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PAGE 52

Unipres U.S.A. Employee Benefits Brokerage and Consulting Services RFP

Enrollment, election, qualifying events, and other billing support

COBRA/retiree issues

Employee Medicare assistance

CMS Audit/ Medicare Secondary Payor assistance

Basic and escalated claim questions/ resolutions

Issue log tracking of open and pending client service items assigned

by human resources team or resulting from employee interactions

Medical child support orders and related issues

Research compliance issues and provide adhoc notices of pending

legislation

Day-To-Day Service

Provide ongoing support for the addition of any new lines of coverage

or services that may be implemented by client

Provide updated Benchmarking of plans, costs, and contributions as

needed

Notify client of pending or enacted legislation or insurance company

policies that may impact administration, plan design or pricing

Review renewal, amended or new, plan documents for accuracy and

effectiveness

Provide annual stewardship reports for the purpose of reviewing,

measuring and modifying written 3-year strategy

Manage vendor relations and issues

Assist in conducting and/or presenting at benefits committee

meetings, wellbeing committee meetings, Board meetings, and/or

employee focus group sessions

Ongoing Support Activities