The State of Colorado is seeking a qualified firm to serve as its Health & Welfare Actuarial and Broker Consultant. The consultant will provide a flat‑fee, annual suite of services covering actuarial analysis, benefits procurement assistance, broker negotiations, compliance monitoring, wellness program support, data analytics, and rapid fiscal‑note responses. The scope includes market research, bid evaluation, contract negotiation, open‑enrollment support, ongoing reporting, and the ability to testify before the legislature. The firm must have at least one Fellow of the Society of Actuaries (FSA) on staff, five years of public‑sector consulting experience, and the capacity to dedicate senior‑level personnel to the State’s small benefits team.
• Provide actuarial projections, reserve adequacy, and cost‑trend analysis for the State’s fully‑insured (Kaiser) and self‑funded (Cigna/MedImpact) plans.
• Lead the procurement process for medical, pharmacy, dental, vision, life, disability, HSA/FSA, and wellness benefits, including market research, RFP drafting, bid evaluation, and contract negotiation.
• Deliver monthly and annual income/expense reports, PBM market checks, carrier performance audits, and rapid (≤4 hr) fiscal‑note analyses during legislative sessions.
• Support open‑enrollment activities (March‑June), communications, and wellness ROI assessments.
• Maintain compliance with Colorado’s procurement code, state/federal benefits laws, and WCAG 2.1 AA accessibility standards.
• Provide a data‑warehouse interface for claims data and analytics tools covering demographics, cost trends, benchmarking, and chronic‑condition metrics.
• Serve as a single point of contact and maintain a staffed team (account executive, actuary, pharmacist, wellness expert, compliance specialist, IT support, etc.) throughout the contract term.