1. Successful Proposer shall provide Medical / RX Stop Insurance. 2. Successful Proposer shall maintain a rating financially sound with an AM Best rating of A- or higher. 3. Successful Proposer shall implement the plan(s) with an effective date of January 1, 2025. 4. City or its agent reserves the right to audit the Successful Proposer’s performance by reviewing pertinent records and documentation, including clinical records, subject to appropriate confidentially requirements. 5. Successful Proposer shall stop loss insurance claims incurred in the 24-month period and paid in the 12-month period immediately preceding the end date of the contract period. 6. Successful Proposer shall provide specific stop loss protection to the policyholder for a catastrophic loss per individual claimant with an attachment point of $150,000 and unlimited maximum and covers both medical and prescription claims. 7. Alternatives of $175,000 and $200,000 specific deductible amounts are also requested.
