COBRA and HIPAA Administrative Services

The issuing organization is seeking a vendor to provide comprehensive COBRA and HIPAA administrative services under a three-year contract. The scope includes administration of Flexible Benefit Plan and Pre-Tax Commuter Expense Program services, Medicare reimbursement, Anthem Medicare copayment reimbursement, United Faculty copayment reimbursement, general copayment reimbursement, and ongoing account management.

Required services include billing through coupons or monthly invoices, collections through check or automatic debit, grace period notices for late payments, refunds, coverage changes, and communication of rate and plan changes. The vendor must also provide open enrollment communication fulfillment, monthly reporting for qualifying events and notices, and support automated online processing of termination information, new hire information, and secondary events.

Additional responsibilities include processing COBRA coverage applications, daily claims adjudication, and daily reimbursements through debit card, check, and direct deposit. The vendor must provide online employee-level balance and claims information within five business days of a claim and/or premium payment, as well as toll-free IVR access, a customer service email response within 24 hours, website access for forms, and reporting in multiple electronic formats.

The selected vendor must also offer dedicated account management and points of contact for both retirees and employees, maintain a dedicated customer service team, and manage discrepancies and auditing. Questions are due by August 5, 2026.