The vendor required to provide group medical services, effective January 1, 2027.
- Sliced proposal options
• Replacement of select health only: operating alongside regence BCBS as the remaining administrator.
• Replacement of regence BCBS only: operating alongside select health as the remaining administrator.
- Optional full replacement proposal
• Intermountain healthcare (IHC)–aligned network
• Non-IHC network
- Core administrative requirements
• Process all medical claims accurately and in compliance with applicable laws.
• Maintain a robust provider network with strong access statistics across state and nationwide.
• Provide dedicated account management, including a state -based or regionally accessible account manager with demonstrated experience supporting self-funded plans, and submit a brief resume or statement of qualifications.
• Support implementation and ongoing administration in partnership with the district.
• Deliver comprehensive utilization, financial, and performance reporting.
• Participate in a claims repricing process if selected as a finalist.
• Exchange eligibility and enrollment data with employee navigator.
• Coordinate claims, accumulator, and eligibility information with the district’s pharmacy benefit management (PBM).
• Deliver a single, combined id card and consolidated member communications.
• Provide monthly medical claims data feeds to the district or its designee (cedar gate technologies).
• Attend and support annual employee benefit fairs.
• Draft summary plan descriptions (SPDS) and provide printed copies upon request.
• Confirm review and acceptance of current plan design.
• Coordinate with the district’s stop-loss carrier (to be determined).
• Demonstrate ability to operate effectively within a dual-administrator model.
- Contract Period/Term: 3 years
- Intent to Bid Due Date: January 22, 2026
- Questions/Inquires Deadline: January 8, 2025
