1. Provide employee benefits in the area(s) of Health/Rx 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 employee benefits in the area of Flexible Spending Accounts (FSA), a Healthcare FSA to allow employees to set aside pre-tax money to pay for eligible out-of-pocket medical, dental, and vision care expenses not covered by the health insurance plan; and a Dependent Care FSA to allow employees to use pre-tax money from their paycheck to pay for eligible care expenses for your qualifying dependents, such as children under age 13 or disabled adult dependents. 3. Provide online access to benefits data and claim status information. Also provide toll-free access to automated benefits or live customer service representatives. 4. Assist HACP with the management of an employee Wellness Program and provide materials needed for participants. 5. Manage/pay claims in accordance with the contract issued as a result of an award emanating from this RFP. 6. Provide an adjudication system to members for dispute resolution. 7. Issue monthly bills to the Authority based on enrollment and contracted tier structure rates. 8. Provide a minimum of three (3) members in the Human Resources Department of the Housing Authority access to awardee’s electronic system to enroll participants, and to manage other appropriate administrative functions. Provide training on system as needed. 9. 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 needed to ensure full analysis. 10. Comply with all HIPPA regulations, including safeguarding the privacy and confidential medical data of members enrolled through the Housing Authority. 11. Provide a dedicated Account Representative to answer questions and assist HACP Human Resources personnel when needed. 12. Provide any necessary materials needed for open enrollment of the work force and COBRA participants. 13. Provide the Housing Authority with new hire packets for distribution to new employees during orientation process. 14. Perform any other services not expressly stated but considered to be an industry standard for employee benefit insurance programs, including but not limited to health information telephonic services, targeted preventive educational programming, 24-hour on-call assistance, health insurance coverage while out of area, negotiating contracts with service providers to contain costs, etc. 15. Provide any and all other services necessary to assure an effective employee medical/rx benefit program.
