HomeMy WebLinkAboutAgenda Report - June 20, 2018 C-16TM
CITY OF LODI
COUNCIL COMMUNICATION
AGENDA ITEM
C•mibi
AGENDA TITLE: Adopt Resolution Authorizing the City Manager to Execute Third Amendment to
the Workers' Compensation Self -Insurance Service Agreement with York Risk
Services Group, Inc., of Roseville ($128,894)
MEETING DATE: June 20, 2018
PREPARED BY: Risk Manager
RECOMMENDED ACTION:
BACKGROUND INFORMATION:
Adopt resolution authorizing the City Manager to execute third
amendment to the Workers' Compensation Self -Insurance Service
Agreement with York Risk Services Group, Inc., of Roseville for
$128,894.
The City of Lodi has maintained the current Agreement for Workers
Compensation Claims Adjusting and Administration Services York
Risk Services Group since 2008. The current contract expires June
30, 2018.
Staff is recommending a one year amendment to the contract to allow time to conduct a comprehensive
request for proposal process to ensure the City is receiving the best service and value for the cost
currently available in the marketplace.
The attached third amendment to the Agreement calls for a two percent increase in administration costs,
and allow for termination without cause on 60 -day notice. All other fees will remain capped as shown in
the attached amendment for the duration of the Agreement.
FISCAL IMPACT:
Claims administration services - $128,894 over one year. Additional fees
such as bill review, utilization review, and investigations are billed based on
factors detailed in the amendment.
FUNDING AVAILABLE: Funds are available in the Workers Compensation 66525100.72450
account to cover expenditures for York Risk Services Group services
Andrew Keys
Deputy City Manager/Internal Services Manager
4 Beverly Jen e
VL. Risk Manager
APPROVED:
abauer, City Manager
THIRD AMENDMENT TO THE WORKERS'COMPENSATION SELF-INSURANCE
SERVICE AGREEMENT (Dated Effective as of December 1, 2005)
This Third Amendment to that certain Workers' Compensation Self Insurance Service Agreement dated as
of December 1, 2005 and all amendments, letters of agreement and exhibits collectively (the
"Agreement") by and between CITY OF LODI ("Client") and YORK RISK SERVICES GROUP, INC.
("YORK");
WITNESSETH
Whereas:
The parties wish to extend the term of their Agreement as reflected below; and
The parties wish to revise the Consideration term of the Agreement as reflected below; and
The parties wish to adapt the insurance requirements as listed on Exhibit A, hereto
NOW THEREFORE
The parties hereby agree as follows:
1. The "Term of Agreement " and "Compensation" shall reflect the following:
Claims Services
York will provide claims handling at the following rate(s):
ANNUAL FEE
LINE OF BUSINESS
ANNUAL FEE
Workers' Compensation
$128,894
Definitions:
Annual Fee: York's Annual Fee quotation is a guaranteed flat annual fee and applies to
claims administration services provided during the 12 month contract term. Any additional
administration beyond the initial 12 month contract term will be subject to an additional
negotiated flat annual fee or other mutually agreed upon rate structure. If there is a
significant increase in claims volume, York may propose additional charges. If client agrees
to such additional charges, the fees will be adjusted accordingly. If client does not agree to
such charges, York will have the right to terminate services on 60 days' notice. This
agreement may be terminated by either party without cause upon (60) day written notice.
Services of the Account Manager, along with quarterly claim reviews, are provided at
no additional charge.
THIRD AMENDMENT TO THE WORKERS'COMPENSATION SELF-INSURANCE
SERVICE AGREEMENT (Dated Effective as of December 1, 2005)
Managed Care Fees:
DETAIL
FEE
CLAIMS
$9.95 per Bill
EINCAL BILL " EVIEW = OR#CRS bOMPENSATION
Fee Per Bill
PPO Network & Out of Network Savings
CASE MANAGEMENT
20% of Savings
$98.00 per Hour
Telephonic Case Management
Field Case Management
$98.00 per Hour, Plus Mileage
(IRS Reimbursement Rate &
Expenses)
Life Care Plan
$150.00 per Hour
DETAIL
FEE
' UTILIZATION REVIEW / CEI v. • a_•-....
Nurse Review
$68.00 per Review
Physician Review
$149.00 per Review
Appeal Reviews
$400.00 per Review
,73::1._Ef '";aii:A,IIi.
Peer Review
$225.00 per Hour
Physician Intervention Review (Pharmacy
Review w/P2P)
~
MEDICARE SECONDARY PAYER SERVICES (MSA)
$225.00 per Hour
Mandatory CMS MMSEA Reporting
No charge
Standard MSA
$2,950.00 per Referral
Rush MSA Additional
$500 00 per Referral
MSA CMS Submission
$500.00 per Referral
Medical Cost Projections
$1,750.00 per Referral
Conditional Payment Request
$150.00 per Inquiry
Conditional Payment Dispute Resolution
$125.00 per Hour
Medicare / Medicaid Investigation
$50.00 per Inquiry
Medical Cost Projection to MSA Conversion
$1,200.00 per Referral
York's medical management services include a complete suite of all ancillary medical services, using
multiple networks that address our clients' needs — including, but not limited to, pharmacy benefit
THIRD AMENDMENT TO THE WORKERS'COMPENSATION SELF-INSURANCE
SERVICE AGREEMENT (Dated Effective as of December 1, 2005)
management, diagnostics, durable medical equipment, transportation and translation, home health,
physical therapy, and independent medical exams. These services are subject to the bill review rates
as quoted above, plus the applicable percentage of network savings achieved below the fee schedule
or usual & customary charges.
General Fees, Services, Terms and Conditions
r Outside Activity/Field Investigations will be billed at time and expense.
Y Billing: York will issue an electronic invoice monthly, via e-mail. Payments shall be due
and payable no later than thirty days from the invoice date.
• Pricing has been developed based on provided loss data. In the event that the loss data
is erroneous or otherwise incorrect both parties agree to discuss an equitable
adjustment of service fees.
Y The City of Lodi may request that the services York performs be rendered in a particular
or different way or additional services be provided, and York will make all reasonable
efforts to comply. If such request increases York's cost of providing the services, York
shall be entitled to an equitable adjustment in its compensation.
➢ York's proposed fees will remain in effect for 90 days from the date of this proposal.
• This proposal contemplates that York will be entering into a direct contract with City of
Lodi. Should York be required to contract with any other party, different terms may
apply.
Allocated Loss Adjustment Expenses
York will arrange for various services and other costs as agent for our client. These costs
are referred to as Allocated Loss Adjustment Expenses (ALAE). A list of these expenses
follows. Payment of ALAE is the responsibility of City of Lodi. York's fees do not cover
ALAE, and York is under no obligation to pay ALAE with its own funds.
• Fees of outside counsel for claims in suit, coverage opinions and litigation and for
representation at hearings or pretrial conferences
Fees of court reporters
Y All court costs, court fees and court expenses
➢ Fees for service of process
Costs of undercover operatives and detectives
y Costs for employing experts for the preparation of maps, professional photographs,
accounting, chemical or physical analysis, diagrams
y Costs for employing experts for the advice, opinions or testimony concerning claims
under investigation or in litigation or for which a declaratory judgment is sought
• Costs for independent medical examination or evaluation for rehabilitation
➢ Costs of legal transcripts of testimony taken at coroner's inquests, criminal or civil
proceeding
Costs for copies of any public records or medical records
r' Costs of depositions and court reported or recorded statements
Costs and expenses of subrogation
• Costs of engineers, handwriting experts or any other type of expert used in the
preparation of litigation or used on a one-time basis to resolve disputes
• Witness fees and travel expenses
THIRD AMENDMENT TO THE WORKERS'COMPENSATION SELF-INSURANCE
SERVICE AGREEMENT (Dated Effective as of December 1, 2005)
r Costs of photographers and photocopy services
• Costs of appraisal fees and expenses (not included in flat fee or performed by others)
Costs of indexing claimants
• Services performed outside York's normal geographical regions
➢ Costs of outside investigation, signed or recorded statements
• Out of the ordinary expenses incurred in connection with an individual claim or requiring
meeting with Customer
Y Any other extraordinary services performed by York at Customer's request
• Investigation of possible fraud including SIU services and related expenses
• Any other similar cost, fee or expense reasonably chargeable to the investigation,
negotiation, settlement or defense of a claim or loss or to the protection or perfection of
the subrogation rights of Customer.
York may, but need not, elect to utilize its own staff or affiliated entities to perform any of
these services. Associated fees and costs will be charged as ALAE.
Optional Service - York Workers' Compensation Investigation Fees:
ink AOEICOE Investigations
Services
$81.00 Per Hour
Auto Expenses
IRS Rate
Secretarial
$8.00 Per Page
Transcribed Statements
$6.00 Per Page
Photocopies
$0.25 Each
Photographs
$2.50 Each
CD's
$1.00 Each
Other Expenses
Actual Cost
THIRD AMENDMENT TO THE WORKERS'COMPENSATION SELF-INSURANCE
SERVICE AGREEMENT (Dated Effective as of December 1, 2005)
IN WITNESS WHEREOF, CITY and CONTRACTOR have executed this Agreement as of
the date first above written.
ATTEST:
CITY OF LODI, a municipal corporation
JENNIFER M. FERRAIOLO STEPHEN SCHWABAUER
City Clerk City Manager
APPROVED AS TO FORM: York Risk Services, INC
JANICE D. MAGDICH, City Attorney
By: By:
A/. Name: To dti V►tioss
Title: 5e:. V CA..? fe5t
Attachments:
Exhibit A — Insurance Requirements
Funding Source:
(Business Unit & Account No.)
Doc ID-
E, ltTi4
SECOND AMENDMENT TO THE WORKERS' COMPENSATION
SELF-INSURANCE SERVICE AGREEMENT (Dated Effective as of December 1, 2005)
This Second Amendment to that certain Workers' Compensation Self -Insurance Service Agreement
dated as of December 1, 2005 and all amendments, letters of agreement and exhibits collectively (the
"Agreement") by and between CITY OF LODI ("Client") and YORK RISK SERVICES GROUP, INC.
("YORK");
WITNESSETH
Whereas:
The parties wish to extend the term of their Agreement as reflected below; and
The parties wish to revise the Consideration term of the Agreement as reflected below; and
The parties wish to adapt the insurance requirements as listed on Exhibit A, hereto
NOW THEREFORE
The parties hereby agree as follows:
1. The "Term of Agreement " and "Compensation" shall reflect the following:
WORKERS' COMPENSATION CLAIMS ADMINISTRATION
SERVICES
FLAT ANNUAL. FEE
Year 1
Year 2
Year 3
$120,870
$123,290
$125,750
PRICING NOTES
The annual flat fee proposed contemplates handling all claims activity in a 12 -month period
(claims already open at the beginning of the 12 -month term and any new claims reported during
the 12 -month term). The pricing quoted includes all indemnity, future medical and medical only
claims as listed. The flat annual fee includes all services detailed in this proposal, including, but
not limited to, the ancillary services listed below.
Ancillary Services included in flat annual fee
Excess Reporting
Account Management
Data Management
Trust Account (Excluding Check and Bank
Charges)
Management Attendance at Claim Review
Meetings
Monthly Computer Loss Information
Special Quarterly and Annual Reports
Claim Reporting (fax, telephonic)
On -Line 5020 Reporting
Preparation of 1099's
Annual Stewardship Report
Standard Re . + rt i n _ Re ► u i cements
Page 1 of 6
Mariag,ed Care Fees:
DETAIL
Medicare Reporting
Iiii.I, IZI•:\'I1:\\
Fee Per Bill
. 1 / + Isitmatall
PPO and Other Ne . otiated Savin . s
20%
Fee Schedule Savin l s
No chan .e to • rior A. reement
Du i licates
No Char .e
eBillin
No Char .e
EDI Re ortin
N'II:I)I('.\I (',\si:
Tele • honic Nurse Case Mana . ement
No Char:e
Nil ‘N x(.I;\II:NN'l
$98.00 .er hour
Field Case Mana,ernent
111 I I,I/..\ !ION
Utilization Review Procedure Rate — Level 1
$98.00 .er hour, lus IRS Milea_e Rate
I I•:\I I;\1
$68.00 I er event
Utilization Review Procedure Rate — Level 2
$149.00 • er event
Utilization Review Procedure Rate — Level 3
$149.00 • er event
Medical Director Review/Peer Review
$225.00 . er hour
S ecial Review/A ears
OI''riu' s.1, \11;I)I( :%I. I'R1)\
$1,500 for Application
$48.00 per Claim Access (For the Life of the Contract)
$400.00 er hour
Iul•;It NI:I' OR
Oi►Iinnal Iie)licarc Repealing, R I\1cdicary 'et -\si(I,. ('I',\s)
Medicare Reporting
No charge
Standard MSA with or without submission to CMS for approval
$2,750.00 flat rate
$75.00 flat rate
Final Settlement Document Submission _
SSA and SSDI Checks
$125.00 per hour
Medicare Check
$50.00 flat rate
Conditional Payment Investigation
$150.00 flat rate
Conditional Payment Resolution
$125.00 per hour
Optional Investigation Services
York charges $81.00 per hour plus expenses at the rates outlined below.
Allocated Expenses for Investigation Services
Expenses Rates
Miles Prevailing IRS rate
Photographs $2.50 per color print
Photocopying $ .25 per page
Telephone Charges Included
Secretarial Services $6.00 per page
File Set Up $25.00 per file
Page 2 of 6
Audio Cassettes
Video Cassettes
Other Expenses
Data Conversion
$3.00 per cassette
$15.00 per cassette
At cost
Included
•
•
•
•
s
■
•
r
•
•
Fees of outside counsel for claims in suit, coverage opinions and litigation and for representation at hearings
or pretrial conferences.
Fees of court reporters and all court costs, court fees and court expenses
Fees for service of process
Costs of undercover operatives and detectives
Costs for employing experts for the preparation of maps, professional photographs, accounting, chemical or
physical analysis, diagrams
Costs of legal transcripts of testimony taken at coroner's inquests, criminal or civil proceedings
Costs for independent medical examination or evaluation for rehabilitation
Costs for copies of any public records or medical records
Costs of depositions and court reported or recorded statements
Costs and expenses of subrogation
Costs of engineers, handwriting experts or any other type of expert used
Witness fees and travel expenses
Costs of photographers and photocopy services
Costs of appraisal fees and expenses
Costs of outside investigation, signed or recorded statements
Mann, ed care services, exeludin _ NCM/TCM which are medical ex enses or the flat annual option
2. York shall take out and maintain during the life of this Amendment, insurance coverage as
set forth in Exhibit A attached hereto and incorporated by this reference.
3. Except as noted above, the Agreement shall remain unchanged.
In witness whereof, the parties have executed this amendment as of the date below and with an
agreement effective date of July 1, 2015.
CITY OF LODI
Byf•
By.
Jody A. Moses
Senior Vice President
YORK RIS
VICES GROUP, INC.
Date: Date: 4711401 a AeiC
JRfiice Magdich,
City Attorney
I/VI As
CITY OF LODI
13y:
Date:
CITY OF LODI
B
Jennil r Ferraiolo tevee hwa. ager
City Clerk Cit Manager
qfr? I 1 Date: /1) --
Page
Page 3 of 6
EXHIBIT C
Page 4 of 6
EXHIBIT C.
insurance Requirements for Con'rac;or The Contractor shall take out and maintain during the life of this Agreement, insurance
coverage as listed below. These insurance policies shall protect Contractor and any subcontractor performing work covered by this
Agreement from claims for damages for personal injury, including accidental death, as well as from claims for property damages, which
may arise from Contractor's operations under this Agreement, whether such operations be by Contractor, or by any subcontractor, or by
anyone directly or indirectly employed by either of them, and the amount of such insurance shall be as follows:
1. COMPREHENSIVE GENERAL LIABILITY
$2,000,000 Each Occurrence
$4,000,000 General Aggregate
2. COMPREIIENSIYE.AUTOMOBILE LIABILITY
$1,000,000 Combined Single Limit
Such insurance shall cover liability arising out of any vehicle (including, owned, hired and non -hired vehicles) operated in
performing any and all services pursuant to this Agreement. Coverage shall be written on ISO form CA 00 01 12 90, or a later
version of this form, or an equivalent form providing equivalent liability coverage.
3. PROFESSIONAL LIABILITY 1 ERRORS AND OMISSIONS
$2,000,000 Each Occurrence
All limits are to be designated strictly for the City of Lodi, its elected and appointed boards, commissions, officers, agents, employees, and
volunteers. All deductibles or self-insured retentions (SIR) must be disclosed to City's Risk Manager for approval and shall not reduce the
limits of liability set forth hereinabove. Insurance policies containing any deductible or SIR provision shall provide, or be endorsed to
provide, that the deductible or SIR may be satisfied by either the Named Insured(s) or the City of Lodi.
It is required that any available insurance proceeds broader than or in excess of the specified minimum insurance coverage requirements
and/or limits set forth above, shall be available to City as an additional insured. Furthermore, the requirements for coverage and limits
shall be (i) the minimum coverage and limits specified in these insurance requirements; or (ii) the broader coverage and maximum limits of
coverage of any insurance policy or proceeds available to the Contractor; whichever is greater.
Contractor agrees and stipulates that any insurance coverage provided to the City of Lodi shall provide for a claims period following
termination of coverage which is at least consistent with the claims period or statutes of limitations found in the California Tort Claims Act
(California Government Code Section 810 et seq.).
A copy of the certificate(s) of insurance with the following endorsements shall be furnished to the City:
(a) Addlllatt atncd insured E do sment
Pursuant to a separate endorsement (ISO form CG 2010 (11/85) or equivalent form) such insurance as is afforded by this policy
shall also apply to the City of Lodi, its elected and appointed boards, commissions, officers, agents, employees, and volunteers as
additional named insureds.
(b) Primary and Non -Contributory Insurance Endorsement
Additional insurance coverage under the Contractor's policy shall be "primary and non-contributory" and will not seek contribution
from City's insurance or self-insurance and shall be at least as broad as ISO form CG 20 01 04 13.
NOTE: (1) The street address of the CITY OF LODI must be shown along with (a) and (b) above: 221 West Pine Street, Lodi,
California, 95240; (2) The insurance certificate must state, on its face or as an endorsement, a description of the project that it is
insuring.
(c) Waiver of Subrogation
Include a waiver of subrogation against the City of Lodi, its elected and appointed boards, commissions, officers, agents,
employees, and volunteers.
(d) Limits of Coverage
The limits of insurance coverage required may be satisfied by a combination of primary and umbrella or excess insurance. Any
umbrella or excess insurance of Contractor shall contain, or be endorsed to contain, a provision that such coverage shall also apply
on a primary and non-contributory basis for the benefit of the City before the City's own insurance or self-insurance shall be called
upon to protect the City as a named insured.
Insurance Requirements for Contractile (continued)
Page 5 of 6
(e) CompfctcclOperatiorL 1inclorsement
For three years after completion of project, a certificate of insurance with a Completed Operations Endorsement, CG 20 37 07 04,
will be provided to the City of Lodi.
(t) $ everabi l i tv of Interest Clause
The term "insured" is used severally and not collectively, but the inclusion herein of more than one insured shall not operate to
increase the limit of the company's liability.
(g)
Notice Q(Cancellotion or Change in Coverggc Enclora, a eitt
This policy may not be canceled nor the coverage reduced by the company without 30 days' prior written notice of such cancellation
or reduction in coverage to the Risk Manager, City of Lodi, 221 West Pine St., Lodi, CA 95240.
(h) Con timiity of COmage
All policies shall be in effect on or before the first day of the Term of this Agreement. At least thirty (30) days prior to the
expiration of each insurance policy, Contractor shall furnish a certificate(s) showing that a new or extended policy has been
obtained which meets the minimum requirements of this Agreement. Contractor shall provide proof of continuing insurance on at
least an annual basis during the Term. If Contractor's insurance lapses or is discontinued for any reason, Contractor shall
immediately notify the City and immediately obtain replacement insurance.
(i) Failure to Comply
If Contractor fails or refuses to obtain and maintain the required insurance, or fails to provide proof of coverage, the City may
obtain the insurance. Contractor shall reimburse the City for premiums paid, with interest on the premium paid by the City at the
maximum allowable legal rate then in effect in California. The City shall notify Contractor of such payment of premiums within
thirty (30) days of payment stating the amount paid, the name(s) of the insurer(s), and rate of interest. Contractor shall pay such
reimbursement and interest on the first (1$') day of the month following the City's notice. Notwithstanding and other provision of
this Agreement, if Contractor fails or refuses to obtain or maintain insurance as required by this agreement, or fails to provide proof
of insurance, the City may terminate this Agreement upon such breach. Upon such termination, Contractor shall immediately cease
use of the Site or facilities and commence and diligently pursue the removal of any and all of its personal property from the site or
facilities.
(j) Ounlifted il risl
All insurance required by the terms of this Agreement must be provided by insurers licensed to do business in the State of
California which are rated at least "A-, VI" by the AM Best Ratings Guide, and which are acceptable to the City. Non -admitted
surplus lines carriers may be accepted provided they are included on the most recent list of California eligible surplus lines insurers
(LESLI list) and otherwise meet City requirements.
Workers c'nrnpeoy1,tian In5uranre The Contractor shall take out and maintain during the life of this Agreement, Worker's
Compensation Insurance for all of Contractor's employees employed at the site of the project and, if any work is sublet, Contractor shall
require the subcontractor similarly to provide Worker's Compensation Insurance for all of the latter's employees unless such employees are
covered by the protection afforded by the Contractor. In case any class of employees engaged in hazardous work under this Agreement at
the site of the project is not protected under the Worker's Compensation Statute, the Contractor shall provide and shall cause each
subcontractor to provide insurance for the protection of said employees. A waiver of subrogation is required for workers compensation
insurance. This policy may not be canceled nor the coverage reduced without 30 days' prior written notice of such cancellation or
reduction in coverage to the Risk Manager, City of Lodi, 221 West Pine St., Lodi, CA 95240.
NOTE: The City reserves the right to obtain a full certified copy of any insurance policy or endorsements required. Failure to
exercise this right shall not constitute a waiver of the City's right to exercise after the effective date.
Page 6 of 6
RESOLUTION NO. 2018-124
A RESOLUTION OF THE LODI CITY COUNCIL AUTHORIZING THE
CITY MANAGER TO EXECUTE THIRD AMENDMENT TO THE WORKERS'
COMPENSATION SELF-INSURANCE SERVICE AGREEMENT WITH
YORK RISK SERVICES GROUP, INC., OF ROSEVILLE
NOW, THEREFORE, BE IT RESOLVED, that the Lodi City Council does hereby
authorize and direct the City Manager to extend an Agreement for Workers Compensation
claims adjusting and administration service with York Risk Services Group, Inc., of Roseville,
California, beginning July 1, 2018, in an amount not to exceed $128,894; and
BE IT FURTHER RESOLVED that the Lodi City Council hereby authorizes the
City Manager to execute the agreement on behalf of the City of Lodi.
Dated: June 20, 2018
I hereby certify that Resolution No. 2018-_ was passed and adopted by the City
Council of the City of Lodi in a regular meeting held June 20, 2018, by the following votes:
AYES: COUNCIL MEMBERS — Johnson, Kuehne, Mounce, and Mayor Nakanishi
NOES: COUNCIL MEMBERS — None
ABSENT: COUNCIL MEMBERS — Chandler
ABSTAIN: COUNCIL MEMBERS — None
U1,
. NNIFE . FERRAIOLO
City Clerk
2018-124