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OL <br />JAL iN *44"M <br />Firm: <br />Service Provided; <br />Interviewer: <br />Date. <br />Please rate each firm on a scale of 1 to b (5 Outstanding; 4 'fiery Good; 3 Good, 2 Satisfactory; <br />Weak). <br />. <br />Qualifications of Firm <br />A. Experience with similar municipal services <br />E. Depth of experience within firm <br />Qualifications of Assigned Personnel <br />A. Experience with similar municipal service <br />E. Education /training — wellness, Consumer Ed. <br />C. Communication Style & Skill <br />Availability to Provide Timely Service <br />IV. Service Action Plan structure <br />V. Ability to Provide Benefit Renewal/Enrollment Asst. <br />I. Ability to Provide Ongoing Customer Care <br />VII OBRA/HIPAA Administration /compliance Review <br />VIII. Firms Philosophy in Representing City /strategy <br />I. Firms Technical skills <br />X. Cost/Fee Structure <br />k Iral AFA I W !WYA b d I IT <br />Rating Weight Total <br />x <br />.....M W W x <br />x <br />X <br />X <br />X <br />X <br />WII"'ilhtliPNAM1:WW •,,,,,,,•89WWWW.. " "54,. <br />. ....... x <br />XihWA'NWWU�WUW�W�W�W�W�W�W�W.'W <br />x <br />2 <br />x <br />