The Vendor is required to provide health and dental insurance plans for its employees and retirees.
- The dental insurance is provided to the employee as an employer paid coverage, northeast delta dental is the provider.
- provides limited vision care insurance that is a component of the health insurance plan.
- State health trust for medical and Rx insurance plans as a third party providing plans through anthem.
- Include the services:
• Processing, adjusting and paying medical claims
• Invoicing client for claim payment reimbursement
• Developing and maintaining a network of professional providers, facilities and ancillary services
• Negotiating plan pricing and discounts
• Utilization review
• Case management
• Program reporting
• Member services
• Member appeals processing
• Health and wellness services
• Cost-containment measures.
- Contract Period/Term: 1 year
- Questions/Inquires Deadline: March 28, 2025