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SW-24986 - USA (Texas) - Health RX, Clinic, Dental, FSA, EAP, Vision, Post 65 Retiree Benefits, COBRA Administration and Benefit Administration System - Deadline July 11,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: SW-24986

Government Authority located Texas; USA based organization looking for expert vendor for Health RX, Clinic, Dental, FSA, EAP, Vision, Post 65 Retiree Benefits, COBRA Administration and Benefit Administration System.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide Health RX, Clinic, Dental, FSA, EAP, Vision, Post 65 Retiree Benefits, COBRA Administration and Benefit Administration System for
A. Self-funded group Health program
1. Health responses must include a clinic.
2. The City will require Health carriers to provide a wellness allowance
3. The City will require Health carriers to provide a wellness coordinator.
B. Self-funded group prescription drug program
C. Dental
D. Vision
E. Cobra
F. FSA
G. EAP
H. Post 65 Retiree Benefits
I. Benefit Administration System
1. Maintain a fully automated claims adjudication system in compliance with electronic transmission standards and security requirements and all other regulations as required by HIPAA, provide web access to plan participants that allows for claim status and offers various customer service functions
2. Maintain records and management reports, including claims and accounting information as required by the contract.
3. Provide timely response to inquiries from plan participants and providers regarding eligibility and status of claim, correspondence, payment, and any other information requested by such parties in a manner that will limit the City’s involvement in day-to-day inquiries.
4. Prepare and review with the Human Resources staff, and print summary plan documents, claim forms, and any other communication material as required
(2) All questions must be submitted no later than July 2, 2019.
(3) A non-mandatory Pre-Proposal Meeting will be held on June 13, 2019.
(4) A contract period will be for three years.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

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

Expiry Date : Thursday, 11 July, 2019

Pre-proposal Conference Date : Thursday, 13 June, 2019

Question Answer Deadline : Tuesday, 2 July, 2019

Category : Software, System and Application, Medical Billing and Coding

Country : USA

State : Texas

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