Item D10
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: 9/21/05
Division:
Management Services
Bulk Item: Yes -L
No
Department: Administrative Services
AGENDA ITEM WORDING:
Approval to renew contract with PGCS (Preferred Governmental Claims Solutions) for third party
administration of the Workers Compensation program on a fee for service basis in accordance with the
attached fee schedule,
ITEM BACKGROUND:
The County has utilized the services of PGCS for the last 10 years, The current contract calls for a flat
fee annually of $78,000,00, Based on an analysis of our current and historic utilization of services, we
project that the cost based on a fee for service will be $52,000.00. We performed a market survey and
we are satisfied that these terms are among the most competitive pricing in the Florida market.
PREVIOUS RELEVANT BOCC ACTION:
CONTRACT/AGREEMENT CHANGES:
Change in terms from a flat fee to fee for service, Bill repricing fees are capped at $10,000 annually,
Although there is risk of higher cost if there is high utilization, the volume would have to substantially
exceed the highest historic claims experience for this contract to be unfavorable for the County,
STAFF RECOMMENDATIONS:
Approval
TOT AL COST: $ 52,000,00
BUDGETED: Yes ~No
COST TO COUNTY: $52,000,00
SOURCE OF FUNDS: Primarily ad valorem
REVENUE PRODUCING: Yes
NolL AMOUNTPERMONTH_ Year
APPROVED BY: County Atty _ OMB/Purchasing _ Risk Management _
DIVISION DIRECTOR APPROVAL:
Sheila A. Barker
DOCUMENTATION:
Included
x
To Follow_
Not Required_
DISPOSITION:
Revised 1/03
AGENDA ITEM #
ATTACHMENT "A"
Monroe County BOCC
2005/2006 WORKERS COMPENSATION CLAIMS ADMINISTRATION*
LOST TIME:
$625,00
MEDICAL ONLY:
$150.00
Above pricing is on a per claim basis,
All services are invoiced on a monthly basis,
1099's are processed for a fee of $10,00 per form,
Medical bill fee scheduling is performed for $1,30 per line. The parties agree to a
annual aggregate cap of $10,000.00 for these services, This is subject to further
evaluation if the annual aggregate fee exceeds $10,000,00,
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.
Excess reporting, monthly loss reports, quarterly large loss reports, check
processing, check register reports and BSI-17's are provided for a monthly
administration fee of $2,000,00,
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.
* Pricing applies to self-insured status only, Above pricing pertains to new claims
with a date of accident occurring on or between the dates of 10/1/05 to 9/30/06,
All pricing and services are for life of contract only,