The Vendor is required to provide consultation and brokerage services related to the provision of medical healthcare benefits.
- Services include:
• Ongoing review, analysis and recommendations to improve the cost, fit, plan design and functionality of all health-related benefits programs.
• Marketing services including the preparation of proposal and other support documentation required for the selection of vendors to provide services meeting the requirements of the borough benefit design.
• Ongoing oversight and performance review of vendor service implementation.
• A full range of statistical, performance and financial reporting required to assess the cost effectiveness and responsiveness of vendor and provider activity, including benchmarking to similar employers, local, regional and national trends.
• Recommendations for modification in plan design to improve effectiveness.
• The full range of underwriting evaluations required to establish budgets, validate vendor cost projections, establish cobra and other cost estimates required to meet state and federal regulatory requirements.
• Review and validation of all contracts related to the provision of these benefits.
• Provision of consulting services and expert support required to ensure compliance with state and federal regulations, filing of all reports required by public entities and support for the collective bargaining process.
• Assistance conducting the full range of audits required to validate member enrollment and eligibility.
• Provision of online and printed information for members regarding their benefits and direct assistance resolving member questions, concerns, and service problems with vendors.
• Available to attend all meetings and provide support as required.
• Provide assistance in the budget planning process, including the evaluation and impact of rate changes to health benefits costs and premiums.
• Broker should be able to provide reasonable projected renewal figures during the budget process.
- Contract Period/Term: 1 year
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