Specifications include, but are not limited to: The selected Benefits Brokerage/Consultant and Firm will: 1. Have predictive modeling and data mining capabilities and resources 2. Recommend modifications to the design, cost (rates), premiums/premium equivalents, and quality of current employee and retiree health insurance plans and programs; 3. Recommend best practices with supporting data and other client comparison for health insurance and benefit welfare programs; 4. Obtain provider agreements for compliance with current federal and state laws or regulations and city agreement compliance requirements; 5. Negotiate with plan providers including, but not limited to, plan design, cost (rates), and quality of services, etc.; 6. Forecast and budget self-funded limits, structure and rates; 7. Perform regular meetings with staff to review plan matrices, performance, cost and provide recommendations utilizing data and predictive modeling resources; 8. Design, implement and administer new and existing programs, including review of plan documents, summary plan descriptions, and benefit structure and development of new benefits; 9. Develop, implement and renew agreements with selected health, welfare, and TPA/ASO providers in accordance with city timelines and requirements and state and federal regulations; 10. Develop and assist staff to implement an employee wellness program(s),to include a major focus on mental health wellness. Additionally provide ongoing support for the program(s) including not not limited to program structure, types of programs offered, incentive programs, participant/usage tracking, ROI reporting, etc. 11. Obtain stop-loss reinsurance coverage, with no commissions.
