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2024-237
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2024-237
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Last modified
10/21/2024 11:45:59 AM
Creation date
10/21/2024 11:41:35 AM
Metadata
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
09/24/2024
Control Number
2024-237
Agenda Item Number
8.P.
Entity Name
Davies Claims North America, Inc.
Subject
Third Party Claims Administration Services Agreement for the Self-Funded Workers’
Compensation and Liability Program
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required EDI DWC reporting. TPA shall reimburse IRC for payment of any fines, penalties or <br />assessments assigned by the State of Florida, or other regulatory agency, for failure to comply with <br />such rules and regulations, including EDI reporting, associated with the performance or <br />responsibility of TPA. <br />5.2 Scope of Services. Except as otherwise provided in this Agreement, TPA shall, for the <br />duration of this Agreement, provide all of the services described in Attachment A to this <br />Agreement, Worker's Compensation Claims Administration Scope of Services. <br />5.3 Obligations Not Terminated By Term of Agreement. TPA will provide service on all <br />claims occurring during, or before, the term of this Agreement and until thirty (30) days after the <br />termination of this Agreement (including renewals, extensions or replacements thereof), all legally <br />required reports for the contract period rendered, and all required reports to appropriate agencies. <br />The compensation of TPA paid for services during the term of this Agreement includes the full <br />compensation for such continuing obligations and, except as noted herein, no additional <br />consideration shall be due for such obligations which extend beyond the term of this Agreement. <br />5.4 Performance Reviews. Except as otherwise provided in this Agreement, TPA and IRC <br />agree that periodic Performance Reviews will be conducted in accordance with the processes and <br />guidelines described in Attachment C, Claims Administration Services Performance Reviews. <br />ARTICLE 6 — SPECIAL CONDITIONS <br />FOR THIRD PARTY LIABILITY CLAIMS ADMINISTRATION SERVICES <br />6.1 Scope of Services. Except as otherwise provided in this Agreement, TPA shall, for the <br />duration of this Agreement, provide all of the services described in, Attachment B to this <br />Agreement, Third Party Claims Administration Scope of Services. <br />6.2 Obligations Not Terminated By Term of Agreement. TPA will provide service on all <br />claims occurring during, or before, the term of this Agreement and until thirty (30) days after the <br />termination of this Agreement (including renewals, extensions or replacements thereof), all legally <br />required reports for the contract period rendered, and all required reports to appropriate agencies. <br />The compensation of TPA paid for services during the term of this Agreement includes the full <br />compensation for such continuing obligations and, except as noted herein, no additional <br />consideration shall be due for such obligations which extend beyond the term of this Agreement. <br />Upon exiting, client data will be provided to the new TPA either by a series of attachments to one <br />or more email messages containing zip files which can be password -protected or via CD ROM or <br />the most current means of providing data. The cost for this will be no greater than $3,500. IRC will <br />be billed for any additional programming to help in data transfer. <br />6.3 Performance Reviews. Except as otherwise provided in this Agreement, TPA and IRC <br />agree that periodic Performance Reviews will be conducted in accordance with the processes and <br />guidelines described in Attachment C, Claims Administration Services Performance Reviews. <br />Page 11 <br />
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