Providing fully insured and selfinsured dental benefits for LACERS’ eligible Retired Members, Survivors (e.g., surviving spouse/domestic partner), and Dependents. LACERS seeks to partner with vendors that can best support the LACERS Health and Welfare Program and can demonstrate: Proven experience in understanding and addressing the challenges of managing dental plans benefits for a Retiree-only population and their eligible dependents. An established track record of providing high-quality service to dental plan participants. Effective provider contracting which balances cost, quality, and minimum provider disruption. Consistent, responsive, and professional administrative service backed by verifiable performance measurements. The ability and reliable consistency to provide comprehensive reports containing cost, utilization, network and care management effectiveness data that may help LACERS to understand factors that drive costs and how programs and services offered by each plan vendor help mitigate cost trends. Proven experience addressing the Patient Protection and Affordable Care Act, California’s related and/or similar laws and regulations regarding Patient Protection and its consequences for a Retiree-only population. Effective, clear, and reliable communications and assistance to help members navigate and understand the plan vendor’s offered benefits and services. The ability and extent of partnership to LACERS’ wellness program to effectively engage members in becoming their healthiest self in their retirement, such as providing annual financial support to ensure the LACERS wellness program is viable, participation in LACERS’ wellness planning and wellness events, and providing reports that helps LACERS understand its populations’ well-being in relation to the wellness program. The ability to produce and improve upon members’ health through measurable outcomes while optimizing premium costs over multiple years. Effective member self-service tools and administrative support that is fully responsive to LACERS’ needs for program administration.
