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2005-074
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2005-074
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Last modified
7/11/2016 1:24:45 PM
Creation date
10/1/2015 1:22:16 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
02/22/2005
Control Number
2005-074
Agenda Item Number
11.G.1
Entity Name
Johns Eastern Company
Subject
Service Contract Multiple lines claims handling
Risk Management
Archived Roll/Disk#
4000
Supplemental fields
SmeadsoftID
8677
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g . Costs for converting data from the present claims administrator's computer system <br /> to the Service Agent ' s system will be $ 5 , 000 . 00 per conversion . This assumes the <br /> present service provider will supply data by tape or diskette . If there is any charge <br /> from the current administrator, the Employer will pay the fee . This is a one -time <br /> fee for each data conversion . <br /> h . Allocated expenses are costs associated with the investigation and/or adjustment of <br /> a claim . The Service Agent will charge allocated expenses to the claim file . Fees <br /> for any field investigation will be $ 105 . 00 per hour, $ 0 . 45 a mile and $2 . 00 per <br /> color photograph . The Service Agent will bill at these rates all activities involving <br /> handling, controlling, or settling an employer's liability on a claim. Fees for <br /> services in performing outside investigations and inspections on commercial <br /> property losses will be billed at the current property rate schedule . <br /> i . The Service Agent will handle all claims received whose date of loss is within the <br /> terms of this proposal and contract. If and when the contract is terminated, we will <br /> handle the claims for a period of ninety (90) days thereafter at no additional <br /> charge . If the Employer wishes the claims to be handled beyond this point, fees <br /> will be negotiated at that time . <br /> j . The Service Agent will provide Medical Management Services consisting of <br /> administrative services including the following items : <br /> • Triage of all cases <br /> • Assistance with developing preferred medical providers <br /> • Education and training of providers and/or supervisory staff <br /> • Educational referral material <br /> • Review of impairment rating for accuracy by nurse case manager to <br /> achieve potential savings <br /> In addition , telephonic case management will be provided on all cases . Fees for <br /> these services will be $ 525 . 00 per lost time exposure and $ 125 . 00 per medical only <br /> exposure . <br /> k. The Service Agent will provide Risk Management Information Services at the <br /> following rates under the Gold Plan : <br /> a . Standard Reports are included <br /> b . NOI over the Internet is included <br /> c . Florida State Reporting — Claim; DWC4, DWC12 is included <br /> d . Florida State Reporting - Underwriting; BSI- 17 , BSI-20 is included <br /> e . 1099 ' s will be filed annually using the Service Agent ' s Federal ID# <br /> f. Internet Access is included up to 6 users . $ 50 . 00 per month each additional <br /> address . <br /> g. Training at our site (Internet & Looking Glass) will be $ 1 , 250 . 00 per day . <br /> h . Standard reports via paper will be $ 100 . 00 per report, per printing . Includes 3 <br /> copies of report . <br /> i . Specialty reports via paper will be $ 125 . 00 per report, per printing. Includes 3 <br /> copies of report . <br /> j . Specialty reports via email will be $ 100 . 00 per month ; per set or $ 900 . 00 per <br /> year, per set . <br /> k. NOI for Internal Incident Reporting will be $ 15 . 00 per NOI. <br />
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