In addition to general day-to-day services, The Horton Group will release a Request for Proposal to the marketplace in order to review your entire vendor options now and at renewal. Evaluating, negotiating with, and recommending insurers and providers to our clients are The Horton Group's specialties. Our position in the marketplace allows us to enjoy preferred financial arrangements with insurance vendors and third party administrators across the United States. We actively cultivate long-standing relationships with major carriers, and those relationships allow us to negotiate aggressively and obtain cost-efficient proposals for our clients. As we negotiate with vendors, we will also examine your loss history, establish the necessary types of coverage consistent with your risk tolerance, choose carriers that provide superior services, and adopt the optimal funding mechanisms for your specific needs.
We have established rigorous selection criteria for potential vendors, and recommend a selection based on the following considerations.
Critical Vendor Selection Criteria
- Overall service and quality
- Experience in administering competitive network-based and consumer driven health programs
- Commitment to continuous quality improvement processes
- Availability and clarity of financial and claims reporting
- Experience in administering multiple option health programs
- Quality of communication materials (e.g. booklets, Explanation of Benefits statements, etc.)
- Effective administration procedures (e.g. coordination of benefits, subrogation, consolidated eligibility, etc.)
- Responsiveness of group representative and vendor support staff
- Cost efficiency
- Responsiveness to client feedback
- Professionalism of response to RFP
- Willingness to adapt to changing needs and circumstances
- Adequate staffing ratios
