DOCUMENT

RFP - Health Insurance Plans 2009

  • YEAR CREATED: 2009
  • ENTITY TYPE: City/Township
  • TYPE OF DOCUMENT: RFP - Request for Proposals
The document is a Request for Proposals (RFP) for a health insurance plan. The document outlines the requirements and expectations for the insurance provider. The provider is expected to offer cost containment, control, and benefits to employees. They must promptly send Explanation of Benefits (EOB) to employees, provide monthly analysis of claims data, maintain and mail plan documents, provide necessary forms, and mail ID cards to employees. The provider must also provide up-to-date provider listings, review evidence of insurability requests, and provide annual open enrollment periods. They must comply with COBRA requirements, provide reports and updates to comply with state and federal mandates, and provide certificates of coverage to employees who have lost their health coverage. The provider must also perform audits of bills, make medical necessity determinations, provide pharmacy services, process reimbursements, and provide coverage and claim information through a toll-free telephone number. They must also provide conversion privileges to individual policies and administer COBRA enrollments. The provider must be authorized to conduct business in the state of Florida and provide a minimum of 120 days' notice for renewals, non-renewals, or adverse changes to the plan. The document also includes information on the required format and submittals for the proposals. Additionally, the document mentions the requirement for vendors to complete a "Vendor Registration Form" and a "Department of the Treasury Internal Revenue Service Form" as part of the proposal process.
MEMBERS ONLY DOWNLOAD
Advertisement

Similar Documents

Document
RFP - Claims Adjusting & Administration Service 2007
Year Created: 2007
Document
RFP - Employees Group Long Term Disability Insurance 2006
Year Created: 2006
Document
RFP - Flexible Spending Account and Cobra Programs 2005
Year Created: 2005