HomeMy WebLinkAboutAdminSure Inc. - Workers Compensation Claims Administration Services - 2021AGREEMENT
BY AND BETWEEN
THE CITY OF NATIONAL CITY
AND
ADMINSURE INC.
THIS AGREEMENT is entered into on this lsr day of August 2021, by and between the
CITY OF NATIONAL CITY, a municipal corporation (the "CITY"), and ADMINSURE, INC., a
Third Party Administrator of Workers' Compensation Programs (the "CONTRACTOR").
RECITALS
WHEREAS, the CITY desires to employ a CONTRACTOR to provide comprehensive
Workers' Compensation claims administration services in a manner consistent with the .claims
administration standards and reporting and reimbursement procedures of the CITY'S excess
Workers' Compensation carrier.
WHEREAS, the CITY has determined that the CONTRACTOR is a Third Party
Administrator of Workers' Compensation Programs and is qualified by experience and ability to
perform the services desired by the CITY, and the CONTRACTOR is willing to perform such
services.
NOW, THEREFORE, THE PARTIES HERETO DO MUTUALLY AGREE AS
FOLLOWS:
1. ENGAGEMENT OF CONTRACTOR. The CITY agrees to engage the
CONTRACTOR to perform Third Party Workers' Compensation claims administration, and the
CONTRACTOR agrees to perform the services set forth here in accordance with all terms and
conditions contained herein.
The CONTRACTOR represents that all services shall be performed directly by the
CONTRACTOR or under direct supervision of the CONTRACTOR.
2. EFFECTIVE DATE AND LENGTH OF AGREEMENT. This Agreement
will become effective on August 1, 2021. The duration of this Agreement is for the period of
August 1, 2021 through July 31, 2022. This Agreement may be extended by mutual agreement
upon the same terms and conditions for an, additional one-year term. Any extension of this
Agreement must be -approvedin writing by the City Manager.
3. SCOPE OF SERVICES. The CONTRACTOR will perform Third Party
Workers' Compensation Claims Administration services as set forth in the attached Exhibit "A."
The CONTRACTOR shall be responsible for all research and reviews related to the
work and shall not rely on personnel of the CITY for such services, except as authorized in advance
by the CITY. The CONTRACTOR shall appear at meetings as mutually agreed to keep staff
advised of the progress on the project.
The CITY may unilaterally, or upon request from the CONTRACTOR, from time
to time reduce or increase the Scope of Services to be performed by the CONTRACTOR under
this Agreement. Upon doing so, the CITY and the CONTRACTOR agree to meet in good faith
and confer for the purpose of negotiating a corresponding reduction or increase in the
compensation associated with said change in services.
4. PROJECT COORDINATION AND SUPERVISION. Robert J. Meteau, Jr.,
Human Resources Director, hereby is designated as the Project Coordinator for the CITY and will
monitor the progress and execution of this Agreement. The CONTRACTOR shall assign a single
Project Director to provide supervision and have overall responsibility for the progress and
execution of this Agreement for the CONTRACTOR. Alithia Vargas -Flores thereby is designated
as the Project Director for the CONTRACTOR.
5. COMPENSATION AND PAYMENT. The compensation for the
CONTRACTOR shall be based On monthly billings covering actual workperformed. Billings shall
include labor classifications, respective rates, hours worked and also materials, if any. The total
cost for all work described in Exhibit "A." The compensation for the CONTRACTOR'S work
shall not exceed the rates set forth in Exhibit "B." Monthly invoices will be processed for payment
and remitted within thirty (30) days from receipt of invoice, provided that work is accomplished
consistent with Exhibit "A," as determined by the CITY.
The CONTRACTOR shall maintain all books, documents, papers, employee time
sheets, accounting records, and other evidence.pertaining to costs incurred, and shall make such
materials available at its office at all reasonable times during the term of this Agreement and for
three (3) years from the date. of final payment under this Agreement, for inspection by the CITY,
and for furnishing of copies to the CITY, if requested.
6. ACCEPTABILITY OF WORK. The CITY shall decide any and all questions
which may arise as to the quality or acceptability of the services performed and the manner of
performance, the acceptable completion of this Agreement, and the amount of compensation due.
In the event the CONTRACTOR and the CITY cannot agree to the quality or acceptability of the
work, the manner of performance and/or the compensation payable to the CONTRACTOR in this
Agreement, the CITY or the CONTRACTOR shall give to the other written notice. Within ten
(10) business days, the CONTRACTOR and the CITY shall each prepare a report which supports
their position and file the same with the other party. The CITY shall, with reasonable diligence,
determine the quality or acceptability of the work, the manner of performance and/or the
compensation payable to the CONTRACTOR.
7. DISPOSITION AND OWNERSHIP OF DOCUMENTS. The Memoranda,
Reports, Maps, Drawings,Plans, Specifications, and other documents prepared by the
CONTRACTOR for this project, whether paper or electronic, shall: (1) be free from defects; (2)
become the property of the CITY for use with respect to this project; and (3) shall be turned over
to the CITY upon 'completion of the project, or any phase thereof, as contemplated by this
Agreement.
Contemporaneously with the transfer of documents, the CONTRACTOR hereby
assigns to the CITY,. and CONTRACTOR thereby expressly waives and disclaims any copyright
in, and the right to reproduce, all written material, drawings, plans, specifications, or. other work
prepared under this Agreement, except upon the CITY'S prior authorization regarding
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reproduction, which authorization shall not be unreasonably withheld. The CONTRACTOR shall,
upon request of the CITY, execute any further document(s) necessary to further effectuate this
waiver and disclaimer.
The CONTRACTOR agrees that the CITY may use, reuse, alter, reproduce,
modify, assign, transfer, or in any other way, medium, or method utilize the CONTRACTOR'S
written work product for the CITY'S purposes, and the CONTRACTOR expressly waives and
disclaims any residual rights granted to it by Civil Code Sections 980 through 989 relating to
intellectual property and artistic works.
Any modification or reuse by the CITY of documents, drawings, or specifications
prepared by the CONTRACTOR shall relieve the CONTRACTOR from liability under Section
14, but only with.respect to the effect of the modification or reuse by the CITY, or for any liability
to the CITY should the documents be used by the CITY for some project other than what was
expressly agreed upon within the Scope of Services of this project, unless otherwise mutually
agreed.
8. INDEPENDENT CONTRACTOR. Bath parties hereto in the performance of
this Agreement will be acting in an independent capacity and not as agents, employees, partners,
or joint venturers with one another. Neither the CONTRACTOR nor the CONTRACTOR'S
employees are employees of the CITY, and are not entitled to any of the rights, benefits, or
privileges of the CITY'S employees, including but not limited to retirement, medical, unemploy-
ment, or workers' compensation insurance.
This Agreement contemplates the personal services of the CONTRACTOR and
the CONTRACTOR'S employees, and it is recognized by the parties that a substantial inducement
to the CITY for entering into this Agreement was., and is, the professional reputation and
competence of the CONTRACTOR and its employees. Neither this Agreement, nor any interest
herein, may be assigned by the CONTRACTOR without the prior written consent of the CITY;
Nothing herein contained is intended to prevent the CONTRACTOR from employing or hiring as
many employees, or SUBCONTRACTOR, as the CONTRACTOR may deem necessary for the
proper and efficient performance of this Agreement. Alt agreements by CONTRACTOR with its
SUBCONTRACTORS) shall require the SUBCONTRACTOR(S) to adhere to the applicable
terms of this Agreement.
9. CONTROL. Neither the CITY, nor its officers, agents, or employees shall have
any control over the conduct of the CONTRACTOR or any of the CONTRACTOR'S employees,
except as set forth in this Agreement. The CONTRACTOR, or the CONTRACTOR'S agents,
.servants, or employees are.not in any manner agents, servants, or employees of the CITY. The
CONTRACTOR and its agents, servants, and employees are wholly independent from the .CITY
and CONTRACTOR'S obligations to the CITY are solely prescribed by this Agreement.
10. COMPLIANCE WITH . APPLICABLE LAW. The CONTRACTOR, in the
performance ofthe servicesto be provided herein, shall comply with all applicable state and federal
statutes and regulations, and all applicable ordinances, rules, and regulations of the City :of
National City, whether now in force or subsequently enacted. The CONTRACTOR and each of
its SUBCONTRACTOR(S), shall obtain and maintain a. current City of National City business
license prior to and during performance of any work pursuant to this Agreement.
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11. LICENSES, PERMITS, ETC. The CONTRACTOR represents and covenants
that it has all licenses, per7inits, qualifications, and approvals of whatever nature that are legally
required to practice its profession. CONTRACTOR must promptly produce a copy of any such
license, permit, or approval to CITY upon request. The CONTRACTOR represents and covenants
that the CONTRACTOR shall, at its sole cost and expense, keep in effect at all times during the
term of this Agreement, any license, permit, or approval which is legally required for the
CONTRACTOR to practice its profession.
12. STANDARD OF CARD..
A. The CONTRACTOR, in performing any services under this Agreement,
shall perform in a manner consistent with that level of care and skill ordinarily exercised by
members of the CONTRACTOR'S tradeor profession currently practicing under similar
conditions and in similar locations. The CONTRACTOR shall take all special precautions
necessary to protect the CONTRACTOR'S employees and members of the public from risk of
harm arising out of the nature of the work and/or the conditions of theworksite.
B. Unless disclosed in writing prior to the date of this Agreement, the
CONTRACTOR warrants to the CITY that it is not now, nor has it for the five (5) years preceding,
been debarred by a governrnental agency or involved in debarment, arbitration or litigation
proceedings concerning the CONTRACTOR'S professional performance or the furnishing of
materials or services relating thereto.
C. The CONTRACTOR is responsible for identifying any unique products,
treatments, processes or materials whose availability is critical to the success of the project the
CONTRACTOR has been retained to perform, within the time requirements of the CITY, or, when
no time is specified, then within a commercially reasonable time. Accordingly, unless the
CONTRACTOR has notified the C1TY otherwise, the CONTRACTOR warrants that all products,
materials, processes or treatments identified in the project documents prepared for the CITY are
reasonably commercially available. Any failure by the CONTRACTOR to use due diligence under
this sub -section will render the CONTRACTOR liable to the CITY for any increased costs that
result from the CITY'S later inability to obtain the specified items or any reasonable substitute
within a price range that allows for project completion in the time frame specified or, when not
specified, then within a commercially reasonable time,
13. NON-DISCRIMINATION PROVISIONS. The CONTRACTOR shall not
discriminate against any employee or applicant for employment because of age, race, color,
ancestry, religion, sex, sexual orientation, marital status, national origin, physical handicap, or
medical condition.. The CONTRACTOR will take positive action to insure that applicants are
employed without regard to their age, race, color, ancestry, religion, sex, sexual orientation, marital -
status, national origin, physical handicap, or medical condition. Such action shall include but not
be limited to the following: employment, upgrading, demotion, transfer, recruitment or recruitment
advertising, layoff or termination, rates of pay or other forms of compensation, and selection for
training, including apprenticeship. The CONTRACTOR agrees to post in conspicuous places
available to employees and applicants for employment any notices provided by the CITY setting
forth the provisions of this non-discrimination clause.
14. CONFIDENTIAL INFORMATION. The CITY may from time to time
communicate to the CONTRACTOR certain confidential information to enable the
CONTRACTOR to effectively perform the services to be: provided herein. The CONTRACTOR
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shall treat all such information as confidential and shall not disclose any part thereof without the
prior written consent of the CITY. The CONTRACTOR shall limit the use and circulation of such
information, even within it own organization, to the extent necessary to perform the services to
be provided herein. The foregoing obligation of this Section 14, however, shall not apply to any
part of the information that (i) has been disclosed in publicly available sources of information; (ii)
is, through no fault of the CONTRACTOR, hereafter disclosed in publicly available sources of
information; (iii) is already in the possession of the CONTRACTOR without any obligation of
confidentiality; or .(iv) has been or is hereafter rightfully disclosed to the CONTRACTOR by a
third party, but only to the extent that the use or disclosure thereof has been or is rightfully
authorized by that third party.
The CONTRACTOR shall not disclose any reports, recommendations, conclusions
or other results of the services or the existence of the subject matter of this Agreement without the
prior written consent of the CITY. In its performance hereunder, the CONTRACTOR shall comply
with all legal obligations it inay now or hereafter have respecting the information or other property
of any other person, firm or corporation.
CONTRACTOR shall be liable to CITY for any damages caused by breach of this
condition, pursuant to the provisions of Section 15.
15. INDEMNIFICATION AND HOLD HARMLESS. To the maximum extent
provided by law, the CONTRACTOR agrees to defend, indemnify and hold harmless the City of
National City, its officers, officials, agents, employees, and volunteers against and from any and
all liability, loss, damages to property, injuries to, or death of any person' or persons, and all claims,
demands, suits, actions, proceedings, reasonable attorneys' fees, and defense costs, of any kind or
nature, including workers' compensation clahns, of or by anyone whomsoever, resulting from or
arising out of the CONTRACTOR'S performance or other obligations under this Agreement;
provided, however, that this indemnification and hold harmless shall not include any claims or
liability arising from the established sole negligence or willful misconduct of the CITY, its agents,
officers, employees or volunteers. CITY will cooperate reasonably in the defense of any action,
and CONTRACTOR shall employ competent counsel, reasonably acceptable to the City Attorney. -
The indemnity, defense, and hold harmless obligations contained herein shall
survive the termination of this Agreement for any alleged or actual omission, act, or negligence
under this Agreement that occurred during the term of this Agreement.
16. EMPLOYEE PAYMENTS AND INDEMNIFICATION.
16.1 PERS Eligibility. Indemnification. •If-CONTRACTOR's employee(s) providing
services under this Agreement claims, or is determined by a court of competent jurisdiction or the
California Public Employees Retirement System ("PERS") to be eligible for enrollment in PERS
of the CITY, CONTRACTOR shall indemnify, defend, and hold harmless CITY for the payment
of any employer and employee contributions for PERS benefits on behalf of the employee as well
as for payment of any penalties and interest on such contributions which would otherwise be the
responsibility of the CITY.
CONTRACTOR'S employees providing service under this Agreement shall not:
(1) qualify for any compensation and benefit under PERS; (2) be entitled to any benefits under
PERS; (3) enroll in PERS as an employee of CITY; (4) receive any employer contributions paid
by CITY for PERS benefits; or (5) be entitled to any other PERS-related benefit that would accrue
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to a CITY employee. CONTRACTOR's employees hereby waive any claims to benefits or
compensation described in this Section 16. This Section 16 applies to CONTRACTOR
notwithstanding any other agency, state or federal policy, rule, regulation, law or ordinance to the
contrary.
16.2 Limitation of CITY Liability. The payment made to CONTRACTOR under this
Agreement shall be the full and complete compensation to which CONTRACTOR and
CONTRACTOR's officers, employees, agents, and subcontractors are entitled for performance of
any work under this Agreement. Neither CONTRACTOR nor CONTRACTOR's officers,
employees, agents, and subcontractors are entitled to any salary or wages, or retirement, health,
leave or other fringe benefits applicable to CITY employees. The CITY will not make any federal
or state tax withholdings on behalf of CONTRACTOR. The CITY shall not be required to pay any
workers' compensation insurance on behalf of CONTRACTOR.
16.3 Indemnification for Employee Payments.. CONTRACTOR agrees to defend and
indemnify the CITY for any obligation, claim, suit, or demand for tax, retirement contribution
including any contribution to PERS, social security, salary or wages, overtime payment, or
workers' compensation payment which the CITY may be required to make on behalf of (1)
CONTRACTOR, (2) any employee of CONTRACTOR, or (3) any employee of CONTRACTOR
construed to be an employee of the CITY, for work performed under this Agreement. This is a
continuing obligation that survives the termination of this Agreement.
17. WORKERS' COMPENSATION. The CONTRACTOR shall comply with all of
the provisions of the Workers' Compensation Insurance and Safety Acts of the State of California,
the applicable provisions of Division 4 and 5 of the California Labor Code and all amendments
thereto; and all similar State or federal acts or laws applicable; and shall indemnify, and hold
harmless the CITY and its officers, employees, and volunteers from and against all claims,
demands, payments, suits, actions, proceedings, and judgments of every nature and description,
including reasonable attorney's fees and defense costs presented, brought or recovered against the
CITY or its officers, employees, or volunteers, for or on account of any liability under any of said
acts which may be incurred by reason of any work to be performed by the CONTRACTOR under
this Agreement.
18. INSURANCE. The CONTRACTOR, at its sole cost and expense, shall purchase
and maintain, and shall require. its SUBCONTRACTOR(S), when applicable, to purchase and
maintain throughout the term of this Agreement, the following insurance policies:
A. ®. If checked, Professional Liability Insurance (errors and omissions)
with minimum Ihruts of $1,000,000 per occurrence.
B. Automobile Insurance covering all bodily injury and property damage
incurred during the performance of this Agreement, with a minimum coverage of $1,000,000
combined single limit per accident. Suchautomobile insurance shall include owned, non -owned,
and hired vehicles. The policy shall name the CITY and its officers, agents, employees, and
volunteers as additional insureds, and a separate additional insured endorsement shall be provided.
C. Commercial General Liability Insurance, with minimum limits of either
$2,000,000 per occurrence and $4,000,000 aggregate, or $1,000,000 per occurrence and
$2,000,000 aggregate with a $2,000,000 umbrella policy, covering all bodily injury and property
damage arising out of its operations, work, or performance under this Agreement. The policy shall
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name the CITY and its officers,, agents, employees, and volunteers as additional insureds, and a
separate additional insured. endorsement shall be provided. The general aggregate limit must apply
solely to this "project" or "location". The "project" or "location" should be noted with specificity
on an endorsement that shall be incorporated into the policy.
D. WorkersCompensation Insurance in an amount sufficient to meet
statutory requirements covering all of CONTRACTOR'S employees and employers' liability
insurance with limits of at least $1,000,000 per accident, In addition, the policy shall be endorsed
with a waiver of subrogation in favor of the CITY. Said endorsement shall be provided prior to
commencement of work under this Agreement.
If CONTRACTOR has no employees subject to the California Workers'
Compensation and Labor laws, CONTRACTOR shall execute a Declaration to that effect. Said
Declaration shall be provided to CONTRACTOR by CITY.
B. The aforesaid policies shall constitute primary insurance as to the CITY, its
officers, officials, employees, and volunteers, so that any other policies held by the CITY shall not
contribute to any loss under said insurance. Said policies shall provide for thirty (30) days prior
written notice to the CITY's Risk Manager, at the address listed in subsection G below, of
cancellation or material change.
F. If required insurance coverage is provided on a "claims made" rather than.
"occurrence" form, the CONTRACTOR shall maintain such insurance coverage for three years
after expiration of the term (and any extensions) of this Agreement. In addition, the "retro" date
must be on or before the date of this Agreement,
shall be:
G, The Certificate Holder for all policies of insurance required by this Section
City of National City
c/a Risk Manager
1243 National City Boulevard
National City, CA 91950-4397
H. Insurance shall be written with only insurers authorized to conduct business
in California that hold a current policy holder's alphabetic and financial size category rating of not
less than A:VII according to the current Best's Key Rating Guide, or a company of equal financial
stability that is approved by the CITY'S Risk Manager. In the event coverage is provided by n.on-
admitted "surplus lines" carriers, they nwst be included on the most recent List of Approved
Surplus Line Insurers ("LASLI") and otherwise meet rating requirements. _
I. . This Agreement shall not take effect until certificates) or other sufficient
proof that these insurance provisions havebeen complied"with, are filed with and approved by the
CITY'S Risk Manager. If the CONTRACTOR does not keep all insurance policies required by
this Section 18 in full force and effect at all times during the term of this Agreement, the CITY
may treat the failure to maintain the requisite insurance as a breach of this Agreement and terminate
the Agreement as provided herein.
J. All deductibles and self -insured retentions in excess of $10,000 must be
disclosed to and approved by the CITY. CITY reserves the right to modify the insurance
requirements of this Section 18; including limits, based on the nature of the risk, prior experience,
insurer, coverage, or other special circumstances.
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K. If the CONTRACTOR maintains broader coverage or higher limits (or
both) than the minimum limits shown above, the CITY shall be entitled to the broader coverage or
higher limits (or both) maintained by the CONTRACTOR. Any available insurance proceeds in
excess of the specified minimum limits of insurance and coverage shall be available to the CITY.
19. LEGAL FEES. If any party brings a suit or action against the other party arising
from any breach of any of the covenants or agreements or any inaccuracies in any of the
representations, and: warranties on the part of the other party arising out of this Agreement, then in
that event, the prevailing party in such action or dispute, whether by final judgment or out -of -court
settlement, shall be entitled to have and recover of and from the other party all costs and expenses
of suit, including attorneys' fees.
For purposes of determining who is to be considered the prevailing party, it is stipulated
that attorney's fees incurred in the prosecution or defense of the action or suit shall not be
considered in determining the amount of the judgment or award. Attorney's fees to the prevailing
party if other than the CITY shall, in addition, be limited to the amount of attorney's fees incurred
by the CITY in its prosecution or defense. of the action, irrespective of the actual amountof
attorney's fees incurred by the prevailing party.
20. TERMINATION.
A. This Agreement may be terminated with or without cause by the CITY.
Termination without cause shall be effective only upon 60-day's written . notice to the
CONTRACTOR. During said 60-day period the CONTRACTOR shall perform all services in
accordance with this Agreement.
B. This Agreement may also be terminated immediately by the CITY for cause
in the event of a material breach of this Agreement, misrepresentation by the CONTRACTOR in
connection with the formation of this Agreement or the performance of services, or the failure to
perform services as directed by the CITY.
C. Termination with or without cause shall be effected by delivery of written
Notice of Termination to the CONTRACTOR as provided for herein.:
D. In the event of termination, all finished or unfinished Memoranda Reports,
Maps, Drawings, Plans, Specifications and other documents prepared by the CONTRACTOR,
whether paper or electronic, shall immediately become the property of and be delivered to the
CITY, and the CONTRACTOR. shall be entitled to receive just and equitable compensation for
any work satisfactorily completed on such documents and other materials up to the effective date
of the Notice of Termination, not to exceed the amounts payable hereunder, and less any damages
caused the CITY by the CONTRACTOR'S breach, -if any. Thereafter, ownership of said written
material shall -vest in the CITY all rights set forth in Section 7.
E. The CITY further reserves the right to immediately terminate this
Agreement upon: (1) the filing of a petition in bankruptcy affecting the CONTRACTOR; (2) a
reorganization of the CONTRACTOR for the benefit of creditors; or (3) a business reorganization,
change in business name or change in business status of the CONTRACTOR.
21. NOTICES. All notices or other communications required or permitted hereunder
shall be in writing, and shall be personally delivered; or sent by overnight mail (Federal Express
or the like); or sent by registered or certified mail, postage prepaid, return receipt requested; or
sent by ordinary mail, postage prepaid; or telegraphed or cabled; or:delivered or sent by telex,
telecopy, facsimile or fax; and shall be deemed received upon the earlier of (i) if personally
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delivered, the date of delivery to the address of the person to receive such notice, (ii) if sent by
overnight mail, the business day following its deposit in such overnight mail facility, (iii) if mailed
by registered, certified or ordinary Mail, five (5) days (ten (10) days if the address is outside the
State of California) after the date of deposit in a post office, mailbox, mail chute, or other like
facility regularly maintained by the United States Postal Service, (iv) if given by telegraph or cable,
when delivered to the telegraph company with charges prepaid, or (v) if given by telex, telecopy,
facsimile or fax, when sent. Any notice, request, demand, direction or other communication
delivered or sent as specified above shall be directed to the following persons:
To CITY: Robert J. Meteau, Jr.
Human Resources Director
Human Resources Department
City ofNational City
1243 National City Boulevard
National City, CA 91950-4397
To CONSULTANT:
Alithia Vargas- Flores
President/Director of Operations
AdminSure, Inc.
3380 Shelby Street
Ontario, CA 91764-5566
Notice of change of address shall be given by written notice in the manner specified
in this Section. Rejection or other refusal to accept or the inability to deliver because of changed
address of which no notice was :given shall be deemed to constitute receipt of the notice, demand,
request or communication sent. Any notice, request, demand, direction or other communication
sent by cable, telex, telecopy, facsimile or fax must be confirmed within forty-eight (4.8) hours by
letter mailed or delivered as specified in this Section.
22. CONFLICT OF INTEREST AND POLITICAL REFORM . ACT
OBLIGATIONS. During the term of this Agreement, the CONTRACTOR shall not perform
services of any kind for any person or entity whose interests conflict in any way with those of the
City of National City. The CONTRACTOR also agrees not to specify any product, treatment,
process or material for the project in which the CONTRACTOR has a material financial interest,
either direct or indirect, without first notifying the CITY of that fact. The CONTRACTOR shall
at all times comply with the terms of the Political Reform Act and the National City Conflict of
Interest Code. The CONTRACTOR shall immediately disqualify itself and shall not use its.offlcial
position to influence in any way any matter coming before the CITY in which the .CONTRACTOR
has a financial interest as defined in Government Code Section 87103. The CONTRACTOR
represents that it has no knowledge of any financial interests that would require it to disqualify
itself from any matter on which it might perform services for the CITY.
❑ If checked, the CONTRACTOR shall comply with all of the reporting
requirements of the Political Reform Act and the National City Conflict of Interest Code.
Specifically, the CONTRACTOR shall file a Statement of Economic Interests with the City Clerk
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of the City of National City in a timely manner on forms which the CONTRACTOR shall obtain
from the City Clerk.
The CONTRACTOR shall be strictly liable to the CITY for all damages, costs or
expenses the CITY may suffer by virtue of any violation of this Section 22 by the CONTRACTOR.
23. PREVAILING WAGES. State prevailing wage rates may apply to work
performed under this Agreement. State prevailing wages rates apply to all public works contracts
as set forth in California Labor Code, including but not limited to, Sections 1720, 1720.2, 1720.3,
1720.4,'and 1771. Consultant is solely responsible to determine if State prevailing wage rates apply
and, if applicable, pay such rates in accordance with all laws, ordinances, rules, and regulations.
24. ADMINISTRATIVE .PROVISIONS.
A. Computation of Time Periods. If any date or time period provided for in.
this Agreement is or ends on a Saturday, Sunday or federal, state or legal holiday, then such date
shall automatically be extended until 5:00 pan. Pacific Time of the next day which is not a
Saturday, Sunday or federal, state, or legal holiday.
B. Counterparts, This Agreement may be executed in multiple counterparts,
each of which shall be deemed an original, but all of which, together, shall constitute but one and
the same instrument.
C. Captions. Any captions to, or headings of, the sections or subsections of
this Agreement are solely for the convenience of the parties hereto, are not a part of this
Agreement, and shall not be used for the interpretation or determination of the validity of this
Agreement or any provision hereof.
D. No Obligations to Third Parties. Except as otherwise expressly provided
herein, the execution and delivery ofthis Agreement shall not be deemed to confer any rights upon,
or obligate any of the parties hereto, to any person or entity other than the parties hereto.
E. Exhibits and Schedules. The Exhibits and Schedules attached hereto are
hereby incorporated herein by this reference for all purposes. To the .extent any exhibits, schedules,
or provisions thereof conflict or are inconsistent with the terms and conditions contained in this
Agreement, the terms and conditions of this Agreement shall control.
F. Amendment to this Agreement. The terms of this Agreement may not be
modified or amended except by an instrument in writing executed by each of the parties hereto._
G. Assignment & Assumption of Rights. CONTRACTOR shall not assign this
Agreement, in whole or in part, to any other party without first obtaining the written consent of
CITY.
H. • • Waiver. The waiver or failure to enforce any provision of this. Agreement
shall not operate as a waiver of any future breach of any such provision or any other provision
hereof.
I. . Applicable Law. This Agreement shall be governed by and construed in
accordance with the laws of the State of California. The venue for any legal action arising under
this Agreement shall be in either state or federal court in the County of San Diego, State of
California.
J. Audit. If this Agreement exceeds ten -thousand dollars 010;000), the parties
shall be subject to the examination and audit of the State Auditor fora period of three (3) years
after final payment under the Agreement, per Government Code Section 8546.7.
IC Entire Agreement. This Agreement supersedes any prior agreements,
negotiations and communications, oral or written, and contains the entire agreement between the
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parties as to the subject matter hereof. No subsequent agreement, representation, or promise made
by either party hereto, or by or to an employee, officer, agent or representative of any party hereto
shall be of any effect unless it is in writing and executed by the party to be bound thereby.
L. Successor's and Assigns. This Agreement shall be binding upon and shall
inure to the benefit of the successors and assigns of the parties hereto.
M. Subcontractors or Subconsultants. The CITY is engaging the services of the
CONTRACTOR identified in this Agreement. The CONTRACTOR shall not subcontract any
portion of the work, unless such subcontracting was part of the original proposal or is allowed by
the CITY in writing. In the event any portion of the work under this Agreement is subcontracted,
the subconsultant(s) shall be required to comply with and agree to, for the benefit of and in favor
of the CITY, both the insurance provisions in Section 18 and the indemnification and hold harmless
provision of Section 15 of this Agreement.
N. Construction. The parties acknowledge and :agree that (i) each party is of
equal bargaining strength, (ii) each party has actively participated in the drafting, preparation and
negotiation of this Agreement, (iii) each such party has consulted with or has had the opportunity
to consult with its own, independent counsel and such other professional advisors as such party
has deemed appropriate, relative to any and all matters contemplated under this Agreement, (iv)
each party and such party's counsel and advisors have reviewed this Agreement, (v) each party
has agreed to enter into this Agreement following such review and the rendering of such advice,
and (vi) any rule or construction to the effect that ambiguities are to be resolved against the drafting
party shall not apply in the interpretation of this Agreement, or any portions hereof, or any
amendments hereto.
Standard Agreement Page 11 of 12 City of National City and
Revised January 2021 AdminSuro, Inc.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date
and year first above written.
CITY OF NATIONAL CITY
By:
APPROVED AS TO FORM:
Deputy
. Gilma
ity Atto
ADMINSURE, INC.
Alithia Vargas-Flore
-A/1 454:Y1 f
(Print)
if)AP 7L/.DOD
President/Director of Operations
By:
Ashley Sell
kikki(Print)
COv�Y , &ect rt(
Corporate Secretary
Standard Agreement Page 12 of 12 City of National City atzd
Revised January 202 I AdrninSure, Inc.
IVIL
likkg
Adopted: December 6, 1985
Last Amended: July 1,2019
SCOPE OF SERVICES
WORKERS' COMPENSATION
CLAIMS ADMINISTRATION STANDARDS
The following Standards have been adopted by Public Risk Innovation, Solutions, and
Management (hereinafter PRISM) in accordance with Article 18(b) of the PRISM Joint
Powers Agreement. It is the intent of these Standards to ensure compliance with all
applicable Labor Code and California Code of Regulations Sections. In the event that there
exists a conflict between the Standards, the Labor Code or the Code of Regulations, the
most stringent requirement shall apply.
I. CLAIMS HANDLING - ADMINISTRATIVE
A. Case Load
1. Each claims examiner assigned to the Member should handle a
targeted caseload of 150 but not to exceed 165 claims. In situations
where caseloads include future medical and medical only claims,
these claims shall be counted as 2:1 in the caseload limit.
2. Supervisory personnel should not handle a caseload, although they
may handle specific issues or a small number of conflict claims.
B. Case Review and Documentation
1. Documentation shall reflect any significant developments in the file
and include a plan of action. Plan of action statements shall be
updated at the time of examiner diary review.
2. The examiner shall review indemnity and medical -only files at
intervals not to exceed 45 calendar days. Future medical files shall
be reviewed at intervals not to exceed 90 calendar days.
3. The supervisor shall review all new claims within 60 calendar days
of initial set up and subsequently monitor activity on indemnity files
at intervals not to exceed 120 calendar days. Future medical files
shall be reviewed by the supervisor at intervals not to exceed 180
calendar days.
Exhibit A
4. File contents shall comply with Code of Regulations Sections 10101,
10101.1 and 15400, and be kept in a neat and orderly fashion. If
claims are maintained in a paperless system, documents shall be
clearly identified (e.g., medical report, WCAB Orders, legal, etc.).
5. Medical Only Claims
a. If a medical -only claim is still open at 90 calendar days, it shall
be transferred to anindemnity examiner.
b. If, at any time, it is anticipated there will be indemnity benefits
paid, the claim shall be transferred to an indemnity claim type.
c. If the medical -only claim remains open at 180 days, the claim
shall be converted to an indemnity claim type, unless there is
documentation showing that medical treatment will be ending
and the claimant will be discharged from care within the next
30 days, or the claimant is only seeking treatment for a blood -
borne pathogen exposure protocol.
C. Communication
1. Telephone Inquiries
Return calls shall be made within 1 working day of the original telephone inquiry. All
documentation shall reflect these efforts.
2. Incoming Correspondence
All correspondence received shall be clearly stamped with the date of receipt.
3. Return Correspondence
All correspondence requiring a written response shall have such response completed and
transmitted within 5 working days of receipt.
4. Ongoing Claimant Contact
On cases involving unrepresented injured workers who are offwork, telephone contact shall
be made at a minimum of once every 30 days and within 3 working days after discharge
from the. hospital or outpatient facility following a surgical procedure. This .is in addition to
nurse case management involvement on claims where nurse case managers are assigned.
D. Fiscal Handling
1. Fiscal handling for indemnity benefits on active cases shall be
balanced with appropriate file documentation on a semi-annual basis
and prior to sending a benefit termination notice to verify that
statutory benefits are paid appropriately. Balancing is defined as,
"an accounting of the periods and amounts due in comparison with
what was actually paid".
2. In cases of multiple losses with the same person, payments shall be
made on the appropriate claim file.
E. Medicare Reporting
Mandatory reporting to the Center for Medicaid Services (CMS) shall be completed directly
or through a reporting agent in compliance with Section
111 of the Medicare Medicaid and SCHIP Extension Act of 2007 ("MMSEA"). Medicare
eligibility shall be documented in the claim file at time of settlement evaluation.
II. CLAIM CREATION
A. Three -Point Contact
Three-point contact shall be conducted on all claims with the non- represented injured
worker, employer representative and treating physician within 3 working days of receipt of
the claim by the third party administrator or self-administered entity. If a nurse case
manager is assigned to the claim, initial physician contact may be conducted by either the
claims examiner or the nurse case manager. This initial contact should be substantive and
clearly documented in the claim file. In the event a party is non -responsive, there shall be
evidence of at least three documented attempts to reach the individual.
B. Compensability
1. The initial compensability determination (accept claim, deny claim or
delay acceptance pending the results of additional investigation) and
the reasons for such a determination shall be made and documented
in the file within 14 calendar days of the filing of the claim with the
employer. In the event the claim is not received by the third party
administrator or self-administered entity within 14 calendar days of
the filing of the claim with the employer, the third party administrator
or self-administered entity shall make the initial compensability
determination within 7 calendar days of receipt of the claim.
2. Delay of benefit letters shall be mailed in compliance with the
Division of Workers' Compensation (DWC) guidelines. In the event
the employer does not provide notice of lost time to the third party
administrator or self-administered entity timely to comply with DWC
guidelines, the third party administrator or self-administered entity
shall mail the benefit letters within 7 calendar days of notification.
3. The final compensability determination shall be made by the claims
examiner or supervisor within 90 calendar days of employer receipt
of the claim form.
C. AOE/COE Investigation
If a decision is made to delay benefits on a claim, an AOE/COE investigation shall be initiated
within 3 working days of the decision to delay. This may include, but is not limited to,
assigning out for witness/injured worker statements, initiating the QME/AME process,
requesting medical records, etc.
D. Reserves
1. Usingthe information available at claim file set up, an initial reserve
shall be established for the most probable case value.
2. The initial reserve shall be electronically posted to the claim within
14 calendar days of receipt of the claim.
E. Indexing
All claims shall be reported to the Index Bureau at time of initial set up and re -indexed on an
as needed basis thereafter. Blood borne pathogen exposure claims are an exception to this
requirement.
PRISM maintains membership with the Index Bureau that members can .access.
III. CLAIM HANDLING - TECHNICAL
A. Payments
1. Initial Temporary and Permanent Disability Indemnity Payment
a. The initial indemnity payment shall be issued to the injured
worker within 14 calendar days of knowledge of the injury and
disability. In the event the third party administrator or self-
administered entity is not notified of the injury and disability
within 14 calendar days of the employer's knowledge, the third party administrator or self-
administered entity shall make payment within 7 calendar days of notification. Initial
permanent disability payments shall be issued within 14 calendar days after the date of
last payment of temporary disability. Effective 1/1/2013, permanent disability payments
shall be issued upon approval of an Award pursuant to Labor Code Section 4650(b)(2).
Prior to a PD Award, advances may be due if the employer has not offered the employee a
position paying at least 85% of their wages and compensation at time of injury or the
employee is not employed in a position paying at least 100% of their wages and
compensation at time of injury. This shall not apply with salary continuation.
b. The properly completed DWC Benefit Notice shall be mailed
to the employee within 14 calendar days of the first day of
disability. In the event the third party administrator or self-
administered entity is not notified of the first day of disability
until after 14 calendar days, the DWC Benefit Notice shall be
mailed within 7 calendar.days of notification.
c. Self-imposed penalty shall be paid on late payments in
accordance with Section III. A.7 of this document.
d. Overpayments shall be identified and reimbursed timely
where appropriate. The third party administrator or self-
administered entity shall request reimbursement of overpaid
funds from the party that received the funds. If necessary, a
credit shall be sought as part of any resolution of the claim.
2. Subsequent Temporary and Permanent Disability Payments
a. Eligibility for indemnity payments subsequent to the first
payment shall be verified, except for established long-term
disability.
b. Ongoing indemnity payments shall be paid in accordance with
Labor Code Section 4650(c).
c. Subsequent DWC benefit notices shall be issued in
accordance with CCR 9812.
d. Self-imposed .penalty shall be paid on late payments in
accordance with Section III. A.7 of this document.
3. Final Temporary and Permanent Disability Payments.
a. All final indemnity payments shall be issued timely.
b. The appropriate DWC benefit notices shall be issued in
accordance with CCR 9812.
c. Self-imposed penalty shall be paid on late payments in
accordance with Section III. A.7. of this document.
4. Award Payments
a. The claim file shall reflect demonstrated efforts to
initiate/batch payments on undisputed Awards,
Commutations, or Compromise and Release agreements
within 10 working days following receipt of the appropriate
document, unless the Award indicates payment is due sooner.
b. For all claims in the Primary Workers' Compensation (PWC)
Program and/or excess reportable claims, copies of all
Awards shall be provided to PRISM at time of payment.
5. Medical Payments
a. Medical treatment billings (physician, pharmacy, hospital,
physiotherapist, etc.) shall be reviewed for correctness,
approved for payment and paid within 60 days ofreceipt.
b. The medical provider shall be notified in writing within 30 days
of receipt of an itemized bill if a medical bill is contested,
denied or incomplete.
A bill review process should be utilized whenever possible.
There should be participation in a PPO and/or MPN whenever
possible.
6. Injured Worker Reimbursement Expense
a. Reimbursements to injured workers shall be issued within 15
working days of the receipt of the claim for reimbursement.
b. Advance travel expense payments shall be issued to the
injured worker 10 working days prior to the anticipated date of
travel.
7. • Penalties
a. Penalties shall be coded so as to be identified as a penalty
payment.
b. If the Member utilizes a third party administrator, the Member
shall be advised of the assessment of any penalty for delayed
payment and the reason thereof, and the administrator's plans
for payment of such penalty, on a monthly basis.
c. If the Member utilizes a.third party administrator, the Member,
in their contract with the administrator, shall specify who is
responsible for specific penalties.
Medical Treatment
1. Each Member shall have in place a Utilization Review process as set
forth in Labor Code Section 4610.
2. Disputes regarding utilization review determinations shall be
resolved using the Independent Medical Review process set forth in
Labor Code Section 4610.5.
3. Nurse case managers shall be utilized where appropriate. Rationale
for assignment and continued necessity shall be documented in the
claim notes at each regular diary review.
4. If enrolled in a Medical Provider Network, the network shall be
utilized whenever appropriate.
C. Apportionment
1. Investigation into the existence of apportionment shall be
documented.
2. If potential apportionment is identified, all efforts to reduce exposure
shall be pursued:
D. Disability Management
1. The third party administrator or self-administered entity shall work
proactively to obtain work restrictions and/or a release to full duty on
all cases. The TPA or self-administered entity shall notify a
designated Member representative immediately upon receipt of
temporary work restrictions or a release to full duty, and work closely
r with the Member to establish a return to work as soon as possible.
2. The third party administrator or self-administered entity shall notify a
designated Member representative immediately upon receipt of an
employee's permanent work restrictions so that the Member can
determine the availability of alternative, modified or regular work.
3. If there is no response within 20 calendar days, the third party
administrator or self-administered entity shall follow up with the
designated Member representative.
4. Members shall have in place a process for complying with laws
preventing disability discrimination, including Government Code
Section 12926.1, which requires an interactive process with the
injured. worker when addressing a return to work particularly with
permanent work restrictions.
5. Third party administrators or self-administered claims professional
shall cooperate with members to the fullest extent, in providing
medical and other information the member deems necessary forthe
member to meet its obligations under federal and state disability
laws.
E. Supplemental Job Displacement Benefits
1. Supplemental Job Displacement Benefits — Dates of injury on or after
1/1/04 and before 1/1/13: Benefits pursuant to Labor Code Section
4658.5 shall be timely provided. Dates of injury on or after 1/1/13:
Benefits pursuant. to Labor Code 4658.7 shall be timely provided.
2. The third party administrator or self-administered entity shall secure
the prompt conclusion of SJDB.
F. Reserving
1. Reserves shall be reviewed at regular diary and at time of any
significant event, e.g. - surgery, .P&S/MMI, return to work, etc., and
adjusted accordingly. This review shall be documented in the file
regardless of whether a reserve change was made: Where the SIP
model does not apply, claims shall be reserved for -the most probable
value.
2. Indemnity reserves shall reflect actual temporary disability indemnity
exposure with 4850 differential listed separately.
3. Permanent disability indemnity exposure shall include life pension
reserve if appropriate.
4. Future medical claims shall be reserved in compliance with CCR
15300 (b)(4) allowing adjustment for reductions in the approved
medical fee schedule, undisputed utilization review, medically,
documented non -recurring treatment costs and medically
documented reductions in life expectancy.
5. Allocated expense reserves shall include medical cost containment,
legal, investigation, copy service and other related fees.
6. A reserve worksheet shall be utilized and/or detailed rationale
substantiating reserve levels shall be documented within the claim
file.
Resolution of Claim
1. Within 10 working days of receiving medical information indicating
that a claim can be finalized, the claims examiner shall begin
appropriate action to finalize the claim.
2. Follow up finalization efforts shall continue and be documented at
regular diary reviews until resolution is complete.
3. Settlement value shall be documented appropriately utilizing all
relevant information.
4. Where settlement includes resolution of future medical for a
Medicare beneficiary or an expected Medicare beneficiary, the
settlement shall document the strategy to protect Medicare's
secondary payer status.
5. Pursuant to CCR15400.2, claim files with awards for future benefits
shall be reviewed for administrative closure two years after the last
provision of benefits.
H. Settlement Authority
1. No agreement shall be authorized involving liability, or potential
liability, of PRISM without the advance written consent of PRISM.
The member shall be notified of any settlement request submitted to
PRISM.
2. The third party administrator shall obtain the Member's authorization
on all settlements or stipulations in excess of the settlement authority
provided in any provision of the individual contract between the
Member and the claims administrator.
3. Proof of settlement authorization(s) shall be maintained in the claim
file.
IV. LITIGATED• CASES
The third party administrator or self-administered entity shall establish written guidelines
for the handling of litigated cases. The guidelines should, ata minimum, include the points
below, which may be adopted and incorporated by reference as "the Guidelines".
1. The third party administrator or self-administered entity shall promptly
initiate investigation of issues identified as material to potential
litigation. The Member shall be alerted to the need for in-house
investigation, or the need for a contract investigator who is acceptable
to the Member. The Member shall be kept informed on the scope and
results of investigations.
2. The third party administrator or self-administered entity shall, in
consultation with the Member, assign defense counsel from a list
approved by the Member. Initial referral and ongoing litigation
management shall be timely and appropriate. The third party
administrator or self-administered entity shall maintain control of the
ongoing claim activities.
3. Settlement proposals directed to the Member shall be forwarded by
the third party administrator, self-administered entity or defense
counsel in a concise and clear written form with a reasoned
recommendation. Settlement proposals shall be presented to the
Member as directed so as to insure receipt in sufficient time to process
the proposal.
4. Knowledgeable Member personnel shall be involved in the
preparation for medical examinations and trial, when appropriate or
deemed necessary by the Member so that all material evidence and
witnesses are utilized to obtain a favorable result for thedefense.
5. The third party administrator or self-administered entity shall comply
with any reporting requirement of the Member.
V. SUBROGATION
1. In all cases where a third party (other than a Member employee or
agent): is responsible for the injury to the employee, attempts to obtain
information regarding the identity of the responsible party shall be
made within 14 calendar days of recognition of subrogation potential.
2. Once identified, the third party shall be contacted within 14 calendar
days with notification of the Member's right to subrogation and the
recovery of certain claim expenses.
3. If the third party is a govemmental entity, a claim shall be filed with the
goveming board (or State Board of Control as to State entities) within
6 months of the injury or notice of the injury. If the third party is a non-
'govemmental entity, a complaint shall be filed in civil court within two
years in order to preserve the statute of limitations.
4. Periodic contact shall be made with the responsible party and/or
insurer to provide notification of the amount of the estimated recovery
to which the Member shall be entitled.
5. If the injured worker brings a civil action against' the party responsible
for the injury, the claims administrator shall consult with the Member
about the value of the subrogation claim and other considerations.
Upon Member authorization, subrogation counsel shall be assigned
to file a Lien or a Complaint in Intervention in the civil action.
6. Whenever practical, the claims administrator shall aggressively
pursue recovery in any subrogation claim. They should attempt to
maximize the recovery for benefits paid, and assert a credit against
the injured worker's net recovery for future benefitpayments.
7. Member (and PRISM if applicable) approval is required to waive
pursuit of subrogation or agree to a settlement of a third party
recovery. This approval shall be documented in the claim file. In
cases of self-administered entities, a process shall be documented
noting the authority levels within the member organization to waive
pursuit of subrogation or agree to a settlement of a third party
recovery.
VI. EXCESS COVERAGE
A. Claims meeting the definition of reportable excess workers' compensation
claims as defined by the Memorandum of Coverage Conditions Section
shall be reported to PRISM within five working days of the day on which it
is known the criterion is met. Utilize the Excess Workers' Compensation
First Report Form available through PRISM's website.
B. Subsequent reports shall be transmitted to PRISM on a quarterly basis on
all indemnity claims and on a semi-annual basis on all future medical claims
or sooner if claim activity warrants, or at such other intervals as requested
by PRISM, in accordance with Underwriting and: Claims Administration
Standards. Utilize the Excess Workers' Compensation Status Report Form
available through PRISM's website, or a comparable form to be approved by PRISM.
C. Reimbursement requests shall be submitted in accordance with PRISM's reporting and
reimbursement procedures on a quarterly or semi-annual basis depending on claims
payment activity. Utilize the Excess Workers' Compensation Claim Reporting and
Reimbursement Procedures available through PRISM's website.
D. A closing report with a copy of any settlement documents not previously sent shall be sent
to PRISM.
Following is the history of amendments to this document:
Amended: March 4,1988
Amended: October 7, 1988
Amended: October 6, 1995
Amended: October 1, 1999
Amended: June 6, 2003
Amended: March 2, 2007
Amended: July 1, 2009
Amended: July 1, 2011
Amended: March 2, 2012
Amended: October 4, 2013
Amended: July 1, 2019
Exhibit B
Summary of TPA Fees with Bill Review Services
TPA Fees
Group Pricing
City of National
City Fees
Year 1
$97,305
Year2
$100,224
Year3
$103,230
Year4
$106,327
Years
$109,517
Total
$516,603
Services Included (Y/N) If no, include fee
MMSEA Fee
Conversion Fee
Assumption of tail claims
License fee for VOS
Monthly reports
Yes
Yes
Yes
Yes
Yes
SIP Annual Report
Yes
1099's
Yes
DWC-1, posters, pamphlets
Yes
Index checking
Yes
Attendance at hearings
Storage of claims
Check printing
Banking feesAny banking
Yes
Yes
Yes
fees shall b
between t
UR Stat approvals
See Utilizat
ion Review
7e City and t
Filing fees
Yes
Correspondence fees
Yes
he City's c
hoice of Ban
Medical Provider Network
Annual Maintenance Fee
At -Cost : Dependent on trhe City's choice of MPN Provider (s)
Creation of MPN
Same as abo4e
MPN Update fees
Same as above
Other We
10 no charge
any MPN fees for our services and 4 shall not
Medical Bill Review
add on any fee to the City's choice of MPN provider's fee.
Per bill
$10, plus .60
gents e-bi1.7C(CR
fee whenapplicable.
In Patient Medical Fee
Schedule (IMFS)
No additional
fee
PPO Network - % of savings
fee & Cap *Cap: $10k
Shall n(ot exceed
are n(o PPC( savings
2 5 % (of PPCI
.
savings . The1re are No PPC(
fees i f then
Pharmacy
No additional fee
U&C Savings
No additionall fee
Outpatient
No additional
fee
Negotiated
No additionalJ. fee
e
Medical EDI
No additions 1 fee
Duplicates
No additional fee
Other
No additional fee
Nurse Case Managemen
e cio not provide Nurse Case Management Services. We uitiJ,ize
Early Intervention/Triage
Other
reeu
tunendations/ ould zhe C1t'I roc have
y s cnoic of scrvzc piova.els a
eferrdls s4
ria ale aria o make
at
r reference ***
Utilization Review *** ease see below: ***
1st Level Peer Review
Peer to Peer
Other
*Flat fee, 5% of billed charges capped at $750,orflat fee of $85/$170per
decision/review.
*Flat Physician Review fee billed at cost, at the rate of $200 per hour, billed
in 10-minute increments.