Specifications include, but are not limited to: A. Consulting Services • Evaluation of plan design, strategic recommendations and implementation • Collection and analysis of benchmark data, performance of peer group comparisons, and related strategic recommendations • Performance of healthcare reform calculations, provision of guidance and recommendations • Comprehensive employee communications support, development of consumer-focused guidance tools and education related to healthcare and cost savings opportunities. B. Financial & Data Analysis • Performance of analysis of impact of healthcare reform on RIHousing’s group medical plan • Performance of financial analysis and funding recommendations related to benefit programs • Evaluation of employee contribution strategy and development of related recommendations • Data collection, organization, and interpretation related to claims experience • Ongoing performance of financial analysis and cost projections • Analysis of benefit utilization and cost trends • Evaluation of the impact of potential benefit changes C. Plan Placement, Vendor Management, and Renewals • Conduct thorough competitive vendor/market analysis, including cost and plan comparisons • Performance of benchmark analysis of peers/market • Preparation of Requests for Proposal for new insurance carriers and vendors, in year one of engagement, including reviews, managing timeline, and communications strategy • Performance of network evaluations, including discounts, access and service disruption recovery • Negotiation of provider and insurer agreements and renewals, including costs, terms, conditions and service level agreements and performance guarantees • Implementation of new benefit programs • Review of vendor contracts and policy documents • Ongoing vendor evaluation and performance management • Service as liaison for resolution of administrative and claim issues