Consulting Services
Essential services expected include negotiation of rates and services with carriers and administrators of plans; monitoring of benefits program and recommendations for changes, assuring appropriate funding reserve levels; and assistance to employees with claims/coverage problems.
Specific duties also include, but are not limited to:
- Provide notification and advice to the DISTRICT of legislative and judicial proceedings which may necessitate DISTRICT action.
- Prepare, upon request, recommended letters and communications.
- Attend monthly meetings of the Fringe Benefit Committee as directed.
- Prepare a monthly summary of employee benefits experience data and make recommendations as appropriate.
- Attend meetings of the Board of Education as necessary.
- Provide advice to the DISTRICT on requests regarding matters concerning employee benefits.
- Conduct employee group meetings for open enrollment.
- Design and preparation of plan documents and amendments as required.
- Assist in Government filings and submissions as necessary.
- Submission of Annual report of each Benefit Plan including; claims analysis, trends and experience.
- Evaluate for effective cost containment, actuarial soundness of established reserves for IBNR and fairness of contract terms/language. Evaluate plan to determine if innovations to benefits will enhance cost and attractiveness.
- Review contracts and claims experience to determine fairness of rates, rate projections and contract language.
- Recommend contract changes to enhance plan cost effectiveness and attractiveness.
- Evaluate reasonableness of administrative charges.
- Recommend strategies to improve renewal rates, contract language or other terms, if in the consultants’ judgment this is the best course to follow.
- Assist Staff in reviewing options for group health, dental, vision and life programs including HMO, PPO, Point of Service PPO, self-insured and fully insured.
- Consultant will be expected to make a judgment regarding renewal versus an RFP for proposals and which alternative will provide the most cost effective benefit plan and rank proposals.
- Recommend timetables for RFP process, including allowance of anytime to receive and analyze responses, leaving appropriate time for payroll data entry.
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