The Vendor is required to provide county with employee vision plan and administration services.
- Establish quality assurance standards, control processes and procedures for the assurance of compliance with the established standards.
- Must use County’s Employee Identification Numbers for all tracking of members.
- Must maintain records, or cause to be maintained records of care and services provided to each patient, consistent with professional requirements and State law.
- The records must indicate at least the date of each visit, charges, provider name, diagnosis, treatment, and any other data deemed necessary for proper care and treatment.
- Must provide well-trained, skilled service representatives and convenient online services for plan members.
- Must have qualified and experienced representative(s) attend and present vision information (such as Plan changes for the following year, how to utilize the Plan most effectively, etc.) at Annual Enrollment Seminars and Health Fairs, if applicable.
- Provide a video, webinars, conference calls, and/or virtual meetings to explain Plan benefits to employees.
- Applicable documents must also be available electronically for posting on the County’s intranet and internet websites. ID cards, certificates of coverage and new member packets must be mailed by the Contractor to Plan members’ addresses within 14 calendar days following receipt of enrollment and change forms.
- Must assign a dedicated Senior Account Manager who has the authority to respond to the County’s needs and questions in a timely manner.
- The Senior Account Manager must be able to make decisions or escalate to a person with decision-making authority concerning process changes as required in servicing this account.
- Provider directory must be available online, searchable via both website and mobile application, updated regularly, at least weekly, and preferably daily.
- Must randomly review phone calls to ensure excellent service, including providing complete and accurate Plan information.
- Must be capable of recording, investigating and resolving administrative problems, service-related problems or other complaints reported by Plan members and/or representatives.
- Contract Period/Term: 1 year
- Remote Pre-Proposal Conference Date: December 15, 2025
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