Title
Human Resources Department, Risk Management Division, recommending the Board consider the following:
1) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to contract with Sedgwick as the County’s third-party administrator for Workers’ Compensation tail claims because (B) Specialty skills and qualifications not expressly identified in classifications are involved in the performance of the work;
2) Approve and authorize the Chair to sign Amendment I for the continuation of perpetual Agreement 7803 with Sedgwick as the County’s third-party administrator for Workers’ Compensation tail claims, increasing the amount by $110,000 for a total amount not to exceed $221,050 for the period November 1, 2024 - October 31, 2025;
3) Approve the new pricing proposal as submitted by Sedgwick; and
4) Authorize the Purchasing Agent to execute any necessary amendments relating to Agreement 7803, excluding term extensions and increases to the amount, contingent upon approval by County Counsel and Risk Management.
FUNDING: Workers' Compensation Fund.
Body
DISCUSSION / BACKGROUND
In accordance with Board Policy Number C-17, departments are required to obtain authorization from the Board of Supervisors to utilize any contract that does not have a stated contract term on an annual basis. The Human Resources Department, Risk Management Division, has a Board approved contract with Sedgwick which does not have a stated contract term. In addition, as tail claims continue to close, Sedgwick has submitted a new pricing proposal for the Workers’ Compensation Administration Fee with an annual cost of $110,000. The Human Resources, Risk Management Division is recommending the Board authorize Amendment I with Sedgwick to increase the total amount by $110,000 for a total amount not to exceed $221,050 and extend the term to October 31, 2025.
In September 2018, the County entered into a Primary Workers’ Compensation (PWC) program wherein no new claims would be submitted to Sedgwick for claims management. However, a determination was made that it was necessary to obtain Sedgwick as the claims third-party administrator (TPA) for the administration, investigation, adjustment, utilization review, bill review and case management for tail claims (claims incurred prior to September 2018).
ALTERNATIVES
The Board could choose not to approve the agreement and Risk Management could find and use a different third-party administrator for tail claims.
PRIOR BOARD ACTION
10/30/2018 Legistar file 18-1418 - Approved Contract 3360
11/19/2019 Legistar file 19-1647 - Approved Amendment I to Agreement 3360
10/20/2020 Legistar file 20-1219 - Approved Amendment II to Agreement 3360
10/26/2021 Legistar file 21-1376 - Approved Amendment III to Agreement 3360
10/25/2022 Legistar file 22-1426 - Approved Amendment IV to Agreement 3360
10/10/2023 Legistar file 23-1248 - Approved perpetual Agreement 7803 with Sedgwick
OTHER DEPARTMENT / AGENCY INVOLVEMENT
CAO, County Counsel, Procurement and Contracts
CAO RECOMMENDATION / COMMENTS
Approve as recommended.
FINANCIAL IMPACT
There is no impact to the General Fund or Net County Cost associated with this item. Funding for the amendment is included in the Risk Management Workers’ Compensation Program Fund.
CLERK OF THE BOARD FOLLOW UP ACTIONS
Clerk of the Board will obtain the Chair’s signature on Amendment I to Agreement 7803 and return to CAO Fiscal.
STRATEGIC PLAN COMPONENT
N/A
CONTACT
Joseph Carruesco, Director of Human Resources