Joplin Civicplus #2027-RFP-03

Employee benefits consulting and insurance-provider RFP support for the City of Joplin

The City of Joplin Finance Department is seeking an independent benefits consultant to support employee insurance programs and related projects. - Buyer: City of Joplin, Finance Department. - Existing vendors and providers named: UMR (self-insured health-plan administrator), MetLife (dental, life, and disability), EyeMed (voluntary vision), and Optum (Employee Assistance Program); the stop-loss provider is not named. - Ongoing consulting: Advise on health, dental, vision, life, disability, flexible benefits, and EAP offerings. Work includes plan and compliance reviews, benchmarking, plan-design recommendations, contract and document review, budgeting, claims and utilization analysis, vendor communications, wellness-program guidance, open-enrollment support, employee communications and education, and annual IBNR reserve calculations. - Project work: Develop, run, and evaluate a competitive provider RFP; help finalize contracts and implement the selected arrangements; and assess self-funding or partial self-funding compared with other funding approaches. - Important requirements: The consultant must be independent of insurance companies, third-party administrators, and provider networks. Compensation must be limited to negotiated fees; commissions and other compensation are prohibited. The consultant must protect City data, comply with HIPAA and COBRA requirements, meet virtually with the Finance Director monthly, and attend at least one wellness committee meeting and one City Council meeting each year. - Pricing structure: Ongoing services are priced as a monthly retainer with a not-to-exceed amount. RFP project services, including work on disability, flexible benefits, and EAP insurance services, are priced separately with a not-to-exceed amount. - Products and quantities: No products, part numbers, or product quantities are specified.

Description

The City of Joplin seeks a benefits consulting firm on retainer to review its health, dental, vision, life, and disability plans, recommend changes, support regulatory compliance, and negotiate with healthcare providers. Required work includes ongoing plan reviews and benchmarking, budget and claims analysis, employee communications and open-enrollment support, and annual compliance-related services. The consultant will also develop, execute, and evaluate a 2030 insurance-provider RFP for implementation by January 1, 2031, and assess self-funding options. The consultant must not be directly affiliated with an insurer, third-party administrator, or provider network, and compensation is limited to negotiated fees without commissions.

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