City of Long Beach Buyspeed #HR-26-755

City of Long Beach Employee and Retiree Health Advocacy, Insurance, and Benefits RFP

The City of Long Beach is seeking proposals for comprehensive health advocacy and navigation services, as well as insurance and benefits solutions for its employees and retirees. - Government Buyer: - City of Long Beach Human Resources Department, Employee Benefits Division - OEMs and Vendors Mentioned: - Anthem Blue Cross - Delta Dental - VSP (Vision Service Plan) - CVS Caremark - The Standard - Unum - MetLife - Wellhub - UnitedHealthcare - SCAN Health Plan - MissionSquare - Health Advocate - Carrum Health - Alliant - Optum - Products/Services Requested: - Health advocacy and navigation services for ~4,942 active employees, 1,609 retirees, and their families - Care coordination, physician locator, claims support, fee negotiation, grievance advice, pharmacy support, complex medical care assistance, integrated call management - Secure, ADA-compliant online platform and mobile app with 24/7 intake and multilingual support - Dedicated account management, reporting, analytics, and HIPAA-compliant data integration - Insurance and benefits for employees and retirees - Medical plans: Anthem Blue Cross HMO/PPO, UnitedHealthcare Medicare Advantage PPO, SCAN Medicare Advantage HMO - Dental: Delta Dental HMO/PPO - Vision: VSP - Pharmacy: CVS Caremark - Life and disability insurance: The Standard - Long-term care insurance: Unum - Pet insurance: MetLife - Wellness programs: Wellhub, SilverSneakers, ONE PASS - Deferred compensation: MissionSquare - Surgery benefit: Carrum Health - Medicare guidance: Alliant Medicare Solutions - Employee Assistance Program (EAP) - Post-discharge care: UnitedHealthcare Healthy at Home, Optum HouseCalls - Product Line Items: - Medical, dental, vision, pharmacy, life, disability, long-term care, pet insurance, wellness, and deferred compensation plans (see detailed list below) - Services Line Items: - Health advocacy and navigation, member engagement platform, account service support, reporting/analytics, surgery benefit, Medicare guidance, EAP, fitness programs, post-discharge care, in-home preventive care - Unique/Notable Requirements: - Ability to serve a diverse population of employees and retirees - HIPAA-compliant data integration and reporting - ADA-compliant online platform and mobile app - 24/7 customer intake and multilingual support - Dedicated account management and real-time dashboard access - Option for up to five years of service (initial two-year contract with three one-year renewals) - Insurance coverage with flexible options and increased fertility benefits - No specific OEMs mandated for health advocacy services; current provider is Health Advocate - Electronic proposal submission required

Period of Performance: - Initial contract period of two years, with three one-year renewal options for health advocacy services (maximum five years) - Insurance and benefits coverage periods generally run annually, with open enrollment and special enrollment windows

Product Line Items: - Anthem Blue Cross HMO/PPO Medical Plans (Part Number: 276800) - Delta Dental HMO (78506) and PPO (3712) Plans - VSP Vision Plan (30069959) - CVS Caremark Prescription Drug Plan - Basic Life and AD&D Insurance (448651-G) - Short-Term Disability Insurance (448651-E) - Long-Term Disability Insurance (448651-F) - Voluntary Life Insurance (448651-G) - Long-Term Care Insurance (Unum) - Pet Insurance (MetLife) - Wellhub Gym and Wellness Access - UnitedHealthcare Group Medicare Advantage PPO (15647) - SCAN Health Plan Medicare Advantage HMO (119) - Anthem Blue Cross Medicare Supplement Plan (276800) - 457 Deferred Compensation Plan (MissionSquare, 301910)

Services Line Items: - Health Advocacy and Navigation Services - Member Communications and Engagement Platform - Account Service Support - Reporting and Analytics Services - Health Advocate Concierge Services - Carrum Health Surgery Benefit - Alliant Medicare Solutions - Employee Assistance Program (EAP) - UnitedHealthcare Healthy at Home Program - Optum HouseCalls - SilverSneakers Fitness Program - ONE PASS Fitness Program

Estimated Contract Value: - $1,000,000 to $10,000,000 (based on scope, population served, and typical contract values for similar services)

Primary OEMs: - Anthem Blue Cross - Delta Dental - VSP - CVS Caremark - The Standard - Unum - MetLife - Wellhub - UnitedHealthcare - SCAN Health Plan - MissionSquare - Health Advocate - Carrum Health - Alliant - Optum

Primary Competitors: - Cigna (https://www.cigna.com) - Aetna (https://www.aetna.com) - Blue Shield of California (https://www.blueshieldca.com) - Kaiser Permanente (https://www.kp.org) - Prudential (https://www.prudential.com) - Guardian Life (https://www.guardianlife.com) - Lincoln Financial Group (https://www.lfg.com) - Humana (https://www.humana.com) - Express Scripts (https://www.express-scripts.com) - EyeMed (https://www.eyemed.com) - Cerner (https://www.cerner.com) - Teladoc Health (https://www.teladochealth.com)

Primary Products: - Health advocacy and navigation services - Medical, dental, vision, pharmacy, life, disability, long-term care, pet insurance, wellness, and deferred compensation plans

Competing Products: - Cigna health advocacy and insurance solutions - Aetna medical, dental, vision, and pharmacy plans - Blue Shield of California medical and pharmacy plans - Kaiser Permanente HMO plans - Prudential life and disability insurance - Guardian Life insurance - Lincoln Financial Group disability insurance - Humana Medicare Advantage plans - Express Scripts pharmacy benefits - EyeMed vision insurance - Teladoc Health virtual care and navigation services

Period of Performance Summary: The health advocacy and navigation services contract will run for an initial two-year period, with the option to renew for three additional one-year terms, for a maximum of five years. Insurance and benefits coverage periods are annual, with open enrollment and special enrollment windows for employees and retirees.

Description

The City of Long Beach is seeking proposals from qualified firms to provide health advocacy and navigation services to benefit eligible employees, retirees, and their family members. The services may include care coordination, physician locator, claims assistance, fee negotiation, and grievance advice. The contract period is from December 2, 2026, to December 1, 2028. The Human Resources Employee Benefits Division will provide necessary plan descriptions and eligibility files to the selected firm.

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