(1) The department shall competitively procure an independent benefits consultant.
(2) The independent benefits consultant may not:
(a) Be owned or controlled by a health maintenance organization or insurer.
(b) Have an ownership interest in a health maintenance organization or insurer.
(c) Have a direct or indirect financial interest in a health maintenance organization or insurer.
(3) The independent benefits consultant must have substantial experience in consultation and design of employee benefit programs for large employers and public employers, including experience with plans that qualify as cafeteria plans under s. 125 of the Internal Revenue Code of 1986.
(4) The independent benefits consultant shall:
(a) Provide an ongoing assessment of trends in benefits and employer-sponsored insurance that affect the state group insurance program.
(b) Conduct a comprehensive analysis of the state group insurance program, including available benefits, coverage options, and claims experience.
(c) Identify and establish appropriate adjustment procedures necessary to respond to any risk segmentation that may occur when increased choices are offered to employees.
(d) Assist the department with the submission of any necessary plan revisions for federal review.
(e) Assist the department in ensuring compliance with applicable federal and state regulations.
(f) Assist the department in monitoring the adequacy of funding and reserves for the state self-insured plan.
(g) Assist the department in preparing recommendations for any modifications to the state group insurance program which shall be submitted to the Governor, the President of the Senate, and the Speaker of the House of Representatives by January 1 of each year.
History.—s. 3, ch. 2017-88.
Copyright ©2024 LegalFix. All rights reserved. LegalFix is not a law firm, is not licensed to practice law, and does not provide legal advice, services, or representation. The information on this website is an overview of the legal plans you can purchase—or that may be provided by your employer as an employee benefit or by your credit union or other membership group as a membership benefit.
LegalFix provides its members with easy access to affordable legal services through a network of independent law firms. LegalFix, its corporate entity, and its officers, directors, employees, agents, and contractors do not provide legal advice, services, or representation—directly or indirectly.
The articles and information on the site are not legal advice and should not be relied upon—they are for information purposes only. You should become a LegalFix member to get legal services from one of our network law firms.
You should not disclose confidential or potentially incriminating information to LegalFix—you should only communicate such information to your network law firm.
The benefits and legal services described in the LegalFix legal plans are not always available in all states or with all plans. See the legal plan Benefit Overview and the more comprehensive legal plan contract during checkout for coverage details in your state.
Use of this website, the purchase of legal plans, and access to the LegalFix networks of law firms are subject to the LegalFix Terms of Service and Privacy Policy.