The Vendor is required to provide administrative services for their medical and pharmacy plans along with related managed care and clinical services. 
- Include medical with integrated pharmacy and stop loss, standalone medical third party administrative (TPA) services, standalone pharmacy services and standalone stop loss insurance.
- Provide biographies of each team member and anticipated commitment level to the county for implementation and ongoing account management.
- Provide sample communications and explain the behavior change theory or constructs used in strategy development.
- Indicate which of the following on-site wellness programs are available through your organization.
- the overall architecture and mode of delivery (i.e., group-led, telephonic, online, print materials, etc.) of each program, and indicate the name of any third party vendors used to administer the program.
• Biometric measurements (on-site and off-site)
• Weight management
• Nutrition counseling
• Tobacco cessation
• Fitness promotion
• Depression / anxiety / stress
• Safety promotion (work, home, recreation, vehicular)
• Cancer prevention awareness
• Chronic back problem management and injury prevention
• Flu vaccination
• Walking program
• Lunch and learn workshops
• Medical self-care program
• Health education/awareness campaigns
• Healthcare consumer education training courses
• Lifestyle management education/coaching (hypertension, pre-diabetes, cholesterol)
• Fitness facility discounts
• Hypertension screening and education
• Risk profiling/stratifying
• Education members about self-management tools
• Member communications, including follow-up calls (outreach coaching), email activation, online coaching, education modules, mail, webinars, wellness newsletters, awareness and prevention CD’S
• Health fairs & health screening
• Drug information and information on how to take prescription drugs.
- Provide a sample performance guarantee results summary report you provide to clients.
- Provide performance guarantees in the following categories: implementation, account management, member services and claims administration, and reporting.
- Provide a network discount guarantee and explain your methodology in calculating discounts.
- The banking arrangements available; be sure to address the following: service provider-owned account or client-owned account, timing of fund requests (i.e., weekly, daily, specified dollar limit), account reconciliation duties, types of transfers (wire, ach) and interface with preferred stop-loss carriers.
- Contract Period/Term: 1 year
- Questions/Inquires Deadline: June 13, 2025