Administrative Services for Flexible Spending Accounts

The vendor is required to provide administration of its of its employee benefits consisting of flexible spending accounts (FSA) and health savings accounts (HSA).
- To provide employees with a quality, affordable administrative service benefits responsive to the diverse needs of employees;
- To ensure employees and their dependents are provided with the highest quality of care by providers and superior customer service;
- To ensure plans are managed effectively by taking advantage of cost and utilization management opportunities available in the marketplace while increasing quality;
- To provide employees access to consumer enhancing technology that assist in education and communication on provider choice, quality, transparency, personal health care, and cost;
- To assist the city in building a community/culture of wellness, accountability and responsibility
- Technology requirements:
• Enrollment, changes and terminations processed on electronic file transfers provided by the city from system.
• Member and employee websites with access to claims, tools and resources
• Education materials
• Mobile app
- Administrative and service issues:
• The requires a dedicated billing and eligibility representative and a dedicated account management team.
• The monthly “paid” claim data, accounting statements outlining all fees and large claims.
• The requires vendors to provide quarterly and annual claims utilization data
• The annual vendor led meetings throughout the year on claims and services review
• Carrier/administrator is expected to provide an electronic version of all summary plan descriptions and summary of benefits coverage documents
• The extends coverage to “retirees” under age 65
• Dependents are eligible to the end of the calendar month age 26
• Ideally, the wishes to have access to a reporting tool in “real time”
• They may periodically request basic “ad hoc” reporting in order to analyze certain aspects of the program.
• Outline additional cost and timeframes to provide these reports.
• It is assumed that all ongoing administrative costs associated with meeting these proposal specifications are included in the proposed administrative fees.
• The requires claim processing lag reports.
• Discrimination testing: confirm ability to perform and advise if there is an additional cost.
- Contract Period/Term: 2 years