Carrollton Ionwave #RFP#23-041 (Stop Loss Coverage & FMLA)

City of Carrollton Solicits Stop Loss Insurance and FMLA Administration Services

The City of Carrollton, Texas is seeking proposals for Stop Loss Insurance (Medical/Rx) and Family Medical Leave Act (FMLA) Administration services for its employees. - Government Buyer: - City of Carrollton, Purchasing Department - Services Requested: - Stop Loss Insurance for medical and prescription drug claims - Coverage options for $250,000 and $275,000 Individual Stop Loss (ISL) - No new laser provisions and renewal rate caps required - Expanded claim reporting with data feeds to external vendors at no additional cost - Compliance with the Patient Protection and Affordable Care Act - FMLA Administration Services - Administration and compliance management for FMLA - Integration with technology systems and strong customer service - Coverage Scope: - Approximately 820 active employees, 18 retirees, and 5 COBRA participants - Notable Requirements: - Proposals must be net of commission - Vendors must sign a Non-Disclosure Agreement to access confidential claims and census data - Professional liability insurance naming the City as additional insured - Emphasis on cost containment, financial stability, claims processing, and technology integration - Contract Structure: - Initial term of 1 or 3 years (depending on document), with two optional 2-year renewals (total potential duration of 5 to 7 years) - No specific OEMs are named; opportunity is open to qualified stop loss carriers and FMLA administrators.

Description

The City of Carrollton issued a Request for Proposal (RFP#23-041) seeking vendors to provide Stop Loss Coverage for medical and prescription needs for city employees, as well as Family Medical Leave Act (FMLA) administration services. The proposal should mirror the current contract with renewal rate caps and no new laser provisions, including options for $250k and $275k Individual Stop Loss (ISL). The city emphasizes the importance of cost-effectiveness, high service levels, and long-term cost containment. Vendors must sign a Non-Disclosure Agreement (NDA) to access confidential claims history and census information. The contract is for one year with two optional two-year renewals.

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