My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ADMINSURE, INC. (8)
Clerk
>
Contracts / Agreements
>
A
>
ADMINSURE, INC. (8)
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/16/2025 9:10:21 AM
Creation date
12/16/2025 9:09:53 AM
Metadata
Fields
Template:
Contracts
Company Name
ADMINSURE, INC.
Contract #
A-2025-202
Agency
Human Resources
Council Approval Date
12/2/2025
Expiration Date
6/30/2029
Insurance Exp Date
1/1/1900
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
18
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
i <br /> r <br /> G. The checking account may be used to pay penalties in which case the Consultant shall <br /> reimburse the City within fifteen (15) working days for any amount of the penalty <br /> which the Consultant caused, <br /> ELECTRONIC DATA PROCESSING <br /> A, The Consultant shall provide the City with electronic data processing services that will <br /> allow for the production of loss experience and transaction reports within ten (10) days <br /> following the close of each calondar month, <br /> B. Notify the City immediately of any unauthorized breach of City's information contained <br /> in Consultant's electronic data system and/or computer system <br /> REGULATORY REPORTING <br /> The Consultant shall prepare all reports required by State and Federal regulatory agencies(if any) <br /> in connection with the Program, including the Self-Insurer's Annual Report required by the <br /> Department of Self-Insurance Plans. <br /> RECORDS <br /> The Consultant shall establish and maintain electronic claim files, claim logs, transaction <br /> documents and all other records associated with the Program, These records shall be the property <br /> of the City. Unless this Agreement is cancelled, closed hard files, if any, shall be stored by the <br /> Consultant for five (5) years and shall thereafter become the responsibility of the City. Upon <br /> cancellation of this Agreement,the City shall be responsible for maintaining and storing all data, <br /> records, et cotera. The Consultant shall not dispose of or destroy hard files without the prior, <br /> written authorization of the City. <br /> The City shall allow the Consultant to perform all Bill Review Services through Medlteview. )gill <br /> review fees are at,$9.00 per bill. Preferred Provider Organization fees shall not exceed 25% of <br /> savings when applicable. <br /> The City shall allow the Consultant to perform all Utilization Review Services through <br /> MedReview. Utilization review fees are incorporated into medical bill review invoices at the rate <br /> of 7% of billed charges. The naaximzun utilization review fee charged per medical bill is capped <br /> at $750,00.Utilization review by a physician is billed separately in 10-minute increments, at the <br /> rate of$200.00 per hour. <br /> ALLOCATED EXPENSES <br /> The City shall pay for field investigation, defense attorneys, legal casts, remote photocopy, <br /> engineering experts, accident reconstruction experts, process servers, messenger service, court <br /> reporters, vocational rehabilitation consultants, structured settlement consultants,translators, and <br /> any other vendor necessary to administer claim files. Payment of expenses in excess of$150,000 <br /> require prior approval of the City before those expenses are paid, <br /> PENALTIES <br /> The Consultant shall be responsible for paying or appealing penalties that are caused by the <br /> Consultant. The Consultant shall not be responsible for penalties that are caused by the City or <br /> E <br /> 3 <br /> E <br />
The URL can be used to link to this page
Your browser does not support the video tag.