Specifications include, but are not limited to: 1.Provide administration/coverage at competitive premium rates, guarantees, and renewal terms to the County for the following: a.Medical (including medical management features such as: DM/UM/UR, etc.) b.Network administration c.Stop Loss for Administrative Services Only (ASO) d.RX e.COBRA Administration f.FSA Administration 2.Demonstrate transparency in all pricing 3.Multi Year rate guarantees are encouraged: 3 year guarantee requested, 2 years required. Initial renewal will occur 05/01/2016 with an option to renew 07/01/2016 4.Your proposed Administrative Services Only (ASO) Fees are net of commission 5.Your proposed Fully Insured rates are net of commission 6.Confirm that if Fully Insured is selected, that they have an option to go Administrative Services Only (ASO) in year 2 7.Multi-year rate and fee guarantees are encouraged. Fully Insured rates should have a 2nd year rate cap. 8.Demonstrated Strength of Networks-provide Disruption analysis 9. Questionnaire Responses and participation in the RFP process 10. Have a robust, flexible reporting system for tracking and measuring outcomes. 11. Provide annual (and more often as requested) utilization reports 12. The selected vendor(s) will be required to provide superior account service to staff and claimants. 13. Must be willing to attend and support Open Enrollment/Health Fair usually occurring in the month of October 14. Demonstrate the financial strength and contractual arrangements to support a long-term commitment to service
