The purpose of this Request for Proposals (RFP) is to establish a contract with a qualified Contractor(s) for the provision of administration services for the City's group medical and prescription drug insurance programs for eligible active employees, COBRA continuants, pre-65 retirees, and City Council Members of the City, as well as reinsurance for the programs. The primary objectives of the programs are to: A. Provide eligible employees, pre-65 retirees, COBRA continuants, City Council Members, and their eligible dependents with qualitative and affordable medical and prescription drug programs. B. Ensure costs are managed effectively by accessing superior data management capabilities, understanding the cost drivers within the program, and taking advantage of enhanced cost and utilization management opportunities available in the marketplace while maintaining or enhancing quality. C. Protect the City’s risk with a financially strong and well administered reinsurance program. D. Provide members with a program that offers broad network access and minimizes disruption for current members. E. Partner with a company that is able to provide accurate and efficient account administration, efficient billing and eligibility updates, as well as quality management reporting.
