate those to total premium and expectations for renewal, 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 BCBS, and where required intercede with both parties to assist in problem resolution, provide staff and support for new hire orientations, annual open enrollment sessions, and billing.
- City with overall plan management and quality assurance services including, but not limited to the following: Customer Service, Regulatory Compliance & Reporting, COBRA, Budgeting and Forecasting, HIPAA, Cost containment, Benefit Review Design, Contract Analysis, Renewal Process, Vendor Compliance, Transition & Implementation of Plan, Annual HIPAA Training / HIPAA Binder, Benefits Summary, Annual ACA Training / Quarterly Updates, Claims Audit and Review, Open Enrollment, Billing Administration, Employee Wellness Program.

[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

[E] Proposal Submission:

Response should be submitted physically (courier or post).

Expiry Date : Thursday, 17 September, 2020

Category : Medical Billing and Coding

Country : USA

State : Texas

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