Employee Benefits Broker Services

The Vendor is required to provide broker to provide fixed-fee services or per employee per month relative to its group medical (for both active employees and eligible retirees), dental (indemnity and managed care plans), long-term disability, term life/accidental death and dismemberment (both standard and voluntary life/AD&D plans) Short Term Disability, Vision, HRA, HSA and/or some variations of these insurance coverages.
- The City intends to select the solution(s) that deliver the best overall value and sustainable long-term cost management.
- The City currently pays 100% of the cost for employees and 50% for dependents. This may change depending on the proposals received. Actual rates charged for dependent coverage shall be determined by the City. The City currently offers both low- and high-deductible insurance coverage options.
- Retiree Medical Benefits shall include a group plan for pre-65.
- The City intends to pursue a 4-tier rate bases: Employee Only, Employee & Spouse, Employee & Child (ren), and Employee & Family.
- Key priorities include:
• Member access and experience: rapid access to plan information and identification cards, responsive member services, and simple escalation paths.
• Operational efficiency: streamlined open enrollment, eligibility management, and reliable data feeds to payroll and Employee Experience Department systems (Incode 10 hosted by Tyler Technologies).
• Wellness and behavioral health: meaningful programs that are measurable and supported with clear reporting and engagement strategy.
• Compliance and risk management: ACA employer reporting, HIPAA privacy and security, COBRA administration for a governmental plan, and distribution of required federal and state notices.
• Reporting and transparency: recurring financial and utilization reports, renewal projections, benchmarking, and actionable recommendations.
- This data should include, but is not limited to, plan costs vs. premiums paid, utilization review, plan trends, and like data and information. This information will subsequently be incorporated into City’s request for insurance proposals. This reporting should be not less frequent than once each calendar quarter.
- Review and assist City administrative staff in the preparation of formal written insurance contract award recommendations for presentation to, and consideration by, City Council.
¬ Currently these are City’s group medical (for active employees, their dependents, and retirees), dental, life, accidental death and dismemberment, and long-term disability insurance, short- term disability voluntary insurance, voluntary vision insurance, voluntary long- term care insurance, HSA administration and Employee Experience Administration.
- Organize and participate in City employee open enrollment sessions. These sessions may take one or more full business days. Provide printed open enrollment materials for all City employees and future new hires. Coordinate with carriers to attend in-person open enrollment meetings, as necessary. Provide insurance carriers timely open enrollment employee updates to ensure accurate enrollment within the carrier portals.
- Assist with the transition between insurance providers when such changes occur.