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PAGE 74

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

Completed

Provided

By Carrier/

Vendor

Provided By Client

General

Complete list of benefit administrators, carriers, clinic

vendors, etc.

Client

Complete list of services/lines of coverage for each carrier

Client

Policy numbers for each line of coverage

Client

Renewal dates for each line of coverage

Client

Copies of Employee communication materials (new hire,

open enrollment, etc.)

Client

Wrap document

Client

Target dates for renewal, decisions, open enrollment, etc.

Client

Corporate Structure (subsidiaries, holding companies, etc.)

Client

Medical Benefits

Contracts/pan documents/SPDs

Carrier

Claims data and utilization reports (most recent 2 years)

Carrier

Financial reporting (most recent 2 years)

Client

Rates (premium equivalents) and contribution strategy

Client

Past 2 years renewal projection information (Milliman

reports)

Carrier

Client

Recent billing statement

Carrier

105(h) non-discrimination testing

Client

Wellbeing*

Copies of employee communication materials

Client

Physical: Health risk assessment and biometric data

reports (most recent 2 years)

Carrier

Purpose/Career: Any career development/training

resources

Client

Community: Corporate of local opportunities for employee

community involvement; foundations, etc.

Client

Financial: 401(k)/pension overview (may be in handbook)

Client

Social: Web connectivity for employees; group activites;

local social events

Client

Wellness committee makeup (meeting recurrence, list of

participants, etc.)

Client

Aca Strategy

Administrative documentation, internal policies, procedures,

etc.

Client

Employee communications

Client

Prior analysis used for decision making

Client

ACA reporting

Client

Dental Benefits

Plan document/SPDs

Carrier