The vendor is required to provide public employee medical optical dental benefits plan coverage carrier services for include:
• Lowest claim unit cost (e.g. optimal ‘discounts’)
• Excellent network access
• Excellent network management
• Effective medical and pharmacy utilization management
• Highly detailed and client-accessible utilization and cost reporting
• Dedicated customer service for the city and its employees
• Maximum flexibility with regard to plan design
• Lowest appropriate administration/overhead expense
• Expert clinical guidance and resource application when assisting the city in establishing effective plan design
• Meaningful performance guarantees through service commitments and cost targets
• Multiple year pricing guarantees
• Overall cost reduction, risk mitigation, and long-term trend management
• Preservation of coverage terms consistent with the current plan design and provisions negotiated in good faith with the city’s organized labor groups
• No restrictions or bidder-imposed limitations with respect to carveouts (e.g., a al carte discretion on the part of the city).
- Questions/Inquires Deadline: May 20, 2025