Summary of Specifications:
The County is interested in selecting one Contractor to provide technical consulting services and agent services associated with the management and administration of Genesee County’s medical, prescription drugs, dental, vision, life, AD&D, short and long term disability programs, COBRA, HIPAA and FMLA. Ongoing Services: 1. Reviewing all health and welfare plans for appropriate administrative changes to achieve cost savings. 2. Review and advise on all health and welfare plans and processers for compliance with Health Care Reform and Public Act 152 regulations and other related legislative requirements, (AHCB4) COBRA, ADA, HIPPA, FMLA, etc. 3. Assist with plans and processes for compliance pertaining to future legislation pertaining to health and welfare requirements. 4. Evaluating the County health plans to determine benefit changes that would provide needed cost savings with minimum employee impact. This would include being a resource in local negotiations including participation in meetings and hearings. 5. Continuously analyze trends, evaluate County risk and recommend any required changes to the current stop loss limits for the County’s medical insurance plans and pharmacy benefits provider. 6. Assist in marketing, developing RFP’s, and analyzing proposals for all lines of health and welfare insurance plans including a Third Party Administrator of health and welfare services. 7. Evaluating all plans, recommendations for cost reductions as well as assisting in the implementation phase for any of the County’s health and welfare programs. 8. Be an expert witness as required during contract negotiations, arbitration, etc. 9. Be a guide to the county regarding Health Care Reform requirements. 10. Monitor, identify and advise on self-insurance statements and rate calculations, charges, etc. 11. Act as an advocate for the county with vendors. Participate in renewal meetings and vet contractors.
