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MB-4526 - USA (California) - Retirement Health Savings Program Recordkeeping, Administration and Claims Processing Services - Deadline October 2,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4526

Government Authority located in California; USA based organization looking for expert vendor for retirement health savings program recordkeeping, administration and claims processing services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide retirement health savings program recordkeeping, administration and claims processing services
- Currently, there are 1,181 active employees, 698 of which are full time. All full-time employees participate in the Plan which is intended to provide retirees with reimbursement for out-of-pocket qualified medical expenses.
- The Plan operates with two contribution structures. The “Hybrid” structure is provided to employees who were hired and met eligibility requirements prior to 2006. The “Fully-Converted” structure is provided to all employees hired after 2006.
- Recordkeeping:
- Company’s system back up, security, and disaster recovery procedures,
- Procedures for protecting participant data from both cyber and physical threats,
- calculate employer contributions,
- Integration among your voice response, Internet and recordkeeping systems,
- Claims Processing:
- Typical claims approval process,
- Typical turnaround time for the payment of a claim once it has been submitted,
- Provide auto-reimbursement enabling retirees to be reimbursed for monthly insurance premiums without filing monthly claims,
- Process for dealing with a claim in excess of a participant’s account balance,
- Administration:
- City need to operate two separate plans, or will you be able to accommodate both the Hybrid and Fully-Converted Structure into one Plan and Trust,
- Flexibility of your forfeiture process, How long after death can claims be submitted by someone’s estate,
(2) All questions must be submitted no later than September 14, 2020.
(3) Intent to proposal must be submitted no later than September 14, 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 : Friday, 2 October, 2020

Question Answer Deadline : Monday, 14 September, 2020

Category : Medical Billing and Coding

Country : USA

State : California

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