MB-5817 - USA (Texas) - Group Term Life and Accidental Death and Dismemberment Plan Services - Deadline December 15,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5817

Government authority located in Texas; USA based organization looking for expert vendor for group term life and accidental death and dismemberment plan services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide group term life and accidental death and dismemberment plan services.
- System offers the fully insured group term life plan for benefits-eligible employees, retirees and their eligible dependents and the ADD plan for benefits-eligible employees and their dependents.
- Provide general administrative support, legal and technical assistance, quality assurance, and certain reporting as required for the operation of the GTL/ADD Insurance plans.
- Misuse of program, overpayments, wrongful or incorrect payments.
Processing of claims:
- Must accumulate enrollment, utilization, cost, and claims payment statistics and develop reports for the plan as is typically done in the course of plan administration, but no less frequently than on a monthly basis. contractor must provide copies of such reports upon request by university system along with results of any audits conducted in connection with the reports.
- Must process, administer and pay all required university benefits GTL/ADD plan claims incurred on or after September 1, 2022 and throughout the term of the contract, including administration and payments required following termination of the contract in connection with claims incurred prior to termination of the contract.
- Must review claims for eligibility based on covered dates of services. any ineligible claims that are inadvertently paid by contractor shall be the sole responsibility of contractor to recapture.
- Must maintain a complete and accurate claim reporting system and provide for the retention, maintenance, and storage of all payment records with provision for appropriate reporting to university system.
- Must maintain all such records throughout the term of the contract and for at least three (3) years following the end of the contract, and must make such records accessible and available to university system for inspection and audit upon university system’s request.
- Customer service staffing is required at a level adequate to handle significant call volume involving questions specific to benefits, resolution of complaints, requests for program clarification and assistance.
- The establishment of toll-free lines (telephone and facsimile) is required, and customer service staffing levels must be adequate, at a minimum, to maintain performance standards as negotiated in the contracting process.
- Contractor’s phone customer service hours must include, at a minimum, Monday through Friday from 7:00 a.m. to 7:00 p.m. central standard time.
- Must establish a customized, university system-specific website with the primary goal of allowing participants easy access to plan information and customer service information.
- All website content must be clearly visible and functional in common browsers at the most recent version or one version before.
- Must approve new website additions or redesigns at least two weeks prior to any scheduled launch date.
(2) A pre-proposal conference will be held on November 15, 2021.
(3) All questions must be submitted no later than November 17, 2021.

[C] Eligibility:

- Onshore (US Organization Only);

[D] Work Performance:

Performance of the work will be Offsite.

Expiry Date : Wednesday, 15 December, 2021

Pre-proposal Conference Date : Monday, 15 November, 2021

Question Answer Deadline : Wednesday, 17 November, 2021

Category : Medical Billing and Coding, Call Center and Answering, Insurance Services, Web Design and Development

Country : USA

State : Texas

Cost to Download This RFP Document : $ 5

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