Group Benefits Insurance Administration and Disability Case Management Services

The vendor is required to provide group benefits insurance, administration and disability case management services shall include all the university’s current and proposed benefits coverages, administrative arrangements, processes, and other services.
1. Range and services
•    Demonstration of resources and flexibility to service the benefits plan for the university and its employees
•    Claims adjudication abilities
•    Client services and products available and in development
•    Networks and preferred providers
•    Quality assurance; audit and fraud prevention
 2. Plan member experience
•    Technology and member self-service capabilities
•    Ability to match the current and proposed plan design, including grandfather coverage and pre-existing condition limitations
•    Call center experience
•    Accuracy and timeliness of claims processing
•    Additional value-added services
3. Plan sponsor support
•    Exceptional and comprehensive implementation support with a well-thought-out plan
•    Ability to provide customized, comprehensive and timely administration and service support
•    Ability to match all current and proposed processes
•    Comprehensive and customized standards for monitoring, diagnosing and correcting service issues
•    Billing process and details; ability to align with the university's current and proposed arrangement(s)
•    Quality and range of routine and customized reports
•    Additional value-added services including employee communication
4. Financial and underwriting
•    Non-commercial: renewal process; flexibility in underwriting provisions
•    Commercial: competitiveness and sustainability of quoted rates, expenses, guarantees, credits, penalties, caps, etc.
5. Corporate experience and qualifications
•    Office locations for account management and service 
•    References
•    Recent or anticipated changes that may impact your ability to provide service, such as acquisitions, divestitures, etc.
•    Financial ratings, liability insurance, privacy policy, etc.
•    Business continuity plan and emergency preparedness plan
•    Data housing procedures and locations
6. Benefits administration services
•    Explore outsourced or co-sourced models to improve efficiency and integration with HR and payroll systems
•    Enhance the member experience through simplified onboarding, enrolment, and communications
•    Strengthen data accuracy and automation via secure interfaces and real-time updates
•    Provide comprehensive support for all member events from hire to retirement
•    Ensure seamless coordination among vendors for consistent service delivery
•    Establish reporting, and service standards that ensure accountability and performance.

- Questions/Inquires Deadline: November 12, 2025