a. Assume responsibility for claim adjudication in accordance with all applicable regulations. b. Provide a dedicated Customer Service liaison with Somerset County Human Resources for resolution of implementation and service issues. c. Provide open enrollment materials on or before November 1, 2025 which include: i. Electronic (Secure, encrypted fillable PDF) forms ii. Electronic (PDF) informational materials d. Provide Debit Card(s) to all plan participants and dependents. e. Provide statements to participants monthly and annually. f. Provide email notifications to participants when claims are submitted and paid. g. Provide toll-free access to live customer service representative 8:00am to 8:00pm Eastern time, Monday through Friday. h. Provide an interactive voice response service 24 hours per day, 7 days per week, 365 days per year. i. Provide a Summary Plan Description (SPD) for each plan and updates as required. j. Provide Spanish-language enrollment materials and internet resources. k. Archive records for seven (7) years. l. Provide online resources: i. Employer Portal 1. Access to on-demand reporting 2. Ability to enter real-time status updates 3. Upload enrollment data files 4. View claim detail, contributions, and current balances ii. Participant Portal 1. Mobile text alerts (reminders, notifications, and confirmations) 2. Submit claims and upload receipts 3. View balances, claim status and history 4. View and update profile and dependents 5. Request replacement cards and/or report lost/stolen cards 6. Update banking information 7. Initiate repayments 8. Track expenses 9. Accessible via conventional secure internet employee portal 10.Accessible via secure mobile device applications (iOS and Android)
