05-A Health Ins. Consultant - Laserfiche WebLink

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DESCRIPTION OF SERVICES EFFECTIVE PLAN MANAGEMENT, INC. PHASE I SERVICES . Provide information regarding available alternatives to the current funding arrangement; . Evaluate present plan design(s) for medical, dental, vision, prescription drug service, disability and life benefits as they relate to employer objectives; . Study available loss infonnation from and administr~tive performance by providers; .. . Study existing Retention Agreement(s) with emphasis upon reserving requirements, interest payable upon such reserves and provisions for release of unearned reserves, if any, in the event of policy termination; . Study existing administrative and stop loss agreements in order to determine cost effectiveness for services performed and risks accepted including run-off liability if the plan is tenninated and administrative expense associated with processing of run-off claims; . Review adequacy of premium equivalents created to fund a self-funded plan; . Examine present contract(s) and Plan Document to determine conformity to both state and/or federal laws and regulations as well as compliance with the company policies regarding treatment of employees; . Provide recommendation for administrative management of employee benefits including format and content of regularly issued loss reporting; PHASE II SERVICES . If the decision is made to obtain bids on new or alternative plans; provide draft for bid specifications, submit bid requests with complete and accurate information required by underwnters. Act as point of contact for underwriters to obtain information and gain a complete understanding of contract or plan document provisions, approaches to administration, loss or exposure data and other pertinent matters; . If a Request for Proposal (RFP) process occurs, at the conclusion of that process, provide evaluation of conformity to bid specifications, reputation of bidders, pricing for services to be performed, acceptance of risk as reflected in cost, ability to meet administrative management requirements and compatibility of provider's managed care network to all COPdescofsvcslOll04 - 1 -