HomeMy WebLinkAbout981031.tiff RESOLUTION
RE: APPROVE ADDENDUM #1 TO THE SERVICE AGREEMENT FOR WORKERS'
COMPENSATION PROGRAM AND AUTHORIZE CHAIR TO SIGN
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 #1 to the Service
Agreement for the Workers' Compensation Program between the County of Weld, State of
Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the
Personnel Department, and Occupational Healthcare Management Services (OHMS),
commencing upon full execution of said addendum, and ending December 31, 1999, 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 #1 to the Service Agreement for the Workers'
Compensation Program between the County of Weld, State of Colorado, by and through the
Board of County Commissioners of Weld County, on behalf of the Personnel and Occupational
Healthcare Management Services (OHMS) 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 15th day of June, A.D., 1998.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
il,rf�
ATTEST:
Constance L. Har ert, Chair
Weld County Clerk �. J (k /IA/
W. H. W bster, Pro-Tem
BY:
Deputy Clerk to th
��►� eorge . Baxter
APP D AS T FORM: %
Dale K. -tall
unty
Barbara J. Kirkmeyer
o M S 981031
CC PE). �'�� PE0015
Addendum Ito the
1998/1999 Addendum
To The 1992 Service Agreement
For
Workers' Compensation Program
This addendum is entered into this /5 day of Mile- , 1998 by and
between Occupational Healthcare Management Services, Inc. ("OHMS") and County of Weld
("Client"). This Addendum shall be effective June 15, 1998.
WHEREAS, OHMS and Client entered into a Service Agreement on January 1, 1992
("1992 Service Agreement") pursuant to which OHMS agreed to provide certain administrative
services to Client and its Workers' Compensation Program;
WHEREAS, OHMS and Client have entered into certain other addenda which extended
the term of the Service Agreement, and amended certain provisions therein; and;
WHEREAS, OHMS and Client wish to enter into this current Addendum I and "1992
Service Agreement" by amending or adding certain provisions. The 1993, 1994, 1995, 1996/97
and 1998/99 Addendums are superceded.
THEREFORE, in consideration of the terms and conditions set forth herein, OHMS and
Client agree that the following revisions and addition shall be made to the "1996/97 Addendum
and "1992 Service Agreement."
Section 4. Compensation.
4.1 Client shall pay to OHMS the following fees for the contract years 1998 and
1999:
4.11 An annual claims administration fee of $31,404.00 based on an
annual claim volume of 186 medical only claims and 17 lost time claims. This base fee shall be
payable in twenty four (24) monthly installments in the amount of$2,617.00 due and payable in
advance on the first day of each month. If the claim volume exceeds 186 medical claims and/or 17
indemnity claims,the additional claims will be billed at the rate of$120.00 per medical claim and
$565.00 per indemnity claim.
4.13 The medical management fee (including telephonic or Field Case
Management)for claims approved by client for medical management on a case by case basis for
cases incurred prior to June 15, 1998 shall be $73.00 per hour, $.35 per mile and expenses at actual,
due and payable within 30 days of billing.
The telephonic medical management fee shall be $425.00 for all
indemnity claims;medical claims that have incurred greater than$5,000.00;medical claims that are
open greater than 90 days, reopened claims and other claims that may be approved by Client and
accepted by OHMS for all claims incurred on or after June 15, 1998. For any of these claims
requiring Field Case Management which includes home, provider or employee visits, the fee for
Field Case Management shall be $73.00 per hour,$35 per mile.
4.14 Client shall pay to OHMS the sum of$71.00 per hour, $.35 per mile
and expenses at actual for all Loss Control services provided by OHMS,at the Client's request.
9 /03/
Section 7. Term Agreement and Cancellation.
7.1 The term of this agreement shall be for the remaining two years ending on
December 31, 1999. If not canceled in accordance with this paragraph, this Agreement shall be
renewed automatically for successive twelve-month periods thereafter. However, this Agreement
shall not be so renewed unless the amount of the compensation to be paid to OHMS in any renewal
year shall have been agreed upon by the parties hereto not later than thirty(30)days prior to the end
of the preceding contract year. Notice of any request for increased fees or material changes in
services shall be given by the requesting party to the other at least sixty(60)days prior to the end of
the preceding contract year.
Section 21. Subject to Appropriations.There is hereby added a new Section to the Agreement
which shall read as follows:
21.1 Financial obligations of Client after the current fiscal year are contingent on
funds for the purpose being appropriated and otherwise made available.
IN WITNESS WHEREOF,the parties hereto have executed this Addendum this /S day of
J t.4/1 e_ ,1998.
OCCUPATIO AL H ALTH RE MANAGEMENT SERVICES
By:
Terry Lee, State Director
WELD COU Y,CO O D
Attest: hiltk
Donald Warden G'/ sl
Weld County Clerk to tlI o i s' ���`_
(� cf 4 s
By: ��/i . ��� . ,. ' 1
4
Deputy Clerk to the Board - (
BOARD OF COUNTY COMMISSIONERS WELD COUNTY
By:
Chair, Constance L. Harbert (06/15/98)
Board of County Commissioners
k/weld/9899aden1 2
one
OCCUPATIONAL
HEALTHCARE
MANAGEMENT
SERVICES
■
June 8, 1998
Donald D. Warden
Director of Finance and Administration
Weld County Colorado
915 10th Street
Greeley, Colorado 80631
RE: ADDENDUM I
Dear Don:
Pursuant to Michelle and Pat's request, I am sending two copies of Addenum Ito the
1998/99 Addendum to the 1992 OHMS Service Agreement.
I believe this new managed care program will help reduce claims administration and
claim expenditures for Weld County.
Please let me know if you have any questions or if I can be of further assistance.
Thank you, as always, for your interest and support.
Sincerely,
Karen-Marie Lesko
Senior Group Consultant
P.O.Box 173682
Denver,Colorado 80217-3882
(303)831-3059
A 0 �1 I
A ROCKY MOUNTAIN HEALTH CARE CORPORATION SUBSIDIARY
IARY
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