Third Party Administrator Services

The Vendor is required to provide administrators has been the third party administrator (TPA) for administrative services since at least 2011.
- TPA will provide all administrative services including, but not limited to onsite enrollment, online enrollment, Section 125 administration, onsite information meetings, 403(b) and 457(b) administration, COBRA administration, and billing services at no cost.
- TPA will provide an easily accessible and fully functional online enrollment system for employees and administrators that is capable of processing overlapping enrollment types, per employee.
- The platform should offer open enrollment, new hire enrollment, termination of benefits, qualifying events, explanation of benefits, and forms library, with accessible customer service.
- TPA will provide a dedicated team to provide expert day-to-day benefits administration support.
- TPA will provide customer service representatives that are easily accessible.
- Bilingual representatives should be easily accessible year-round.
- TPA must work with carriers in developing pricing and benefits designs.
- TPA will make recommendations concerning possible improvements or changes in approved products to administrators and staff PA must deliver new and existing payroll deductions with insurance companies.
- TPA will provide a dedicated billing department providing monthly reconciliation services for billing and invoicing.
- Providing eft vendor fund remittance.
- Billing will occur a month after all ancillary product services/coverage are provided.
- For example, June benefits coverage should be billed in July for payment in august.
- TPA will provide the district with all needed forms and reports to facilitate plan operations and compliance.
- TPA will provide ongoing support and education to county employees on insurance products, as well as act a liaison to assist with resolution of employee and administrative issues as they arise.
- Contract Period/Term: 2 years
- Questions/Inquires Deadline: April 21, 2025