MB-6827 - USA (Texas) - Medical Stop Loss Services - Deadline October 18,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-6827

Government Authority located in Texas; USA based organization looking for expert vendor for medical stop loss services.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide medical stop loss services.
- The effective date of coverage is January 1, 2023.
- All fees/premiums are quoted NET of commissions; no commissions or fees are to be paid to any entity.
- Preliminary renewal rates must be submitted six months prior to the effective date.
- Vendor agrees to provide all communication materials in electronic (pdf) format.
- Vendor agrees to provide all standard reports to and its professional advisor.
- Provide the consultant with monthly reports for the data warehouse at no additional charge.
- Claims experience must be provided at least monthly, including each renewal.
- If AISD wishes to carve-out the pharmacy benefit, TPA agrees to take weekly feeds from the pharmacy vendor and will mine/integrate the data into the medical management program.
- Provide a dedicated reporting contact for the client and its consultant. This person would be responsible for running ad hoc reports for the client and its consultant’s discretion, at no additional cost to the client.
- Benefits should be payable based on the plan documents of the coverages being quoted and the Stop Loss contract should not supersede those plan documents of the quoted coverages.
- Stop Loss Contract basis Paid.
(2) All question must be submitted no later than October 5, 2022.

[C] Eligibility:

Onshore (USA organization Only)

[D] Work Performance:

Performance of the work will be offsite.

[E] Proposal Submission:

Response can be submitted digitally via Email or Online.

Expiry Date : Tuesday, 18 October, 2022

Question Answer Deadline : Wednesday, 5 October, 2022

Category : Medical Billing and Coding

Country : USA

State : Texas

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