Medical and Stop Loss Insurance Consultant

The United Independent School District (UISD) seeks a qualified consultant to serve as a strategic partner for its self‑funded Group Health Insurance and Stop‑Loss programs. The consultant will evaluate the current benefits, perform financial and utilization analyses, benchmark against peer districts, recommend plan design changes, ensure ACA and state compliance, negotiate with carriers, and provide ongoing account management and reporting. The engagement is intended to improve cost‑effectiveness, regulatory compliance, and overall employee benefit satisfaction for a district serving over 1,000 staff members. • Conduct comprehensive benefits program evaluation and utilization analysis • Provide strategic recommendations on plan design, cost‑containment, and network access • Perform financial modeling, premium/claims analysis, and stop‑loss retention assessments • Lead market surveys, vendor assessments, and assist in drafting RFPs for insurers/TPAs • Deliver ACA, COBRA, and Texas‑specific regulatory guidance and ongoing compliance monitoring • Offer continuous consulting support, regular performance reporting, and periodic review meetings