Insurance Brokerage Services

The vendor is required to provide from insurance brokers and consultants qualified to perform, and that are interested in providing, the services related to the design, implementation, maintenance and improvement of the city’s employee benefits insurance programs, and worker’s compensation insurance program.
 -Include for services:
• Serve as management consultant on insurance related matters.
• Provide advice and assistance reviewing the city’s insurance programs on a continuing basis to ensure that the plans are following federal and state requirements and that the program provides adequate benefits.
• Recommend alternative benefit designs or delivery systems as dictated by emerging plan costs or benefit practices.
• Notify, monitor, and provide information on pending or new legislation and ballot measures, changes in tax law, as well as benefit and funding trends that may affect the benefit program.
• Assist with health insurance portability accountability act (HIPAA) and patient protection affordable care act (PPACA) compliance.
• Maintain confidentiality of the city’s claims, records, and related data which cannot be sold, shared, or otherwise disclosed to other companies or individuals without written permission from the city.
• Negotiate for the city favorable costs and high-quality services with vendors, including semi-annual reports for budgeting, resolution of issues, and renewal purposes.
• Prepare and review contracts, plan documents, insurance policies, and other documents for applicability and accuracy.
• Proactively recommend alternative program designs, ancillary program(s), voluntary programs, or delivery systems as dictated by emerging costs or benefit practices and trends.
• Review city trends for the applicable plans. identify appropriate and cost-effective strategies to reduce health and benefit claim costs.
• Prepare bid specifications and solicit proposals from insurance carriers and insurance markets specializing in group insurance plans as needed.
• Assist with adjudication of specific claims. provide comprehensive, objective review of received and processed claims to determine whether the claims are adjudicated according to contractual performance standards, appropriate benefits, and industry standards.
• Provide liaison services between program and other contractors, including coordination of reporting and assistance resolving claims.
• Partner with human resources and management team at the city in the administration of all group insurance plans, including responding to questions from and providing information to staff, and providing other benefit-related advisory services throughout the plan year.
• Advise the city in contract negotiations and renewals within the consultant’s field of expertise.
• Develop and assist in implementation of new insurance plans and benefits, as applicable.
• Assist with the preparation of materials for annual employee benefits and open enrollment meetings. be available to attend meetings with city representatives as required.
• Provide full disclosure of all fees, commissions, bonuses, overrides, and compensation received from each health and benefit plan annually and at the start or change of any existing plan.
- Questions/Inquires Deadline: May 09, 2025