Response to RFP for: City of San Marino. RFP due date: 5/17/2018 Confidential. © 2018 USI Insurance Services. All rights reserved. | 3
SCOPE OF WORK
The successful Proposer (“Consultant”) shall perform those services necessary and customary to provide brokerage and consulting service to the City and its labor associations in support of health and welfare benefits programs. Such services will include, but not be limited to, any and all services customary to the industry and as outlined within this RFQ whether included in the Scope of Work or elsewhere:
Confirmed.
The successful Proposer (“Consultant”) shall provide evidence to the City that the “Consultant” has met all ethical requirements of his/her industry, evidencing proper internal controls, and shall disclose any history of civil and/or criminal penalties assessed or claims filed against the “Consultant” in the last five years with an explanation as to how the “Consultant” has rectified these issues.
The proposed local Consultant has met all ethical requirements of the industry and does not have any history of civil and/or criminal penalties within the past five years. We strive to not only comply with but exceed the expectations of any local, state, federal, or international regulations that impact our operations.
As a national insurance brokerage, we are supervised under each state’s insurance department regulatory authorities for our primary insurance activities in which we are conducting insurance transactions. In addition, several other regulatory authorities may have oversight depending on the products, services, and business lines involved. These additional regulatory authorities would include the DOL, FINRA, and the SEC.
USI maintains a licensing and compliance group who, along with its law department, work together to ensure that its operations are fully compliant with all state insurance department regulatory requirements.
Response to RFP for: City of San Marino. RFP due date: 5/17/2018 Confidential. © 2018 USI Insurance Services. All rights reserved. | 4
Scope of Work – Daily and /Or Annual Services
Confirmed
core service
included in fee
1. Review and audit all current Health and Welfare benefits plans, placements, and make recommendations based upon review for continued, renewal, new placements, including coordinating and assisting City staff with implementation and transition of carriers and third party administrators; take lead role in developing transition plans, communications, etc.;
Confirmed
Marketing and placement of insurance, including issuance of requests for proposals (RFP), as required/requested by the City: presently, medical is excluded (see required non-yearly services) and may include but not be limited to the following benefits:
Medical Plans are obtained through CalPERS (PEMCHA Plan) Dental PPO and HMO plans
• Updates on clinical guidelines issued by American Dental Association • Compare Dental Network discounts
• Performance guarantee benchmarking data; comparison of existing programs to benchmark data and development of improvement plan to meet industry best practices and benchmark high points; development of internal marketing and educational materials for employees and dependents Vision Care
• Updates/recommendations on improving the program; development of internal marketing and educational materials for employees and dependents Employee Assistance Program (EAP)
• Assists in measuring and strengthening the performance of EAP’s and behavioral health programs, examining access, utilization, cost Life Insurance and Accidental Death and Dismemberment • Basic life insurance
• Supplemental life insurance
Voluntary Benefits plan (including as outlined in item 21 below) • Long Term Disability
• Short Term Disability
Flexible Benefits Spending Accounts (IRS Section 125) Plan: including carrier, providers, Third-party Administrator; plan documents;
educational/informational materials; enrollment processes, procedures, rules, forms; communications with City and employees; claim handling and responsiveness; claims intervention on behalf of the City and its employees; Any and all other benefits not listed or described herein for City consideration, Confirmed – all
below in this cell
Response to RFP for: City of San Marino. RFP due date: 5/17/2018 Confidential. © 2018 USI Insurance Services. All rights reserved. | 5
Scope of Work – Daily and /Or Annual Services
Confirmed
core service
included in fee
as the City may wish to review and incorporate into the City’s portfolio of coverages; conduct analysis and study; and report back to the City on other benefits available in the general marketplace; explore options for City benefit programs, including vendor search and implementation.
Effective coordination with City Labor Associations on benefit materials, benefit communications, new hire onboarding information; and resolve related concerns.
2. Draft, Review, and Edit, all Plan Design Documents, as may be required or necessary, at the request of the City (City Manager or Human Resources Manager), for City Council Review and Approval; Review and advise the City and its labor associations on Health and Welfare benefits insurance coverage, including recommending alternative programs for maximum benefit and cost control; proactively advise the City on legal, regulatory, or industry changes in Health and Welfare Benefits programs’ design, delivery, Compliance, ACA, or any issue that may affect the City’s Health and Welfare Benefits program, including Compliance with all pertinent statues, regulations, rules, and policy requirements;
Confirmed
3. Audit all City benefit plans and City’s procedures for compliance with required documentation, processing, and recommend improvements to meet best practices, and industry standards; Audit all Health and Welfare Benefits plans, including utilization studies, coordination, and maximizing available benefits and claim costcontrol methodologies; provide cost of benefit to claims expense ratios; examining access to plans and offering alternative enrollment methods; providing such data on monthly basis to the City’s Human Resources Manager; making recommendations to the City on all audits and reviews for improvements in effectiveness and cost efficiency;
Confirmed
4. Draft, Review, and Edit all CalPERS Resolutions in compliance with the Collective Bargaining Agreements and various City Personnel Rules and Regulations, as requested by the Human Resources Manager; proactively monitor CalPERS for changes, updates, improvements and rate changes to the PEMHCA plan, and report to the City’s Human Resources Manager;
Confirmed
5. Draft, develop, print, produce and provide “ready art” employee benefits notices and tri-folds to educate employees about their available health and welfare benefits programs and showing City flexible benefit portion or employee premium portion/pro-rata costs.
Confirmed
6. Design, develop, draft, produce flexible benefit plan information and cost worksheets for all City employees. Conduct, participate, coordinate, an annual open-enrollment event with all carriers, service providers, and provided information Confirmed
Response to RFP for: City of San Marino. RFP due date: 5/17/2018 Confidential. © 2018 USI Insurance Services. All rights reserved. | 6
Scope of Work – Daily and /Or Annual Services
Confirmed
core service
included in fee
materials to City employees.
7. Provide all other support services to the health and welfare benefits plan, including review of all ACA requirements, governmental report filings, all annual reports.
Confirmed