A. Provide necessary forms and instructions for use. Such forms are to include appropriate information necessary to file a claim with the mailing address of the primary recipient preprinted thereon. The forms will not include social security numbers. B. Investigate, pay, adjust, or deny all such claims in conformity with the plan document as adopted. C. Provide services such as claims recovery through subrogation, claim audits, fraud detection, and usual and customary cost comparisons. Dane County is self-insured for worker’s compensation. The vendor may not subrogate worker’s compensation claims against the county. D. The plan document must have benefits duplicating or exceeding the present plan. Each proposal must contain benefit plans, which are equal to or exceed the existing county benefit plans. Any error or omission regarding compliance with this equivalency requirement is the sole responsibility of the proposer and to reduce the risk of error, each proposer must familiarize itself with each of the existing county benefit plans. The successful proposer will be required to hold harmless and make whole the county and its employees for any errors or omissions as a result of failure to meet the requirements of this paragraph. E. Any exceptions to existing benefits must be clearly identified. Please indicate if possible, what the cost would be to equalize benefits. If exceptions are not listed and you are awarded the contract, contracted provider will be required to pay the benefit if the present carrier covered it. F. Employee booklets approved by M3 and the County’s Human Resources Director. G. An account representative to assist with any plan changes, other procedures and continuing support. H. Any other services normally provided by the proposer under similar plans. I. Payments will be based upon the county’s payroll register and any manual changes made by the county. The county will not reconcile with the vendors paper register. The county will work with the vendor to attempt electronic reconciliations as needed. J. Coverage for all dependents to end of year in which they reach age 26.
