Specifications include, but are not limited to: ● Procure Health Insurance Coverage Broker will be responsible for negotiating, analyzing and recommending any or all health insurance coverage for the school district. Broker will prepare all bid specifications for marketing health insurance coverage and evaluate all responses received when requested. The broker of record, when requested, is to market and to provide competitive proposals for district review, evaluation and consideration. ● Review Health Insurance Coverage/Bargaining Group Contracts Broker is required to familiarize themselves with the present health insurance coverages and present employee contracts of the school district to allow for a comprehensive comparison and analysis of submitted proposals as to ensure equal or better coverage to existing applicable plans. Broker is to review present policies and plans for accuracy, compliance and financial prudency and make any recommendations to the district. Broker is to identify all issues and exposures as it pertains to health benefits and to inform the district of the latest developments affecting the insurance. Broker is to provide any recommendations upon completion of reviews that would be a cost benefit savings to the school district while being in compliance with the employee contracts. Broker is to provide assistance to the Business Office Budget Team in the budget planning process, including the evaluation and impact of rate changes to health benefits costs and premiums. Broker should be able to provide the Budget Team with reasonable projected renewal figures during the budget process. ● Monitor Federal and State Law and Code Broker is required to be knowledgeable of all Federal and State law and code as it pertains to health benefits coverage, including the Affordable Care Act, and to provide the latest updates to the school district, especially to the Health Benefits Coordinator. Broker is to provide all assistance in implementing any or all Federal and State law and code as it pertains to health benefits. ● Monitor Carrier Compliance/ Claims Services Broker will monitor and ensure carrier compliance with all plans, commitments and facilitate working relationships with the carrier and the school district. Broker is responsible for monthly review and analysis of claims and financial data, including identifying allowable and unallowable claim costs, and relevant discounts, rebates and credits for the district. ● Attendance at Meetings Broker and professional staff must attend Board of Education meetings, board committee meetings and/or negotiations meetings, when requested. At these meetings, especially negotiations meetings, the broker will provide support and suggestions for the school district as it pertains to health benefits coverage and costs. ● Liaison and Intermediary for District Broker will serve as liaison and intermediary with all insurance carriers, on the district’s behalf in resolving any or all concerns, complaints or disputes with health insurance coverage. Broker will arrange with carriers to make presentations to employees when requested. ● Managing District’s Health Benefits Program/Employee Online Portal The broker will assist the Health Benefits Department in managing all aspects of the health benefits programs, including any or enrollment activities. The broker of record will work with the Health Benefits Department in setting up and maintaining a district on-line employee benefits link on the district website that fully explains any or all coverage under the health benefits plans. Broker shall assist the district in evaluating and settling employee grievances relating to health benefits issues. ● Broker Availability The broker of record and/or his professional staff shall be available to district officials during working hours and reasonable after working hours for telecommunications and or electronic communication support. ● Broker Assistance to District Retirees When requested by the district, the broker shall provide to the district any guidance as it pertains to health benefit plans to district retirees.
