Administration of the City of Troy's Health Insurance Program

The City of Troy is seeking a qualified agency to provide services for the administration of the City's Health Insurance Program. The selected agency will be responsible for advising and assisting the City in the administration of employee health benefits, including data processing, benefit consulting, and benefits management and administration. The agency will also be required to provide monthly current enrollment reports, computer-generated reports, and other services as needed. The contract period will be from January 1, 2026, through December 31, 2029, with an option for a two-year extension. • Data Processing: Establish comprehensive enrollment records, collection and data entry of all City enrollment records, provide access to the data within the computerized enrollment system, and provide monthly current enrollment reports. • Benefit Consulting: Review and evaluation of benefit programs, provide advice and assistance in collective bargaining, and analyze claims experience and utilization of data to develop an annual report. • Benefits Management and Administration: Serve as liaison to the City's insurance carriers, reconcile and audit monthly claims, and maintain healthcare reform requirements. • Other services: Provide support to City employees and retirees, maintain dependent verification services, and perform other tasks as requested by the City.