Specifications include, but are not limited to: The City of Selma is seeking a broker/consultant to perform the full range of services related to the design, implementation, maintenance, communication, analysis and improvement of the City of Selma group health program. The City of Selma is seeking a broker/consultant familiar with a self-funded model. The City transitioned to a self-funded model January 2024 after over twenty years with CalPERS for health benefits. Specific responsibilities include, but are not limited to: Health Plan Design; a. Analyzing and evaluating the City’s current health plan offerings b. Representing the City in all negotiations with insurance providers on all issues related to plan design, including premiums, benefit levels, and special terms and conditions c. As requested by the City, preparing bid specifications and soliciting proposals from insurance markets, which specialize in group insurance plans, as needed; evaluate bids and bidders, including administration, claim payment procedures, customer service, network, reserve establishment policies, financial soundness, and identifying the most cost-beneficial package from among the various bidders and provided to City staff in September d. Identifying opportunities for cost savings and program enhancements e. Recommending and implementing changes to the City’s health plan offerings f. Providing ongoing support and guidance related to health plan design and changes Plan Implementation and Maintenance; a. Facilitating the enrollment process for new employees and attending and presenting information at annual open enrollment meetings b. Ensuring that all enrollment and eligibility rules are properly followed c. Coordinating with carriers and third-party administrators to ensure seamless plan implementation and administration, including to resolve issues d. Providing ongoing support related to plan implementation and maintenance
