3-A 02 099 Benefits Scope SLPS 0320.pdf
PDF 195 KB Posted
- Attached to
- District Wide Employee Benefit Services.
- Solicitation number
- RFP 099-2026
- Issued by
- St. Louis County, Missouri
About this file
This is a Scope of Services document for the Saint Louis Public Schools (SLPS) District Wide Employee Benefits Plan, outlining requirements for vendors seeking to provide comprehensive benefit services to active and retired employees. The RFP solicits proposals for multiple benefit offerings including fully insured medical coverage, self-funded medical and prescription drug administration, employee assistance programs (EAP), wellness plans, dental, vision, basic life and accidental death and dismemberment (AD&D), voluntary life, short-term disability (STD), and long-term disability (LTD) coverage. Bidders must demonstrate licensing and certifications in their respective service areas, disclose any pending or recently resolved disciplinary actions or lawsuits within the past 12 months, and provide detailed entity qualifications, references from other school districts, resumes of key project team members, and copies of relevant licenses and certifications including authorization to conduct business in St. Louis, Missouri.
For fully insured medical coverage, bidders must provide quotes matching current benefits with complete rate work-ups detailing all cost components and confirm which elements are fixed for the 2026 renewal. For self-funded medical and prescription drug administration (assuming Express Scripts as the pharmacy benefit manager under the current contract), bidders must quote comprehensive administrative services including claims administration, eligibility management, member services, and network access, along with options for individual and aggregate stop loss coverage at specified deductible levels. SLPS requires bidders to structure billing separately for active and retiree employees while calculating renewals on a combined group basis with matching rates for active and pre-65 retiree employees. The district has identified administration requirements including limited provider disruption, extensive in-network provider access, strong network discounts, competitive administrative fees, and dedicated service and wellness representatives assigned to the account. SLPS is requesting a 3-4-month grace period for payment of ancillary invoices, and bidders unable to accommodate this requirement must notify the district in writing in their RFP response.
View the file
Other files
Show all 20
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
THE BOARD OF EDUCATION OF THE CITY OF ST. LOUIS
District Wide All Benefits Plan SCOPE of SERVICES
Part I – Qualifications/Certifications/Resume and Operations Plan
The following information must be provided in Part I of the Proposal. The documents should be clearly marked: “Part I – Qualifications”
1.0 Bidders should provide detailed information addressing each of the following areas:
1.1 Licensing and certification in the field of the requested services.
1.2 Any citation or disciplinary action taken against the respondent by a licensing board or association related to the field of the requested services which is pending or has been resolved within the past 12 months.
1.3 Information regarding lawsuits relevant to the requested services that are pending or have been resolved within the past 12 months.
1.4 Failure to be forthright in disclosure shall be grounds for disqualification of a vendor. This section shall not be interpreted to require the disclosure of information shielded from disclosure by State or Federal Statutes and/or court order.
2.0 Please respond briefly, but completely, to the following:
2.1 Person/Entity Name
2.2 Address
2.3 Name and Title of Authorized Representative
2.4 Telephone Number
2.5 Fax Number
2.6 Email Address
2.7 Include the above information for each person/entity that is part of the project team for this Proposal
3.0 Bid Response Elements
3.1 Entity Qualifications
3.2 References (other school districts where possible)
3.3 Brief description of entity’s experience with providing the requested services
3.4 Copies of Licenses and Certifications (including, but not limited to, license to conduct business in the City of St. Louis, Missouri)
3.5 Provide a brief summary of the primary role(s) and resumes describing the background and qualifications of each member of the project team for this Proposal
4.0 Administration Requirements
4.1 Limited provider disruption
4.2 Network access to many in-network providers
4.3 Strong network discounts
4.4 Competitive administrative fees
4.5 Ability to match current benefits
4.6 Dedicated Service Rep Assigned to Account
4.7 Dedicated Wellness Coordinator Assigned to Account
5.0 Coverage Requested
5.1 Fully Insured Medical
5.1.1 Bidders must be able to set up Active and Retiree Employees separately for billing and reporting purposes but calculate the renewal on a combined group basis.
5.1.2 Bidders must be able to have matching rates for Active and Pre-65 Retiree Employees.
5.1.3 Bidders must provide a quote matching current benefits – Medical Only.
5.1.4 Bidders must include the complete proposal and rate work-up, including, without limitation, all of the following: administration, pooling level, pooling charge, risk, trend, network differential, state taxes, and any other components leading up to the proposed rates.
5.1.5 Bidders must provide a copy of its renewal calculation and confirmations as to which components are fixed for the 2026 renewal.
5.2 Self-Funded Medical/Rx
5.2.1 Bidders must be able to set up Active and Retiree Employees separately for billing and reporting purposes but calculate the renewal on a combined group basis.
5.2.2 Bidders must be able to have matching rates for Active and Pre-65 Retiree Employees.
5.2.3 Bidders must provide a quote for the administration of self-funded coverage matching current medical and Rx benefits. Rx coverage should be assumed with Express Scripts under the current BHC contract.
5.2.4 The quote should address the following standard set of comprehensive administrative services (including implementation):
• Claims administration
• Coordination of benefits
• Subrogation
• Eligibility management
• Account management
• SPD assistance
• Basic reporting
• Member services (e.g., online portal and required mailings)
• Network access and management
• Provider services
• Grievances and appeals
5.2.5 The quote may include additional value-added and separately priced administrative services such as:
• Shared savings programs
• Non-standard or ad hoc reporting
• Benefit design recommendations
• Special audit programs
• Advanced analytics or recovery services > Note: If a shared savings program is proposed, include the minimum percent of savings that SLPS will receive.
5.2.6 The quote should address both individual stop loss and aggregate stop loss, including:
• 12/12 and 12/15 contract options
• $350,000 and $500,000 specific deductible options for individual stop loss > Include the form of stop loss policy.
5.3 Wellness: Bidders must indicate what benefits they offer. Clearly identify which of the components are offered free of charge and which have additional costs. Wellness initiatives are a high priority for SLPS. It’s imperative to partner with a firm offering a strong emphasis on wellness services. Please refer to the wellness vendor required exhibits for options requested.
5.4 EAP: Bidders must indicate what benefits they offer and clearly identify which of the components are offered free of charge and which have additional costs.
5.5 Dental: Bidders must provide quotes matching benefits to the current plan designs.
Please also refer to the Dental Vendor Required Exhibits for additional options requested.
5.6 Vision: Bidders must provide quotes matching benefits to the current plan designs.
5.7 Basic Life/AD&D: Bidders must provide quotes matching benefits to the current plan designs. Please also refer to the Life and Disability Vendor Required Exhibits for additional options requested.
5.8 Voluntary Life and Dep Life: Bidders must provide quotes matching benefits to the current plan designs. Please also refer to the Life and Disability Vendor Required Exhibits for additional options requested.
5.9 Short Term and Long-Term Disability: Bidders must provide quotes matching the current benefits. Clearly identify any contractual or provisional discrepancies between your contract and the current contract.
NOTE: SLPS System Capabilities for STD & LTD: Due to limited system capabilities eligibility information is directly provided by SLPS.
NOTE: SLPS is requesting a 3–4-month grace period to pay all ancillary invoices, including:
Dental, Vision, Voluntary Life and Dep Life, Short Term and Long-Term Disability.
If a carrier is unable to accommodate this, SLPS must be notified in writing in the carrier’s RFP response.
| Part I – Qualifications/Certifications/Resume and Operations Plan |
| 1.0 Bidders should provide detailed information addressing each of the following areas: |
| 2.0 Please respond briefly, but completely, to the following: |
| 3.0 Bid Response Elements |
| 4.0 Administration Requirements |
| 5.0 Coverage Requested |
| 5.1 Fully Insured Medical |
| 5.2 Self-Funded Medical/Rx |
File details come from the government source that posted it. Updated .