Third-Party Administrator Services
Overview
Fit Score
Settle Intelligence
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SUMMARY
KEY REQUIREMENTS
BUDGET
EstimateCONTRACT DURATION
Issuing Agency
Brownsville Independent School District
Organization overview and procurement intelligence available on paid plans.
DESCRIPTION
The organization is seeking a vendor to provide third-party administrator (TPA) services for a self-funded health plan utilizing preferred provider organization (PPO) networks, as well as wellness and disease management program options. The selected provider will handle all aspects of administration, including banking arrangements, the provision of enrollment forms, identification cards, self-addressed envelopes, and custom claim forms.
Further responsibilities include supplying instructions and materials relating to claims procedures, appeals processes, and employee orientation. The vendor must also offer a database system for collecting dependent information and deliver balanced and reconciled statements at the end of each enrollment period and monthly, including reconciliation data files and necessary corrections.
Monthly updates and corrections to the district in a suitable media format are required, along with the placement of an on-site representative for a minimum of 40 hours per week, per an agreed schedule. Regular monthly meetings will be held to review the solvency of the plan with all health plan market partners.
Source attribution
This Settle analysis is based on the issuing organization’s public RFP listing.