Okaloosa County BOCC — February 17, 2015 — Scope of Srvs Agent of Record

Proposed Scope of Service for Medical Insurance Agent of Record SCOPE OF AGENT SERVICES The insurance agent to be contracted by the County to provide medical insurance agent services will be expected to provide the following insurance services. Respondents are asked to indicate which are automatically included in their commission/maximum commission remuneration as agent of record, and which are separate and require a separate contract and/or separate fee. 1. Assist in servicing the implementation of the 2015 - 2016 medical insurance program as needed, and service subsequent year program renewals throughout the term of the contract. 2. Assist in planning for each annual enrollment; assist the County with enrollment meetings and activities. 3. Assist, as needed, with implementation of program changes when they occur. 4. Respond to questions regarding the medical insurance program as may be presented by the County, and maintain verbal contact with employee benefits staff at least monthly. 5. Be available on-site, as needed, for meetings or to address specific problems. 6. Meet with the County at regular intervals (e.g. at least quarterly) to review and discuss plan performance, premium/claims history, market trends, medical insurance trends, and provide observations. 7. Meet with the County’s Employee Wellness Committee as needed. 8. Respond to employees, as needed, to educate them on coverage questions and help them with problems. 9. Monitor and notify the County of major developments regarding medical benefits and in the medical insurance industry or with the County’s insurer that may affect the County. 10. Provide timely information, literature, and consultation on Affordable Care Act (ACA) and other regulations that may affect the County. 11. Provide an estimated renewal projection about 180 days in advance of renewal, based on standard underwriting formula. 12. Coordinate with the County about 150 days prior to renewal with an updated estimate of renewal changes in premium, along with possible changes in coverage, policy terms, etc. 13. Present final renewal pricing and policy changes about 120 days before renewal. 14. If desired by the County, formally market the medical insurance program with the current and other insurers per Florida Statute 112.08 with regard to advertising: a. Coordinate with the County to assure insurers have needed information, up-to- date specifications, plan descriptions, census data, experience information, other necessary information and response format to propose competitive insurance programs. b. Deliver to the County a listing of all companies contacted, detailed spreadsheets of all proposals received and any rejection letters, and assist, as needed, in helping the County reach a purchase decision. c. Coordinate issuance and delivery of insurance program purchased by the County, and assist if any irregularities are detected. 15. If the County conducts its own RFP process for coverage provided, promptly assist (as needed) in coordinating provision of necessary documentation, background and rating data, and premium/claims history information desired for the RFP. 16. Compare and contrast the County’s plan and performance with other like plans, if asked by the County. 17. Other services as mutually agreed upon. 18. Fully disclose insurance policy premiums and commissions and other remuneration received for the sale of such policies. 19. Permit the County to conduct an audit of all remuneration/revenues attributable to the County’s account and to fully cooperate with persons designated by the County to perform such audit.