The vendor required to provide medical insurance brokerage to be placed will include but not be limited to medical, dental, vision, life, accidental death and dismemberment, short and long-term disability, flexible spending accounts and ACA management.
- Requirement:
1. Plan design and strategic planning
• Evaluate current benefits plan and recommend design changes to improve value
• Assist in long term strategic planning for benefits program
• Provide benchmarking data and analysis
2. Vendor management
• Creation of annual benefit plan and wellness goals for agency.
• Conduct competitive market analysis and preparation of materials to periodically market the various benefit plans.
• Responsible for the evaluation of proposals from insurance carriers and provide written analysis to agency.
• Negotiate contracts and renewals with vendors
• Monitor vendor performance and compliance
3. Compliance and legal support
• Ensure compliance with all federal, state and local laws
• Provide updates on legislative changes and their impact on agency benefits programs
4. Employee communication and education
• Develop and implement communication strategies for open enrollment and ongoing education
• Provide training and support for HR staff and employees in benefits-related topics
• Provide all needed materials, forms, documents, resources, online tools etc., for benefits open enrollment specifically marketed for agency.
5. Data analytics and reporting
• Analyze claims data to identify trends and cost drivers
• Provide regular reports on plan performance and utilization
6. Customer service
• Provide dedicated support for agency HR staff including a single point of contact for benefits inquiries and issues
• Provide resources for employees to make informed benefit decisions
7. Record keeping and recommendations
• Keep written records of marketing efforts and make these records available upon request by agency.
• All insurance recommendations shall be provided in writing with a summary of alternatives and rationale for the proposed selection
8. Financial planning
• The provider must be experienced in supporting self-funded plans, including stop-loss policy negotiation, third party administration (TP) coordination, pharmacy benefit manger program evaluation, plan performance monitoring, and financial modeling for renewal and funding strategies.
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