ESTATE-2433 - USA (Leesburg, Virginia) - Insurance Consulting Services for Employee Benefits - Deadline August 8,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: ESTATE-2433

Government Authority located in Leesburg, Virginia; USA based organization looking for expert vendor for insurance consulting services for employee benefits.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide consulting services to the town for employee’s health insurance, employee benefits, and related insurance and plan design services to the government authority located in Leesburg, VA.
a. Recurring Services
i. Annual review and consultation related to plan designs of employee health insurance programs including modeling of plan design scenarios, utilization, access, change disruption, and cost impact for active employee and retiree medical, dental and vision insurance plans.
ii. Annual review of prospective funding and underwriting renewal analysis including but not limited to the examination of claims experience, administrative services, legislative updates, network discounts, billing rate tiers and cost allocation, customer service and communications resulting in effective and constructive negotiations with vendors.
iii. Complete support for medical, dental, vision, disability, voluntary benefits and related services plan bidding specifications, including but not limited to plan design, claims review, request for proposal (RFP) drafting, proposal analysis of benefit plan performance, e.g., health insurance premiums vs. claims analysis, future rate forecasting, etc.
iv. Tracking and Plan Performance: Track and report progress of benefit plans on at least a quarterly basis, coordinating with benefit providers to obtain relevant performance data. Provide analysis of benefit plan performance, e.g., health insurance premiums vs. claims, high claims analysis, future rate forecasting, etc.
v. Regulatory Compliance: Reviewing the town’s employee benefits program on a continuing basis to ensure that the plans are in compliance with government regulations and all mandatory notices are provided to employees.
vi. Consultation: Provide upon request consultation and guidance with respect to all benefit plans, including health, dental, vision, term life, AD&D, LTD, EAP, cafeteria plan (Section 125), personal leave, PTO, FMLA administration, voluntary coverages, etc. Address Town Council as needed on benefits-related topics.
vii. Provide consultation and guidance with respect to governmental mandates such as ACA, FMLA, COBRA, HIPAA, ADA, USERRA, and others that may become applicable.
viii. Provide a primary account contact and a secondary contact who is knowledgeable about the town’s employee benefits programs.
ix. Communication: Advise and assist the town with mandatory and other required benefit plan communications to employees. These include mandatory notices such as SPD, SBC, Certificate of Coverage, Women’s Health and Cancer Rights Act, etc. annually, as well as electronic print and video information during open enrollment for benefits and as regulatory changes occur.
b. Task Order Services
i. Services outside the scope of those stated above. A proposal responding specifically to these non-recurring services will be provided and authorized in advance of any billed time but will be billed at the hourly rates quoted within the proposal and contract.
C. Risk Management Services to include:
1. Recurring Services
a. Monthly and cumulative health insurance reporting of enrollment, claims (medical and prescription), premiums, loss ratio, high-cost claims, and administrative fees.
b. Provide a preliminary renewal forecast for coverage policies to which the town is contributing by November 30 of each year to aid the town in budget planning.
c. Review all renewal policies and prepare an annual report by January 31, describing: coverage policies in force; an evaluation of the Town’s overall insurance programs; a forecast of market conditions and renewal costs; a list of recommendations outlining options to minimize costs without sacrificing coverage for potential catastrophic loss which will include an analysis of risk financing options, including self-insurance.
d. Annually assess the insurance providers’ stability, solvency and service records.
e. Provide "hands on" assistance in negotiating and managing renewals of individual coverage policies.
f. Answer specific insurance questions and provide coverage advice for specific situations, as requested, by designated town staff.
g. Dissemination of news items, materials, and other information on key insurance industry developments. Provide information on client seminars, market reviews, industry group meetings and focus groups.
h. Audit all policies, endorsements, rating adjustments, etc.
i. Meetings, at least semi-annually, with designated town personnel, to discuss insurance coverages and exposure aspects relative to specific types of operations.
j. Regular contact and discussion with insurance providers as needed to maximize coverage and minimize cost of the insurance product.
k. Assistance and input in the area of claim reporti

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Not Applicable

Expiry Date : Thursday, 8 August, 2019

Question Answer Deadline : Wednesday, 24 July, 2019

Category : Real Estate, Brokerage Services, Maintenance, Repair and Alteration of Property

Country : USA

State : Virginia

RFP Expired

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