Specifications include, but are not limited to: The awarded Proposer will be expected to provide competitive benefits aligned with the industry’s highest standards and excellent administrative service. County is interested in contracting with administrators that will: • Offer Plan improvements where possible. • Provide cost effective and excellent service. • Promptly and creatively respond to County concerns. • Provide timely and accurate claim payment. • Provide prompt communications for denied claims or appeals. • Provide accurate and relevant reports needed by County administration. Proposals should include a 12/18 Stop Loss and Aggregate Stop Loss for the benefit year which is January 1 to December 31. Proposers are asked to submit proposals as closely aligned to the existing plans as possible. Proposals should address the minimum requirements stated in the Scope of Work and the questions asked in Exhibit A: Worksheet Questionnaire. Proposers are welcome to suggest options, adaptions, or enhancements to the primary proposal. Any material differences from the current plan should be noted or otherwise identified. The awarded insurer must be able to work and interface with the County, its medical plan administrators and benefits consultant and provide data, reports and claim reimbursements as required. An employee census and other PHI will be made available upon request as related to the sole purpose of underwriting and premium rating. The recipient of any such information agrees to indemnify, defend and hold harmless the County from any claims relating to the recipient’s improper use or disclosure of this protected data.
