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Agreement - Insurance Consulting for Employee Benefits - Gibson
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Agreement - Insurance Consulting for Employee Benefits - Gibson
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4/4/2025 1:08:11 PM
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12/12/2019 9:27:24 AM
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Board of Public Works
Document Type
Contracts
Document Date
12/10/2019
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Exhibit B <br />DUTIES TO BE PERFORMED BY CONSULTANT <br />Actuarial Services <br />➢ Certified actuarial services for renewal projection, budget projection, program cost analysis, COBRA rates, <br />as well as financial monitoring and plan benchmarking <br />➢ Mid -year renewal projection <br />➢ IBNR (incurred but not reported) <br />➢ Stop -loss analysis <br />➢ Plan design analysis <br />➢ Alternative funding strategy: carve -out analysis, captive strategy <br />➢ Renewal evaluation <br />➢ ACA impact analysis <br />Claims & Financial Monitoring <br />➢ Monthly dashboard summaries of plan performance (customized) <br />➢ Quarterly claims analysis/review meeting <br />➢ Ad hoc inquiries & analysis <br />➢ In-house mid -year renewal projection <br />➢ In-house plan design analysis <br />➢ In-house ACA analysis <br />➢ HR team support <br />➢ Elevated claims & billing issue resolution <br />➢ Carrier/vendor liaison <br />Health Risk Management Consulting <br />➢ Wellbeing program evaluation, design, ongoing support <br />➢ Assist in the development of future wellness programs and strategies <br />➢ Provide ongoing support and guidance related to Client's near -site employee health clinic <br />➢ Employee surveys support <br />➢ Monthly communication support <br />➢ Compliance & strategic oversight <br />➢ Value -based purchasing strategies: tiered networks, Rx plan analysis <br />➢ Springbuk/health analytics platform: benchmarking, claims data mining, drill -down analysis, predictive <br />analytics, gaps -in -care, risk stratification <br />
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