1st Amendment 12/19/2007
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
Aprill, 2008
TO:
Maria Z. Fernandez-Gonzalez
Senior Administrator-Benefits
FROM:
Pamela G. Hanco~
Deputy Clerk 0
At the December 19, 2007, Board of County Commissioner's meeting the Board granted
approval and authorized execution of an Amendment to Service Agreement between Monroe
County and Preferred Government Claims Solutions to adopt and make retroactive to September
20, 2006 Attachment B, which was inadvertently omitted in the Service Agreement effective
September 20, 2006 for Third Party Administration of the Monroe County Commissioners
Workers' Compensation Program by Preferred Governmental Claims Solutions.
Enclosed is a duplicate original of the above-mentioned for your handling. Should you
have any questions please do not hesitate to contact this office.
cc: County Attorney
Finance
File
AMENDMENT TO
SERVICE AGREEMENT BETWEEN MONROE COUNTY AND
PREFERRED GOVERNMENTAL CLAIMS SOLUTIONS
THIS AGREEMENT, made and entered into this 19th day of December, 2007 by and between
Board of County Commissioners of Monroe County (hereinafter called "Employer") and Preferred
Governmental Claims Solutions, a Florida Corporation, hereinafter referred to as "PGCS".
WHEREAS, the Employer presently receives third party administration (TPA) services from
PGeS for claims management services for its Workers' Compensation risks, and desires to have PGCS
provide specific services in connection with such claims programs; and
WHEREAS, the services provided by PGCS are defined in a service agreement between the
Employer and PGCS dated April I , 1996; and
WHEREAS, said agreement was renewed March 19, 1997; July 8, 1998; August II, 1999; July
17,2002; October I, 2003; May II, 2004; January 18,2006; and
WHEREAS, a new service agreement was entered September 20, 2006, between the parties, and
WHEREAS, said agreement was renewed July 18, 2007; and
WHEREAS, Attachment B was inadvertently left out of the service agreement entered
September 20, 2006 into between the parties; and
NOW THEREFORE, the parties hereto agree as follows:
]) Adopt and make retroactive to September 20, 2006 Attachment B.
2) In all respects the terms and conditions of the original agreement remain in full
force and effect.
IN\VITNESS WHEREOF, the Em~oyer and Contractor have caused this amendment to
agreell1ent to be executed this U"n-] day off ~_ ],20[cSi-].
ATTEST: DANNY L. KOLHAGE
B~.&~
eputy Clerk
By:
ommissioners of Monroe County
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ATTACHMENT "B"
Monroe County BOCC
WORKERS COMPENSATION CLAIMS ADMINISTRATION
FLAT RATE:
FY 06/07
FY 07/08
FY 08/09
$90,000
$94,500
$100,000
Above pricing is on a per year basis.
All services are invoiced on a monthly basis.
1099's are processed for a fee of$10.00 per form
All subrogation is handled for a flat rate of $500.00 per claim.
The fees listed do not include Managed Care services. Managed Care services
can be quoted upon request.
PGCS receives no monetary rebates, commissions and/or other incentives
from the use, recommendation or assignment of any outside/allocated
service including but not limited to; managed care, surveillance,
transportation, rehabilitation and medical providers.
All pricing and services are for life of contract only.