Specifications include, but are not limited to: A. Vision Plan Underwriting and General Responsibilities 1. Proposer must be a vision insurance provider, not a broker representative, and ranked by either Standard and Poor’s, A.M. Best, or Moody’s with a rating of “A” or greater to ensure that LACERS is working with a provider that has the financial stability to maintain a multiyear contract with LACERS in support of LACERS’ retiree population. 2. Must be experienced with and licensed to provide vision plan benefits in the State of California. 3. Must be able to provide access to vision plan benefits coverage to LACERS members who reside in the State of California or out-of-state (outside California). 4. Agree to accept LACERS’ definitions of eligible Retiree, Survivor, and Dependents. LACERS does not differentiate rate or premium based on a dependent’s relationship to a Member/Subscriber, e.g., spouse/domestic partner versus a child or disabled (nonMedicare) child. 5. Agree to work collaboratively with LACERS staff, the LACERS Board, and LACERS’ Health and Welfare Consultant. 6. Agree to work collaboratively with other LACERS vendors on other plan benefit-related projects such as Open Enrollment, wellness programs, data initiative, and member satisfaction survey. 7. Agree to provide and present renewal underwriting methodology to the LACERS and LACERS’ Health and Welfare Consultant, as needed. In addition, the Proposer agrees to attend LACERS health and welfare-related Board and Committee meetings as required to present renewals and proposals. 8. Provide such other services as requested by LACERS, for which the Contractor has the technical capability and capacity to render, to parties that include but are not limited to LACERS staff, the LACERS Board, and LACERS’ Health and Welfare Consultant. 9. Notify LACERS in writing and obtain approval of any changes to their services including, but not limited to, outsourcing of services outside the United States and its territories. B. Program Evaluation, Reports, and Data Services 1. Meet with LACERS staff quarterly or as-needed to review and evaluate vision plan administration. 13 2. Upon LACERS’ request, attend various retiree meetings relating to vision plan benefits. 3. Provide statistical plan reports including utilization data, enrollee distribution reports, status reports and analysis (monthly, periodically, and annually), and other reports as needed and requested by LACERS and/or LACERS’ Health and Welfare Consultant. 4. Recommend alternatives to current vision plan designs and cost options when requested by LACERS staff and/or LACERS’ Health and Welfare Consultant. 5. Accept eligibility reporting on a monthly or more frequent basis with a twenty-four (24) hour upload turnaround time to assure timely eligibility capture.
