11-16 - Health Savings Account (HSA).pdf

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Attached to
Annual Contract for Employee Health and Welfare Benefits
Solicitation number
26-71-P
Issued by
Denton County, Little Cypress CDP, Texas

About this file

This is a Health Savings Account (HSA) pricing proposal document submitted by the City of Lewisville, Texas Purchasing Division in response to a competitive sealed proposal request for Employee Health and Welfare Benefits. The City of Lewisville is soliciting proposals for comprehensive employee benefits services including third-party administrators for medical and dental coverage, pharmacy administration, medical and Rx stop loss insurance, ASO dental, fully insured vision, basic and voluntary life/AD&D insurance, long-term disability, Employee Assistance Program (EAP), HSA, FSA, and COBRA administration. The contract award will be determined in accordance with Texas Local Government Code Chapter 252, and all successful bidders must certify compliance with the Americans with Disabilities Act and its implementing regulations.

The HSA pricing proposal document requests detailed pricing information including proposed minimum monthly billing rates, monthly administrative fees, one-time setup fees, annual fees, bank account setup fees, plan document and summary plan description renewal fees, and various service features such as enrollment materials, account balance viewing, email claim submission, online eligibility verification, 24-hour internet and voice response systems, toll-free support, direct deposit and check claim status options, and debit card access. The document requires bidders to provide pricing calculations on a per-participant per-month basis with total monthly and annual premium amounts, specify the rate guarantee period, and submit an accompanying formal quote. The proposal must demonstrate capability to deliver all services in compliance with ADA requirements and address the full scope of employee health and welfare benefit services outlined in the contract opportunity.

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26-71-P Employee Health and Welfare Benefits CARRIER NAME Health Savings Account (HSA) Proposed Minimum Monthly Billing Monthly Administrative Fee One Time Set up Fee Annual Fee Bank Account Set up Fee Plan Documents and SPD Renewal Fee Enrollment Material View Account Balances Email Claim Submission On-line Eligibility 24 Hour Internet & Voice Response System Toll Free Number Direct Deposit Check Claim Status Communication Meeting Reports Claims Processing Frequency Debit Card Requires prefunding / impressed balance Total Per Participant Per Month (# eligible) Total Monthly Fee Total Monthly Premium Total Annual Premium Effective Date Rate Guarantee

Please provide a quote in addition to providing pricing on this page.

CITY OF LEWISVILLE PURCHASING DIVISION – REQUIRED DOCUMENT

File details come from the government source that posted it. Updated .