|
First Amendment AdminSure, Inc.
<br />September 3, 2019
<br />Page 3
<br />Fee Structure Comparison:
<br />Oriainal Aareement., 91112018 - 8130-2019 AdminSure, Inc. - Fee
<br />Structure Year 1 (Completed -
<br />No Adjustment) Year 2
<br />Year
<br />Optional Year
<br />Optional
<br />Year 5
<br />Optional Year 6
<br />Optional Year Workers'
<br />Compensation Monthly
<br />Fee
<br />Workers'
<br />Compensation Annual
<br />Fee
<br />General
<br />Liability Monthly
<br />Fee
<br />General
<br />Liability i
<br />Annual
<br />Fee
<br />42,125 505,
<br />500 14,600 175,200 43,389 520,
<br />665 15,038 180,456 44,690 536,
<br />285 15,489 185,870 46,031 552,
<br />373 15,954 191,446 47,412 568,
<br />945 16,432 197,189 48,834 586,
<br />012 16,925 203,100 50,299 603,
<br />593 17,433 209,193 PROPOSED: EFFECTIVE 91112019
<br />AdminSure, Inc. - Fee
<br />Structure Year 1 (Completed -
<br />No Adjustment) Year Year
<br />Optional
<br />Year
<br />Optional
<br />Year 5
<br />Optional Year 6
<br />Optional Year Workers'
<br />Compensation Monthly
<br />Fee
<br />42,
<br />125 47,
<br />539 48,
<br />965 50,
<br />434 51,
<br />947 53,
<br />505 55,
<br />110 Workers'
<br />Compensation Annual
<br />Fee
<br />General
<br />Liability Monthly
<br />Fee
<br />General
<br />Liability Annual
<br />Fee
<br />505,
<br />500 14,
<br />600 175,200 570,465 22,
<br />818 273,816 587,579 23,
<br />503 282,030 605,206 24,
<br />208 290,491 623,363 24,
<br />934 299,206 642,063 25,
<br />682 308,182 661,325 26,
<br />452 317,428 PROPOSED: EFFECTIVE 91112019
<br />Increase Difference Including
<br />Agreement AdminSure, Inc. - Fee
<br />Structure Year 1 (Completed -
<br />No Adjustment) Year Year
<br />Optional
<br />Year
<br />Optional
<br />Years Optional
<br />Year 6
<br />Optional Year Annual
<br />Increase and
<br />Additional Scope Increase Workers' Compensation Monthly
<br />Fee
<br />Workers'
<br />Compensation Annual
<br />Fee
<br />General
<br />Liability Monthly
<br />Fee
<br />General
<br />Liability Annual
<br />Fee
<br />4,
<br />150 49,
<br />797 7,780 93,360 4,275 51,
<br />299 8,014 96,162 4,403 52,
<br />834 8,254 99,043 4,535 54,
<br />419 8,502 102,022 4,671 56,
<br />051 8,757 105,083 4,811 57,
<br />733 020 108,235 25C-3
|