Texas DIR/ESBD #2606-001

Hospital Indemnity Insurance Benefit for Travis County Healthcare District Employees

The Travis County Healthcare District (Central Health) is seeking proposals for a new voluntary Hospital Indemnity Insurance benefit for its system, including Central Health, CommUnityCare Health Centers, and Sendero Health Plans. - Government Buyer: - Agency: Travis County Healthcare District d/b/a Central Health - Sub-agency: Central Health System - Office: Central Health Purchasing Office - Products/Services Requested: - Dual plan Hospital Indemnity Insurance (Low and High plan options) - Coverage tiers: Employee Only, Employee + Spouse, Employee + Child(ren), Employee + Family - Guarantee Issue at initial enrollment for all eligible employees (approx. 2,300) - Maternity/delivery benefits included with no pre-existing condition waiting periods - Hospital Indemnity Insurance Services - Claims administration, customer service, account management, utilization and reporting, implementation support, underwriting, and renewal processes - Unique or Notable Requirements: - Excellent customer service and easy claims filing (including auto-claims or medical integration) - Ongoing support for the District and its benefits administration team - Integration with UKG benefits administration platform and acceptance of electronic eligibility file feeds - Waiver of 'actively at work' provisions and no waiting periods - Annual open enrollment, summary/self-billing, net commission proposals - Multi-year rate guarantees preferred (three years) - Detailed implementation plans, claims processes, reporting capabilities, and benchmarking data required - No incumbent vendor; new coverage offering - OEMs and Vendors: - No specific OEMs or vendors are named in the solicitation - Estimated contract value: Not specified, but likely in the low to mid six-figure range annually based on employee count and coverage scope

Description

This Request for Proposal (RFP) seeks to identify and secure a comprehensive Hospital Indemnity benefit solution for the Travis County Healthcare District System. The solution must provide high-quality, cost-effective Hospital Indemnity coverage with Guarantee Issue at initial enrollment for all team members. The vendor should offer ongoing support to the System and its benefits administration team. This is a new coverage, and one award will be given based on evaluation criteria.

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