The Vendor is required to provide insurance agents-brokers licensed to do business in the state.
- Services include:
• Negotiate all insurance renewal rates with current carriers and market group coverage to competing carriers.
• Consult with city staff regarding the current benefit plan or alternate benefit plans.
• Analyze the insurance needs of the city and provide written recommendations for changes where appropriate or dictated by changing market conditions.
• Represent the city as requested in communications with all underwriters, claims adjusters, claimants, or other interested parties.
• Provide a full range of services, including but not limited to risk exposures, risk identification, written analysis, and insurance placement, written recommendations, alternative service delivery mechanisms or other services as requested by the city or deemed necessary by the agent-broker.
• Review each insurance policy, binder, certificate or other insuring document to ensure wording is complete, correct, and in compliance.
• Be available to the city for consultation on a daily basis in performing obligations under this agreement.
• Advise the city on insurance trends, insurance market conditions, financial stability of any insurance companies writing policies for the city, or any other items having the potential to materially impact any insurance coverages carried by or claims processing services provided to the city. This includes budget projections on future costs of benefits programs.
• Assist with enrollment of newly hired employees, retirees, and cobra members as well as terminations and changes for current employees; assist city staff with organizing open enrollments to include voluntary benefits plan enrollment, and employee education; and assist city staff in communicating benefit changes, including employee meeting presentations.
• Agent-broker shall be knowledgeable of the patient protection and affordable care act (PPACA) and associated laws of the health care reform legislation, and keep the city abreast of how the health reform will impact city.
• Resolve billing problems and claims disputes of employee.
• Design new programs or benefits. Upon the request of the city, the agent shall provide expert assistance, and advice in the design of new benefits, and recommend new programs.
• Work with carriers to obtain and provide utilization reports as available; analyze plan and market trends.
• Other services as mutually agreed upon.
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