Specifications include, but are not limited to:The purpose of this Request for Proposals (the "RFP") is to procure high quality dental insurance benefits for the employees/retirees and eligible dependents of Kent County Levy Court (the "KCLC") through a self-insured and a fully insured format. The current plan year for the requested insurance product will expire on June 30, 2018 and the proposed plans/programs must become effective July 1, 2018. 1. Any coverage proposed must at a minimum be equal to or better than the current coverage offered to employees by KCLC with full details included in the available Summary Plan Documents. 2. Any network plan proposed must include a minimum of eight (8) licensed dentists/oral surgeons with offices offering full time regular office hours in Kent County, Delaware with at least five (5) family or general practice dentists accepting new patients; 3. With input and final approval of form by KCLC staff, develop, prepare and present in a concise and understandable manner those monthly reports desired by KCLC to assist in cost management; 4. Develop, prepare and present phantom or other rates using standard actuarial practices to assist KCLC in appropriately budgeting the plan; 5. Insure that dental/service provider charges are reasonable and customary and equal to those rates negotiated by the bidder; 6. Respond to inquiries as directed by the KCLC or KCLC staff; 7. Advise KCLC concerning Federal, State or other regulatory compliance issues; 8. Keep KCLC abreast of Plan Benefit design trends and options; 9. Maintain an active role in assuring the KCLC's Plan (s) is running efficiently; 10. Participate, as requested, in informational meetings with KCLC employees to answer questions, discuss or promote the plan(s) and meet at least annually with KCLC staff; 11. With input and final approval by KCLC staff, develop, print and distribute adequate number of copies of informational booklets for current and new employees outlining specific benefit plans, benefits explanation, typical questions, etc. (Initial informational books must be published within 90 days of award); 12. Provide at no additional cost identification cards if required to access services, plan booklet changes, customer service, utilization review and other reports, commissions, etc. 13. Provide a toll free customer service telephone number with adequate staffing to answer benefit and claims related questions; and 14. Provide at no additional cost complete electronic copies in an approved electronic format of the Summary Plan Document, approved contract for services, and other related documents.
