All correspondence must be made through the Vendor Portal. Specifications include, but are not limited to: The successful respondent will be expected to provide the availability of representatives to assist in enrolling all employees All proposals should be net of any broker compensation. LES currently offers a fully insured voluntary group vision insurance plan and wants to evaluate comparative proposals from carriers. • It is expected that the voluntary group vision insurance plan will be offered to all non-union employees and RGS Union members who are regularly scheduled to work a minimum of twenty (20) hours per week, except temporary and special project employees. • The RFP is a request to mirror benefits with the exception of changing the enrollment timeframe from 30 days to 31 days from date of eligibility. In order to be considered as a valid RFP response, your response must provide an offer of coverage to mirror current benefits with specific detail as to any deviations relative to benefits/provisions that you are not able to replicate. • In addition, LES looks to add an incentive program to the voluntary group vision insurance coverage. Provide specific details for incentive program(s) that would provide cost savings to covered employees. Also, please discuss how participants can take advantage of provider discount offers along with this insurance plan. If you provide other alternatives/benefits in addition to mirroring the current plan offered and an incentive program, you must specifically identify the differences in your proposal AND indicate any impact on the administrative costs. These, if any, should be identified as a separate, additional offer in addition to the offer to match the RFP specifications. Specifically, each proposal must provide, at a minimum, responses to the following information as it relates to administration of the voluntary group vision insurance plan. a. Claims Processing Services: • Claims processing turnaround time. • Appeal process for participants. b. Online Services: • Employer online services for new employee enrollment and annual enrollment. (Address the process for both manual additions and electronic feeds of enrollment information). • Employee online access to claim processing information. • Other online services that are available for both employers and employees. c. Administrative Services: • Client satisfaction (how is it measured and how frequently is this done from both the employer and employee perspective). • Availability of legal counsel for questions and/or advice on plan issues (specify additional fees if any). d. PPO Network: • A listing of the current providers in the southeastern Nebraska area for the provider network that would be used by the successful bidder. Include overall percentage of provider participation in the area market. e. Service Model: • Individuals/Departments who will be involved in managing the LES account (for example, Administration, Claims, Annual Open Enrollment, Legal, etc.). • Service Team hours and availability. • Description and availability of Employer and Employee Service Model (i.e., dedicated account manager, call center, etc.). f. Reporting: • Sample of all reports, including the frequency and manner with which they are available. These reports would be used by LES to evaluate the financial status of their plan. • Sample of an Explanation of Benefits.
