17-17 - COBRA Administration.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 COBRA Administration pricing proposal form issued by the City of Lewisville Purchasing Division in Texas for the Annual Contract for Employee Health and Welfare Benefits. The City is seeking competitive sealed proposals for comprehensive employee benefits administration 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, long-term disability, EAP, HSA, FSA, and COBRA administration. The proposal form requests detailed pricing and service specifications specifically for COBRA administration, including setup fees, online eligibility maintenance, online reporting capabilities, 24-hour customer support, HIPAA compliance documentation, and various COBRA-related notices and notifications required throughout the employee eligibility lifecycle.

The COBRA administration proposal requests carriers to provide monthly per-employee-per-month (PEPM) fees, minimum monthly costs if applicable, rate guarantees, and detailed pricing quotes. The form specifies that fees may apply to all employees or only those enrolled in COBRA-eligible plans. Bidders must submit all questions through the Bonfire platform's questions and answers section, and award will be determined in accordance with Texas Local Government Code Chapter 252. All services must comply with Americans with Disabilities Act regulations, and successful bidders must certify such compliance. The contract requires comprehensive documentation management, customer service via toll-free and online channels, research and notification of regulatory changes, and ongoing billing and premium collection services.

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Text version

26-71-P Employee Health and Welfare Benefits CARRIER NAME COBRA Administration Proposed Set up Fee Online Eligibility Maintenance Online Reports Online Customer Support 24 Hour Voice Response/Internet HIPAA Notices Initial HIPAA Rights (model Provided) Certificate of Coverage at Loss Certificate of Coverage at COBRA Termination COBRA Notices:

Initial/General Notification Notice from Qualified Beneficiary of Events to Employer Qualifying Event Election Notification Notice of Unavailability Notice from Qualified Beneficiary of Extension to Employer Extension/Second Qualifying Event Notification Conversion Notification Premium Billing Notice Notice of Early Termination Expiration Notice Notice of Termination to Carrier Bulk Mailing / Printing Fees Billing Premiums Collecting Premiums Reports Documentation Management Customer Service (Toll Free, Interactive Voice Response, Online) Research/Notification of Regulation Changes

FINANCIALS

Monthly Fee (PEPM) (applies to all EE's OR only those enorlled in COBRA eligible

)Minimum Monthly Cost (If applicable) What is the rate gurantee?

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 .