Third Party Administrator (TPA) – Management of Health Insurance Scheme (HIS) Reimbursement Requests and Actuarial Services and Administration of Preventive Medicine

Item Description:

The European Investment Bank Group (EIB Group) consists of the European Investment Bank (EIB or the Bank) and the European Investment Fund (EIF).

The EIB is the financing institution of the European Union (EU). Created by the Treaty of Rome, its shareholders are the 28 Member States of the EU, and its Board of Governors is composed of the Finance Ministers of these States. The EIB enjoys its own legal personality and financial autonomy within the Community system.

The mission of the EIB is to contribute, by financing sound investment, to the policy objectives of the EU, as laid down in its statutes and in decisions of the European Council.

The EIB contributes towards the integration, balanced development and economic and social cohesion of the Members of the EU. To this end, it raises on the markets substantial volumes of funds that aim at financing capital projects according to the objectives of the EU with the most favourable financial terms. Outside the EU the EIB implements the financial components of agreements concluded under European development aid and cooperation policies.

More background information about the EIB may be found on the website http://www.eib.org

The EIF is the Group’s specialist provider of risk finance to benefit small and medium-sized enterprises across Europe. Its shareholders are the EIB, the European Commission and a wide range of public and private financial institutions.

The EIF’s central mission is to support Europe’s small and medium-sized businesses (SMEs) by helping them to access finance. The EIF designs and develops venture capital and guarantees instruments which specifically target this market segment. In this role, the EIF fosters EU objectives in support of innovation, research and development, entrepreneurship, growth, and employment. With investments in over 400 funds, the EIF is a leading player in European venture capital due to the scale and the scope of its investments, especially in high-tech and early-stage segments.

More information can be obtained on the site http://www.eif.org.

For the purposes of this call for tender, the EIB Group is represented by the EIB.

Brief description of the required services

LOT 1: Third Party Administrator (TPA) — Management of HIS Reimbursement Requests and Actuarial Services

The objective is to select a Service Provider acting as a Third Party Administrator (TPA) i.e. an organisation that administers the HIS scheme for the EIB, processing reimbursement requests, determining eligibility of medical costs, facilitating access to medical care, and more generally improving the price-quality ratio of care. The TPA will also provide actuarial services related to the IFRS accounting and actuarial studies on the HIS financial sustainability.

The TPA will have to interact efficiently with the various stakeholders of the health insurance: the provider of medical assistance (PMA), the insurer of work-related medical expenses (IWME), the provider of the preventive medicine services (PPM), the EIB internal team Caisse de Maladie (CDM), the EIB internal and external actuaries, the EIB accounting team and the dedicated EIB contract manager within the HR Operations Department.

LOT 2: Administration of Preventive Medicine

The objective is to select a Service Provider for administering and centralising the provision of Full Medical Examinations to the Beneficiaries LOT 2, i.e. an organisation that administers the preventive medicine assessments for EIB Group. The Service Provider shall also provide a network of Health Care Institutions where the Beneficiaries will be able to undergo harmonised and high quality Preventive Medical Examinations.

This Service Provider will have to interact efficiently with EIB Group’s OHP and the dedicated EIB contract manager within the Employee Relations and Wellbeing Division.

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