Medical_Questionnaire.pdf
PDF 71 KB Posted
- Attached to
- Group Employee Medical Insurance FY 2026-2027
- Solicitation number
- RFP 2026-018
- Issued by
- Hidalgo County, Texas
About this file
This is a Medical Questionnaire for a Group Employee Medical Insurance RFP issued by a City in Texas for fiscal year 2026-2027. The questionnaire is designed to evaluate vendors' proposals for both fully-funded and self-funded group medical insurance plans. The document requests detailed information across medical coverage, wellness program offerings, and administrative capabilities. Key areas of inquiry include new employee enrollment processing timelines, mailed ID card delivery, COBRA administration costs and coverage eligibility, case management and utilization review coordination, integrated pharmacy plan management, primary care physician definitions, claims processing accuracy guarantees, and reporting capabilities including monthly, quarterly, bi-annual, or annual utilization and analysis reports with client database access.
The questionnaire also addresses wellness program integration, employee and employer incentive programs with associated premium discounts, and onsite wellness services including biometric screenings, flu shots, and employee training. Vendors are required to provide detailed dollar amounts for all services, minimum participation requirements, and any additional data integration fees. The document requires completion by an authorized company representative with signature, title, and printed name, enabling the City to comprehensively evaluate vendor proposals against minimum requirements and organizational needs for the upcoming fiscal period.
View the file
Other files
Show all 21
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
Medical Questionnaire
Medical:
1. What is your processing time for new employee enrollments and mailed ID cards to employees home address?
2. Does your proposal include COBRA administration at any additional cost?
a. If so, please list the detailed dollar amount and requirements.
b. If so, please list any other lines of coverage that are eligible for COBRA administration that are not placed with your company.
3. Please describe your case management program and how it coordinates with your utilization review.
4. If your medical proposal includes an integrated pharmacy plan, how often are Pharmacy
Drug List changed throughout the year? How are these changes communicated to the members?
5. Does your definition of a primary care physician include family practice physician, pediatric physician, internal medicine physician and OBGYN?
a. If not, please identify which physician classification is not considered.
6. Does your proposal guarantee claims processing accuracy?
7. Does your company provide utilization and analysis reports monthly, quarterly, bi-annually, annually, or at the request of the client? Is the client allowed to have access to the database that generates these reports?
Wellness Program:
1. Does your proposal include an integrated wellness program and/or resources?
a. If so, please list the dollar amount and a detailed list of resources.
2. Do you offer any employee or employer incentive programs?
a. If so, please provide a detailed description of the incentives and any premium discounts available.
3. Do you offer any onsite wellness fairs, biometric screenings, flu shots and/or employee wellness training and consulting?
a. If so, please list the detailed dollar amount for each service listed above and if there is a minimum requirement for participation.
b. Please list any additional fees, if any that will be associated with the data integration.
Company Name:
Company Authorized Representative Name (Print):
Title:
Signature:
File details come from the government source that posted it. Updated .