The government authority in St. Louis, Missouri is seeking a vendor to provide self-funded Administrative Services Only (ASO) vision insurance administration services. The selected vendor will be responsible for offering a dedicated service team to manage the enrollment process, respond to claims and coverage inquiries from plan participants, and provide ongoing customer support.

Key requirements include issuing an Explanation of Benefits for each claim processed, customizable for district needs, and notifying claimants of rejected claims with the opportunity to submit written appeals. The vendor must also assist participants in fulfilling claim form requirements, communicate with physicians and service providers as necessary, and conduct thorough investigations for coordination of benefits and subrogation matters. Additionally, the provider will be required to establish and maintain claim files in accordance with the plan's provisions to enable proper adjudication.