Insurance Benefit Consultant FY 2026-2027

The City of Edinburg is seeking an Insurance Benefit Consultant to review group medical, group ancillary, and group voluntary RFPs to ensure the City is offering the most competitive employee benefit packages while ensuring regulatory compliance. The consultant will act as an advisor for fully funded medical plans providing analysis and quarterly reporting, or a financial advisor for self-insured plans. The scope of work includes reviewing existing plan designs, negotiating benefits provider contracts, and providing plan management and quality assurance services. • Review and evaluate the City's RFP for group health, group ancillary, and group voluntary plan designs and content • Review existing plan designs for competitiveness, appropriateness, and overall acceptance by plan participants • Negotiate benefits provider contracts and provide underwriting data and evaluation services to support contract modifications • Provide plan management and quality assurance services, including regulatory compliance and reporting, customer service, and benefit review/design • Assist the City with plan design changes, plan implementation strategies, and plan design and/or benefits communications • Review utilization rates and evaluate each on the City's best option as it relates to fully-funded and self-insured plans