Healthcare Benefits Brokerage and Consulting and Ancillary Services

The vendor required to provide healthcare benefits brokerage and consulting and ancillary services for include:
- Strategic benefits planning
1. Develop or update multi-year healthcare benefits strategies aligned with organizational goals and budget priorities:
•    Conduct benchmarking and market analysis to evaluate competitiveness of benefit offerings. 
•    Advise on plan design, funding models (fully insured vs. self-funded), and cost containment strategies.
2. Cost containment strategies:
•    Negotiating favorable rates
•    Fiduciary alignment and governance support
3. Utilization management strategies:
•    Alternative payment models and support for value-based care (including cash-based models)
•    Network adequacy and broad provider access
•    Strong provider relationships
4. Effective communication strategies:
•    Accurate billing practices and inclusive services
5. Clinical and population health management:
•    Robust analytics and gap identification in care
•    Prevention, wellness, and member engagement
•    Members experience enhancement
5. Technology, data integration, and online portals:
•    Care coordination and member responsibility estimation
- Regulatory compliance and risk management
•    Ensure compliance with aca, ERISA (where applicable), HIPAA, cobra, and other applicable laws.
•    Conduct compliance audits and maintain documentation to demonstrate adherence. 
•    Advise on fiduciary responsibilities and strategies to mitigate legal, financial, and operational risk.
- RFP development and procurement support
•    Assist members in developing RFPs for healthcare-related services by defining scope, objectives, and evaluation criteria. 
•    Support evaluation of vendor responses and scoring methodologies.
•    Provide recommendations for contract awards based on strategic fit, service quality, and value.
- Vendor and carrier management
•    Evaluate vendor and carrier performance using key performance indicators (KPI), service level agreements (SLA), member satisfaction surveys, and claims accuracy. 
•    Support implementation and transition planning with detailed timelines, stakeholder coordination, and operational risk mitigation. 
•    Advise on SLAs and performance guarantees.
- Data analytics and reporting
•    Analyze claims data, utilization trends, and cost drivers. 
•    Provide dashboards and detailed reporting tools for HR, finance, and leadership teams. 
•    Model financial impact of plan design changes or wellness initiatives through scenario analysis.
- Employee engagement and communication
•    Develop communication strategies and materials for open enrollment and year-round education through multi-channel campaigns. 
•    Support employee surveys, feedback mechanisms, and analysis. 
•    Advise on wellness, disease management, and incentive programs to improve participation and member outcomes.

- Contract Period/Term: 2 years
- Non-Mandatory Pre-Proposal Conference Date: January 8, 2026
- Questions/Inquires Deadline: January 12, 2026