EXTRA-14861 - USA (Larimer, Colorado) - Benefits Consulting Services - Deadline November 15,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: EXTRA-14861

Government Authority located in Larimer, Colorado; USA based organization looking for expert vendor for benefits consulting services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

Vendor needs to provide benefits consulting services to the government authority located in Larimer, CO.
1. Self-Funded Health Plans (Medical/Rx & Dental): -
- Provide monthly report, including an analysis of income and expense for the prior 12 months compared to Larimer County’s budgeted amounts.
- Provide annual report, including an analysis of income and expense for the prior year and a projection for the forthcoming year, including projected adequate reserve levels for plan.
- Establish annual premium rates.
- Advise on required reserves for medical and dental plans.
- Identify claim and risk trends.
- Review and analyze claims experience, claim service, and claim administration to ensure maximum benefit to the County.
- Perform annual audit of pharmacy claims to determine if any payouts are due to the County per the terms of the Pharmacy Benefits Manager (PBM) contract
2. Benefit Plan Design/Redesign
- Advise and consult on benefit trends locally and nationally, including information on plans that are not currently offered by County.
- Recommend plan changes based on the needs of County employees and the County’s objectives.
- Incorporate findings into the strategic plan.
3. Wellbeing Program and Clinic
- Provide observations and feedback on possible expansion of clinic services.
- Assist with analysis of claims data, clinic-provided-services data, and return on investment data.
4. Administrative/Other Support
- Review plan documents and summary plan descriptions, including amendments and restatements for accuracy.
- Serve as liaison with providers in making any needed changes.
- Assist with claims resolutions, eligibility issues, employee benefit issues, and vendor problems.
- Assist Larimer County with implementations and communication of new programs or changes to existing programs, which may include attending and presenting information when requested

[C] Eligibility:

- Onshore (USA Organization Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Monday, 15 November, 2021

Category : Professional, Consulting, Administrative or Management Support Services

Country : USA

State : Colorado

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