Specifications include, but are not limited to: General Services - Contractor shall: • Provide Basic and Optional Life and Accidental Death & Dismemberment (AD&D) insurance and Commuter Life. • Guarantee initial rates and contract terms at minimum effective July 1, 2024, through June 30, 2026. • Provide claims experience for actives and retirees by employee, dependent spouse, and dependent child(ren) at minimum every six months. • Provide final renewal rates, costs, and underwriting projections to the City at least 180 days prior to the contract anniversary date. • Agree to provide coverage on a “no loss” basis for all participants enrolled in the current plan. • Not include commissions in the rates submitted unless included in the carrier’s filing with the State. Any proposal that includes payment of commissions or any other form of remuneration shall be deemed non-responsive unless fully disclosed and approved by the City. If commissions or fees are included in the filed rates and cannot be removed from the rates provided, the level of commissions included in the proposed rates must be disclosed and noted. • Comply with all HIPAA Privacy Rule Regulations where applicable. • Provide all Plan Certificates and Summary Benefit Booklets, and other customized communications (i.e. payroll stuffers, etc.) at no additional charge. • Provide any professional service representatives the City requires to understand, analyze, and/or plan for any plan changes including but not limited to general account servicing, underwriting- actuarial, clinical, and/or operational support. • Maintain all pertinent claim records for up to seven (7) years including claim records, individual case review and notes, and any member inquiry records as prudent business practice and provisions dictate. • Process Life and Accidental Death and Dismemberment insurance claims accurately and timely. • Rates provided shall be based on current rates. • Sign the Business Associate Amendment as written and attached to this proposal as Attachment 11, attached separately.
