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

The City of Pompano Beach is soliciting experienced and qualified firms to provide employee medical benefits program services, including fully insured and self-funded medical plan options. The selected Proposer will be required to provide implementation support, open enrollment assistance, employee communications, eligibility file integration, ongoing account management, reporting, wellness program support, and all related administrative services necessary to deliver the proposed coverage. The City is looking for a firm that can provide high-quality services at an affordable cost. The contract term is expected to be five years, with the option to renew for up to two additional one-year terms. Some key requirements for the Proposer include: * Providing medical insurance with fully insured and self-funded options * Offering pharmacy benefit management services and stop-loss insurance * Having experience providing group health benefits coverage and related administrative services for governmental or similarly sized public sector clients * Providing a detailed comparison of their proposed benefit plans to the City's current plan designs * Offering a wellness incentive program with a minimum of $100,000 in annual wellness funds * Including technology funds in their proposal * Providing performance guarantees, implementation guarantees, service guarantees, and network discount guarantees * Offering multiple-year rate guarantees for ASO proposals The evaluation criteria for the proposals will include: * Premium cost * Qualifications of personnel * Availability of personnel * Prior experience and reference satisfaction * Benefits equal to or better than the current plan * Referral system * Provider network * System for paying claims * Questionnaire and fact sheet * Contract * Wellness incentive program * Technology funds * Guarantees * Rate guarantees * Plan implementation * Conflicts of interest * Litigation * Local business program participation The City is committed to ensuring the participation of local businesses in the procurement process and will award a local vendor preference to qualified proposers.