HomeMy WebLinkAbout20112453 RESOLUTION
RE: APPROVE ADDENDUM#16 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 #16 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, 2012, and ending December 31, 2012,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#16 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 19th day of September, A.D., 2011.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: + A,
Barbara Kirkmeyer, C��[
Weld County Clerk to the Board — C�
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L Sean- P. C , Pro-Tem
BY: ' ®
Deputy rk to the Boar
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AP ED ORM: ® Q ft A 2v,
`David Long
County Attorney
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Date of signature: 0-ILI�I
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2011-2453
PE0029
CTSI
Serving Colorado's Counties
September 8, 2011
Monica Mika
Weld County
PO Box 758
Greeley, CO 80632
RE: Agreement for CTSI Services-2012
Dear Monica:
Enclosed are the addenda to the Agreement for CTSI Services with Weld County for services
from January 1 through December 31, 2012. The overall fee was increased by 3.5%.
Please have the addendum signed and return one set of originals to me and keep one set for Weld
County.
Sincerely,
Allen E. Chapman
CTSI Executive Director
Two signed copies of Addendum 16
2011-2453
County Technical Services, Inc.
800 Grant Street• Suite 400 Claims(CAPP&CWCP)
Administration& Loss Prevention
Phone:303.861.0507 Denver, Colorado • 80203 Phone:303.861.0507 I-800.544.7868
Fax:303.861.1022
Fax:303.861.2832 email: ctsi t�ctsi.org
Weld County
Agreement for CTSI Services
Addendum 16
Service Fees-2012
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, 2012 through December 31, 2012.
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 $736 $25,024
95 Medical Onl $125 $11,875
Annual Claims Administration
fee $36,899
If the claim volume exceeds this estimate,the additional claims will be billed at the
per 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 2012
Consulting-phone consultations,home, provider or employee visits $66 per hour plus expenses
Travel to and from CTSI to on-site location $34 .er hour .lus milea'e
Weld County-Agreement for CTSI Services 38
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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 during the contract term. 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 time and expense rate or will be charged
at a per claim rate of 90%of our current per claim charge at the time of termination.
Loss Control Services
Loss Control Services 2012
Consulting(on-site&telephone),on-site audits,loss analysis and
reports 66.25 per hour plus expenses
Loss control travel to and from CTSI to on-site location 33.65 per hour plus expenses
Loss Control Seminars and Trainin.-Per hour Fee plus expenses 2012
Up to 5 participants 66.25 per hour plus expenses
Per participant charge for more than 5 participants 33.65 per participant
IN WITNESS WHEREOF, the parties have caused this Addendum to be executed and effective
January 1, 2011, by the following persons authorized to act on behalf of the parties.
County Technical Services, Inc.
September 8, 2011
Allen E Chapman, CTSI Executive Director Date Signed
Weld County
//
Chair, Board of County Commissioners SEP 19 2911 Date Signed
Weld County-Agreement for CTSI Services 39
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