6-B-2 2027 Wellness EAP Vendor Response Exhibits.xls

XLS spreadsheet 61 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 vendor response exhibit document for Saint Louis Public Schools' (SLPS) District Wide Employee Benefit Services Request for Proposal, outlining specific requirements for wellness and Employee Assistance Plan (EAP) vendors. The RFP seeks comprehensive benefit plan coverage for active and retired employees, including medical and prescription drug coverage, EAP, wellness plan, dental plan, vision plan, basic life and accidental death and dismemberment, voluntary life, long-term disability, and short-term disability. The document specifies detailed performance standards and service requirements that vendors must meet in their proposals, with SLPS indicating potential requests for virtual or in-person presentations following proposal submission.

The wellness program requirements include a minimum $100,000 wellness credit, a dedicated full-time wellness staff member, monthly wellness committee attendance, health risk assessments at no additional cost, online and optional paper-based biometric screening options, comprehensive health coaching covering fitness, nutrition, stress management, and disease management, and incentive programs offering $75 gift cards for Health Risk Assessment completion and annual physicals, plus $25 cards for online coaching and $75 for telephonic coaching. The EAP program must be available 24 hours daily, 365 days per year, with Master's-level specialists and registered nurses providing services; include a minimum of three face-to-face visits at no cost; and offer critical response services for traumatic events. The document specifies that staff communications should involve registered nurses with an average of 15 years' experience and employee assistance specialists with CEAP certification. Performance guarantees include metrics for member services, claim processing turnaround time, payment accuracy, and plan implementation, with specific fee-at-risk standards for answer times, hold times, abandonment rates, and satisfaction ratings.

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Wellness Match Current & Required Specific Criteria Vendor: ______________________ Response

Name of Wellness Program
Resource (employee) dedication to SLPS wellness initiatives1. Dedicated wellness staff member with a wellness director.

2. Wellness staff member is dedicated full time to SLPS.

3. Wellness staff member "housed" at carrier office, but will make visits to various SLPS locations.

4. Wellness staff member and staff member will attend monthly Wellness Committee Meetings at SLPS.

5. Lunch will be provided by the carrier for members of the monthly SLPS Wellness Committee.

6. The wellness staff member will work and meet with the SLPS School Nurses, the SLPS Health and Wellness Advisory Council, PE teachers and SLPS Security Department to support them with their staff wellness activities, regularly communicate with them regarding their questions and requests and arrange programs, as needed.

7. Wellness staff member will provide monthly wellness newsletters and work with community wellness providers to learn about available programs that could be offered to SLPS employees and members.

FeesFor Insurance Carriers: To be included with FI Medical Plan, but the Wellness Credit to be included will be a minimum of $100,000. For Wellness Carriers: fees should be listed.
Multi-cultural capabilitiesProvide educational tools, health and wellness information and disease information with insight specifically relevant to the needs and greatest health concerns of African-American members.
Health Risk Assessment1. Provide at no additional cost to SLPS.

2. Should be available on line with an optional paper version at no additional cost (for those without computer access).

3. Additional resources should include an online Health Coach and Personal Health Record.

Biometric ScreeningsSLPS has conducted Biometric screenings annually. Please provide information/pricing with and without Biometric screenings being conducted in 2023.
Is there a limit to the number of screening sites available to SLPS?SLPS has conducted Biometric Screenings annually. Please answer the question presuming Biometric Screenings will be conducted in 2023. If SLPS does not conduct Biometric Screenings in 2023, please provide information/pricing impact to your quote.
Health CoachingOnline Health Coach program should include: fitness, nutrition, stress management, smoking cessation, weight loss, coronary artery disease, asthma, diabetes, hypertension and pregnancy. The information should be individualized so that self-care and stage of change are addressed and personalized to their health risks and needs.
Personal Health RecordThe Personal Health Record should store information including medical history; claims data; medications, with alerts for possible drug interactions; allergies; conditions; emergency contact information; and physician contact information. Individuals should be able to set up personal reminders and use tools to track their personal progress of key health measures.
Incentives Offered to ParticipantsBuilt in incentives at no additional cost to SLPS should be included in the form of gift cards for completion of the Health Risk Assessment, having an annual physical, and another wellness related activity to be determined by SLPS in the amount of $75. Additional gift cards to be available upon completion of online health coaching at $25 (for losing weight, quitting smoking, exercising more, relieving stress, etc.) and telephonic wellness coaching at $75 (for more serious health concerns). These amounts do not include the minimum $100,000 Wellness Credit.
Preventive Reminder Letters SentPreventive reminders to be provided and mailed to members' homes with no additional cost to SLPS. Based on claim utilization, SLPS may require an educational flyer or brochure to be mass mailed to employees so the ability to be able customize at no additional cost to SLPS is required.
Healthy Pregnancy ProgramA Healthy Pregnancy program is required with tools, resources and experience support for members. Provide information regarding your 24/7, toll free support service. Provide information regarding what the member would need to do to participate and what service they can expect if they are determined to be high risk.
CD of Wellness Tool KitSLPS requires a wellness toolkit to access with the ability to post items to their designated wellness intranet site for employee use.
Health Discount ProgramSLPS requires information on what health and wellness discount programs you have available for fitness club memberships, tobacco cessation programs, and weight management programs.
How long has your proposed wellness plan been offered to clients?
How many clients with more than 3,000 employees currently offer your wellness program?

&C&"Arial,Bold"&14St. Louis Public Schools Wellness Vendor Response Exhibit Attachment B-2 &CThe above analysis is for illustrative purposes only. Refer to contract and/or proposal for details. Actual costs/savings will vary based plan performance.

USI - Confidential and Proprietary&RPage &P

EAP

Match Current & Required Specific CriteriaVendor: ____________
Is your proposed EAP program part of your medical insurance proposal?Currently, the EAP is imbedded in the medical coverage. This is preferred, but a standalone option will be reviewed.
If your EAP proposal is not included as part of your medical insurance, what is the fee for your plan?There should be no cost to employees to participate in the EAP who are covered under the medical plan. Employees who waive medical coverage should be able to purchase the EAP on a standalone basis.
What are the telephonic service hours and who can the members reach?EAP service providers should be Master's - level specialists and registered nurses. Access to be provided 24 hours a day, 365 days per year. Nurses should be available online 24/7 for live nurse chats.
What telephonic services are available to members?Services should include all health and wellness areas from routine illness, to stress, to relationships, to legal concerns, to prevention, medication interactions and finding a doctor.
Are audio messages available through the 800 number?A toll free telephonic health and wellness information library should be available with Spanish as an option.
Are personal sessions included?A minimum of 3 face-to-face visits with a specialist should be available at no additional cost to the member or SLPS.
Does your program include a management referral service? If yes, please describe the process and reports available.There should be the ability for SLPS to refer a member in accordance with their drug and alcohol policy.
Does your program include management consultation?Current program includes this.
Does your program include critical response services?A critical response service should be included at no additional cost to the member or SLPS to respond to the occurrence of a traumatic event. Examples would include a death, robbery, workplace violence, or workplace accident.
Describe your network of EAP providers.Communications with members should be with registered nurses with an average of 15 years experience; the master's-level specialists should be qualified subject matter experts; employee assistance specialists should have a master's degree in a mental health field with an average of 5 years of EAP experience and hold the Certified Employee Assistance Professional (CEAP) certification.

&C&"Arial,Bold"&14St. Louis Public Schools EAP Vendor Response Exhibit Attachment B-2 &CThe above analysis is for illustrative purposes only. Refer to contract and/or proposal for details. Actual costs/savings will vary based plan performance.

USI - Confidential and Proprietary&RPage &P

Performance Guarantees

St. Louis Public Schools
REQUIRED EXHIBITS - Performance Guarantees
Carrier Name:
Performance StandardFees at Risk
Member Services
Answer Time
Average Hold Time
Abandonment Rate
Problem Resolution
Overall Satisfaction
Total
Claim Processing
Turnaround Time
Payment Accuracy
Procedural Accuracy
Total
Plan Implementation
ID Card Delivery
Forms Delivery
Total

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