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MB-5181 - USA (Florida) - Medical, Dental, Vision and Life Benefits Services - Deadline May 18,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5181

Government Authority located in Florida; USA based organization looking for expert vendor for medical, dental, vision and life benefits services.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide medical, dental, vision and life benefits services.
- The current group medical benefits program is provided by public risk management via blue cross blue shield of the state.
- Medical Plans: As of October 1, 2020, the enrollment, including all eligible dependents, in the public risk management blue options plan is approximately 464 covered employees, dependents and retirees.
- HMO option: The city would also like to consider an HMO option as an alternative for participants who would prefer an HMO plan.
- Medicare advantage option: In addition, proposers are asked to give Medicare Advantage options for the current and future retirees. The proposed medicare advantage plan should only be proposed from the insurer who is proposing on the group medical benefits.
- Other retirement plan options: Proposers are asked to provide any additional qualified medical retirement plans or options for current and future retirees. The proposed medical retire plan should only be proposed from the insurer who is proposing on the group medical benefits.
- Cost will include rates and premium, prescriptions cost by level, retention and claims cost, pooling, provider discounts, cost guarantees broker fees, commissions, etc.
- For medical benefits, the hospitals and number of physicians under contract and the number of contracted physicians who will accept new patients and the match-up between current top providers and the network providers proposed.
- Communications with Human Resources on medical claims, prescriptions, dental, vision, and life insurance claims and any trending or plan recommendations or adjustments.
- Training for city staff on plans administration.
- Monthly and annual reports of paid claims, quality of experience reports, developing ad hoc reports, extent and quality of reports on wellness or disease management, ability for covered member to track wellness and heath claims, etc.
- The proposer agrees that the city shall have reasonable access to all claim files created as a result of the claims services to be provided by the successful proposer.
- The city shall have all right, title, interest and ownership to all loss statistics created as a result of the services to be provided by the successful proposer.
(2) The term of contract will be two years.

[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 : Tuesday, 18 May, 2021

Category : Medical Billing and Coding

Country : USA

State : Florida

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