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8L Consent 2017 0417
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8L Consent 2017 0417
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4/11/2017 9:25:36 AM
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4/11/2017 9:25:35 AM
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CM City Clerk-City Council
CM City Clerk-City Council - Document Type
Agenda
Document Date (6)
4/17/2017
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Reso 2017-056
(Reference)
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\City Clerk\City Council\Resolutions\2017
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<br />Consulting Services Agreement between City of San Leandro and June 1, 2017 Intercare Holdings Insurance Services, Inc Exhibit A – Page 1 of 3 <br />EXHIBIT A SCOPE OF SERVICES AND SCHEDULE OF PERFORMANCE Consultant shall provide claims administration services for City's self-insured workers' compensation program as required by the regulatory bodies of the State of California and at a level acceptable to City and City's Excess Workers' Compensation Insurer. I. PROGRAM COMMUNICATION. Consultant shall: A. Conduct or assist in informational meetings for City personnel involved in the processing of workers' compensation claims. B. Provide information to City about changes or proposed changes in statutes, rules and regulations affecting City's responsibilities for its self-insured workers' compensation program. C. Review the progress of the program with City representatives, including the identification of problem areas and corresponding recommendations for solutions. D. Be available to meet with the City Council and other City Managers as requested to discuss the status and/or resolution of specific claims. II. STANDARDS OF PERFORMANCE. Consultant shall: A. Comply with the most current Excess Carrier’s Claims Administration Guidelines. B. Participate in any and all audits requested by City or it’s Excess Carrier. C. Facilitate the timely filing of workers’ compensation claims based upon City forms and procedures for the reporting of industrial injuries, illnesses, or exposures. D. Support the recording of “information only” claims of industrial injuries, illnesses, or exposures. E. Be responsible for payment of penalties for late payments of benefits, bills and awards, if Consultant caused the late payment. Penalties for delay in payment caused by City's failure to report claims or lost time from work within eight (8) days of knowledge shall be the City's responsibility. F. Obtain City's written authorization on all Settlements and Stipulations. G. Provide confidentiality as to its work under this Agreement. H. Comply with all applicable federal and state laws and regulations pertaining to medical confidentiality and require all subcontractors to do the same. <br />73
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