Benefits Consultant Services

The Vendor is required to provide consulting and insurance brokerage services for the Center’s current and future employee benefits, including group medical (includes prescription coverage and COBRA), dental, vision, life, accidental death and dismemberment, flexible spending accounts, primary care clinic services and eligible additional ancillary products and/or similar benefits.
- The following premiums are voluntary and paid at the expense of eligible employees:
•    Dental
•    Flexible spending plans
•    Ancillary benefits including voluntary life for employee, spouse, and/or children
- Services include:
•    Agency is seeking a broker and consultant that will provide the full range of services related to the implementation, maintenance, communication, and improvement of its group benefit programs. These services should include identifying plan/vendor consolidation opportunities and design changes that will reflect the center’s overall benefit strategy and increase employee understanding.
•    Assist agency HR team in administering all group insurance plans and other related consulting services during the plan year including deadlines and reporting.
•    Respond to questions from staff and provide information necessary to assist in their understanding of their benefits.
•    Assist with the development, design and planning of employee benefit programs, including strategic planning and benchmarking to reduce risk and achieve cost efficiencies.
•    Seek competitive quotes and negotiate annual renewals from benefit carriers and provide advice and recommendations to senior leadership for consideration. Evaluate bids and bidders, including administration, coverage, customer service, networks, reconciliation of premiums and claims, financial soundness, and identify the most cost-beneficial and comprehensive package from among the various bidders.
•    Review with provider and the center’s senior leadership on an ongoing basis: claims experience, claim service, and claim administration to ensure maximum benefit to the center.
•    Discussion of cobra rates and employee cost sharing rates.
•    Assist the center with the implementation and communication of new programs or changes to existing programs by providing communication materials and meeting support which will include, but is not limited to, attending and presenting information at annual open enrollment.
•    Assist the center in complying with the employee benefit laws and regulations by providing proactive advice and guidance on new laws, regulations, and procedures, including healthcare reform requirements, compliance review, and benefits administration. Research employee benefits legislative, legal and compliance issues and communicate them to the center on an ongoing basis.
•    Interface with insurance carriers as needed to assist agency in the resolution of problems associated with benefit programs, including claims resolution and employee advocacy services.