Government Contract | Ohio
Wraparound Coverage as Excepted Benefits for Non-Medicare Retirees and Benefit Recipients

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Bid Information


Bid Alert No: 00000507006

Bid Title: Wraparound Coverage as Excepted Benefits for Non-Medicare Retirees and Benefit Recipients

Agency Bid No. Title: Not Stated

Received Date: 03/10/2016

Close Date: 04/01/2016

Purchase Type: Not Stated

Delivery Point: Not Stated, Ohio

Delivery Date: Not Stated

Special Notices: Questions Due By 03/11/2016 04:00 PM

Specifications

SERS is seeking a qualified vendor to provide the following services: For CY 2017, offer or administer limited wraparound coverage, compliant with all applicable federal laws and regulations, on a fully or self-insured basis that will be attractive to SERS non-Medicare retirees and benefit recipients. Collaborate with SERS in the wraparound benefit design process, including possible identification of a limited number of Marketplace plans to be eligible4 Request for Proposal Wraparound Coverage as Excepted Benefits for Non-Medicare Retirees and Benefit Recipients for SERS wraparound coverage. Enroll SERS members into Marketplace plans. Perform outreach, education and marketing of the SERS wraparound coverage to eligible members enrolled in Marketplace plans. The enrollment process must minimize member confusion, and encourage ease of enrollment. Exchange eligibility and enrollment information between SERS and vendor using HIPAA-compliant EDI transaction sets. Establish a claims administration and member-reimbursement procedure that provides timely and accurate payment to providers and members, optimally without the requirement that members submit paper receipts and explanations of benefits for reimbursement. Establish a trained customer service team for SERS members, including appropriate warm transfers to the insurer chosen by the member in the Marketplace. Provide SERS with enrollment, utilization and cost reporting on a periodic basis. No additional specifications were given.

Bid Related Documents

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Product Code: 95348

Agency Information


Issuing Agency: School of Employees Retirement System of Ohio (SERS)

State: Ohio

Agency Type: State and Local

Contact: Mark Jarvis

Phone: 614-340-1317

Fax: 614-340-1820

Email: mjarvis@ohsers.org

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