PHARMACY BENEFITS MANAGER

The City of Charlottesville ("City") currently offers a comprehensive benefits package to benefits-eligible employees. One of the City's healthcare plan options includes a Health Reimbursement Account (HRA). The City has approximately 1,100 active, benefits-eligible employees with 1,045 enrolled. Retiree eligibility: Approximately 90 pre-65 retirees who are not eligible for Medicare may enroll in the medical plan. The City currently offers two medical plan options for employees: a point of services (POS) plan and a health maintenance organization (HMO) plan coupled with a (health reimbursement arrangement) HRA. Aetna is the incumbent medical carrier. The HRA is administered by Voya. The City is considering adding a high-deductible health plan HDHP to the plan mix; exact plan design has not yet been finalized. The City is seeking proposals for pharmacy benefit management services supporting active employees and pre-65 retirees. Offerors should describe how the PBM will coordinate with the selected medical TPA, including accumulator integration, eligibility exchange, claims data, and reporting. Other benefit programs are outside the scope of this RFP. The City offers one voluntary vision plan with MetLife. The City offers dental insurance with Delta Dental. The City offers an Employee Assistance Plan with Sentara. The City offers Basic and Voluntary Life through Securian. The City offers Long-Term Disability with OCHS/Madison. The City offers voluntary benefits with Aetna, Met Life, and Aflac. The City offers Flexible Spending Accounts with Voya. The City offers retirement plan options.