Description
The State of Arkansas is seeking a contractor to provide third-party administrative services for its self-funded dental and vision plan. The contractor will be responsible for administering and managing the plan, including network management, claims processing, and customer service. The contract will be for an initial term of one year, with the option to renew for up to six additional one-year terms. The contractor must have at least five years of experience in group dental and vision insurance plans and be licensed to conduct business in Arkansas.
• The contractor must provide a network of at least 1,100 dental providers and 750 vision providers throughout the state.
• The contractor must ensure that participating providers do not collect from plan participants the difference between the provider's submitted fee and the contractor's maximum plan allowance.
• The contractor must provide a guarantee of approval of coverage for each member during annual open enrollment.
• The contractor must provide training on the web-based benefit system for ASP staff.
• The contractor must comply with all applicable state and federal laws, including those related to data ownership and confidentiality.