Health, Pharmacy, Dental, Vision and Stop Loss Coverage Employee Benefits Plan

The Township of Wayne, New Jersey, issued RFP 2428 to secure a comprehensive employee benefits plan covering health, pharmacy, dental, vision, and stop loss coverage through the Extraordinary Unspecifiable Services procurement process. The solicitation seeks a provider to act as a Medical Claims Third Party Administrator (TPA) responsible for claims adjudication, benefit administration, and member services. Key deliverables include the implementation of a transition plan, the provision of specific and aggregate stop loss insurance, and the delivery of network disruption and utilization analyses. The contract duration is up to three years, with a start date required no later than 21 days after the award. Proposals are evaluated on a 100-point scale, with equal 20-point weights assigned to the understanding of work, technical competence, management experience, timeliness, and cost. Bidders must submit detailed pricing via composite Per Employee Per Month rates and provide various certifications, including non-collusion affidavits, HIPAA compliance, and EEO adherence. Administrative requirements include monthly invoicing with detailed backup documentation and the provision of a performance bond within 14 days of the signed contract. The Township maintains the right to terminate the contract for convenience with 60 calendar days of advanced notice.