Self-Funded Health Benefits Program Services
Overview
Fit Score
Settle Intelligence
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SUMMARY
DESCRIPTION
A public entity in New Jersey is seeking a vendor to deliver self-funded health benefits program services. The scope includes providing health and welfare benefits for active, benefits-eligible employees, retirees, survivors, COBRA participants, direct-billed continuation participants, and their eligible dependents such as spouses, domestic partners, and children.
Required services cover medical administrative services, pharmacy benefit management, dental and vision administrative services, as well as administration for Health Savings Accounts (HSA), Flexible Spending Accounts (FSA), and COBRA/Dependent to Age 30 direct billing. A pre-proposal meeting is scheduled, and there is a defined period for submitting questions related to the solicitation.
Vendors must demonstrate the capability to administer a comprehensive range of health benefits services to a broad participant group and manage complex benefit programs efficiently.
Source attribution
This Settle analysis is based on the issuing organization’s public RFP listing.