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HomeMy WebLinkAbout09 - Workers Compensation Third Party Administrator ServicesAugust 27, 2002 Agenda Item 9 City of Newport Beach Human Resources Department Memorandum To: Mayor and Members of the City Council From: Lauren F. Farley, Risk Manager Subject: Contract for Workers Compensation Third Party Administrator (TPA) Services RECOMMENDATION: Approve continuation of a joint agreement to provide third party administration claims services for the self - insured workers' compensation programs of the cities of Newport Beach and Costa Mesa with Hazelrigg Risk Management Services, Inc. of Chino, California, for the term September 1, 2002 through August 31, 2005; and authorize the City Manager to execute the professional services agreement (Attachment B). This is a budgeted workers compensation program expenditure in the Self Insurance Fund (# 6010 -8612) and appropriate funds exist in the budget to cover the proposed contract fees of $155,000 for the city of Newport Beach for FY 02/03. BACKGROUND: As a self- insured public entity, the City contracts with a third party administrator (TPA) to provide necessary claims adjusting services. The City has contracted with Hazelrigg Risk Management Services, Inc. (HRMS) since July 1, 1995 for these services under a joint professional services agreement with the City of Costa Mesa. The partnership with Costa Mesa and the contractual relationship with HRMS was the result of a comprehensive request -for- proposal process undertaken by the two cities. HRMS has provided very satisfactory claims services to the cities for the past seven years under the format of a dedicated claims unit that exclusively handles the injury claims of Newport Beach and Costa Mesa. In 1998, at the conclusion of the initial three -year contract with HRMS, a TPA market survey was conducted to verify the status of industry pricing against HRMS's proposed increases. The survey revealed that HRMS's proposed increases at the time were competitively priced for the cities to continue the contract. However, due to the length of time since the last RFP, it was appropriate to again conduct a formal request -for- proposal process to survey the companies that provide workers compensation claim services, the quality of services available, and the competitiveness of our current contract pricing. An RFP for claims administration services was mailed to nineteen (19) Southern California TPA firms. The eight (8) firms listed on Attachment 'A' submitted proposals in response to the RFP. ANALYSIS: Proposals were evaluated in a joint effort by staff of both Newport Beach and Costa Mesa using criteria including experience in municipal claims administration, TPA staff qualifications and experience, ability to perform the services outlined in the RFP's scope of work, responsiveness to the RFP, and proposed fees. Four firms - HRMS, EOS, TriStar, and Willis ASC — were invited for interviews. At the conclusion of the interviews, the candidate pool was narrowed to three, eliminating Willis ASC. Both cities performed site visits to the offices of EOS in Irvine, and TriStar in Long Beach. (A site visit to HRMS was not deemed necessary, as staff was readily familiar with the HRMS offices and operations.) Following the site visits, extensive evaluation of the quality and cost of services offered by the three firms was conducted. Each of the three firms presented themselves as equally qualified and capable. A comparison of the annual fees proposed showed HRMS with the lowest fees of the three firms, at $310,000 ($155,000 per city) for the 9/1/02 - 8/31/03 term, inclusive of the use of the HRMS medical bill review services. Fees proposed for the second and third year of the contract have been negotiated downward from the proposal to a 3% increase for the second year, at $319,300, and third year fees subject to further negotiation in 2004 with a 3% cap. Since 1999, the cities have paid HRMS an annual fee in the amount of $274,000 ($137,000 per city). This new fee increase is a total of 13% and represents the first fee increase for these services in three years. Staff also considered two remaining factors in making its final selection: Program disruption that can result by changing administrators and a change should only be considered when a clear improvement in service quality would be realized, and; 2. There is an alternative claims administration method which staff wishes to give in-depth study to in "Alternatives Considered ", below). Given would be more administratively efficient provider until this study is completed alternative is fully known. the coming months (see this potential alternative, it to remain with the current and the feasibility of this It is therefore concluded, based upon all of the information considered, that the workers compensation claims administration services contract with HRMS should be continued. ALTERNATIVES CONSIDERED: The Risk Managers of Newport Beach and Costa Mesa have periodically considered two alternatives to contracting for the claims administration services needed to support the cities' self- insured workers compensation programs: Purchase first dollar commercial workers compensation insurance and disband the self- insured programs. This was viewed as a possible cost - effective option when the California workers compensation insurance market opened up in the mid- 1990's. However, the initial favorable premium pricing has not been maintained, and, coupled with issues of less effective claim administration, many of the public agencies that made the move to fully insured programs have since re- instituted self- insured programs and broker quotations solicited by both agencies continue to be non - competitive with the cities annual self- insured workers compensation program costs. Bring the claims administration in -house in a combined program for Newport Beach and Costa Mesa. Under this type of claims administration program, all claims would be handled directly by city staff. The costs of staffing and operating the in -house claims unit would be shared by the two cities. When considered in the past, this alternative did not present an improvement either financially or administratively over contracting for these services. However, a number of program factors are changing and it is believed that consideration of this approach should receive serious and detailed study at this time. Similar studies are being undertaken by other California public entities. It is anticipated a thorough feasibility study will take approximately 6 months to complete. Upon completion of the study, if an in -house claims program is truly viable, staff proposes to present the results of its study to City Council with a recommendation to implement a self - administered program. Transition to in- house claims administration would take up to 18 months thereafter to secure staff with the required technical expertise, procure the necessary computer equipment and software, develop the claims data base, create a payment system, and complete other operational components of the program. The proposed eighteen (18) month transition period would be within this proposed three (3) year contract which includes the city's standard thirty (30) cancellation clause. If the feasibility study does not show merit to implementing such a program, then continuation of the claims administration services contract with Hazelrigg Risk Management Services, or another company, can be evaluated prior to the August 31, 2005 contract anniversary. ATTACHM ENT A PROPOSALS RECEIVED AND FEE COMPARISON First Yr Fees* Administrative Services Corp. (Willis ASC) 1551 N. Tustin Ave., Suite 1000 Santa Ana, CA 92705 $ 385,000 (plus unspecified fees for data conversion) Cambridge Integrated Services Group 1901 Main Street, Suite 400 Irvine, CA 92614 $ 495,832 EOS Claims Services, Inc. 153 Technology Drive Irvine, CA 92618 $ 421,926 Fleming & Associates 4250 Pennsylvania Avenue Glendale, CA 91214 $ 245,000 (plus unspecified fees for data conversion) Hazelrigg Risk Management Services, Inc. 14275 Pipeline Avenue Chino, CA 91709 $ 310,000 (with in -house bill review services and $410,000 without in -house bill review services) JT2 34 Executive Park, Suite 220 Irvine, CA $ 415,600 Sedgwick CMS 701 S. Parker Street, Suite 4000 Orange, CA 92868 $ 714,423 TriStar Risk Management 2835 Temple Avenue Long Beach, CA 90806 $ 411,000 Fees listed do not include fee reductions available for use of in -house medical bill review services, except the HRMS quote. ATTACHMENT B PROFESSIONAL SERVICES AGREEMENT (TO BE DELIVERED TO COUNCIL ON FRIDAY, AUGUST 23, 2002) COUNCIL AGENDA ATTACHMENT B N 0. q AGREEMENT FOR WORKERS' COMPENSATION CLAIMS ADMINISTRATION SERVICES THIS AGREEMENT is made and entered into by and between the CITY OF NEWPORT BEACH, ( "CITY "), and Hazelrigg Risk Management Services ( "CLAIMS ADMINISTRATOR "). CLAIMS ADMINISTRATOR's Home Office is located at 14275 Pipeline Ave., Chino, California 91710 where the CITY'S claims will be administered TERM OF AGREEMENT The term of this Agreement shall be for a period commencing 12:01 a.m. on Septemeber 1, 2002 and ending 12:00 midnight on August 31, 2005 2. MINIMUM REQUIRED CLAIM ADMINISTRATION SERVICES TO BE PERFORMED BY HAZELRIGG RISK MANAGEMENT SERVICES A. Program Administration (1) Provide professional and technical staff to perform the services as described in this Agreement. (2) Represent CITY in all matters related to the set -up, investigation, adjustment, processing, negotiation and resolution of workers' compensation claims against the CITY. (3) Inform the CITY of changes or proposed changes in Labor Code statutes, rules and regulations and case law affecting its workers' compensation claims program. (4) Assist in the development of policies and procedures relating to the workers' compensation claims program. (5) Provide information and guidance regarding the workers' compensation claims program and specified claims. (6) Provide copies of file correspondence and documentation as requested by CITY. (7) Inform CITY of problem areas or trends, both potential and perceived, and provide recommendations and/or solutions to address problem areas or trends. (8) Attend appointments, including but not limited to meetings, conferences, Court appearances, and scene investigations. 3. 4. N] L" (9) Conduct risk management related seminars for department heads and/or CITY staff at request of CITY. (10) Maintain and store all hardcopy files for five (5) years after file is closed. Claims Administration — Scope of Work — Attachment A Excess Insurance Reporting (1) Report to any excess insurance carrier(s) in accordance with policy provisions. CITY will provide the names and addresses of excess insurance carriers. Provide CITY with written notification that the required notice has been made to the excess carrier within ten (10) days of the notice of claim. COMPENSATION /PAYMENT SCHEDULE - Attachment A, Scope of Work, Section H. TERMINATION OF AGREEMENT This Agreement may be terminated by either party without cause at any time by submitting 30 days prior written notice of intention to terminate; provided, however, that should the CITY determine not to renew this Agreement on any annual renewal date, no advance notice of termination need be given. The CLAIMS ADMINISTRATOR shall not be required to perform any of its services beyond the date of termination and all fees owed to the CLAIMS ADMINISTRATOR by the CITY will be paid on a pro -rata basis up to the date of termination. Such notices of intent to terminate shall be sent to the parties addressed as follows: CITY: CITY of Newport Beach Attention Risk Manager P.O. Box 1768 Newport Beach, CA 92658 -8915 5. INSURANCE REQUIREMENTS CLAIMS ADMINISTRATOR: Hazelrigg Risk Management Services Attention Arlene Hazelrigg P.O. Box 669 Chino, CA 91708 Before performing SERVICES, CLAIMS ADMINISTRATOR will provide proof a Certificate of Insurance for the following: (A) Workers Compensation Insurance with a minimum of $1,000,000 in employer liability. Statutory limits, as required by the Labor Code of the State of California. (B) Commercial general and automobile liability insurance with a minimum of $1,000,000, combined single limit per occurrence, to include premises operations; independent contractual; broad -form property damage endorsement; and vehicles owned, non -owned and hired. (C) Professional liability /errors and omissions insurance with a minimum of $1,000,000 per occurrence, to include coverage for all errors and omissions which may result in financial loss to the CITY. (D) Fidelity bond with a minimum limit of $500,000 per occurrence, applied exclusively to the CITY. (E) During the term of the Agreement, the CLAIMS ADMINISTRATOR shall purchase and provide copies of the Certificates of Insurance and maintain insurance coverage that is acceptable to the CITY. Endorsements of insurance will be required, naming the CITY as additional insured on all policies; and providing the CITY with a 30 -day written notice of cancellation, material change, or non - renewal. (F) CITY shall not be liable to CLAIMS ADMINISTRATOR for personal injury or property damage sustained by CLAIMS ADMINISTRATOR in the performance of this Agreement, whether caused by CLAIMS ADMINISTRATOR, its officers, agents or employees, or by any third person. (G) CLAIMS ADMINISTRATOR agrees to defend any legal action commenced against CITY caused directly or indirectly by wrongful or negligent acts of CLAIMS ADMINISTRATOR, CLAIMS ADMINISTRATOR' officers, employees, agents or others engaged by CLAIMS ADMINISTRATOR and to indemnify CITY against nay loss, liability, cost or damage, including attorney's fees resulting therefrom. (H) CITY agrees to defend any legal action commenced against CLAIMS ADMINISTRATOR caused directly or indirectly by wrongful or negligent acts by CITY officers employees, agents or others engaged by CITY, and to indemnify CLAIMS ADMINISTRATOR against any loss, liability, cost or damage, including attorney's fees resulting therefrom. (1) CLAIMS ADMINISTRATOR agrees that in the event of loss due to any of the perils for which it has agreed to provide insurance. CLAIMS ADMINISTRATOR hereby grants to the CITY on behalf of any insurer providing insurance to either CLAIMS ADMINISTRATOR herein, a waiver of any right of subrogation which any insurer of said CLAIMS ADMINISTRATOR may acquire against the CITY by virtue of the payment of any loss under such insurance. (J) Any controversy arising out of this Agreement between the parties shall be resolved by non - binding mediation under the provisions of California law. (K) CLAIMS ADMINISTRATOR will be required to obtain, and maintain in full force and effect during the term of the Agreement, a valid CITY of Newport Beach Business License. 6. AUDIT 7. (A) CLAIMS ADMINISTRATOR agrees to cooperate with the CITY in making any and all claim files, records, reports and other documents and materials pertaining to CITY's claims available to the CITY for audit by CITY or CITY's appointed representatives, at any time during CLAIMS ADMINISTRATOR'S regular business hours upon 24 -hours advance notice. (B) The CITY reserves the right to inspect and audit CLAIMS ADMINISTRATOR's financial records relevant to the CITY's account at any time during regular business hours upon 24 -hours notice. CITY will provide necessary information pertaining to claims reported for adjustment under the provisions of any Agreement. All claim files, records, reports and other documents and materials pertaining to the CITY's claims shall be the property of the CITY and shall be delivered to CITY, or its designee, by CLAIMS ADMINISTRATOR, upon termination of this agreement. CLAIMS ADMINISTRATOR shall also provide computer tapes containing all computerized data pertaining to the CITY and their claims, together with the format thereof upon such termination. 8. PROHIBITION AGAINST TRANSFERS CLAIMS ADMINISTRATOR shall not assign, sublease, hypothecate, or transfer this Agreement or any interest therein directly, or indirectly, by operation of law or otherwise. Any attempt to do so without said consent shall be null and void; and any assignee, sublessee, hypothecate or transferee shall acquire no right or interest by reason of such attempted assignment, hypothecation or transfer. 9. WAIVER A waiver by the CITY of any breach of any term, covenant, or condition contained herein shall not be deemed to be a waiver of any subsequent breach of the same or any other term, covenant, or condition contained herein whether of the same 4 or a different character. 10. ENTIRE CONTRACT this instrument contains the entire Agreement between the parties relating to the rights herein granted and the obligations herein assumed. Any oral representations or modifications concerning this instrument shall be of no force or effect. Such representations or modification shall be made in writing. 11. SEVERABILITY If any provision of this Agreement is held by a competent court to be invalid, void or unenforceable, the remaining provisions shall nevertheless continue in full force and effect. The validity of this Agreement and of any of its terms and of any of its terms and provisions shall be interpreted pursuant to the Laws of the State of California. 12. INDEPENDENT CONTRACTOR (A) The relationship of CLAIMS ADMINISTRATOR and the CITY established by this agreement is that of independent contractors, and nothing contained in this agreement shall be construed to establish an employer /employee relationship or to constitute the parties as partners, joint ventures, co- owners or otherwise as participants in a joint and common undertaking. CLAIMS ADMINISTRATOR, its agents and employees are representatives of the CITY only for the purpose of administering the CITY's workers' compensation claims program as set forth in this agreement, and they have no power or authority as agent, employee, or in any other capacity to represent, act for, bind or otherwise crease or assume any obligation on behalf of the CITY for any purpose whatsoever, except as specifically required to perform CLAIMS ADMINISTRATOR's obligations under this Agreement. 13. SELECTION OF PERSONNEL Assigned personnel, if for any reason, the CITY finds, in its sole discretion, that the service provided by any assigned personnel is unsatisfactor, the CLAIMS ADMINISTRATOR will Agree to assign replacement personnel that must also be approved by the CITY. 14. VENDORS All SERVICES provided by outside providers /vendors shall be approved by the CITY in writing and billed at actual cost with no "mark -up" by CLAIMS ADMINISTRATOR. 15. CONFIDENTIALITY CLAIMS ADMINISTRATOR shall treat information, reports and analyses obtained or developed pursuant to this Agreement as being confidential. Prior written consent from the CITY shall be required before any information, in any format, is disclosed to any third party. It is further agreed that ADMINISTRATOR shall produce, maintain and dispose of all such information reports and analyses in a manner to guarantee reasonable safeguards to such confidentiality. 16. MATERIAL PROBLEMS AND REGULATORY CHANGES CLAIMS ADMINISTRATOR will advise the CITY on any material problems or need for improvements in any matter related to this agreement, including advice relating to changes and proposed changes affective the CITY's Workers' Compensation program. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed in Orange County, California as of 2002. CITY OF NEWPORT BEACH, A Municipal Corporation DATED: .2002 BY: APPROVED AS TO FORM: DATED: , mt&t 74 2002 BY: Bludau, CITY Manager , CITY Attorney NAME OF CLAIMS ADMINISTRATOR: Hazelrigg Risk Management Services DATED: .2002 BY: (name & title) Gi Attachment A Scope of Work F. Overview and Approach 1. Understanding One of the major reasons the founder established a third party claims administration firm in .January 1988 was to provide personalized service to the cities that she managed while working as a claims adjuster. The firm was designed to specialize in municipalities and to provide customized administration to fit the individual needs of each client. Many of the original clients have worked with the owner and FIRMS' staff for over twenty years. All of HRMS' administrators are State certified and have extensive background in the specialized administration of cases involving State mandated presumptions, industrial disability retirement plans, 4850 benefits and a special handling of sworn safety personnel e,aims. The administrators have an average of 12 years claims adjusting experience and have been with HRMS for about ten years. In regard to the dedicated unit that is currently assigned to the Cities of Costa Mesa and Newport Beach, all unit members understand the Cities' expectation and required scope of work. Through the years working jointly with the Cities, the unit has fine -tuned the administration of the program, where it is flowing almost seamlessly. The unit is committed to providing exceptional work, and we believe the Cities will agree that the unit understands the work, and that they are getting the service that was promised. 2. Approach a. Since we are the current administrator for the Cities, no transition would be implemented to transfer and convert the files. Should the Cities select another administrator, HRMS will provide a smooth file and data transfer. There would be no additional cost for the transfer. b. Claims procedures from initial notification of a claim through case closure: Early Intervention We believe that effective cost containment goes far beyond just our medical contracts. Solid cost containment starts with the examiner, who should always be cognizant of the bottom line. This is why we take great care to hire very proactive, experienced and technically strong examiners that are familiar with the requirements of the Labor Code and the potential abuses that can take place in the system. 8 We take a strong philosophical approach toward early and effective intervention on all of our new losses. We believe that through early file intervention, successful communication between the examiner and the injured worker can take place. By establishing a good rapport early on, we know that we can lower the probability of umtecessary litigation. Set -up of Claim At HRMS, all of the new losses are set up within five working days upon receipt from our office. This "set -up" process includes a documented three -point contact, claims narrative and plan of action. The three -point contact includes the content of the communication with the employer, injured worker and provider. The claims narrative includes a description of the injury, place of treatment, treating physician, diagnosis, prognosis and treatment plan. The plan of action documents what our plan is with regard to authorization, treatment and claims adjustment to bring the file to cost effective closure within a reasonable time frame. Further, by intervening early, the examiner can direct the injured worker's medical needs to a contracted clinic or physician that specializes in workers' compensation related injuries who is aware of the desires of the employer with regard to medical cost containment and return to work. At HRMS, every new loss is audited in compliance with our standards in set -up time, documentation and claimant contact. Every closure is also audited at month end to ensure that all benefits and notices were delivered timely. The compliance to these standards is built into an examiner's review so that the examiner has an incentive to perform up to par in these areas. We believe that the fruits from early file intervention such as lower litigation rates and shorter claim lives will lead to significant cost reductions on the Cities' aggregate inventory. Return to Work Tremendous savings for an employer can be derived through an effective return to work program. The most obvious of which would come from a significant reduction of temporary disability payments. Further savings can result from the benefits of lower litigation rates on cases where there is no lost time. Plus, our lengthy experience in claims administration has taught us that likelihood for permanent disability (on equally severe injuries) decreases significantly on medical only versus indemnity files. Among the more appreciable cost control techniques utilized by HRMS is our practice of focusing administrative awareness on the advantage of establishing early return -to -work programs. We assist human resource personnel in developing useful procedures with which they can structure temporary light duty and modified work positions. HRMS' staff is proficient in creating approaches to encourage a quick return to duty. This helps management avoid the hazards inherent under ADA and FMLA regulations. The pitfalls in these federal mandates are 9 l often seen by employers as a reason not to adopt early return -to -work policies. Coordination between the HRMS adjuster and the various Cities' personnel departments has been shown to be very effective in this regard. Such coordination is even more important now that Moorpark has been decided. From a personnel standpoint, when modified work positions are identified in advance of need, an early return to work assignment for an injured employee does not become a management scheduling hardship. The employee acquires a sense of usefulness and acceptance in the workgroup, which has been proven to be a positive factor in the recovery process. During our three -point contact, we will inquire of the Cities what modified positions are available and relay that information from the onset to the treating physician. We will continue to work with the Cities and the physician during our disability phone calls until the employee reaches a level where he /she can return to modified duty. Medical Management Procedures At HRMS, we believe that efficacious monitoring of a treatment protocol comes through open communication with the employer, injured worker and provider (in that order). Once we have established the initial communication from the employer and the employee, we can detennine what body parts are injured and authorize accordingly. Every treatment procedure requires our express verbal or written authorization. We will not approve treatment to unrelated body parts or disorders. Treatment protocols and their corresponding bills that are not approved will be objected to therewith. Nurse Case Management Procedures If temporary disability extends beyond 4 weeks or treatment extends beyond 90 days without a clear discharge date or permanent and stationary date, our examiners will intervene at that point to see that the proper specialist is in place through a phone call or letter to the provider. If the provider is still unclear, then the examiner has the option to refer the case to NUI "Se Case Management or establish a Labor Code 4050 consult evaluation. We find that a lot can be accomplished through phone calls to either the treating physician or the injured worker. We take a practical approach to the utilization of Nurse Case and Field Case Management. We do not believe that we should use a nurse on every case. We believe that to do such would unnecessarily burden the file with superfluous charges. We judge the criteria for nurse case management on a case -by -case basis where there is a positive cost benefit derivative. We believe that when good medical protocols are in place, a seasoned examiner can manage the medical aspects of an "average" less complicated file more efficiently than a nurse case manager can. 10 In all, we estimate that just less than 10% of our Indemnity files require a Nurse Case Management referral. Ow experienced claims examiners use their discretion on when these services are-necessary through the following guidelines and with the concurrence of the client: a. Surgical Cases: When sur r hospitalization is requested, the examiners will refer the case to our Nurse Case Manager (NCM). This in -house NCM can provide same day service on authorization if necessary. She will thoroughly review the file for the treatment appropriateness and will authorize reasonable treatment and fees consistent with their pre- negotiated rates. Surgical cases that are generally referred to Nurse Case Management include: i). When there is a need to determine medical necessity of a surgical procedure. ii). Complicated post - operative needs (ie: home health vs prolonged hospital stay, confusing DME needs). iii). Any In- patient procedures. iv) Any claimant that needs special attention. v). Need for Medical Reserves Estimate. b. Non - Surgical Cases: i) Any case that is complicated and needs special attention for which the Nurse Case Manager should attend the medical appointments. ii) Old files that need file review /case analysis and medical direction. iii) Confusing files: That also needs to be reviewed with analysis and to have the claimant set up for a second opinion or Peer Review. iv) Disability beyond 4 weeks. v When the client requests nurse case management. 11 Medical Network Management We have a very strong repertoire of providers that supply our clients with significant savings. We recommend an initial meeting to compare rates and fees with cost containment providers so as to ensure that the Cities are maximizing their potential. Once these providers have been identified and agreed upon, the examiner will authorize treatment and bills accordingly. When legally prudent, we will not authorize treatment for out of network providers and will object to their bills therewith. We take great care to assure maximum network usage by requiring contractual relationships with the assigned facilities. These relationships require treatment protocols for each category of industrial illness, ie. foreign bodies, lacerations, soft tissue injuries etc. We will also designate an agreed upon panel for specialist referrals; all of whom should be network providers whenever demographically feasible. We will do this by submitting a list to all industrial clinic that outlines our preferred provider network for hospitals, surgery centers, diagnostic centers, durable medical equipment, orthotics and prosthetics. Treatment plans from our contracted providers are referenced through established guidelines as recommended by Presley Reed, M.D. software (Medical Disability Advisor). Both in network and out of network providers are profiled on a 21 -day calendar schedule. Measurements of each open case continues of progress review of the treating physician to compliance with reporting and billing requirements. On the rare occasions when, due to factors outside of our control, treatment is channeled to an out of network provider, we still aggressively require reasonable treatment levels and strict adherence to the official medical fee schedule. Our professionals have a number of tools at their disposal to assist in the out of network management process inchiding, but not limited to, Retrospect Review, Peer to Peer Review, Concurrent Review and on site nurse case management visitations. Standards and Performance Measurements At HRMS, we realize that we are, first and foremost, a service organization. In fact, we attribute our strong, steady growth rate, and our high account retention, to our conunitment to excellence in service. Our exceptional service and reputation have allowed us to grow steadily in a very competitive market, in spite of a limited marketing endeavor. When it comes to excellence in service, we do not believe that we can over - emphasize the importance of compliance to standard operations procedures and high standards. Our ability to achieve these high standards is made possible through our exceptionally low caseloads. Caseloads are kept below State mandated maximum levels, allowing our staff the time to pro - actively manage their files, rather than just reacting to events. Such highly individualized service returns dividends in the form of better employee relations, lessens the life of the claim, and ultimately results in lower claim costs. Currently, our average indemnity caseload is less than 150 files. 12 We take great care in identifying key standards that we believe will ultimately affect the bottom line costs of our clients. Our standards are as follows: ❑ 48 Hour Claimant Contact: 90% or better is Satisfactory o Average Set up Time: Average of 7 days from knowledge to complete the entire set up including 3 point contact, initial investigation, plan of action, documentation, reserve setting and payment of indemnity benefits. ❑ Percentage of timely Set -Ups: 80% ❑ Closing Ratio: 95% or better monthly ❑ Mail and Bills Processing Time: 2 Days ❑ Clerical Instruction Sheet: All done within 7 days ❑ Diaries: 95% current within all times ❑ File Documentation: 98% on files Compliance Measurements These standards are measured and accomplished through the following reports and procedures. Li End of the Week Report: Every Monday morning each unit supervisor is charged with reporting a weekly assessment of their unit's compliance to the manager in selected areas for their unit. This is done to minimize backlogs. ❑ Claimant Contact and Set up Report: All new set ups are audited internally on a weekly and monthly basis for compliance on 'claimant contact' and `set up time. This is reported to the manager by the auditor. The results are addressed in the weekly supervisor meeting. ❑ Departmental Monthly Report: All monthly closings and new incurrals are audited on a monthly basis to determine compliance levels with regards to claimant contact, set up time, DWC notices etc. A financial and procedural compliance analysis is compiled in a monthly report by the manager. This tracks our inventory status, closing ratio, salvage percentage, mail processing, claimant contact, set up time, subrogation and other financial data. 13 :I Internal Audits: We have audit forms that are filled out on randomly selected files. We strive to complete four per Examiner per week. These are used to identify compliance in claims handling procedures ie. Timeliness of payments, DWC notices, set up, claimant contact and documentation as well as to identify areas for growth in claims handling efficiency. These are to be used constructively to help the examiner continually improvement their claims handling skills. ❑ Over diaries: The manager and supervisors have over - diaries on their examiner's caseloads to ensure quality claims handling and follow up. Issues of concern are addressed immediately. Claim Closure Techniques At HRMS, we are pleased to report a consistent track record of 100% + annual closing ratios of our office aggregate inventory. This ratio is not just a factor of opens to closed but also factors in re -opens and medical only conversions. Such a continuous track record helps keep your examiner's inventories low, which beneficially impacts their ability to spend more analytical time strategizing cost effective resolution to your files. Consistent high closing ratios are usually reflective of two practices which (as explained above) are monitored and tracked heavily at HRMS: Early file intervention: Early communication and file investigation keeps severity down through prompt rapport building with the injured worker. Such a rapport decreases litigation ratios. Lower litigation rates lower the likelihood of permanent disability. Files with no permanent disability have a much shorter life span. Diary compliance: HRMS examiners review all files every 30 -45 days. These reviews include a synopsis of what transpired during the last period and a plan of action to bring the file to closure. This brings constant direction to file to a resolution state. In compliance with State regulations, injured workers with no permanent disability are sent a permanent disability denial letter along with panel qualified medical examiner information. If there is no response in 30 days, we close out the file. As a guideline, all files with permanent disability are forwarded to the DEU for a rating. Nevertheless, our examiners do perform an initial rating of the report to commence disability advances. As a guideline, we close out the matured future medical maintenance files when there is sufficient evidence to suggest that the injured worker has discontinued treatment on a permanent basis. This is usually evident when the injured worker has abandoned treatment from 6 months to a year. We close out executed compromise and release files upon the payment of the award. 14 Written Procedures and Documentation At HRMS, we believe that our standards, performance measurements, and policies and procedures are above the industry. Every staff member has a Policy and Procedure Manual that is reviewed and updated for each client. All mail is reviewed on a daily basis, and pertinent information is updated on the individual claims, computer file notes. On a case by case basis, individual claim issues will be identified and plans of actions developed to address the issues and the plan for closing of the claim. These plans of actions will be updated when the file is reviewed on regularly scheduled diary dates or when significant issues arise on an individual claim. Settlement Procedures Upon receipt of appropriate medical documentation, HRMS will rate all reports and calculate the remaining exposures on the file. Although greater weight is usually given to the treating physician's report, HRMS adjusters are trained to take various other factors into consideration when weighing reports. Often times, this may involve input from the Cities. Generally speaking, if the injured worker continues to work for the Cities, we most likely will recommend a Stipulation. However, if the injured worker no longer works for the Cities, we will provide the Cities with a recommendation for a future medical buy out through a Compromise and Release in addition to the Stipulation recommendation. HRMS will conduct settlement negotiations on behalf of the Cities with the opposing attorney. We are confident in our examiners' skill in resolving cases prior to trial. We attempt to establish and maintain a good working relationship with applicant counsel in order to reach final settlements quickly, fairly and at the lowest possible price. Prior to recommending a settlement, we will provide the Cities with an in -depth analysis of our options including an evaluation of potential costs in terms of time and money. Concluding our analysis will be a suggested direction for action we can take. HRMS will always contact the Cities to obtain authorization before entering any settlement agreements. With many of our current clientele, we are accustomed to obtaining written settlement authority on all settlements. if such is the level of involvement required by the Cities, we are eager to oblige. Nevertheless, we also recognize and honor your time constraints. Therefore, if the Cities desire not to get involved in low exposure settlements, we honor that request as well. We recommend an initial meeting to discuss comfort levels on settlement and reserve authorities. HRMS adjusters prepare Compromise and Release Agreements and Stipulations with Request for Awards in specific cases on our claims systems. As indicated above the unit supervisor will maintain first tier approval before the examiner makes settlement recommendations to the Cities. 15 Excess Insurance When reserves exceed a reserve threshold for reporting to the re- insurance carrier, HRMS employees will draft the appropriate documentation to forward to the re- insurer. Our RMIS system is capable of alerting us to such retention levels. Further, we have the capability to report these cases on line, if the re- insurer is so inclined to receive notification in electronic format. We will monitor all cases to assure compliance with the reporting standards dictated by the Cities' reinsurance carriers. Further, where the self - insured retention level is exceeded, we will submit billings and collect paid loss reimbursements from the excess carrier on a timely basis and forward these recoveries to the Cities. We will identify and process all claims eligible for reimbursement from the California Subsequent Injuries Fund and/or State Fund. HRMS will prepare the necessary documentation to submit to the State and/ or State Fund for reimbursement to the Cities. Medical Control At HRMS we believe that efficacious monitoring of a treatment protocol comes through open communication with the employer, injured worker and provider (in that order). Once we have established the initial communication from the employer and the employee we can determine what body parts are injured and authorize accordingly. Every treatment procedure requires our express verbal or written authorization. We will not approve treatment to unrelated body parts or disorders. Treatment protocols and their corresponding bills that are not approved will be objected to therewith. Rehabilitation Unlike other firms that supplement service fees through the use of in -house rehabilitation counselors, we maintain our independence from all vocational rehabilitation firms. HRMS recommends utilization of at least two qualified independent firms with certified vocational rehabilitation counselors on staff to serve our clients professionally and at reasonable rates. Selected arms will also furnish job analyses and work feasibility studies in order to facilitate an inj ured worker's timely return to duty. HRMS will provide notice of entitlement to vocational retraining services to injured workers when legally required, and will monitor these services for compliance with the Department of Industrial Relations Rehabilitation Unit. HRMS provides full vocational rehabilitation services and benefits as defined by Labor Code Section 4635. This is done at no extra charge to the file. 16 Salary Continuation We currently administer over a hundred public entities. Due to our many years of service, we have acquired extensive experience in the specialized administration of cities involving 4850 benefits and salary integration/supplemental pay as well as industrial retirement plans. During our 3 -point contact with the Cities, we will document the compensation benefit that the employee will be receiving from the Cities. HRMS will then issue vouchers to the Cities for accounting/payroll. Should the employee's disability exceed the Cities' salary continuation, HRMS will be in contact with the Cities to coordinate further benefits. Cost Containment Results Successful medical management ultimately leads to lower claims costs, which translates into significant savings for our clients. At HRMS, we believe that we have a proven record of containing costs. Recently, we researched the results of our Diamond Bar office for the fiscal year 2000 - 2001. Specifically, we compared our aggregate closed claims costs on indemnity files that closed in the year with the average costs on indemnity files in California. The averages for the State of California can be found through the WCIRB 2000 annual report (See Appendix VII). The industry average based on this report is $36,000. We are very pleased with our results. Our average closed claim costs is $16,381.40. This amount includes reimbursement for the Educational Code, Salary Continuation programs and Labor Code Section 4850 benefits, which at times can exceed all other costs of the claims. This reflects the aggressive claims handling and utilization of the cost containment programs that HRMS has in place. We also compared our average medical expenditures on our indemnity files that closed in the year 2000 with the average paid on an indemnity file in California. We are also very satisfied with these results. $20,000 - .___ --- $15,000 I -- - $10,000 - - - -- $5,000 - - -- -- $0 576___......__._._..__- �.. �_._..-_._.._ ..- .__'___.. ... ...........,.._. _.........- ..............._ _. 17 { , Cost Containment Reporting For those clients that desire a report of the medical management cost containment savings, we can supply them with a report to our clients in an Excel format that outlines their program's savings. This report can be mailed in paper or electronic form. The claims manager can also supply the Cities with detailed monthly reports specifying their closed claims costs and trends thereof. c. Reserving Practices and Philosophy Our reserving practice procedures allows us a 90 %+ confidence level. However, annually, we would advise the Cities' auditors or actuaries to add on an additional 25% for any unexpected reserve development. All initial reserves are reviewed and approved by claims supervisors. Subsequent reserve increases will require supervisor intervention on aggregate losses of over $25,000 incurred. Manager intervention occurs on aggregate incurred reserve levels of $100,000. Immediately upon knowledge of a claim from any source, HRMS' adjusters prepare a comprehensive reserve worksheet to determine the amount of the expected loss. The worksheet requires that the claims examiner document the reasoning behind the forecasted expenditure. Reserves are reviewed in all cases on a 30, 60, and 90 -day basis, or at any time when circumstances dictate re- evaluation. There are numerous details considered in establishing reserves. Those factors include the nature and extent of the injury, whether or not the case involves lost time, the amount of investigation required, if the case is being litigated, and if there exists any possibility of having to provide vocational rehabilitation benefits. All reserves changes of over $25,000 gross incurred will be reported to the Cities through e -mail outlining the factors affecting the reserve amount, facts of the accident, nature and extent of the injuries and any other pertinent investigation details. Because our claims examiners are fully trained in rating medical reports, their expertise in accurately assessing the extent of possible, or probable, temporary or permanent disability is noteworthy. This skill, coupled with the requirement to document the rationale behind the incurred loss, leads to the setting of actuarially responsible reserves. HRMS' supervisors review and approve all reserve changes within the module. The claims manager has to approve all reserve increases over $100,000. As another step in this process, HRMS' internal auditors will randomly review files for reserve adequacy. 18 d. Service Providers and Allocated Expenses Financial Independence HRMS is strictly a claims administration firm. By doing so, we maintain independence from service providers associated with the workers' compensation industry. Independence allows us to offer complete objective assistance to injured workers, as well as the employer. By being independent, we have no in -house requirement to choose pre - designated investigators, rehabilitation vendors or attorneys. This autonomy avoids frustration and eliminates tendency to provide ancillary services that may be in question. HRMS is free to select the provider with the best reputation for quality and service at the most cost - effective price to the Cities. Attorneys, Doctors, Rehab Counselors and Investigators A panel of service providers to be utilized for the Cities is prepared jointly by HRMS and the client. These providers usually know the needs of the particular client and have an established relationship with the employer. if the provider is providing quality work at reasonable rates, then we maintain the same vendors and work with them. Ultimately, the client controls the panel of providers utilized on its account. General Claims Handling Investigation Pursuit of Fraud At HRMS, we take the pursuit of fraud very seriously. Over the past years, we have had remarkable success at reporting workers' compensation fraud, which has resulted in several successful prosecutions. Our claims manager has a strong background in fraud investigation. As the SIU Director for a large workers' compensation carrier, he orchestrated the investigations of over 50 successful prosecutions and convictions. As our internal SIU program overseer, Mr. Adams has helped us successfully investigate several claims to successful prosecution. He has an in depth knowledge of the Insurance Codes 1871.4, 1875 and 1877 as well as Labor Code 139.3 and Criminal Codes 418, 487, and 550. HRrMS fights fraudulent activity through an aggressive internal SIU program. Our procedure is to report any suspected fraudulent activity to the supervisor and claims manager immediately upon suspicion. Our examiners are afforded a fraud checklist to assist them in the identification process. Generally speaking, they report all suspected fraudulent claims immediately upon suspicion. 19 l Our examiners have undergone and continue to receive extensive fraud training twice a year. From this they have developed and acute awareness of the four types of fraud that can impact a self - insured workers' compensation program. These are: 1) Claimant Fraud 2) Provider Fraud 3) Employer Fraud and 4) Forgery. They also have a solid understanding of the number of insurance and criminal code statutes that apply to the arena of workers' compensation. The supervisor and manager will maintain an active "SIiJ" diary on all identified fraud cases. The examiner and supervisor will jointly prepare a case synopsis. Once this is done, the manager will review the case and formulate an investigative plan of action. Once the evidence is obtained to report the claim, the manager and supervisor will prepare a case synopsis to the corresponding District Attorney's office along with the appropriate Fraud Department forms. The examiners assigned to the Cities of Costa Mesa and Newport Beach program have received extensive fraud training from in -house personnel as well as outside training. The examiners are trained on the checklist procedure for fraud identification and will follow the office procedures for reporting and investigating such. All fraud referrals will be formulated in a monthly report to the corresponding Cities' representatives. This report will include the number of claim denials, District Attorney referrals, arrests and convictions. A savings report will be presented showing withdrawn liens, reserve savings and fraud investigation expenses. Investigations A preliminary detenination of compensability in accordance with the California Labor Code is made following a review of the Employer's Report of injury or Doctor's First Report of Injury. If a question arises regarding compensability, we will contact the Cities' representatives to gather more data. Based upon the information obtained, HRMS will suggest an appropriate course of action. This recommendation may include a delay or denial of the claim. Final determination of compensability, however, will generally rest with the Cities. The initial decision to either accept or deny a claim will be made within time frames mandated by the State. At HRMS, every claim is investigated. However, care is taken to eliminate overuse of outside investigators. In many cases, AOE /COE issues can be resolved by HRMS' claims professionals during our three -point contact process. Communication as soon as possible after an injury has occurred has been proven to be a key element in the potential scope of the claim. For this reason, we use the "48 hour -three -point contact" approach. We make every effort to contact the injured worker, the employer, and the treating doctor within 48 hours of our knowledge of a work - related injury. This allows us to retain more medical control, evaluate the circumstances giving rise to the industrial accident, take necessary action to prevent possible expansion of the claim and establish a rapport with the injured worker. 20 However, in cases where the employer has serious questions concerning the legitimacy of a claim, we find it cost effective to refer such matters out for investigative services to support a potential denial. By having a concrete statement in hand, we are able to solidify the facts early on so that they do not change in the future. We also recommend investigation referrals on subrogation cases where the potential recovery may significantly exceed the costs of the investigation report. On such cases, we will refer out to a provider to take pictures, determine the fault ratios and identify the third parties. Matters in which we may employ the use of an investigator include: A) Factual AOE /COE disputes B) Subrogation: where recovery potential exceeds $1,000. C) Labor Code 3600 (a)(10) "post termination" claims D) Psychological claims E) Questionable Cumulative Traumas All investigation assignments are to be completed within 30 days of assignment. Index Bureau Part of our commitment to investigate all claims includes our pledge to index all the Cities' claims. As a long - standing subscriber to the Index Bureau, HRMS reports all new claims to the Index System. Consistent with our current policy, HRMS will send all of the Cities' claims to the hmdex Bureau and will copy all such reports to the Cities' Safety and Risk Managers. Surveillance As with all investigation referrals, it is our practice to discuss any subrosa activities with the Cities' contact prior to the assignment. We recommend only referring out for such services where there is a reasonable suspicion that there is malingering on behalf of the injured worker. Before such a referral, an examiner does a cost/benefit analysis to determine if the subrosa has the potential to derive the savings necessary to employ the expense. Matters in which we may engage in subrosa include: a) We have reason to believe that the injured worker is working while collecting temporary disability or salary continuation. b) We have reason to believe that the injured worker is engaging in activities outside of their restrictions. c) The injured worker's permanent disability is grossly inconsistent with reported activities or the objective findings. 21 We do not recommend subrosa assignments on files with very little potential exposure. Usually subrosa investigations are reserved for those cases where we expect a high cost benefit ratio of return for our clients. We will discuss all subrosa assignments with the Cities and obtain their authority prior to referral. Any request by the Cities for subrosa will be honored. HRNIS has a provider list for subrosa investigators, but will certainly honor any vendor selection by the Cities for case referrals. As with all investigations, subrosa assignments are to be completed and submitted within 30 days. Litigation Initial Legal Analysis HRMS does not employ staff hearing representatives. Legal assignments or recommendations are made after review of such factors as the complexity of the case, the presence of opposing counsel or degree of litigation expected, the need for a particular defense strategy, and the existence of appealable issues. We will prepare an analysis of all legal cases, outlining exposures and evaluating possible defense options. We will handle all non - complex legal claims in -house whenever possible. Before referring any file to outside counsel, HRMS will prepare a recommendation for such action, and forward it to the Cities for approval. Legal Firms If we are awarded the contract, we recommend meeting with the Cities prior to the commencement of services to discuss which attorneys the Cities are amenable to using. As we have no monetary affiliations with any provider, we have no financial incentive to recommend any firm over another. In fact, we believe that specific attorneys, rather than firms, have generally been found to provide the most effective representation. HRMS will work closely with counsel in evaluating and making recommendations for case management. If so desired, we will work closely with the Cities in evaluating legal counsel and make recommendations regarding suitable panel attorneys. We can also use existing attorneys if preferred. Referral Criteria Legal assignments or recommendations are made after review of such factors as, the complexity of the case, the presence of opposing counsel or degree of litigation expected, the need for a particular defense strategy, and the existence of appealable issues. 22 At HRMS, we recognize the below issues or characteristics of files that may be indicators to make a legal assignment: Case is set for hearing or trial Case is represented and delayed: Need deposition Represented case with potential of appreciable apportionment: Need deposition. Complex contribution issues with need to seek order joining co- defendants. 132(a) and S &W allegations A need to depose a treating physician or panel QME. Discovery order compelling Other complex factors where there is a positive cost benefit ratio benefit. Legal Handling Protocols When a legal referral is appropriate, the scope of services and defense issues are identified. HRMS maintains litigation control by providing specific authorization to attorneys to conduct clearly defined and agreed upon tasks. This authority is set forth in writing. HRMS will monitor all legal activity throughout the life of the claim. Changes in our defense posture, or approach, will not be accepted unless by our agreement. The Cities' consensus is also required. We will ensure that all obligations imposed by the courts relating to cases under our charge will be met, including those involving subpoenas, depositions, and timely filing of necessary legal documents. Legal Monitoring Litigation monitoring is achieved through provision of regular status reports, which are to be served to HRMS and the Cities. An initial progress report is due from the attorney within thirty days of receipt of the case. Follow -up reports are required a minimum of every 90 days, or whenever significant events occur. These periodic reports must be pertinent updates of case status and prognosis, with a realistic time -line and strategy, not just a recitation of prior reports. 23 Subrogation During the initial audit of the Cities' existing files, HRMS will analyze each claim for this potential. In addition, as new claims arrive, possible third party liability will be taken into account during our initial file review. The original set -up of a claim in our Risk '.Management Information System (RM1S) requires documentation that a decision has been made with respect to potential recovery. Once identified, all subrogation case assigrunents are referred to the claims manager for specialized handling. However, before initiating subrogation recovery, we will obtain specific direction from the Cities. if the Cities agree that we should pursue their third party interests, we will do so aggressively. The claims manager will then review the progress of our recovery effort no less often than every 90 days. In those instances where third party liability is evident, HRMS' claims manager will put the responsible parties on notice and continually monitor the file for recovery no later than every 90 days. Subrogation reports will be provided to the Cities on a semi - annual basis, or more frequently if desired. The HRMS RMIS report provides for separate analysis and tracking of all third party cases. Whenever possible, our claims manager will attempt to settle the subrogation matter without the use of attorneys. This further increases the potential reimbursement to the Cities. In addition to limiting the amount of time an attorney is needed, HRMS will provide a determined in —house subrogation effort. We will only assign counsel as a last resort to recover Financial loss incurred by the Cities as a result of employee injuries and property damage. e. Americans with Disabilities Act The claims manager, supervisors and claims examiners all have working knowledge of' ADA, FMLA, Employment Law and Section 504 of the Rehabilitation Act. The dedicated claims unit proposed attended a recent seminar on these issues in 2001. In addition, HRMMS has conducted two seminars in 1998 and 1999 for our clients and claims staff. 3. Offeror works jointly with the Cities as partners in the administration of the program. The Cities are expected to report all claims timely and to fund the claims when payment is needed. 4. HRMS is a claims adjusting firm, and all aspects of claims administration is provided. 24 5. Additional Services Training and Safety Programs el Communication /File Review As with all of our clients, HRMS will provide the Cities with quarterly or monthly file reviews of all of their open claims. Our file reviews contain narratives of the selected claims along with a reserve analysis (See Appendix VI). The Cities can also request monthly visitations to meet with department heads to review selected files, meet with safety committee personnel, conduct on -site visitations with injured workers and educational seminar sponsorships. These services are provided to the Cities without further charges. HRMS conducts periodic seminars for our clients in which we review new developments in workers' compensation laws and regulations. For example, one of our recent seminars dealt with methods for reducing the additional loss exposure inherent in the Moorpark decision. Another was a comprehensive program concerning AB 435. These "workshop style" conferences allow us to share our experiences with those of our clients, and provide clear, step -by -step advice about claims management, reporting procedures and providing information to the client needed to effectively participate in claim handling strategies. At HRMS, we recognize that the passing of A.B. 435, left most employers in the dark, when it comes to the medical status of their employees. It is our position that the passing of this bill was not to withhold relevant medical information, but in fact, to keep the employee's private medical history, private. When we receive a medical report from a physician, which renders temporary or permanent work restrictions, we review the history provided to the doctor from the employee. If we determine that there is non- relevant medical information in this report, we exclude this information. We then provide the relevant information to the Cities, to make a determination on whether or not modified duty or permanent modified duty is available, pending the case. In the event that the case is litigated, an employee will receive medical information, once the medical has been served on the WCAB which now makes it public record. The Cities can also implement .that all injured workers' sign a medical release at the time of completing the claim form. HRMS has an experienced claims manager on staff whose primary function is to manage the claims staff and to assure adherence to the Labor Code Rules of Practice & Procedure as well as monitor all guidelines set forth by the Self - Insurance Plans. Our claims manager will provide copies of any changes, statutes, rules or regulations directly to the Cities. Currently, we have requested the new OSHA log to distribute to our clients. This service is provided at no additional cost to the Cities. 25 HRMS has developed a comprehensive Claims Manual for its clients. This reference material will be updated to include the specific guidelines required by the Cities for administration of workers' compensation claims in accordance with its overall philosophical framework. We also provide a comprehensive employee booklet explaining the Workers' Compensation system, with appropriate caveats about misuse of the system, for distribution by the Cities to its current and future employees. HRYIS has had considerable experience assisting clients in identifying the need for, and implementing, safety and loss control practices in the workplace. This includes introduction of respected safety consultants to the Cities for the purpose of controlling accident frequency. These professionals are able to develop and carry out specific recommendations and procedures to address loss exposures that may have been identified. We also work closely with the designated safety personnel for insurers, as we firmly believe that prevention of work related injuries is the best cost containment device available. We provide these services to the Cities, as pan of our program. There are no additional costs to the Cities. Other Services Medical Bill Review Our medical cost containment program is among the most effective in the industry. Through our contacts, we have established contracts and relationships with various bill review organizations and providers to ensure that our clients are maximizing their medical savings potential. Medical Auditing Services (MAS): This is an in -house bill review program, which is solely owned and managed by HRMS. Last year, MAS saved our clients over 40% of the gross amount billed. MAS charges a competitive rate of 20% of savings as fees. Photocopy Costs Included without further costs. Safety Inspection & Loss Control Services Loss analyses are provided at claims administration level without further costs. Fraud Investigation Services Included without further costs. Index Bureau Membership /Usage Part of our commitment to investigate all claims includes our pledge to index all of the Cities' claims. As a long-standing subscriber to the Index Bureau, HRMS reports all new claims to the Index System. Consistent with our current policy, HRMS will send all of the Cities' claims to the Index Bureau and will copy all such reports to the Cities' Safety and Risk Managers. The membership fee is paid by HRMS. However, there is a $4.00 fee for each claim indexed in the system. 26 G. Reports and Forms Computer- Related & Reports a. Reporting Capability Our RMIS system identifies injuries by various criteria and can be sorted in over 100 ways on existing Cities' converted files and new losses. Some of the basic criterion by which the claims can be sorted include the following: • Type • Examiner • Status (open and closed) • Location • Body Part • Cause • Policy Year • Claim Number b. Loss Runs • Injured Worker Name • Delay /Denied • Fiscal Year • Incident Date • Report Date • Nature of Injury • Department • Subrogation Loss Runs (Please see sample in Appendix II) will be provided on a monthly basis. At a minimum, the Loss Runs include the following information: • Type of claim * Future & paid medical • Cause of loss * Future & paid T.D. • Status (open and closed) * Future & paid P.D. • Litigation status * Future & paid voc. rehab • Specific Cities' site and division * Allocated loss adjustment • Vocational rehabilitation status (if applicable) * Total incurred • Date * Subrogation recovery • Time of Day * Excess insurance payment • Body part, identifying injured side * Investigation services • Object/substance involved * Legal services 27 I These reports are available in various time formats and history periods, including "as of and actual time. Upon the initiation of the program, we will meet with the Cities to determine what reports are necessary on a monthly basis. At a minimum, the Cities' Risk Managers can expect to receive, no later than the 15`x' of each month, standard reports which include: • Open and closed claims summary report — all years, date of injury, employee department, employeejob class, claim number, employee name, cause of injury, nature of injury, body part. • Open claims summary report — all years. • Check register by check number. • Trust account activity register. • Summary of losses by year. • Log of Occupational Injuries and Illnesses — Annual OSHA log. • Annual list of all claims having a total incurred over $25,000. • Summary of penalties (if any). • The public sectors self - insurer's annual report as required by the Department of Industrial Relations Office of Self - Insurance Plans, and submit it to the Cities no later than 30 days prior to the due date. • Maintain a list of all claims referred to case management, including the date of referral, the name of the case manager, the recommendations of the case manager, including savings, and the date the case management issue is closed. • Loss triangle. C. Other Reports In addition to these computer - generated reports, the Cities can also receive the following monthly reports from the office manager: • Manager's Monthly Report: Summarizing results for the Cities in closing ratios, claimant contact, set up time etc. • Subrogation Report: Outlines all recoveries and credits for the month. • Hearing calendar report. 29 HRMS will develop and provide to the Cities, as requested, specialized reports and statistical summaries to assist in the evaluation and management of the Cities' compensation program. Such reports and summaries, except those, which are unusually complex, shall be delivered to the Cities usually within 14 calendar days of request. Should such reports require an additional charge, authorization will be obtained from the Cities prior to producing those reports. Our system also accommodates the entry of supplemental pay information. This data is identifiable and can be included or excluded in reports depending on the needs of the Cities. Specific payroll information could be gathered through the Employer's Report of Occupational Injury. Our system is also capable of providing the information necessary for Cal OSHA reporting requirements. In addition, RMIS allows us to prepare custom tailored reporting to suit our clients' needs. The new syllabus will include Report Writer software that will facilitate custom reports. On a monthly basis, HRMS will provide the Cities with a loss run report. This analysis will contain a summary of OSHA recordable days by employee, (we will train designated City personnel if necessary) and an alphabetical listing of all open and closed claims. We will provide any specialized reports or statistical data necessary to support the Cities' risk management program. Software Design HRMS currently utilizes the new state -of -the -art Windows based Valley Oaks System Portal software to capture claims information for its clients. This system allows reports to be generated in a variety of formats using a custom "Report Writer" module. This innovative software brings many new features to workers' compensation data capture; is "Y2K" compliant and runs on Microsoft NT. Connectivity is effected through a Citrix system, and we use a secure Web Site for enhanced EDI. Currently, our computer system is available 24 hours a day, Monday through Friday. Our computer system has the capabilities for remote access between the Cities and defense attorney firms. There is a licensing fee for each remote access account of $1,000.00 per year. On -Line RMIS Access HRMS has available on -line "read only" access to the database. This allows the client to look at the entire file, including the adjuster's daily notes. The Portal system is configured to include E- Mail capabilities for leaving messages for the adjuster, and remote report writing and printing at the client's facility, in this package. The client may access these features after providing hardware and software at its facility capable of Internet access with sufficient RAM to handle downloading of Windows based data. The Portal system will require an amival license fee for this optional remote use. 29 l Diary and Notes This software provides for an automatic diary system requiring review of files on a 30, 60, and 90- day basis. Warnings are progranuned into the system to alert adjusters to the need for diary review. Automatic diaries are in place QRR referrals at 70 days of lost time. Supervision overview diaries automatically posted on every file. Diary updates and reviews.are a significant part of our internal audit process. The system also provides for examiner notes. These entries are confidential to the actual claim file, but the Cities' files would be available for `real time" read -only review through accessing the Internet and thereby the secure Web Site. Electronic Data Interface We currently have the capability to export and import data via Internet in a wide range of formats, including ASCII and Microsoft Excel. The Portal system includes interconnectivity through a secure Web Site. This capability also allows us to securely export and import each client's data to that client (but no client's data is accessible by any other client) without corruption concerns. We also have the ability to download our client's Unit Stat data with this system. On -Line / Remote Claims Reporting HRMS has designed and operates a program allowing our clients to report all new injuries "on line" with our computer system. When they are done entering the data on the computerized 5020 form, they simply save the document. By doing this, an actual pending claim is created within our system. The employer can then print the 5020 for their records and note the claim number. HRMS then receives a message of receipt of this pending claim instantaneously. Upon notification we immediately begin to process the claim. Upon receipt of a fully completed Form 5020 electronically, we are able to download it to our RMIS system, facsimile execute it on behalf of the employer, forward the required copy to the State and return the employer's copy to the client by fax. Documents, Records and Files All documents, records, files and computer information relating to an injured worker's file (except for software) will remain the exclusive property of the Cities. We maintain these records on behalf of the client for the period required by the California Labor Code. Such maintenance will continue for the duration of our service as Claims Administrator. 30 DWC Notices and Correspondence Our system integrates all of the state mandatory DWC letters. These pre - formatted letters are easily accessed by the examiner or assistant thrOUgh the RMIS system itself, which retrieves all system data related material in the required fields. HRMS currently has over 300 correspondence documents (letters) in the database. In addition, HRMS has full capability to integrate new letters. Through an approval process new letters are continually being input on an as needed basis. This saves our technical and clerical personnel considerable time which we use for more productive tasks such as case analysis and claimant contact. HRMS provides, at no cost to the Cities, all State mandated forms. This includes our pre - printed 5020, DWC -1 and the information pamphlets for your employees. We will also supply the Cities with Supervisor Reports of Injury, doctor referral forms, return to work slips and wage statements. 31 H. Compensation/Payment Schedule Service Agreement and Fees The fee structure over a three -year initial contract term is as follows: A. YEAR ONE. For Administration of claims from September 1, 2002 through August 31, 2003, and thereafter for the life of the contract period, the sum of Three Hundred Ten Thousand Dollars ($310, 000), payable quarterly in advance. B. YEAR TWO. For Administration of claims from September 1, 2003 through August 31, 2004, and thereafter for the life of the contract period, the sum of Three Hundred Nineteen Thousand and Three Hundred Dollars ($319, 300), payable quarterly in advance. C. YEAR THREE. For Administration of claims from September 1, 2004 through August 31, 2005, and thereafter for the life of the contract period, the sum of the contract fees are subject to further negotiation up to a maximum increase cap of 3% from the base amount of $319, 300. D. "TAIL CLAIMS ". Administration of existing claims is included for the life of the contract in the above prices, so long as such claims were open as of the day preceding the first day of the first contract year. E. START —UP COSTS. F. ANNUAL LICENSE FEE. There are no start-up costs. Included at no additional cost. G. MEDICAL BILL REVIEW. Medical bills will be reviewed, at a service fee of twenty percent (20 %) of net savings generated by review and reduction, through Medical Auditing Services. 32 I. Validity of Proposal This proposal shall remain valid for one hundred twenty (120) days. J. Certificate of Insurance Insurance Requirements HRMS maintains in force insurance coverage, in the policy amounts, as follows: General Liability $1,000,000 Automobile Liability $1,000,000 Workers' Compensation Statutory Limits Fidelity Bond $1,000,000 Claims Adjusting E & O $1,000,000 The Cities of Costa Mesa and Newport Beach will be named as "additional insureds" under the general liability policy and as "loss payees" under the fidelity coverage. A thirty -day notice of termination clause will be provided to the Cities. 33