Flexible Spending Account, Health Reimbursement Account and Cobra Administration Services

The vendor required to provide flexible spending account (FSA), health reimbursement account (HRA), cobra administration coverage for all eligible employees and qualified beneficiaries.
- Administration
•    Provide an experienced and dedicated account management team to support the city’s HR staff and work with the city’s benefits consultant (alliant), to include a primary point of contact for customer service, problem resolution, and contract performance. 
•    Prepare and maintain legally compliant plan documents and summary plan descriptions (SPDS), updated annually or as needed, along with employee communication materials. 
•    Guarantee HIPAA, privacy, and security compliance, including execution of a business associate agreement (baa). 
•    Perform nondiscrimination testing as required by law and provide documentation of compliance. 
•    Provide employer reporting, account reviews, planning, and annual renewal support. 
•    Deliver a high-quality customer service experience for employees and retirees. 
•    Ensure timely implementation and transition support, including data migration and coordination with the incumbent vendor.
•    Provide participants with an easy-to-use, technology-driven experience, including convenient options for account access, claims submission, and communication (such as online tools and mobile capabilities).
- Cobra administration
•    Ensure compliance with all cobra regulations. 
•    Ensure accurate and timely cobra administration, including premium collection, remittance, and reconciliation. 
•    Ensure accurate and timely issuance of all mandated notices. 
•    Ensure accurate and timely enrollment and termination information with the city’s insurance carriers. 
•    Provide scheduled and ad hoc reporting for HR staff, to include year-end 1095-c data. 
•    Work with the HR staff offering annual open enrollment assistance to include communication with cobra participants regarding plan and premium changes.
- FSA and HRA administration
•    Compliance with FSA and HRA rules and requirements.
•    Maintaining central claims and membership files for each covered member.
•    Maintaining claims payment records.
•    Providing state-of-the-art data tracking and claims payment services.
•    Furnishing periodic (minimum quarterly) statements and detailed transaction and balance reports.
•    Providing a toll-free customer service number for covered members.