Specifications include, but are not limited to: • Market all insurances to include, but not be limited to, preparation of bid specifications, evaluation of proposals received, and recommendations on contracts to be signed for with effective date to be determined by the SPS. • Coordinate and review necessary demographic data for marketing. • Should the SPS elect to change carriers following the marketing process, manage and review the process ensuring that the selected vendor provides benefits that are equivalent to or better than those currently in effect. • Provide a disruption analysis relative to the provider, pharmacy, hospital, and appropriate other vendor networks. Attending various employee, committee, and board/commission meetings as necessary. • Review all contracts and booklets. • Review current plans' experiences, claims, and market trends, and offer regular reports and recommendations about renewal premiums with all insurance providers on an annual basis. • Periodically review the health insurance plans' claims and fees and provide a reasonability analysis in comparison with industry norms. • Ensure accurate follow through on all negotiated contractual arrangements made between the Stamford Public Schools and its health insurance carrier(s). • Ensure that any self-funding arrangements, if any, with third party administrators are appropriately managed. • Monitor the third-party administrator's actuarial assumptions under self-insured programs, if applicable. • Intervene and resolve with providers, problems that may arise regarding claims, proper coverage, routine administration, and day-to-day account service. • Provide the SPS with accurate management reports/utilization, review, and comment on information from all carriers on a continuing basis.
