Employee Medical Benefits Program ( Fully Insured and Self-Funded Options)

The City of Pompano Beach is seeking proposals from experienced and qualified firms to provide medical insurance coverage, including fully insured and self-funded options, to its employees, officials, retirees, and their families. The selected firm will be required to provide a comprehensive employee medical benefits program, including implementation support, open enrollment assistance, employee communications, and ongoing account management. The proposal should include premium rate information, qualifications of personnel, prior experience, and references. The City is looking for a firm that can provide high-quality services at an affordable cost. • The proposal should include a detailed comparison of the proposed benefit plans to the City's current plan designs. • The selected firm will be required to provide a minimum of $100,000 in annual wellness funds. • The firm should have experience providing group health benefits coverage and related administrative services to governmental or similarly sized public sector clients. • The proposal should include a comprehensive provider network analysis and a system for paying claims. • The firm should have the technological capacity to transmit and accept a HIPAA 834 5010 eligibility file with proper confirmation of receipt and discrepancy reporting.