002486 - Employee Medical Plan Administration

Summary of Specifications:
The scope of the proposal is limited to the services, plan designs and coverages described in this RFP. The County will not entertain proposals for other coverage’s such as dental. vision or prescription drugs. Included in this RFP process will be a review of, but not limited to: • Claim expense • Administrative expense • Premiums • Service levels including ease and efficiency of administrative requirements • Performance guarantees • Reporting capabilities • Account management • Networks and provider availability • Effectiveness of utilization management programs such as pre-certification, discharge planning etc.) • Care & disease management programs • Wellness programs • Technology