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ATTACHMENT A WORKERS' COMPENSATION CLAIMS ADMINISTRATION SCOPE OF SERVICES ADMINISTRATIVE SERVICES TPA will provide the following administrative services: 1. In accordance with state mandated time frames, prepare (with IRC's assistance) and file with the appropriate state agencies all applications, bonds, documentation, and data required (if any) for implementation and continuance of the program. 2. In accordance with state mandated time frames, prepare, maintain, and file all records and reports as may be required by legal authorities (state, local, and federal). 3. Prepare, maintain, and file statistical or other records and reports as required by IRC's excess insurers. Report claims to IRC's excess insurer(s) in accordance with the requirements of the excess insurer(s). Provide a copy of the reports to IRC. Follow specific written investigation procedures for any case for which excess Workers' Compensation insurers require specific notification or investigation. It is the responsibility of IRC to provide accurate coverage information regarding any insurance policies insuring claims covered by this Agreement. New insurance information on renewal years will be made within 90 days of renewal date. Excess information will include name and claims reporting address and phone number of all carriers, policy number, effective dates, limits of liability, deductibles, specific retentions and loss funds. Actual polices will be provided. This information is required for each claim year that TPA is handling for IRC. If this information is not made available as outlined in this paragraph, TPA will not be responsible for any penalties, interest, or reductions in excess recoveries because of late reporting. 4. In accordance with state mandated time frames, prepare, maintain, and file statistical information required by Workers' Compensation Rating Bureaus or appropriate state agencies, including electronic data interface (EDI) and data necessary for the promulgation of experience modifications. 5. Comply fully with all rules, regulations, guidelines or procedures established by IRC and the State of Florida, including EDI. 6. Provide IRC, annually, with the latest paylag report from the State of Florida. 7. Annually, provide IRC with a SSAE-18 audit as required by the financial auditors. 8. Prepare and follow provisions specific to IRC, for approval by IRC, for ensuring services in the event of an emergency; e.g., hurricane preparedness, including how TPA services will continue, Page 13