1st Amendment 06/20/2012FIRST AMENDMENT TO
AGREEMENT FOR ADMINISTRATIVE SERVICES BETWEEN
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
AND
EMPLOYERS MUTUAL INC.
THIS FIRST AMENDMENT, made and entered into this 20 day of June 2012, by and
between Board of County Commissioners of Monroe County ( "BOCC "), hereafter referred to as the
Client, and Employers Mutual Inc., 700 Central Parkway, Stuart, FL 34994, a Florida Corporation,
hereinafter referred to as Administrator.
WHEREAS, on September 20, 2009, the Client entered into an agreement to engage the services
of Administrator to provide claim administration for workers' compensation and liability claims; and
WHEREAS, the Agreement between the parties is to terminate on September 30, 2012; and
WHEREAS, the parties have mutually agreed to continue the Agreement; and
WHEREAS, it is in the best interest of the BOCC and serves a public purpose to continue with
the services provided by Employers Mutual Inc.; and
WHEREAS, Employers Mutual Inc. wishes to continue with the service it provides the BOCC.
NOW THEREFORE, in consideration of the mutual promises and considerations, the parties
agree to amend the Agreement as follows:
1) Section IV shall be amended as follows:
(i) Termer The terms of this Agreement shall be effective October 1, 2012
and continue for a period of three (3) years. This Agreement will be
automatically renewed for successive one -year periods until either party
gives the other notice of cancellation in accordance with the terms set
forth below.
2) Section V. Administrator Fees shall be amended as follows:
Administrator shall receive consideration in accordance with the
following: Client shall pay Administrator a flat rate of $70,918 per year
for the next three (3) years of claims adjusting. Any increases in the fee
are outlined in Attachment "A ". The amount will be paid in monthly
installment payments due at the beginning of each month. Payments will
be made according to the Florida Local Government Prompt Payment Act.
Any request for payment must be in a form satisfactory to the Clerk of
Courts for Monroe County (Clerk). The request must describe in detail
the services performed and the payment amount requested.
Additionally Client will pay Administrator for the following services: As
stated in "Attachment A ".
If the Client, for any reason whatsoever, fails to make a required fee
payment or necessary contribution for claim payment as requested by
Administrator on a timely basis, Administrator may suspend the
performance of its services to the Client until such time as the Client
makes the proper remittance.
Continuation of this Agreement is specifically made contingent upon
annual appropriation by Monroe County.
WITNESS WHEREOF, the Emplo er and Contractor have caused this amendment to
agreement ON executed this 2 ° - day of ' 2012.
ATTEST: DANNY L. KOLHAGE Board of County Commissioners of Monroe County
By: A)
Deputy Clerk M or
3) In all other respects the terms and conditions of the original agreement remain in
full force and effect.
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MONROE COUNTY ATTORNEY
AP fOVE A T F
NTHIA L. MALL
ASSISTANT BOUNTY ATTORNEY
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MONROE COUNTY ATTORNEY
AP fOVE A T F
NTHIA L. MALL
ASSISTANT BOUNTY ATTORNEY
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ATTACHMENT "A"
MONROE COUNTY
WORKERS' COMPENSATION
THIRD PARTY CLAIMS ADMINISTRATION
WORKERS' COMPENSATION PRICING
Employers Mutual, Inc. (EMI) will perform the Third Party Claims Administration for Monroe
County for the following fee schedule.
EMI will have the workers' compensation claims allocated individually to a lost time and
medical only adjuster. EMI will perform this for an annual fee of $70,918.00
This rate will be guaranteed for a period of three (3) years. The annual fee may be paid in
twelve equal installments.
All pricing is based on a We of contract service agreement
In addition, to the above services Employers Mutual, Inc. will provide the following services at
the stated rate per the request of the Monroe County Board of County Commissioners.
• Medical Bill Re- pricing:
Network Access:
• Telephonic Case Management:
• Field Case Management:
• Hospital Bill Audits:
• Subrogation
$1.50 per line or $5.50 flat -rate per bill
(flat -rate excludes hospital bills)
25% of savings
$85 per hour
$95 per hour
25% of savings
10% of recovery (cap is negotiable)
Allocated expenses (allocated to the claims files) include those paid to outside firms, such as
contract adjusters, private investigators, surveillance, legal and court reporters.
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