Specifications include, but are not limited to:
The County intends to offer Section 125 benefits that are at least comparable to those currently
being utilized. Ease of submitting claims and quick turnaround times are important
considerations for employee satisfaction, therefore, the County also requires the “debit card”
reimbursement process in addition to the traditional reimbursement procedures.
Coverage under the selected plan would commence January 1, 2020. County contracts are for
one year; however, the County would prefer to execute an agreement which can be renewed
under specified terms or conditions, mutually acceptable to both parties, for up to two additional
one-year periods. Pricing for years 2021 and 2022 is therefore encouraged.
1. Process all claims under the medical reimbursement and dependent care plan. Claims
processing to include receipt of claim, determination of eligible expenses and maximums,
participant explanations, and preparing a register of eligible claims/ amounts per participant.
2. Schedule claims processing at least every 2 or 3 days, preferably daily to provide the
greatest convenience in turnaround reimbursement. Optional benefit level would include
proposal of instant reimbursement through the use of Section 125 “debit cards”.
3. Administer all details of operating a Section 125 plan, such as ensuring that the program
is in compliance with federal regulation, ensuring that enrollees are eligible to participate,
ensuring that payroll deductions balance with election affidavits, providing detailed records of all
transactions, provide forms for enrollment, termination, and claims, and notifying the County
and/or participants of inconsistencies, nonpayment of submitted claims, account balances, etc.