C.12. Example 2 Describe how you would assist – Benefits Administration in complying with Tenn. 10 Code Ann. § 4-3-1021, which addresses audits of the Pharmacy Benefit Manager. C.13. Example 3 Describe how you would assist – Benefits Administration with developing a next generation health plan design, which meets the 10 goal of continuing to achieve substantial plan savings over the next five years. C.14. Example 4 - Describe the methodology you would utilize in determining: a) the funding need of each plan including premium tiers 10 based on employee and employer contribution policy, and b) projected claims and other plan expenses. C.15. Example 5 - Describe the methodology you would utilize in determining the differences, 10 including the relative value and relative cost, between various health plan benefit designs. RESEARCH CAPABILITY AND EXPERIENCE/PUBLICATIONS/SURVEYS C.16. Describe your capabilities and experience firm’s in the areas of: Medical claims and financial trend analysis 10 Assessing regulatory impact Developing and assessing benefit strategies Service delivery Consumer engagement C.17. Does your firm publish newsletters and other descriptive monographs that are routinely provided to your clients? Please provide a 4 copy of the last three issues, which would have been provided to the State. C.18. Does your firm conduct surveys of major private and public employers to determine trends in benefit plans and their administration? What are the specific topics of surveys you have 5 conducted during 2015, 2016 and 2017? Are results routinely provided to clients who may not have participated in the survey? OPEB Actuarial Services (Section A.8. Other Postemployment Benefit (OPEB) Actuarial Services, in the Pro Forma Contract, RFQ Attachment G)
C.12. Example 2 – Describe how you would assist Benefits Administration in complying with Tenn. Code Ann. § 4-3-1021, which addresses audits of the Pharmacy Benefit Manager. 10 C.13. Example 3 – Describe how you would assist Benefits Administration with developing a next generation health plan design, which meets the goal of continuing to achieve substantial plan savings over the next five years. 10 C.14. Example 4 - Describe the methodology you would utilize in determining: a) the funding need of each plan including premium tiers based on employee and employer contribution policy, and b) projected claims and other plan expenses. 10 C.15. Example 5 - Describe the methodology you would utilize in determining the differences, including the relative value and relative cost, between various health plan benefit designs. 10 RESEARCH CAPABILITY AND EXPERIENCE/PUBLICATIONS/SURVEYS C.16. Describe your firm’s capabilities and experience in the areas of: Medical claims and financial trend analysis Assessing regulatory impact Developing and assessing benefit strategies Service delivery Consumer engagement 10 C.17. Does your firm publish newsletters and other descriptive monographs that are routinely provided to your clients? Please provide a copy of the last three issues, which would have been provided to the State. 4 C.18. Does your firm conduct surveys of major private and public employers to determine trends in benefit plans and their administration? What are the specific topics of surveys you have conducted during 2015, 2016 and 2017? Are results routinely provided to clients who may not have participated in the survey? 5 OPEB Actuarial Services (Section A.8. Other Postemployment Benefit (OPEB) Actuarial Services, in the Pro Forma Contract, RFQ Attachment G)
Actuarial%20and%20Consulting%20Services%20RFQ%2031786-00142.docx