The vendor is required to provide for an Insurance Benefit Consultant to review insurance proposals.
- The service requirements and engagement responsibilities which include, but may not be limited to:
• Serve the city as an advisor regarding the preparation and evaluation of the city for health plan design and content including cobra, section 125 program, dental, vision, long and short-term disability,
life insurance benefits and their components and employee assistance program.
• Serve the city as an advisor regarding voluntary insurance products and their components to provide the optimum voluntary benefit package, upon request of the city.
• Review, as needed, the existing employee benefit programs for competitiveness, appropriateness and overall acceptance by plan participants.
• Serve and assist the city in negotiating benefits provider contract(s) resulting from the review and recommendations noted above including the use of available provider networks. provide the city
underwriting data and evaluation services to support contract modifications such as benefit differentials and funding options.
• Negotiate, when appropriate, long-term rate(s) and service guarantees designed to meet the service delivery and financial plan of the city.
• Assist the city in preparing reports to the city council, city manager or human resources director on the progress, applicability and overall benefit of a specific plan.
• Review utilization rates and evaluate each on the City's best option as it relates to fully-funded plans.
• Assist the City with plan design changes, plan implementation strategies, plan design and/or benefits communications relating to coverage; integrating appropriate assignments of duties to vendors, while
maintaining proper oversight and responsibilities.
• Review new or proposed administrative services provided by outside vendor(s) to determine the most effective and efficient service delivery strategies.
• Assist the city with premium funding projections in preparation of its annual budget process; review long term healthcare contribution philosophy and budgetary agenda and best strategies for applying
identified resources to a meaningful long term benefit package.
• Provide the city with overall plan management and quality assurance services including, but not limited to the following:
• Regulatory compliance and reporting
• customer service
• Cobra and HIPAA
• Benefit review and design
• Renewal negotiations
• Competitive bidding
• Transition and implementation of plan
• Analysis and selection of vendor
• Benefits summary
• Budgeting
• ERISA
• Cost containment
• Contract analysis
• Benefits communications services
• Claims audit and review
• vendor compliance
• Act as the city's representative to all outside insurance vendors; collecting information and making presentations to staff, employees and city council, as requested, of their offerings.
• Provide comparisons of plans of benefits and employer/employee contributions to area cities and comparable businesses.
• Provide reports using carrier data on claims and fixed expenses, and relate those to total premium and expectations for renewal.
• Add historical perspective to premium and claims data for all coverage and provide reports as needed by the city.
• Provide national, regional and local medical inflation data and compare that to specific city plan inflation.
• Review and make recommendations to the city on carrier cost containment mechanisms, as relates to return on investment and participant impact.
• Meet with the city's staff relating to levels of customer service received from various carriers, and where required intercede with both parties to assist in problem resolution.
- Pre-Proposal Meeting (Non-Mandatory) Date: April 03, 2025
- Questions/Inquires Deadline: April 04, 2025