Orange County NC Website
DocuSign Envelope ID:95F765C9-AE95-41C0-9136-42808BDB92C8 <br /> EXHIBIT A <br /> SCOPE OF SERVICES <br /> Subject to any changes and additions as may be mutually agreed by the parties in writing, availability and <br /> delivery of data from the insurance carrier and other third party vendors, Gallagher will provide the <br /> following services: <br /> CONSULTING SERVICES PROVIDED ON AN"AS NEEDED" BASIS <br /> RENEWAL ANALYSIS: <br /> Review and evaluate carrier projections <br /> — Prepare "shadow"renewal projection <br /> Create financial modeling reports using proprietary Apex software <br /> Coordinate carrier negotiations <br /> Create employee contribution modeling reports <br /> Review identified benchmarks of projected plan costs <br /> Develop"working"rates for Client analysis and approval <br /> Assist with budget projections <br /> Provide renewal alternatives with cost impact of benefit plan changes <br /> PERIODIC PLAN FINANCIAL REPORTS: (FREQUENCY TO BE MUTUALLY AGREED UPON) <br /> Summary of plan costs <br /> Analysis of actual vs. budget <br /> Employee contributions <br /> Large claims tracking <br /> Identification of costs for specific line of coverage <br /> Comparison of plan costs to aggregate stop-loss projections,if applicable <br /> Utilization review <br /> Comparison to prior claim period <br /> Plan trends <br /> ANNUAL FINANCIAL REPORTS(END OF YEAR ACCOUNTING): <br /> Executive summary of program expenses <br /> Comparison of current costs to renewal costs <br /> Incurred But Not Reported(IBNR) claims analysis <br /> Overview of specific Stop-loss projections <br /> Future plan costs projections <br /> Dollars saved by contract negotiation <br /> Percent of benefit dollars paid by employee <br /> Claims by size <br /> Physician visit details <br /> Benefits paid by type of service <br /> — Plan funding/budget comparison <br /> Fixed expense comparison <br /> LEGISLATIVE AND CORPORATE COMPLIANCE SUPPORT: <br /> Provide legislative updates, including Technical Bulletins and Directions newsletters <br /> Evaluate plan design to assist with compliance with state and federal regulations <br /> Review benefit plan documents, including summary plan descriptions, contracts, employee summaries, <br /> and policies/procedures <br />