DOCUMENT

RFP - Health Benefits 2006

  • YEAR CREATED: 2006
  • ENTITY TYPE: K-12
  • TYPE OF DOCUMENT: RFP - Request for Proposals
This document is a questionnaire that is being sent to insurance carriers by a district. The district is seeking information and proposals for their employee benefit plan. The questionnaire covers various aspects such as the inclusion of COBRA costs in premium rates, additional costs for reports, claim turnaround period, rate guarantees, delivery timelines for various documents, coverage for prescription drug programs, retiree coverage, coverage for intentional self-inflicted injuries and injuries caused by intoxication, coverage for cardiac rehabilitation therapy and organ transplants, HIPAA administration, TEFRA election forms, compliance with the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, disease management program, benefit options, funding arrangement, renewal formula, benefit plan deviations, administrative fees, stoploss coverage, and standard stoploss agreement. Additionally, the questionnaire asks for information on commission rates, rates for aggregate and specific stoploss, maximum claim coverage, definition of a paid claim, payment commencement after deductible satisfaction, extension or run-out period for specific stoploss, coverage restrictions, exclusions and limitations, size of stoploss portfolio, reinsurance of the pool, and factors considered in premium establishment. The district also seeks confirmation from the insurance carriers regarding their agreement with the terms and conditions outlined in the questionnaire.
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