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PAGE 43
Unipres U.S.A. Employee Benefits Brokerage and Consulting Services RFP
Renewal negotiations:
-
ASO/TPA
-
PBM
-
Dental
-
Vision
-
Life and Disability
-
Cobra, Section 125, etc. RFPs
-
Stop Loss
-
Insured Plan(s)
Scheduled,
Ongoing
Included, No Limit
Development, coordination and
negotiation of RFPs:
-
ASO/TPA
-
PBM
-
Dental
-
Vision
-
Life and Disability
-
Cobra, Section 125, etc. RFPs
-
Stop Loss
-
Insured Plan(s)
Scheduled,
Ongoing
Included, No Limit
Clinical Services
Scheduled
/ Ongoing
As
Requested
Additional Fee and/or
Frequency Limit
Data warehouse platform
Scheduled,
Ongoing
Included, No Limit
Annual utilization review
-
Clinical interpretation of
utilization data
-
Recommend interventions to
contain/reduce cost
-
Recommend industry best-practices
for coverage determinations
-
Utilize data warehousing tools to
provide population health
recommendations
Scheduled,
Ongoing
Included, No Limit
ERISA Appeals Support
Scheduled,
Ongoing
Included, No Limit
Large claim analysis - Identify care
redirection and cost-containment
opportunities
Scheduled,
Ongoing
Included, No Limit
Wellness
Scheduled
/ Ongoing
As
Requested
Additional Fee and/or
Frequency Limit
Develop wellness strategy based on
Unipres’ culture, program goals and
objectives
Scheduled,
Ongoing
Included, No Limit