MB-10250 - USA (Texas) - Fully Insured, Level Funded Medical Benefits Service - Deadline July 9,2026

(1) Vendor needs to provide fully insured, level funded medical benefits service.          • Maintain a fully automated claims adjudication system in compliance with electronic transmission standards and security requirements and all other regulations as required by HIPAA, provide WEB access to plan participants that allows for claim status and offers various customer service functions. • Maintain records and management reports, including claims and accounting information, as required by the contract. Provide a timely response to inquiries from plan participants and providers regarding eligibility and status of claims, correspondence, payment, and any other information requested by such parties in a manner that will limit the County’s involvement in day–to–day inquiries. • In consultation with county Staff, prepare and print summary plan documents, claim forms, and any other communication material. • Employee insurance ID cards shall be provided by Respondent and shall be mailed by Respondent to the employees’ home addresses. • Deliver utilization reports. • Provide online access to additional standard or ad hoc reports as needed by the County. • Meet with representatives of the County as often as deemed necessary by the County. • Attend annual Open Enrollment each year as requested. (2) All questions must be submitted no later than July 2, 2026.(3) The contract period will be one year.