Posted Date : April 07,2022
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-6262
Government Authority located in Louisiana; USA based organization looking for expert vendor for fully insured medical plans services.
[A] Budget: Looking for proposal
[B] Scope of Service:
Vendor needs to provide fully insured medical plans services Provide for full COBRA administration service for health, dental, vision and flexible spending account (FSA), including all required notifications as per the COBRA regulations, such as initial notice, final notice, late payment, early termination, legally required notifications, etc.
- Mail all plan related materials, as stated herein, to Benefit Administrator upon request for distribution to new hires.
- Complete enrolment and eligibility prior to the effective date of the contract by way of electronic transfer of data from current carrier.
- Must mail subscriber and dependent ID cards annually prior to the first of each year after open enrolment.
- Provide annual open enrolment support by providing a speaker at each employee and retiree meeting upon request.
- Manage claims by providing coordination of benefits, subrogation, Medicare coordination, and to challenge all disputed claims with providers, etc.
- Manage claims by offering services of utilization review, large case management, wellness, and disease management programs
- Provide billing discrepancy reports monthly, beginning with the invoice of January 2023, within 45 days of receiving payment of a given month. If the Parish is notified beyond 60 days of the discrepancy, will be allowed to make appropriate adjustments.
[C] Eligibility:
Onshore (USA organization Only)
[D] Work Performance:
Performance of the work will be offsite.
Budget :
Deadline to Submit Proposals: May 06,2022
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-6262
Government Authority located in Louisiana; USA based organization looking for expert vendor for fully insured medical plans services.
[A] Budget: Looking for proposal
[B] Scope of Service:
Vendor needs to provide fully insured medical plans services Provide for full COBRA administration service for health, dental, vision and flexible spending account (FSA), including all required notifications as per the COBRA regulations, such as initial notice, final notice, late payment, early termination, legally required notifications, etc.
- Mail all plan related materials, as stated herein, to Benefit Administrator upon request for distribution to new hires.
- Complete enrolment and eligibility prior to the effective date of the contract by way of electronic transfer of data from current carrier.
- Must mail subscriber and dependent ID cards annually prior to the first of each year after open enrolment.
- Provide annual open enrolment support by providing a speaker at each employee and retiree meeting upon request.
- Manage claims by providing coordination of benefits, subrogation, Medicare coordination, and to challenge all disputed claims with providers, etc.
- Manage claims by offering services of utilization review, large case management, wellness, and disease management programs
- Provide billing discrepancy reports monthly, beginning with the invoice of January 2023, within 45 days of receiving payment of a given month. If the Parish is notified beyond 60 days of the discrepancy, will be allowed to make appropriate adjustments.
[C] Eligibility:
Onshore (USA organization Only)
[D] Work Performance:
Performance of the work will be offsite.
Budget :
Deadline to Submit Proposals: May 06,2022
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$