RFP #26034 - Employee and Retiree Medical Benefits

The Unified Government of Athens-Clarke County is seeking a vendor to provide self-funded medical administration services for its Benefits and Wellness Division of Human Resources Department. The selected vendor will be responsible for providing administrative services, including claims processing, customer service, and network management. The vendor will also be required to provide health and wellness programs, disease management, and case management services. The contract is expected to start on January 1, 2027, and the vendor will be required to provide services for a period of one year. • The vendor must have experience in providing administrative services for self-funded plans. • The vendor must have a strong network of providers in the state of Georgia. • The vendor must be able to provide health and wellness programs, disease management, and case management services. • The vendor must be able to provide customer service and claims processing services. • The vendor must be able to provide network management services, including online provider directories and network access.