MB-3294 - USA (Missouri) - Third Party Administration for Medical and Dependent Care Reimbursement Services - Deadline July 31,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3294

Government Authority located in Missouri; USA based organization looking for expert vendor for third party administration for medical and dependent care reimbursement services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide third party administration for medical and dependent care reimbursement services includes pre-tax premiums, medical reimbursement and dependent care,
- Claims are processed daily,
- A claim register is submitted to the county and funds wired for payment,
-  Employees can mail, submit using a phone app. or fax claims and have claims reimbursed by check or direct deposit,
- Employees also have the option of using a “flexible spending debit card” that allows providers to “debit” eligible co-pays and expenses directly from the employees’ section 125 account, which eliminates the need to submit most co-payment receipts in order to receive reimbursement for claims,
- Ease of submitting claims and quick turnaround times are important considerations for employee satisfaction, therefore, the County also requires the “debit card” reimbursement process in addition to the traditional reimbursement procedures,
- Process all claims under the medical reimbursement and dependent care plan, claims processing to include receipt of claim, determination of eligible expenses and maximums, participant explanations, and preparing a register of eligible claims and amounts per participant,
- Schedule claims processing at least every 2 or 3 days, preferably daily to provide the greatest convenience in turnaround reimbursement, optional benefit level would include proposal of instant reimbursement through the use of section 125 “debit cards”,
- Administer all details of operating a section 125 plan, such as ensuring that the program is in compliance with federal regulation, ensuring that enrollees are eligible to participate, ensuring that payroll deductions balance with election affidavits, providing detailed records of all transactions, provide forms for enrolment, termination, and claims, and notifying the county and participants of inconsistencies, non-payment of submitted claims, account balances, etc,
- Provide assistance, advice, and direction requested regarding the administration and smooth operation of the plan such as, increasing participation levels, eligibility determination, eligible expenses, and compliance with regulations and guidelines governing or affecting Section 125 programs and required reporting,
- As needed, provide a technical review of the existing plan documents and summary plan documents and recommend changes or improvements, provide assistance and advice to the county, as necessary, in the preparation of revisions to plan documents and summary plan documents.
(2) All the questions must be submitted no later than July 24, 2019.
(3) A contract term will be for one year.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Wednesday, 31 July, 2019

Question Answer Deadline : Wednesday, 24 July, 2019

Category : Medical Billing and Coding

Country : USA

State : Missouri

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