1st Addendum 08/13/1996
Jaann!, I. Itolbage
BRANOf OPPICE
3117 OVERsEAs HIGHWAY
MARAlHON, PLORlDA 33050
TEL. (305) 289-6027
PAX (30:5) 289-1745
CLERK OF 1HE CIRCUIT COURT
MONROE COUNTY
500 WffiTEHEAD STREET
I<EY WEST, PLORlDA 33040
TEL. (305) 292-3550
FAX (305) 295-3660
BRANCH OPPIa
88820 OVERSEAs HIGHWAY
PLANTAnON KEY, PLORlDA 33070
TEL. (305) 852-7145
FAX (305) 852-7146
HEM 0 RAN DUM
To: James ROberts, Count~ Administrator
From:
Attn: Nancy Cohen,
Employee Benefits
Isabel C. DeSantis, Deputy Clerk 9. c.e.
Date:
August 28, 1996
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As you know, at the August 13, 1996 meeting, the Board granted
approval and authorized execution of Addendum 1 to service
agreement between Insurance Servicing & Adjusting Company and
Monroe County.
Attached hereto is a duplicate original of the Addendum for
return to ISAC.
cc: County Attorney
Finance
~ile
ADDENDUM t
TO SERVICE AGREEMENT
BETWEEN
INSURANCE SERVICING & ADJUSTING COMPANY
AND
THE COUNTY OF MONROE, FLORIDA
DATED APRIL 1, t 996
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It is hereby agreed that the following amendments are made to the Service Agreement15Ctw~n lnslmlnce 0
Servicing & Adjusting Company (ISAC) and the County of Monroe, Florida (The County1,vhich Ji,
entered into by both parties on April I, 1996. -- S5
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Article IV.A.l.d. is deleted in its entirety and replaced with the following: ~ c-:
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IVA.I.d. Adjust settle or resist all qualified claims or losses arising from Th;Cotmty's ~kers'"~?i
Compensation program with no claims being settled without the prior approval of7'he County.
Article IV.B.2. is deleted in its entirety and replaced with the following:
IVB.2. The County shall at all times provide funds adequate for the payment of qualified claims
or losses and of allocated loss expenses. For this purpose, allocated loss expenses shall mean
all costs, charges or expenses of third parties incurred by ISAC, its agents or its employees,
which are properly chargeable to a qualified claim or loss including, without limitation, court
costs, independent investigators, experts and witnesses, and fees for obtaining diagrams, reports,
documents and photographs. It is expressly understood that all fees and expenses of attorneys
will be paid directly by the County and upon receipt of such invoices ISAC shall prepare a
voucher andforward it with the original invoice to the County's Workers' Compensation
Manager for review and processing. If the County makes adjustments to the invoice before
paying, lSAC will be notified of such adjustments by the County's Workers' Compensation
Manager and lSAC will adjust their payment records to reflect the actual amount paid.
Article lV.C. shall be deleted in its entirety and replaced with the following:
IV C. Discretionary Disbursement Authority Limit. The limit on any discretionary payment by
ISA C for a qualified claim or loss, or for allocated loss expenses, as the case may be, shall be
rive Thousand Dollars ($5,000) initially. This amount may be changed at any time by The
County upon written notice to ISAC. It is agreed that ISAC shall have full authority and control
in all matters pertaining to the payment, processing, investigation and administration of
qualified claims or losses with the limit established by this paragraph with the exception offees
and expenses paid to attorneys which will be paid direct(v by the County in accordance with
paragraph IVB.2. Failure oflSAC to settle a qualified claim or loss within such limit, however,
shall not subject ISAC to liability to any party in the event of an adverse judgment entered by
any court or the settlement of such claim or loss for an amount in excess of such limit. ISAC will
make no payment in excess of the Discretionary Disbursement Authority Limit without obtaining
prior approval of the County's Administrator or his designee.
It isfurther agreed that all checks or drafts in amounts in excess ofSl, 000 will require the
signature of two lSAC employees in supervisory positions. All payments in excess ofSlO, 000
will require the written authorization of the County Administrator before being issued.
Attachment A - Fee Schedule shall be deleted and replaced with Attachment Al - Revised Fee Schedule
-AUG 1 4 1996
Contract for Workers' Compensation
Claims Administration Services
Between Insurance Servicing & Adjusting Company
and
Monroe County, Florida
Attachment Al
Revised Fee Schedule
The County agrees to pay ISAC based on the following fce schedulc.
1. Claims with a date of accident between April 1, 1996 and March 31, 1997
Medical Only Claims as defined
in Paragraph "S" $110.00
Lost Timc Claims $415.00
2. Claims with a date of accident before April 1, 1996
Medical Only Claims as dcfincd
in Paragraph "S" $110.00
Lost Time Claims $415.00
It is agreed that the County will pay a flat fee of$34.335.00 which represents the full payment for all files
with a date of accident preceding April I, 1996 that will be initially transferred to ISAC at the beginning
of this agreement. The initial fee will be paid in six (6) monthly installments beginning April 1, 1996.
ISAC will submit an invoice in the amount of $5,722.50 which the County will place in direct line for
payment.
All claims with a date of accident before April 1, 1996 that are subsequently transferred to ISAC will be
invoiced at the rates indicated under item 2.
It is agreed that any claim with a date of accident before April 1, 1996 and requires the processing often
(10) or fewer medicaVpharmacy payments will be classified and charged as a Medical Only Claim.
3. In the event the County elects to renew this agreement with ISAC, the following rates will apply
to claims with a date of accident between April 1. 1997 and March 31, 1998
Medical Only Claims as defined
in Paragraph "S" $110.00
Lost Time Claims $415.00
4. In the event the County elects to renew this agreement with ISAC, the following rates will apply
to claims with a date of accident between Aprill, 1998 and March 31,1999
Medical Only Claims as defined
in Paragraph "S" $130.00
Lost Time Claims $420.00
With the exception of the fee for the claims that are initially transferred, ISAC agrees to invoice the
County in accordance with the above rates on a monthly basis based on the actual claim count for the
preceding month. In the event the status (Medical Only vs Lost Time) of a claim changes following the
month in which it was invoiced, an adjustment will be reflected on ISAC's invoice for the difference
between the actual service fee and the amount previously paid by the County.
IN WITNESS WEREOF, the parties herto have caused this Agreement to be executed on the
/:.3 day of Au.7kS~.
INSURANCE SERVICING & ADJUSTING COMP Y
~!a~~
PRESIDENT
Title:
COUNTY Or~OE. FLO.RIDA
BYeS ~7i..(C U~
Title: .NI fA.. Y (J" I CA ~/"'It'JA 11
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(SEAL)
ATTEST: DANNY l. KOLHAGE, CLERK
BY A.J.~ Le. ~~~
DEPUTY CLERK .. fI
0-13-'6