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CC -Approval of a Professional Services Agreement with California Claims Management Services for Workers Compensation Third Party Administrator Services
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Meeting Date: October 8, 2018
Contact Person/Dept: Rachelle Adkins/Administrative Services
Phone Number: (310) 253-5640
Fiscal Impact: Yes [X] No [] General Fund: Yes [] No []
Public Hearing: [] Action Item: [] Attachments: []
Commission Action Required: Yes [] No [] Date:
Public Notification: (E-Mail) Meetings and Agendas - City Council (10/02/18);
Department Approval: Serena Wright-Black, Assistant City Manager (10/01/18)
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RECOMMENDATION
Staff recommends the City Council approve a five-year professional services agreement with California Claims Management Services (CCMS) to provide workers compensation administration services.
BACKGROUND/DISCUSSION
The City is self-insured for its workers compensation program up to $1 Million per claim.
In July 2009, Risk Management staff sent out an informal request for proposals to four full service third-party administrators for professional services in the following three (3) key areas: 1) claims administration 2) medical bill review services and 3) utilization review services. Based on the evaluation of the submitted proposals, California Claims Management Services (CCMS) was selected as the City's Third Party Administrator (TPA). The contract with CCMS was renewed on September 28, 2015 for three years and is due to expire on October 31, 2018.
In light of the upcoming expiration date for the current contract, Staff solicited quotes for claims administration, medical bill review and utilization review services from the following TPA's: CCMS, Adminsure, Keenan & Associates, Tristar and Athens.
Of the five companies that were contacted, responses were received from the following two full service TPAs:
1) Adminsure
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