RFP 2020-008 Webb County Health Plan - Third Party Administration Award
Submitted for:
Joe Lopez
Submitted By:
Joe Lopez
Department:
Purchasing
Subject:
Status and recommendation by the Insurance Committee with Discussion and possible action to award Request for Proposal (RFP) 2020-008 "Webb County Medical, Prescription Drug, Dental and Vision Plan - Third Party Administration" and to further authorize the Civil Legal Department to negotiate the terms and conditions of legal agreement and any other matters incident thereto. [Requested by Dr. Pedro Alfaro, Webb County Risk Department Director; Account #6100-1090-001]
Issue:Webb County currently contracts with Aetna to administer its self-funded employee benefit plans. The existing contract expires on December 31, 2020, and there are no additional extension options available for this contract. Providing a comprehensive medical plan to all eligible employees, retirees and their dependents is an important part of the total compensation that the County provides to its employees.
Solution: The Purchasing Department with Commissioners Court approval secured formal proposals from qualified firms offering Third Party Administrator (TPA) services for Employer Sponsored Medical, Dental, and Pharmacy benefits and related services; Pharmacy Benefit Management Services; Provider Network Access Administration for Medical, Dental, and Pharmacy Benefits; and COBRA Administration Services. The Insurance committee is prepared to present a recommendation for award.
Result: After award and execution of legal agreement for TPA services the effective date of the contract will be January 1, 2021.
Background:
n/a
Previous Court Action:
Approval to solicit for RFP for TPA for Employee Health Plan.
Fiscal Impact
Budget Account Number:
6100-1090-001
Funding Source:
Risk Mgmt Insurance
Balance:
TBD
Financial Impact:
6100-1090-001 (Multiple Accounts) Employee's Health Benefit - Risk Mgmt Insurance Admin Claims Paid / Prescription Base
Balances will be finalized during the FY2020-2021 Budget Process.