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HomeMy WebLinkAboutContract 33179 CITY SECRETARY CONTRACT NO, MO . AMENDMENT NO. 2 TO CITY SECRETARY CONTRACT NO. 26923 This agreement is made and entered into by and between the City of Fort Worth (the "City"), a home rule municipal corporation situation in Tarrant, Denton, and Wise counties, Texas, acting by and through its duly authorized Assistant City Manager, and CMI Barron Risk Management Services, Inc., a Texas Corporation, d/b/a CMI Barron Risk Management ("Barron"), acting by and through Bart Griffin, its duly authorized Executive Vice President. WHEREAS, the City and Barron entered into City Secretary Contract No. 26923, a professional services agreement for the administration of Workers' Compensation claims ("the Agreement"), on May 22, 2001 ("Effective Date"); and WHEREAS, on May 9, 2005, the City and Barron amended the Agreement to increase the payments and to add performance goals in City Secretary Contract No. 31786; and WHEREAS, the City and Barron desire to further amend the Agreement. NOW, THEREFORE, in consideration of the foregoing and mutual covenants and agreements contained herein and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the City and Barron hereby agree to further amend the Agreement as follows: Section 1. The period January 1, 2006, through December 31, 2006, as shown in Item 4, Section C., page 14, of Fort Worth City Secretary Contract No. 26923 is hereby amended and after having been so amended shall be and read as follows: Claims administration will be for a twelve month time period. The City will pay twelve monthly installments based on the total amount billed by Barron for claims administration each month. Unless otherwise provided below, the total payments under this Agreement shall not exceed $617,651. The claims handling charges are based on the following estimates of claims per year: 763 Indemnity, 908 Medical only, 1 Record only. CMI Barron has identified an M/WBE certified partner, Injury Management Organization, of 6404 International Parkway, Suite 2200, Plano, Texas as the firm we will utilize to provide medical case management services in conjunction with the administration of the City's claims. CMI Barron will pay at least 6% of the contract price above, or$37,059.06 to the M/WBE contractor for medical case management services. In accordance with Workers' Compensation fee guidelines below, and until dissolution of fee guidelines and implementation of networks, at which time the discount rate may be negotiated directly between the City or its Preferred Provider Network for Workers' Compensation health care services, the City will be invoiced monthly for medical case management services as incurred. If in any one contract year the total number of claims Amendment No. 2 to CSC No. 26923 Claims Administration for Workers' Compensation Benefit Pian CMI Barron Risk Management 1 of 4 exceeds the estimates listed above, the City will be billed on a per claim basis for the those claims in excess of the estimates above at the following rates: Claim Services Cost No Claim Reports $22.00 each Medical Only Claims $113.00 each Indemnity $675.00 each (Lost Time claims requiring indemnification) Conversion $91.00 each (From a No claim report to a Medical only claim) Conversion $653.00 each (From a No claim report to an Indemnity claim) Conversion $562.00 each (From a Medical only claim to an Indemnity claim) Takeover Claims (Injury date prior to 1/1/98) $400.00 each (Encompassing adjusting services for the duration of this contract and any extension periods) Additionally, the City will pay the following service fees: Service Fees Cost Administrative Services $3,877.00 annually (TWCC Representative) Rehabilitation Services At Cost Case Management Services $65.00 per hour Telephonic At Cost On-site At Cost Loss Control $81.00 per hour Safety Engineering At Cost Computerized medical Audit $106,317.00 annual (Includes pre-certification services) Physicians fees At Cost Note: pre-authorization charge if number of $69.00 per claim Indemnity and medical only exceeds 1,453 Amendment No. 2 to CSC No. 26923 Claims Administration for Workers' Compensation Benefit Plan ` P CMI Barron Risk ManagementL�"� 2 of 4 fa Data processing No Charge Computer to Computer Dial in and read capability Ad Hoc Reports Litigation Preparation (optional) No Charge Expenses will be allocated Utilization Reviews/Peer Reviews $65.00 per hour (plus Physician fees) Desk Audits At Cost Allocated Expenses See Allocated Expense Sheet Additional Medical Reduction - For any medical service provided through CMI Barron preferred provider network, any reduction below the TWCC fee schedule shall be shared between parties on the basis of 73/27. (For example, for each $100 of savings to the City, City shall pay CMI Barron $27). Other approved networks At Cost TDI WC Hearings BRC No charge CCH attendance $162.00 per CCH Annual/Bi-annual Audits At Cost (no mark up) Surety Bond At Cost (no mark-up) Section 2. All other terms and conditions of City of Fort Worth City Secretary Contract No. 26923 that are not amended herein shall continue in full force and effect. [Signature Page Follows] Amendment No. 2 to CSC No. 26923 Claims Administration for Workers' Compensation Benefit Plan , CMI Barron Risk Management ` LEXECUTED on this ,day of , 2006. ATTEST: CITY F FORT WORT By: - L L By: TQ�:� Marth� H ndrix Richa Zavala (� City Secretary ActingAssistant City Manager Approval Recommended: CMI BARRON RISK MANAGEMENT SERVICES INC. DIB/A BARRON RISK MANAGEME By: By: Karen Marshall, Human Resources Director Bart Griffin, Executive Vice President Approved as to Form and Legality Assistant Cky Attorney M&C C-21201: Approved 12/20/05 Contract Authorization Date Amendment No. 2 to CSC No. 26923 Claims Administration for Workers' Compensation Benefit Plant CMI Barron Risk Management T, Page 1 of 1 City of Fort Worth, Texas Mayor and Council Communication COUNCIL ACTION: Approved on 12/20/2005 DATE: Tuesday, December 20, 2005 LOG NAME: 14BARRON REFERENCE NO.: **C-21201 SUBJECT: Authorize Renewal of Contract with CMI Barron Risk Management Services, Inc., for Workers' Compensation Claims Administration Service RECOMMENDATION: It is recommended that the City Council authorize the City Manager to execute the fifth (of six) one-year contract renewal options with CMI Barron Risk Management Services, Inc., for the period January 1, 2006 through December 31, 2006, for a cost not to exceed $617,651. DISCUSSION: On June 1, 2001, (M&C C-18593) the City Council awarded CMI Barron Risk Management Services, Inc. the contract to administer Workers' Compensation claims for occupational injuries, with six options for one- year renewals. CMI Barron Risk Management Services is responsible for ensuring that all medical expenditures and compensation is paid according to the Texas Workers Compensation Act. CMI Barron Risk Management Services, Inc., has performed all aspects of the contract and services have been acceptable. City staff recommends exercising the fifth renewal option with CMI Barron Risk Management Services, Inc., effective January 1, 2006 through December 31, 2006, for an estimated cost not to exceed $617,651. CMI Barron Risk Management Services, Inc., is in compliance with the City's M/WBE Ordinance, by committing to 6% M/WBE participation on this project. The City's M/WBE goal on this project is 5%. FISCAL INFORMATION/CERTIFICATION: The Finance Director certifies that funds are available in the current operating budget, as appropriated, the Workers' Compensation Fund. TO Fund/Account/Centers FROM Fund/Account/C enters FE73 534830 0147310 $617,651.00 Submitted for City Manager's Office b Richard Zavala (Acting) (6222) Originating Department Head: Karen Marshall (7783) Additional Information Contact: Mark Washington (8058) http://www.cfwnet.org/council_packet/Reports/mc_print.asp 2/13/2006