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MB-4556 - USA (Washington) - Tax-Advantaged Accounts Administration Services - Deadline November 4,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4556

Government Authority located in Washington; USA based organization looking for expert vendor for tax-advantaged accounts administration services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

Vendor needs to provide tax-advantaged accounts administration services for Participants of the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) Programs and other designated HCA programs. Tax advantaged accounts include the following: Flexible Spending Arrangement (FSA), Dependent Care Assistance Program (DCAP), Health Benefit Account (HBA), and Health Savings Account (HSA).
1. Account Management
A. Administrator must provide an account management team that is accessible, engaged, and fully responsive to HCA concerns and immediately reports to HCA any situation that could potentially impact the administration of any of the accounts.
B. Administrator should process reimbursement requests for appropriate expenses via the Administrator's website, through debit cards, phone application, or directly to the Administrator via e-mail, mail or fax.
C. Administrator will have a functional Claims processing system for each account type in effect prior to the Benefits Start Date.
D. Administrator will establish procedures to ensure no Participant exceeds their annual elected reduction amount (or other applicable account limitation).
E. Administrator must have the ability to refund Health Benefit Accounts when Participant inadvertently uses funds to pay for ineligible health plan premiums.
F. Administrator must process FSA and DCAP Claims incurred during the Grace Period, which is two months and 15 days following the end of the Plan Year (March 15 of the next year).
G. Administrator should verify reimbursement Claims within thirty (30) days of receipt.
H. Participants in all account types must be notified electronically of Claim rejections within fifteen (15) days and must be provided with specific and understandable reasons for rejection and clear follow-up instructions.
2. Customer Services
A. The Administrator must provide a fully operational customer service center with customer service staff that are knowledgeable, responsive, and deliver high quality service to all Participants and/or HCA and/or other employers.
B. The customer service center must provide support for culturally and linguistically diverse communities as well as reasonable accommodations for communications that are consistent with ADA requirements for all Participant-oriented tools.
3. Online Services
A. The Administrator must provide a secure, ADA compliant online self-service portal that will allow Participants and/or HCA and/or employers to submit enrollment forms as well as provide easy and accurate access to information regarding the status of their FSA and/or DCAP payroll deductions, reimbursements and outstanding claims through a website. This portal should be available 24-hours a day, seven (7) days a week.
B. Administrator must provide Participants with account balance summaries, available on Administrator's website, including the following data elements:
i. An ongoing summary of year-to-date total deposits;
ii. Year-to-date total reimbursements;
iii. Year to date totals of authorized Claims;
iv. Balance of outstanding Claims; and
v. Pending verification transactions.
4. Data and Reporting
Administrator must provide reports on all account types with reporting elements and recipients as outlined below:
A. Certification that all information sharing is in full compliance with HIPAA and other applicable regulations, with information and reporting structured to meet the needs of Participants, providers, HCA, the community, and other identified stakeholders.
B. Responsiveness to customer services questions and complaints including count of incoming calls, time to answer, number of complaints of received, reason for complaints, number of complaints or questions resolved, and appeals which must include a description of the appeals.
- For more information describe in document.

[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, 4 November, 2020

Category : Medical Billing and Coding

Country : USA

State : Washington

Cost to Download This RFP Document : $ 5

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