Employee Benefit Brokerage and Consulting Services

The Vendor is required to provide a broker and consultant to provide a comprehensive range of services related to the design, implementation, maintenance, communication, and enhancement of employee group health and welfare plans over a two-year period.
- Currently employs 239 benefit-eligible employees.
- Consulting Services
•    Evaluation of plan design, strategic recommendations, and implementation
•    Collection of benchmark data, analysis of benchmark data, performance of peer group comparisons, and related strategic recommendations
•    Performance of healthcare reform calculations, provision of guidance, and recommendations
•    Comprehensive employee communications support, development of consumer-focused guidance tools, and education related to healthcare and state housing’s high deductible health plan
- Financial & Data Analysis
•    Performance of analysis of the impact of healthcare reform on state housing group medical plan
•    performance of financial analysis and funding recommendations related to benefit programs
•    evaluation of employee contribution strategy and development of related recommendations
•    data collection, organization, and interpretation related to claim experience
•    ongoing performance of financial analysis and cost projections
•    analysis of benefit utilization and cost trends
•    evaluation of the impact of potential benefit changes
- Plan Placement, Vendor Management, and Renewals
•    Conduct thorough competitive vendor/market analysis, including cost and plan comparisons
•    performance of benchmark analysis of peers/market
•    performance of network evaluations, including discounts, access, and disruption
•    negotiation of provider and insurer agreements and renewals, including costs, terms, conditions, and service level agreements and performance guarantees
•    implementation of new benefit programs
•    review of insurance vendor contracts and policy documents
•    ongoing vendor evaluation and performance management
•    serve as liaison for the resolution of administrative and claim issues
- Informational Services
•    Monitoring the legislative environment and giving regular updates and guidance
•    Proactive assistance with federal and state compliance matters, including with respect to healthcare statutes and regulations
•    Provision of expertise related to healthcare reform, ERISA, internal revenue code, HIPAA, and cobra matters
•    Facilitation of access to ERIA attorneys and content experts as required
- Direct Administration Services
•    Selected respondents will provide comprehensive services sufficient to administer all aspects of the self-insured portion of the agency’s high deductible health insurance plans, which the agency offers as secondary insurance to employees.

- Contract Period/Term: 2 years