File #: 17-181    Version: 1 Name: Staff Report TPA approval with Intercare
Type: Staff Report Status: Filed
In control: City Council
Meeting Date: 4/17/2017 Final action: 4/17/2017
Enactment date: Enactment #:
Title: Staff Report for a Resolution Approving a Consulting Services Agreement with Intercare Holdings Insurance Services, Inc. ("Intercare") for Workers' Compensation Third Party Claims Administration (TPA) Services for three years in the amount of $301,054 plus a flat fee structure for bill review charges estimated at $64,080
Sponsors: Jeff Kay
Attachments: 1. CSA between City of San Leandro and TPA
Related files: 17-182
Title
Staff Report for a Resolution Approving a Consulting Services Agreement with Intercare Holdings Insurance Services, Inc. ("Intercare") for Workers' Compensation Third Party Claims Administration (TPA) Services for three years in the amount of $301,054 plus a flat fee structure for bill review charges estimated at $64,080

Staffreport
SUMMARY AND RECOMMENDATIONS

Staff recommends the approval of a Consulting Services Agreement with Intercare Holdings Insurance Services, Inc. ("Intercare") for Workers' Compensation Third Party Claims Administration (TPA) Services for three years in the amount of $301,054 plus a flat fee structure for bill review charges estimated at $64,080.

BACKGROUND

The City of San Leandro is self-insured for its Workers' Compensation program and uses a Third Party Administrator (TPA) for claims administration. The TPA's responsibility is to manage, track, and process payments for all Workers' Compensation claims reported. The City had contracted with JT2 Integrated Resources since June 1, 2014 for these services. The contract with JT2 expires May 30, 2017.

In October 2015, a Request for Proposal (RFP) for Workers' Compensation TPA services was issued in partnership with the Cities of Hayward and Newark. In response to the RFP, eight proposals were received from the following vendors:

Acclamation Insurance Management Services
Athens Administrators
Hazelrigg Claims Management Services
Innovative Claim Solutions, Inc.
Intercare Holdings Insurance Services, Inc.
JT2 Integrated Resources
Tristar Insurance Group
York Risk Services Group, Inc.

A comprehensive review and evaluation process was conducted, including the screening of all proposals by each agency individually, oral presentations, an external interview panel, and an internal interview panel. The top ranking vendors were invited to participate in the internal panel interviews. The City of San Leandro's internal panel, which consisted of representatives from the Police, Public ...

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