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Item 37 - Renewal with Third Party Administrator for Claims Admin. Service
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08/17/2021 Regular
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Item 37 - Renewal with Third Party Administrator for Claims Admin. Service
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City Clerk
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Agenda Packet
Agency
Clerk of the Council
Item #
37
Date
8/17/2021
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7. OBLIGATIONS OF THE CITY: The City shall: <br />A. Submit all reports of work injury to the Administrator in a timely manner not to exceed two <br />business days of the City's knowledge of the injury. <br />B. Respond to the Administrator's requests for information and authority within five days of such <br />requests. <br />C. Provide information that is accurate and is in a form specified by the Administrator. <br />D. Grant settlement authority, where the City deems it appropriate to do so, to the Administrator <br />in advance of WCAB, Rehabilitation, and legal hearings, or be available by phone or in person <br />during same. <br />8. CHECKING ACCOUNT: The City and the Administrator agree that: <br />A. The City shall establish and maintain a checking account from which all Workers' <br />Compensation benefits and expenses are to be paid. <br />B. The Administrator shall prepare checks and issue those checks directly to payees without <br />delay. <br />C. The Administrator shall sign checks with a facsimile signature or manually. <br />D. The Administrator shall secure checks in a locked area accessible to a limited number of <br />personnel. <br />E. The City shall maintain an adequate balance in their checking account to meet all Workers' <br />Compensation obligations without delay. <br />F. The checking account may be used to pay penalties in which case the Administrator shall <br />reimburse the City within fifteen (15) working days for any amount of the penalty which the <br />Administrator caused. <br />9. ELECTRONIC DATA PROCESSING: The Administrator shall provide the City with electronic data <br />processing services that will allow for the production of loss experience and transaction reports within ten <br />10) days following the close of each calendar month. <br />10. REGULATORY REPORTING: The Administrator shall prepare all reports required by State and <br />Federal regulatory agencies (if any) in connection with the Program, including the Self -Insurer's Annual <br />Report required by the Department of Self -Insurance Plans. <br />11. RECORDS: The Administrator shall establish and maintain electronic claim files, claim logs, <br />transaction documents and all other records associated with the Program. These records shall be the <br />property of the City. Unless this Agreement is cancelled, closed hard files, if any, shall be stored by the <br />Administrator for five (5) years and shall thereafter become the responsibility of the City. Upon <br />cancellation of this Agreement, the City shall be responsible for maintaining and storing all data, records, <br />et cetera. The Administrator shall not dispose of or destroy hard files without the prior, written <br />authorization of the City. <br />12. CONSIDERATION: <br />e For the first year, September 4, 2018 (or first day following City Council approval) through August <br />31, 2019, of this Agreement, the City shall pay the Administrator $42,125 per month for Claims <br />Administration Services rendered under this Agreement.
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