Group Health Insurance Services

The Vendor is required to provide group health insurance services for include:
- Demonstrate the highest level of ability to provide the following lines of coverage:
•    Medical and pharmacy coverage (fully insured)
•    Medical insurance (self-insured)
o    Administrative services only (ASO)
o    Stop loss insurance
o    Pharmacy benefit management
•    Medicare supplement
- The above listed coverage for its eligible active employees, elected officials, retirees, cobra participants, and their eligible dependents.
- Provide a high level of service corresponding to the line(s) of coverage for which they are proposing at no additional cost to the county. 
- Service standards include, but are not limited to, the following:
•    Attend open enrollment sessions to educate members on the benefits provided under the contract 
•    Provide printed materials and collateral for distribution to members throughout the year 
•    Provide adequate dedicated support to efficiently address and resolve coverage, eligibility and billing inquiries, provide timely renewal related information, provide reporting timely, provide expert implementation support, etc. 
•    Ensure plan benefits and administration satisfy legislative compliance mandates, expeditiously update carrier systems accordingly, and notify policyholder and plan participants of changes timely 
•    Where applicable, maintain provider networks and utilization management programs, and notify policyholder and plan participants of changes timely.