Title
Human Resources Department, Risk Management Division, recommending the Board:
1) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to contract with Sedgwick Claims Management Services, Inc. (Sedgwick) as the County’s third-party administrator for Workers’ Compensation tail claims because “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 perpetual Agreement 7803 with Sedgwick to provide services as the County’s third-party administrator for Workers’ Compensation tail claims, in the amount of $111,050 for the period of November 1, 2023, through October 31, 2024; and
3) Authorize the Purchasing Agent to execute any necessary amendments relating to Agreement 7803, excluding term extensions and increases to compensation, contingent upon approval by County Counsel and Risk Management.
FUNDING: Workers’ Compensation Fund.
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DISCUSSION / BACKGROUND
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).
In accordance with Board Policy C-17 Procurement Policy, 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 and is above Purchasing Agent authority. The Human Resources Department, Risk Management Division, has a Board approved Agreement 3360 with Sedgwick which does not have a stated contract term. When Amendment IV to Agreement 3360 was in process, CAO Fiscal was advised by County Counsel and Procurement & Cont...
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