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e EXHIBIT A SCOPE OF SERVICES TO BE PROVIDED BY GEHRING GROUP SCOPE OF SERVICES AS OUTLINED IN RFQ #2010025 — HEALTH INSURANCE/ EXCESS LOSS REINSURANCE BROKERAGE AND ACTUARIAL SERVICES FOR INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSIONERS I . The solicitation , analysis , review , and recommendation of a third -party administrator for the County ' s self-insured group health insurance program to include the presentation of proposals from a minimum of three (3 ) companies . 2 . The solicitation , analysis , review , and recommendation of group health excess insurance for the County ' s self- insured group health insurance program to include the presentation of proposals from a minimum of three ( 3 ) companies . 3 . The solicitation , analysis , review , and recommendation of fully insured group health insurance programs , if requested to include the presentation of proposals from a minimum of three (3 ) respondent companies . 4 . A review of the underwriting , rating , and claims activity of the group health insurance program to examine the adequacy of funding levels as well as the provision of the estimated financial effect of the program changes . Preparation of a Critical Factors Analysis Report of the health plan to identify the sources of causation and to identify medical , pharmacy and other cost drivers and make recommendation for potential plan design alternatives to address these cost drivers . 5 . Performance of a Mid Year Health Rate Review as of April 30 of medical and pharmacy claims to assure the adequacy of rates budgeted . Seek Renewal Proposals from existing vendors and carriers and prepare a renewal summary with expiring and renewal pricing and terms . Provides assistance in the completion of the Executive Summary to the Board of Commissioners . Prepare an annual renewal proposal summary for presentation to the Board of Commissioners due no later than July 1 each year. 6 . Prepare a general review of the County ' s benefit program to include its structure and financing and to make recommendations to improve the program where possible . It will also include the review and preparation of all written materials utilized under the County ' s benefit program . 7 . A review of the County ' s flexible spending account program to include the solicitation , analysis , review and recommendation of account administration firms and plan design . 8 . Open Enrollment Communication Materials — Provide assistance in the preparation of annual open enrollment communication and enrollment materials . Provide enrollment services for the annual open enrollment period . Page 5 of 8