HomeMy WebLinkAbout20123123.tiff RESOLUTION
RE: APPROVE ADDENDUM#17 TO AGREEMENT FOR SERVICES AND AUTHORIZE CHAIR
TO SIGN - COLORADO TECHNICAL SERVICES, INC. (CTSI)
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Addendum #17 to the Agreement for
Services between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, and Colorado Technical Services, Inc. (CTSI), commencing
January 1, 2013, and ending December 31, 2013,with further terms and conditions being as stated
in said addendum, and
WHEREAS,after review,the Board deems it advisable to approve said addendum, a copy of
which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado,that Addendum#17 to the Agreement for Services between the County of Weld,
State of Colorado, by and through the Board of County Commissioners of Weld County, and
Colorado Technical Services, Inc. (CTSI), be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said addendum.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 5th . ' •vember, A.D., 2012.
EC
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
t 1861 �
ATTES . a" 1
O Sean P. C , Chair
Weld County Clerk to thuicita'1' �- •�
Will m . Gar ' , Pr -Tem
BY:
Deputy Cler the Board
/ arbara Kirkmeyer
AP7EøRM: '�/�
David E. Long
ount ttorney
Douglas ademache
Date of signature: l —
or * VA_
614 I
11 ,la- 2012-3123
PE0029
Weld County
Agreement for CTSI Services
Addendum 17
Service Fees-2013
Weld County shall pay CTSI the fees as listed in this Addendum-Service Fees to this agreement
for workers' compensation claims administration and other services rendered under this
Agreement for the period January 1,2013 through December 31,2013.
Workers' Compensation Claims Administration
Per Claim Fee
An annual workers' compensation claims administration fee based on an estimated annual claim
volume shown below.
Per
Annual Est#of Claim
Claims Claim Type Rate Total
34 Indemnit or Med Onl -Com.lex $750.72 $25,524
70 Medical Onl $127.50 $8,925
Unlimited Information Onl $0.00 $0
Annual Claims Administration
fee $34,449
If the claim volume exceeds this estimate,the additional claims will be billed at the
.er claim rate listed above.
Medical Case Management
Scope of Services
* Workers' compensation disability and catastrophic injury case management
* Assistance with Return to Work Programs
* Coordination of on-site job analyses
* Coordination of development of job descriptions, ergonomics,and personal protection
* Consultation on accommodations and work site modifications
* Physician referral and ongoing cost control monitoring of medical treatment
* Coordination of Independent Medical Evaluations for release to Return to Work
For claims requiring medical case management, approved by the client and accepted by CTSI,
the fees shall be as follows.
Medical Case Management 2013
Consulting-phone consultations,home,provider or employee visits $67.30 per hour plus expenses
Travel to and from CTSI to on-site location $34.32 .er hour.lus milea.e
2012-3123
Weld County-Agreement for CTSI Services 40
EDP Programming Fee
A programming fee of$118 per hour plus expenses for claim reports requiring special
programming.
Claim Handling Time Period
Fee is for handling the claim to conclusion so long as a contractual relationship exists with CTST
for third-party claim administration services. A deposit equal to an average month of claim
expense shall be placed with CTSI for payment of claims on behalf of Weld County.
Claims Run-Off
If Weld County terminates its contract with CTSI and decides to have CTSI administer the run-
off of claims, the open claims will be administered at a per claim rate of 90% of our current per
claim charge at the time of termination.
Loss Control Services
Loss Control Services 2013
Consulting(on-site&telephone),on-site audits,loss analysis and reports $67.58 per hour plus expenses
Loss control travel to and from CTSI to on-site location $34.32 per hour plus expenses
Loss Control Seminars and Trainin.-Per hour Fee .lus ex.enses 2013
Up to 5 participants $67.58 per hour plus expenses
Per participant charge for more than 5 participants $34.32 per participant
IN WITNESS WHEREOF, the parties have caused this Addendum to be executed and effective
January 1, 2013, by the following persons authorized to act on behalf of the parties.
County Technical Services, Inc.
September 6,2012
Allen E Chapman,CTSI Executive Director Date Signed
Weld County
r Nov 0 5 2012
Chair,Board of County Commissioners Date Signed c..1).Weld County-Agreement for CTSI Services 41
Monica Mika
From: Michelle Raimer
Sent: Wednesday, October 10, 2012 1:16 PM
To: Path LeII; Allen Chapman
Cc: Monica Mika
Subject: RE: Revised WC TPA Fee
Attachments: 2013 TPA Contract Addenda.pdf
Hi Patti and Allen,
We are going to wait for the CWCP proposal before taking the 2013 TPA Contract Addenda back to the Commissioners—
I just wanted to update you on this review status.
Michelle Raimer
HR Analyst- Risk Programs
Human Resources
P O Box 758
Greeley CO 80632
tel: 970-336-7220 x4233
cell: 970-302-2423
fax:970-352-9019
• t
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contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
From: Patti Lell [mailto:DleII@ctsi.orq]
Sent: Thursday, October 04, 2012 3:51 PM
To: Monica Mika; Michelle Raimer
Cc: Allen Chapman
Subject: Revised WC TPA Fee
HI Monica and Michelle
Per your conversation with Allen, we have revised the TPA annual fee to reflect 70 medical only claims. Please see the
attached addenda.You can throw away the prior addenda I sent. Please let me know if you have any questions.
Patti
Patti Bronikowski Lell
Manager-Risk Programs
County Technical Services, Inc.
800 Grant St., Suite 400
Denver,CO 80203
patti@ctsi.org
Phone 303-861-0507 ext 112
Fax 303-861-2832
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