TO: Board of Supervisors
FROM: Human Resources
MEETING DATE: January 26, 2021
DEPARTMENT CONTACT:
William Schurtz
PHONE:
234-6600
DEPARTMENT CONTACT:
Cherie Johnson
PHONE:
234-6600
ITEM TYPE: Consent Agenda
TIME ALLOCATED FOR ITEM: N/a
AGENDA TITLE:
title
Approval of Retroactive Agreement with Delta Health Systems in the amount of $75,000 for the Term of January 1, 2021 through December 31, 2021 for Third Party Claims Administration Services of Run Out Medical and Flexible Spending Account Claims with a Date of Service Prior to January 1, 2021
End
RECOMMENDED ACTION/MOTION:
recommendation
Approve retroactive Agreement with Delta Health Systems in the amount of $75,000 for the term of January 1, 2021 through December 31, 2021 for third party claims administration services of run out medical and flexible spending account claims with a date of service prior to January 1, 2021; and authorize Chair to sign same.
End
PREVIOUS BOARD/BOARD COMMITTEE ACTIONS:
On November 15, 2015 the Board approved Agreement No. 15-162 with Delta Health System. On December 18, 2018 the Board approved Agreement No. 18-174 with Delta Health Systems.
SUMMARY OF REQUEST:
In the summer of 2020 the County directed Keenan and Associates (Keenan), consultants to the Self-Funded Health Plan, to issue a Request for Proposal (RFP) for Third Party Claims Administration (TPA) services to be effective January 1, 2021. It had been five years since the previous RFP had been performed.
Multiple proposals were received. The County and Keenan reviewed the proposals and interviewed the top three candidates, including the incumbent Delta Health Systems (DHS). After a full review of the proposals and completion of interviews the County selected the most cost efficient proposal and carefully compared services to the services being provided by DHS. After careful consideration the County determined that it is in the best interest of the County to contract with Anthem Bl...
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