Posted Date : April 01,2019
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : EXTRA-4943
Government Authority located in Baton Rouge, Louisiana; USA based organization looking for expert vendor for health and welfare benefit consulting services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide health and welfare benefit consulting services to identify and retain a consulting firm to assist in the solicitation, selection, implementation and oversight of the city’s group benefits program, including medical, dental, vision, basic and voluntary life/AD&D, flexible spending account (FSA), health savings account (HSA), and short-term disability for employees and dependents to the government authority located in Baton Rouge, LA.
- Strategic Planning to analysing claims history and insurance utilization at least quarterly including recommendations for cost management opportunities; work with and help educate city-parish staff on current health insurance issues and trends, assist city-parish in the development, implementation and ongoing management of an effective and measurable wellness program that will reduce health and welfare cost over the long term.
- Underwriting/Actuarial Services including retiree drug subsidy as needed, calculate and recommend appropriate premium rates, administrative fees, and self-funded plan liabilities to maintain the viability of the plans, insuring quality and cost-effective benefits are provided by the plans, actuarial costing of legislative proposals for mandated benefit programs, analyses large claims, assist with the development, negotiation and implementation of health and welfare providers on various topics, including, but not limited to, premium rates, benefit levels, performance standards, contractual terms and conditions, quality assurance standards, utilization and performance reports, statistical and/or financial reports, and where applicable plan-specific data such as medical conditions, prescription drugs, high cost procedures and in-patient data.
- Utilization Reporting provide detailed quarterly reporting and analysis; collect claims experience and participation data from vendors and city-parish, to include the following data premium or fixed costs, paid claims, and loss ratio for each line of coverage or subgroup level, experience categorized by type of participant, such as active employees, retirees, spouse and child(ren), experience categorized by the type of service provided.
- Vendor Management to conduct, review, and summarize on the city-parish’s behalf, an rfp to identify a third party administrator for the city-parish’s various insurance products, including enrollment, claims handling, payment, billing and COBRA administration of active employees and retirees, analyse insurance proposal criteria, review all insurance, benefit and administrative service documents for accuracy and adherence to prior agreements, and manage carrier/vendor relationships, review contracts with providers for accuracy in rates, benefits, eligibility, and coverage definitions, evaluate provider networks.
- Administration/Communications Support consultation on plan interpretation and problem resolution, including attendance at periodic meetings to facilitate and assist in the management of the city-parish’s health and welfare plans and programs and provide assistance in the open enrollment period to include enrollment campaign(s), which may include meetings to
explain the plans/benefits, if requested.
(2) All question must be submitted in written no later than April 18, 2019.
[C] Eligibility:
- Onshore (USA Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location
Budget :
Deadline to Submit Proposals: May 10,2019
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
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Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : EXTRA-4943
Government Authority located in Baton Rouge, Louisiana; USA based organization looking for expert vendor for health and welfare benefit consulting services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide health and welfare benefit consulting services to identify and retain a consulting firm to assist in the solicitation, selection, implementation and oversight of the city’s group benefits program, including medical, dental, vision, basic and voluntary life/AD&D, flexible spending account (FSA), health savings account (HSA), and short-term disability for employees and dependents to the government authority located in Baton Rouge, LA.
- Strategic Planning to analysing claims history and insurance utilization at least quarterly including recommendations for cost management opportunities; work with and help educate city-parish staff on current health insurance issues and trends, assist city-parish in the development, implementation and ongoing management of an effective and measurable wellness program that will reduce health and welfare cost over the long term.
- Underwriting/Actuarial Services including retiree drug subsidy as needed, calculate and recommend appropriate premium rates, administrative fees, and self-funded plan liabilities to maintain the viability of the plans, insuring quality and cost-effective benefits are provided by the plans, actuarial costing of legislative proposals for mandated benefit programs, analyses large claims, assist with the development, negotiation and implementation of health and welfare providers on various topics, including, but not limited to, premium rates, benefit levels, performance standards, contractual terms and conditions, quality assurance standards, utilization and performance reports, statistical and/or financial reports, and where applicable plan-specific data such as medical conditions, prescription drugs, high cost procedures and in-patient data.
- Utilization Reporting provide detailed quarterly reporting and analysis; collect claims experience and participation data from vendors and city-parish, to include the following data premium or fixed costs, paid claims, and loss ratio for each line of coverage or subgroup level, experience categorized by type of participant, such as active employees, retirees, spouse and child(ren), experience categorized by the type of service provided.
- Vendor Management to conduct, review, and summarize on the city-parish’s behalf, an rfp to identify a third party administrator for the city-parish’s various insurance products, including enrollment, claims handling, payment, billing and COBRA administration of active employees and retirees, analyse insurance proposal criteria, review all insurance, benefit and administrative service documents for accuracy and adherence to prior agreements, and manage carrier/vendor relationships, review contracts with providers for accuracy in rates, benefits, eligibility, and coverage definitions, evaluate provider networks.
- Administration/Communications Support consultation on plan interpretation and problem resolution, including attendance at periodic meetings to facilitate and assist in the management of the city-parish’s health and welfare plans and programs and provide assistance in the open enrollment period to include enrollment campaign(s), which may include meetings to
explain the plans/benefits, if requested.
(2) All question must be submitted in written no later than April 18, 2019.
[C] Eligibility:
- Onshore (USA Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location
Budget :
Deadline to Submit Proposals: May 10,2019
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$