MB-4206 - USA (Illinois) - Benefits Consultant Services - Deadline June 18,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4206

Government Authority located in Illinois; USA based organization looking for expert vendor for benefits consultant services.

[A] Budget: Looking for proposal

[B] Scope of Service:

Vendor needs to provide benefits consultant services to develop a comprehensive employee benefits program; including employee benefit design, benefit administration, consulting and brokerage services, and strategic direction.
- Our goal is to select the firm who will be the most effective and proactive partner in assisting us to achieve the most beneficial access to plan funding designs, insurance carriers and benefits providers to assist the District with the design and development of the annual Request for Proposals, evaluating and identifying high value proposals and comprehensive services for each benefit offered to employees, including but not limited to: Health / medical plan, Prescription Drug plan, Dental plan, Basic Life Insurance with AD&D, Optional Life Insurance, Vision Insurance, Short-term and Long-term disability, Wellness programs, disease management and preventive care options.
- COBRA coverage is self-administered
- Flexible Spending Healthcare, Healthcare Limited and Dependent Care Accounts are administered FOR by Boon Chapman.
- Analysis and Reporting • Analyze existing coverage, identify, and develop cost-saving alternative benefit strategies and plans. Provide innovative approaches to benefit challenges facing the District and recommendations for benefit plan changes if needed. • Assist in the development of short and long-range goals and strategies, including making projections of potential savings. • Provide analysis and recommendations based on utilization and performance reports, statistical and financial reports, and plan specific data. • Assist the District in being pro-active to monitor and analyze experience trends, provide timely alerts on changing patterns and suggest appropriate recommendations. • Provide, maintain and update comparison reports of other public and private companies' benefit plan offerings, and costs, to determine their competitiveness with the District’s programs. • Provide financial and performance reviews of self-funded and fully insured plans and programs for consideration of selection. • Be available to prepare, provide and present various types of reports as needed, such as cost analysis for benefit changes, and other statistical, financial, forecasting, trend, or experience reports, as well as new products and audits, as requested. • Regularly monitor and evaluate performance measures and guarantees for providers. • Maintain full and accurate records with respect to all matters and services provided on behalf of the District's benefit plans and programs. • Provide District staff and officials all spreadsheets, assumptions and calculations upon completion of any project performed on behalf of the District's benefit plans and programs. • Provide summary of activity on open, ongoing claims as needed. • Provide quarterly management reports for all benefit products. Monthly reports required on the health insurance plan, as well as periodic meetings to discuss data and strategy. • Provide a high level of customer service to our organization to include evaluation of claims data, submission of executive reports and reconciliation of accounts.
- Liaison and Problem Intervention • Act as liaison with (and between) the District, insurance carriers and providers. • Provide timely customer service and assistance to District staff, and employees, with issues involving provider billing, claims, vendor service issues/problems, advocacy for services, disputes, interpretation of contracts and services, changes and general troubleshooting. • Attendance, as needed, at meetings with District staff and employees to facilitate and assist in FOR the management of the District’s employee benefits plans.
- Compliance • Assist with ongoing plan administration and ensure that District benefit programs comply with State and Federal legislation. • Provide on-site training to District staff, as needed, regarding regulatory updates and/or Best Practice seminars for the effective administration of benefit plans. • Review and disseminate information to District staff, on an ongoing basis, regarding new or revised State and Federal legislation that impacts benefit programs
- nual Renewal Process and Evaluation • Provide an annual report (more often when necessary and / or requested) outlining programs and their status, and a preliminary marketing report describing the market conditions for each benefit. This report should outline suggestions and recommendations for various plan options. • Establish a strategy for benefits, both annually and three (3) to five (5) years in the future to determine goals and impact. Consider trends, prospective legislations, new delivery systems, and forecast of market conditions, expectations of renewals and geographic health-care practices to make both short and long-term proj

[C] Eligibility:

- Onshore (USA Organization Only);

[D] Work Performance:

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

Expiry Date : Thursday, 18 June, 2020

Category : Medical Billing and Coding

Country : USA

State : Illinois

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