Third Party Administration for the City of Jackson Medical, Dental and Vision Benefit Plans

The City of Jackson is seeking bids from responsible firms to provide Third Party Administration for the City of Jackson Medical, Dental and Vision Benefit Plans. The selected organization will provide self-funded major medical or fully-insured dental or vision insurance plans, or both or any combination thereof. Services will include related administrative services for eligible City employees, eligible retirees, and eligible dependents. Key requirements include: * Providing high-value benefits, competitive and sustainable pricing, strong provider access, practical member service, transparent administration, and minimal disruption for employees and retirees. * Maintaining or improving benefit value while controlling total City and employee cost. * Minimizing provider disruption, especially for high-utilization employees, retirees, dependents, hospitals, primary care, specialists, behavioral health, dental providers, and pharmacies in the Jackson/Hinds County service area. * Providing transparent underwriting assumptions and pricing methodology. * Providing responsive account management with named contacts and clear escalation channels. * Supporting open enrollment, onboarding, eligibility file exchange, ID card delivery, and member education. * Meeting applicable federal and state laws for group health plans, dental and vision coverage, privacy, continuation, disclosure, and transparency. * Offering meaningful reporting, renewal strategy, utilization review, and cost-containment support. Some of the key services required include: * Claims administration and adjudication * Provider network access and management * Customer service and member support * Eligibility and enrollment management * Care management and wellness programs * Utilization management * Reporting and analytics * Compliance and regulatory support * Implementation and transition services