The vendor is required to provide services for the city’s retiree vision insurance program.
- An established track record of providing high-quality services to vision plan participants.
- Effective provider contracting which balances cost, quality, and minimum provider disruption.
- Consistent, responsive, and professional administrative services backed by verifiable performance guarantees.
- Ability to provide the city with comprehensive reports containing cost and utilization data, that helps the city understand factors that drive costs and how programs and services offered by each vendor help to mitigate cost trends.
- Retire vision insurance: vision benefit policy administration with benefit design matching benefits currently offered.
• Proposals that do not include a benefit design matching the current benefit will not be considered.
- Retire vision insurance buy up option: vision benefit policy administration with buy up plan option.
• Retirees will have the choice between the current plan designs and buy up plan at time of election.
- Customer services support
• Provide financially-based, measurable, city specific performance guarantee(s) to assure high level of service to the city staff and its retiree population.
• Provide implementation specific performance guarantees with meaningful fees at risk to support an effective transition if the city selects your organization effective January 1, 2025.
• Provide a dedicated account manager, claims issue and eligibility contact, and agree to change those contacts upon request by the city.
• Provide day-to-day consultation on matters pertaining to enrollment, claims status, discrepancies, disputes and plan interpretation.
• Provide training for city staff regarding the plan and/or internal plan systems.
• Provide administrative services for the plan, claims processing, research and resolution of any issues, complaints, or problems.
• Investigate and resolve administrative and claims problems within a timely manner agreed upon by city staff and health care consultant.
- Contract Period/Term: 3 years
- Questions/Inquires Deadline: May 23, 2025