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Disability Claims Administration Services

Active
State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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This subcontract for Disability Claims Administration Services involves the administrative processing of disability claims for prime contractors on Wisconsin County insurance projects. The selected provider will be responsible for adjudicating claims using Own/Any Occupation definitions, evaluating medical reviews for both physical and mental disorders, and implementing necessary rehabilitation plans. Additionally, the contractor must calculate predisability earnings and proportionate benefits to ensure accurate benefit disbursements. To qualify for this role, the provider must maintain HIPAA compliance and hold Certified Life and Health Insurance licenses. The contract is managed by the Wisconsin Employee Relations agency under NAICS code 524298. Interested parties must submit their responses by the deadline of November 6, 2026.

General Info

Subcontract for disability claims administration, adjudication, and medical reviews for Wisconsin County projects.

Documents

This scope was carved out of 2026-RFP-065-PR.

The full solicitation package (30 documents), including the RFP, is on the prime solicitation, not on this scope.

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Short Term/Long Term Disability & Long Term Disability Only Services

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Organization & Contact Information

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AgencyWisconsin → Employee Relations
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs administrative processing of disability claims for prime contractors on Wisconsin County insurance projects. Adjudicates claims based on Own/Any Occupation definitions, evaluates medical reviews for physical and mental disorders, and implements rehabilitation plans. Calculates predisability earnings and proportionate benefits. Requires HIPAA compliance and Certified Life and Health Insurance licenses. Delivers processed claims and benefit disbursements.

Similar Contracts

Same NAICS industry code

NAICS: 524298
International
Actuarial Services
Solicitation # FIN-68-2026
The Corporation of the Municipality of Leamington is soliciting proposals for professional actuarial services to manage post-employment benefits and non-vested accumulated sick pay. The primary objective is to ensure the municipality meets financial statement reporting and disclosure requirements under PS 3250 and PS 3255, as well as PSAB accounting standards. The selected actuary will be responsible for providing a full actuarial valuation and disclosure report as of December 31, 2026, including projections for 2027 and 2028, with subsequent extrapolated accounting reports for those years if significant demographic or plan changes occur. The contract is scheduled for a three-year term beginning in November 2026, with an optional one-year extension upon mutual agreement. Proposals must be submitted electronically by October 23, 2026, and must include a firm quotation in Canadian funds, exclusive of HST. Evaluation is based on the proponent's organization, qualifications, and approach, with a specific scoring formula where the lowest cost proposal receives maximum points for the fee component. Awarding is at the absolute discretion of the municipality. Contractors are required to maintain strict confidentiality and possess all necessary licenses, permits, and insurance. Additionally, proponents must complete a health and safety qualification form disclosing safety programs and regulatory history. The successful actuary will coordinate directly with the Director of Financial Services, Technology and Funding Strategies to establish timelines and data requirements prior to the commencement of work.
Municipality of Leamington

POSTED

10 days ago

DEADLINE

in 27 days
View Details

More opportunities from Wisconsin → Employee Relations

Same awarding agency

NAICS: 524114
New
SLED
Short Term/Long Term Disability & Long Term Disability Only Services
Solicitation # 2026-RFP-065-PR
Solicitation 2026-RFP-065-PR is a request for proposals issued by the Dane County Purchasing Division to secure a single insurance carrier for group disability services. The scope of work involves providing coverage for approximately 2,600 employees, six full-time elected officials, a 37-member County Board of Supervisors, and a 13-employee quasi-governmental group. The selected provider must offer two plan options: Group Long-Term Disability (LTD Only) and Group Short-Term/Long-Term Disability (STD/LTD). Key requirements include cradle-to-grave claims management, the provision of a dedicated 1-800 intake number, and adherence to the County's Own Occupation definition of disability. The anticipated contract start date is May 1, 2027, with options for a three-year contract with annual renewals for up to two years or a five-year fixed contract. Proposals are due by November 6, 2026, and must be submitted electronically via the County's eProcurement Portal. Evaluation is based on a points-based method, with additional points awarded to local vendors within Dane County or adjacent counties. Mandatory requirements include compliance with the Americans with Disabilities Act, OSHA standards, and non-discrimination laws. Vendors with 20 or more employees and a contract value of $20,000 or more must submit a written affirmative action plan within 15 working days of the effective date. The contract includes performance guarantees, such as a 5% quarterly expense refund if service expectations for billing and claims management are not met. Payment terms are set at 30 days from the receipt of properly submitted invoices.
Direct Health and Medical Insurance Carriers

POSTED

about 23 hours ago

DEADLINE

in about 1 month
View Details

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