The vendor is required to provide of benefits consulting and advisory services related to the strategic planning, design, implementation, maintenance, communication, and improvement of the city’s
employee benefits.
• Achieve the most cost-effective, yet service-focused access to insurance carriers and benefits networks.
• Represent the city in negotiations, as needed, with providers on a wide range of issues including those related to fees, benefit levels, plan design, and special terms and conditions.
• Advise the city to ensure compliance with laws and regulations related to employee benefits.
• High-level customer service and day-to-day support, as needed, in claim administration, escalation and re-adjudication of claims with the benefit administrator.
• Review contracts with vendors to ensure accuracy and comprehensiveness of coverage; provide guidance in contract interpretation as needed.
• Assist the city with the implementation and communication of new programs and benefits or changes to existing programs and benefits.
• Provide general guidance on trends in benefits offered and eligibility requirements.
• Determine and recommend the most economical funding methods for the benefit programs.
• Provide modeling in order to establish annual premium rates, including cobra and retirees.
• Provide annual reports outlining the contracted programs and their status, and a market analysis report describing the market conditions for each benefit.
• This report will outline suggestions and recommendations for the city’s strategy and will include the following items:
o Complete list of policies, carriers, renewal dates, and rates.
o Evaluation of overall insurance programs compared to similar employers.
o Forecast of market conditions and forecasted impact to policy renewals.
o Income and expense for the prior year and a projection for the forthcoming year including projected adequate reserve plan levels.
o List of contract modifications and recommendations for each benefit.
o Account history, by benefit, of claims and premiums.
o Summary of activity on open, ongoing claims.
o Review of future goals and long-term strategy.
• Provide a high level of customer service to our organization to include evaluation of claims data, submission of executive reports and reconciliation of accounts.
• Provide monthly and quarterly management reports for all benefit products.
• The city’s purchasing department, assist with bid/proposal specifications and solicitation advertising for benefits related services.
• Assist in revising and maintaining plan documents, including the preparation of amendments as needed; review for accuracy and appropriateness.
• Provide innovative approaches to benefit challenges facing the city and make recommendations for benefit plan design changes. 16. provide answers or guidance to any general or technical benefit questions.
• Assist in the appropriate preparation of any government filing or compliance review.
• Analyze and make recommendations based on utilization and performance reports, statistical and financial reports, and plan specific data.
• Assist the city in proactively monitoring and analyzing experience trends. provide timely alerts on changing patterns and suggest appropriate recommendations
• Prepare and publish the city’s annual benefits guide and benefit highlights based on employment classification.
- Contract Period/Term: 1 year
- Questions/Inquires Deadline: June 19, 2025