Specifications include, but are not limited to: The Consultant will be required to assist in the following areas relating to consulting services on a fee-for-service basis. Prior to initiating any efforts in this area, work must be authorized by NDPERS. Any work efforts the Consultant completes or initiates that have not been authorized will not be reimbursed. 1. General Consulting Services. The Consultant will be expected to serve on an ongoing basis in an advisory and review capacity to the NDPERS Board, Executive Director, and NDPERS staff. In this capacity, the Consultant will be expected to attend meetings and present findings and recommendations as required. The NDPERS Board meets on a monthly basis. The Consultant must be able to provide the following: • The actuarial and administrative implications of particular interpretations of the group health, Medicare Part D Plan, life, vision, dental, and EAP insurance statutes and administrative rules. • The effect of existing and proposed state and federal laws that affect, or may affect the group health, Medicare Part D Plan, life, vision, dental, and EAP insurance programs at NDPERS. • General assistance to NDPERS, as requested, regarding the ongoing administration of the group health, Medicare Part D Plan, life, vision, dental, and EAP plans including the review of premiums and the development of procedures and forms. • Technical assistance relating to COBRA administration. • Technical assistance relating to plan design, Pharmacy Benefit Managers (PBM), disease management programs, wellness programs, provider negotiations, and plan documents. • Assistance with ACA compliance • Assistance with HIPAA compliance • Assistance with Federal and State compliance • Other necessary compliance assistance 2. Bid Solicitation and Evaluation for the Health Programs (if necessary): If necessary and as discussed earlier, the Board is seeking assistance for the health plan and the Medicare Part D plan RFPs. The Consultant will be expected to take a lead role in developing and issuing the RFPs and analyzing any proposals received. This includes the development and analysis of carved-out pharmacy benefits.
