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1AHIBIT A <br />SCAPI; OF SI IZVICES TO KE PROVIDED BY GEHRING GROUP <br />SCAPI; O S.I RVIC.'T S AS OUTI.,I.N,CL) IN RFQ #2010025 — HEALTH 1N,SURANC[i/ EXCESS LOSS <br />REINSURANC ]", BROKl;RAGE AND ACT'UARIA.L, SERVICES FOR INDIAN RIVL:It COUNT)' <br />130ARD OF COUNTY COMM I.SS.IONI RS <br />1. The solicitation, analysis, review, and recomiilendation of a third-par(y administrator for the Colunty's <br />self-inswrd group health int.uance program to include the presentation of proposals from a nlininnun. of <br />three (3) companies. <br />2. The solicitation, analysis, review, and recommendation of group health excess insurance for the Cnnity's <br />self-insured group health insurance program to include the presentation of proposals from a III iniluu,n of <br />three (3) companies. <br />3. The solicitation, analysis, review, and .recommendation of fully tilsired grout) health insurance programs, <br />if requestccl. to include the presentation of proposals from a minirllunl ofthree (3) respondent companies. <br />4. A review of the underwriting, rating, and claims activity of 1110 group health insurance prograill to <br />examine the adequacy of funding .levels its well as the provision of (he estimate(] financial effect of the <br />progmni changes. Preixurt6on or it Critical Factors Analysis Report of the health plan to identify the <br />sources of causation and to identify medical, pharmacy and other cost drivers and slake recommendation <br />Q powntial plan design Alternatives to address these cost (]rivers. <br />5. Performance of a Mid Year hlealth Rate Review as of April 30 of medical and pharmacy claims to assure <br />the adequacy or rates budgeted. Seek Renewal Proposals fro.nl existing vendors and carriers and prepare <br />a renewal summary with expiring and renewal pricing and terms. Provides assistance in the completion <br />of the Executive Summary to the Board of Commissioners. prepare in annual renewal proposal <br />Summary for presentation to the Board of Commissioners dile no later than July I each year. <br />6. Prepare a general review of the County's benefit pnolgmm to include its structure and financing and to <br />make recommendations to improve the program where possible. It will also include tile review and <br />preparation of alI written mawdals U(iliZed UiWer the County's benefit program. <br />7. A review of the County's flexible spending account program to include file solicitation, analysis, review <br />and recommendation of accm"u adnlinisbAdon firms arid plan design. <br />8. Open Enrollment C oIllnlllW ation Materials — Provide assistance in the preparation of annual open <br />enrollment coil) tllllnication and enrollment materials. Provide en.roUment services for the annual open <br />enrollment period. <br />Page 5 of 8 <br />34 <br />