EOI For The Provision On Medical Insurance Scheme

The transport and safety agency (RTSA) has set aside funds for the staff welfare and intends to apply part of these funds towards eligible payments under the contract ‘provision of medical insurance scheme for RTSA employees’.
A major part of the insurer’s mandate shall be to cover medical expenses for RTSA employees in an efficient manner that ensures prompt medical service to its staff and registered dependents. The insurer organization will provide comprehensive group health insurance for insured persons, namely current and future active members of staff.
The RTSA now invites eligible Zambian registered insurance firms to express interest in providing a medical insurance scheme for RTSA employees.
Scope Of Assignment
The scheme is intended to cover an approximately 780 members for a period of 12 months from the date of the contract signing. The insurer will be expected to undertake the following :
•    Setting up and maintaining accurate member records
•    Ensuring scheme documentation is up-to-date
•    Carry out member communication tasks and sensitization
•    Issuance of member ship cards
•    Recompilation of leavers and joiners to the scheme
•    Appointment  of health care providers and continuous monitoring of services level standards
•    Negotiate  of pricing of drugs and medical services with registered providers
•    Processing, analyzing and payment of medical bills from registered providers
•    Timely preparation and submission of quarterly benefit utilization statement
•    Assist in the interpretation of reports and highlights areas of concern
•    Provision of 24/7 helpline facilities to all the members covered
•    Notify the agency when a member reaches 80% utilization of the benefits assured and
•    The shortlisted company will be required to demonstrate the structure of their product before the award of the tender.
Interested and eligible bidders may obtain further information from the chief executive officer, road transport agency, 8th floor, premium house, independence avenue, Lusaka. The telephone numbers and email address are +260-211-230539/230547 and lsambwa@rtsa.org.zm. However all electronic offers shall not be accepted.
Closing date is 7th February, 2014 at 10:30 hours.