Healthcare Benefits Consulting Services

The Vendor is required to provide for the healthcare benefits consulting services to offer assistance in the preparation of health related benefit programs plan design, premium recommendations and cost modules for the county’s self-insured programs.
- Retiree health premiums are calculated on different cost share percentages based on the effective date of retirement
- Evaluate current health offerings, wellness program, financial performance, and statistical data of the county.
•    Review and evaluate the county's existing employee benefits plans related to health insurance; gather, review, and evaluate county's statistical data on demographics, claims, premiums, and other data necessary to conduct the evaluation.
•    Recommend methods to contain costs, maintain competitiveness, and improve services provided to employees, retirees, and dependents.
•    Advice the county on new benefit developments including any requirements associated with new health reform law which may alter posture towards adopting or continuing existing employee benefit programs.
•    Review current medical, dental, pharmacy, mental health/EAP, and vision plans, analyzing premium levels, claims, reserves, negotiated costs and administrative fees.
•    Review wellness and disease management program and provide recommendations. Attend wellness meetings based on the county’s request.
•    Review rate proposals to ensure underlying assumptions are appropriate to the county. Negotiate savings on renewals from existing vendors. Report outcomes to the county.
- Health Insurance
•    Provide recommendations to detail the plan design and other requirements that will respond to the needs of the county.
•    Assist county in the preparation of written specifications to include all data necessary for appropriate response by responders.
•    Review and assist in the update of an appropriate list of potential vendors for the services requested.
•    Prepare power point presentation and excel spreadsheets to summarize the technical and financial components of each proposal response.
•    Provide benefits education to staff and committees as necessary.
•    Assist the county with obtaining vendor marketing funds to support county sponsored benefit and wellness programs
- Communication of new health benefits and costs to employees and retirees
•    Review county communications materials to ensure information is simply and properly conveyed regarding the new health plan. 
•    Make appropriate recommendations.
•    The consultant may be required to attend meetings with the board of commissioners to provide information and answer questions regarding the plan design, plan performance and the recommended changes to the plan.
•    The county will be responsible for providing any demographics, claims, financial, or other appropriate data required by the consultant.
- Review all County’s insurance, benefit, and administrative service documents for accuracy and adherence to prior agreements (but not perform a legal review).
- Monitor and track audit requirements for each benefit carrier and develop new initiatives, such as wellness plans and audits, to help County improve the financial performance of County’s benefit programs.
- Communicating emerging practices and trends in benefits management and provide a written report of recommendations for development of new programs based on benefit trends and best practices, alternate strategies and estimated cost to the County to implement the recommendations.
- Assist in monitoring of service levels and adjudicate performance
- Provide customer service to Benefits Staff and other County Personnel and assist staff in problem resolution for employees and retirees with providers, billing, and advocacy for services, disputes, interpretation of services, changes, and contract dispute.
- Modeling of plan design and pricing alternatives, as needed
- Assist County with government filings and reporting relating to County’s employee benefit programs
- Assist County in proactive mitigation of negative impacts or disruption of services to employees and retirees from health benefit and/or provider network changes.

- Contract Period/Term: 1 year
- Pre-Proposal Conference Date: November 10, 2025
- Questions/Inquires Deadline: November 18, 2025