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Item 22 - Agreements for Third Party General Liability and Workers Comp Claims Administrative Services
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Item 22 - Agreements for Third Party General Liability and Workers Comp Claims Administrative Services
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11/26/2025 11:00:58 AM
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11/26/2025 8:45:18 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Human Resources
Item #
22
Date
12/2/2025
Destruction Year
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G. The checking account may be used to pay penalties in which case the Consultant shall <br />reimburse the City within fifteen (15) working days for any amount of the penalty <br />which the Consultant caused. <br />ELECTRONIC DATA PROCESSING <br />A. The Consultant shall provide the City with electronic data processing services that will <br />allow for the production of loss experience and transaction reports within ten (10) days <br />following the close of each calendar month. <br />B. Notify the City immediately of any unauthorized breach of City's information contained <br />in Consultant's electronic data system and/or computer system <br />REGULATORY REPORTING <br />The Consultant shall prepare all reports required by State and federal regulatory agencies (if any) <br />in connection with the Program, including the Self -Insurer's Annual Report required by the <br />Department of Self -Insurance Plans. <br />RECORDS <br />The Consultant shall establish and maintain electronic claim files, claim logs, transaction <br />documents and all other records associated with the Program, These records shall be the property <br />of the City. Unless this Agreement is cancelled, closed hard files, if any, shall be stored by the <br />Consultant 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, <br />records, et cetera. The Consultant shall not dispose of or destroy hard files without the prior, <br />written authorization of the City. <br />The City shall allow the Consultant to perform all Bill Review Services through MedReview. Bill <br />review fees are at $9.00 per bill. Preferred Provider Organization fees shall not exceed 25% of <br />savings when applicable. <br />The City shall allow the Consultant to perform all Utilization Review Services through <br />MedReview. Utilization review fees are incorporated into medical bill review invoices at the rate <br />of 7% of billed charges. The maximum utilization review fee charged per medical bill is capped <br />at $750.00. Utilization review by a physician is billed separately in 10-minute increments, at the <br />rate of $200.00 per hour. <br />ALLOCATED EXPENSES <br />The City shall pay for field investigation, defense attorneys, legal costs, remote photocopy, <br />engineering experts, accident reconstruction experts, process servers, messenger service, court <br />reporters, vocational rehabilitation consultants, structured settlement consultants, translators, and <br />any other vendor necessary to administer claim files. Payment of expenses in excess of $150,000 <br />require prior approval of the City before those expenses are paid. <br />PENALTIES <br />The Consultant shall be responsible for paying or appealing penalties that are caused by the <br />Consultant. The Consultant shall not be responsible for penalties that are caused by the City or <br />
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