Benefits Administration Services

The vendor is required to provide benefits administration services for include:
•    Call center
•    Dependent verification
•    ACA and cobra administration (assist with an internal aca item)
•    Spending accounts administration
•    Direct billing
•    Billing premium remittance
•    Closed loop payroll
•    Decision support
•    Communications (custom communications)
•    Total rewards (optional)
•    QMCSO
•    Claims and appeals
•    Power of attorney
- Considerations
•    All services onshore, including call center
•    Looking for robust reporting capabilities
•    Looking for seamless efficient integrations through SSOS and APIs
•    Looking to modernize all communications capabilities
•    Custom communications guidance and capabilities will be key
•    Highly configurable, flexible platform functionality required
•    Current vendor currently maintains 15 recurring automated file feeds:
o    1 weekly census demographic file
o    4 payroll deduction files (2 inbound, 2 outbound)
o    6 carrier enrollment files
o    2 spending account contribution files
o    1 life insurance evidence of insurability (EOI) decision file
- Administration and process – backroom strength and automation
•    Ability to share real-time insights via dashboard reporting
•    Robust employer portal – providing on demand reporting with ability to drill down to data specs captured within the portal, access to case management and collaboration tools
•    Scheduled, timely standard and custom reporting with additional ad-hoc reporting capabilities
•    Automation of EOI processes
•    Quality audit checks.

- Contract Period/Term: 1 year
- Questions/Inquires Deadline: August 29, 2025