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EXTRA-18869 - USA (Akron, Ohio) - Vision Coverage Services - Deadline June 7,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: EXTRA-18869

Government Authority located in Akron, Ohio; USA based organization looking for expert vendor for vision coverage services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide vision coverage service to the government authority located in Akron, OH.
- The County uses the Benefits Administration platform for open enrollment,  additions/changes/deletions, and managing its eligibility. The system has the following characteristics:
- The system is rules-based and is managed  by the County. Outside of open enrollment, all system management is centralized in the Benefits department
- Eligibility files feed to multiple sources, including:
- County’s payroll system
- Vision eligibility,
- The vision quotes must clearly break out all fees and benefit provisions, as well as being rated as two-tiered (Employee Only or Family). Any quotes received outside of this format will not be considered. Selection criteria for the successful partner will include:
- Offer financial and operational transparency while controlling Summit’s vision benefit costs
- All proposals should assume a duplication or enhancement of the current benefits and plan design options
- Timely underwriting for renewal generation (at least 120 days prior to renewal date)
- Timely onboarding of new eligibility
- Administrative performance consistent with industry standards
- Aggressive performance guarantees
- Ability to provide required, reliable, meaningful data and reporting (including monthly claim feeds) consistently to the County and the County’s chosen designee while the County’s provider and up to 12 months post termination (when applicable)
- Broad network access including minimal disruptions for current network arrangements. Preferential treatment will be given to the vendor with the least disruption network for the top 250 utilized providers
- Demonstrated ability to provide excellent customer service and proactive account management to the County
- Competitive pricing and multiple year guarantees
- Accurate and timely claim processing
- A commitment to member satisfaction with emphasis on member communication issues
- Ability to provide timely, meaningful claim utilization and financial experience reports; including book of business benchmarks and benchmarks similar to the County
- Compliance with executing contract before the effective date of coverage
- Demonstrated ability to install the plan efficiently and effectively
- Ability to provide additional value-added services to the County and / or its regionalized entities
- Clear, concise communication capabilities, including material and information to assist members understanding of plan benefits and how best to optimize the benefits available.
- Financial position of insurance company
- Compliance with applicable State and Federal laws and regulations
- Nature of vision provider contracts, including provider discounts and other cost containment methods. The selected vendors must offer substantial discounts equal to or better than the current providers. The County requires a provider that can maximize discounts and manage utilization effectively to provide consistent savings
- Please quote the coverage net of commissions.
(2) All the questions must be submitted no later than May 31, 2022.

[C] Eligibility:

Onshore (USA organization Only)

[D] Work Performance:

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

Expiry Date : Tuesday, 7 June, 2022

Question Answer Deadline : Tuesday, 31 May, 2022

Category : Professional, Consulting, Administrative or Management Support Services, Software, System and Application

Country : USA

State : Ohio

Cost to Download This RFP Document : $ 5

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