PURPOSE 1.1 The City of Albany (hereinafter referred to as the “CITY”) hereby requests Proposals from qualified firms or individuals to provide benefit administration services on an as-needed and non-exclusive basis. 1.2 The City of Albany Department of Administrative Services houses several key support offices for City employees, such as Information Technology, Budget, and Human Resources. The Office of Human Resources (the “Office”) is the main source of information regarding healthcare administration on behalf of its employees. The Office acts as a bridge between the carriers, and other third-party administrators who assist with various services across workflows. Currently, the Office manages medical billing on excel spreadsheets, printing and mailing invoices. These invoices vary from 200-250 invoices per month. 1.3 It is the intent of the CITY to solicit Proposals for medical billing to retirees and active employees. The work shall consist of overseeing the processing invoices and payments for retirees on a monthly and/or annual basis. The CITY’s health insurance is covered by the following carriers: · CDPHP (HMO Plan); · Empire MediBlue Freedom Plan (Medicare Advantage Plan); · Empire BlueCross (PPO Plan); · COBRA; · Inactive employees; 3 and other related transactional and customer services. The insurance plans become more nuanced as the CITY has several subgroups dependent upon union and non-union and/or retiree status. 1.4 The technical specifications required shall be provided to the selected Proposer(s) at the beginning of the contract. The Chief Information Officer will provide oversight of systems integrations used to process the transactions. The system used to monitor and manage employee transactions is New World ERP System through Tyler Technologies. 1.5 The CITY employee population the Office serves are active employees and retirees. This population presents unique and challenging situation given the needs required; particularly with elderly retirees who are not accustomed to the use of technology. It should be assumed by all Proposers that a high level of technical skill and, in some cases, specialized service requests will be required in order to work efficiently. 1.6 The ensuing contract for these services will commence in or about June 2022, and will terminate in June 2024, with two (2) additional one-year extension periods at the option of the CITY.
