1. Provide employee Dental benefits for Housing Authority City of Pittsburgh full-time employees and retirees, spouses of employees and retirees, and the children of active employees, as well as for COBRA participants. 2. Provide online access to benefits data and claim status information, as well as an updated network of participating dentists. Also, provide toll-free access to automated benefits or live customer service representatives. 3. Manage/pay claims in accordance with the contract issued as a result of an award emanating from this RFP. 4. Provide an adjudication system to members for dispute resolution. 5. Issue monthly bills to the Authority based on enrollment and contracted tier structure rates. 6. Provide a minimum of three (3) members in the Human Resources Department of the Housing Authority access to the awardee’s electronic system to enroll participants and to manage other appropriate administrative functions. Provide training on the system as needed. 7. Attend meetings with the Housing Authority on a quarterly basis to review/analyze data and develop solutions to educate work force and contain costs. Provide any necessary reports and data to ensure full analysis. 8. Comply with all HIPAA regulations, including safeguarding the privacy and confidential medical data of members enrolled through the Housing Authority. 9. Provide responsive Customer Service to answer questions about coverage for HACP Human Resources personnel. 10. Provide any necessary materials needed for open enrollment of the workforce and COBRA participants. 11. Perform any other services not expressly stated but considered to be an industry standard for employee benefit insurance programs. 12. Provide any and all other services necessary to assure an effective employee dental benefit program.
