Ontario County NY OpenGov #RFP R26081

Ontario County Employee Benefits and Health Insurance Consulting

Ontario County is seeking a consultant to advise on its self-funded employee health benefits program and related insurance plans. - Buyer: Ontario County, New York — Human Resources and Purchasing. - Program scope: Approximately 800 employees and 750 health insurance contracts; offerings include two health plan options plus dental, vision, long-term disability (LTD), and life insurance. - Existing vendors and platforms: Excellus provides third-party administration (TPA), stop-loss coverage, and pharmacy benefit management (PBM); Munis / Employee Access supports electronic enrollment managed by County HR. - Requested consulting services: Ongoing financial and risk review; plan-design and cost-management recommendations; claims, utilization, and vendor-performance analysis; renewal and vendor negotiation support; budget and rate guidance; stop-loss marketing and placement; high-cost claimant management; reporting advice; and wellness-program support. - Contract term: Three years, with up to two optional 12-month renewals. - Notable requirements: Professional liability coverage of $1 million per occurrence and $2 million aggregate is specified; other insurance coverage requirements also apply. The consultant is expected to advise on reporting capabilities and first-year objectives.

Description

Ontario County Human Resources is seeking a qualified firm or individual to provide consulting services for its employee benefits and health insurance programs, serving approximately 800 employees and 750 health insurance contracts. Scope includes monitoring the self-funded health plan, recommending plan designs and cost-management strategies, advising on regulatory and market developments, supporting vendor renewals and negotiations, and analyzing claims, utilization, budgets, and vendor performance. Services also include stop-loss policy marketing and placement, high-cost claimant management, and wellness-program guidance. The contract term is three years, with up to two optional 12-month renewals.

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