2nd Amendment 04/15/2015 AMY HEAVILIN, CPA
CLERK OF CIRCUIT COURT & COMPTROLLER
MONROE COUNTY,FLORIDA
1mpizi a
DATE: April 24, 2015
TO: Teresa Aguiar, PHR, CPM
Director of Employee Services
ATTN: Christine Diaz
FROM: Lindsey Ballard, D.0O2
At the April 15, 2015, Board of County Commissioner's meeting the Board granted approval and
execution of Item C18 one year contract renewal with Employers Mutual, Inc. to provide Third Party Claims
Administration for the Monroe County Workers'Compensation program.
Attached 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
SCANNEDSOO Whitehead Street88817 Overseas H ghway Manithon,FL 3 FL 3307one:30 Phone:852-6045 Fax:305-852-7046
SECOND AMENDMENT TO
AGREEMENT FOR ADMINISTRATIVE SERVICES BETWEEN
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
AND
EMPLOYERS MUTUAL INC.
THIS SECOND AMENDMENT, made and entered into this 15'h day of April 2015, 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 9, 2009, the Client entered in an agreement to engage the
services of Administrator to provide claim administration for workers' compensation and
liability claims; and
WHEREAS, the First Amendment effective October 1, 2012 between the parties is to
terminate on September 30,2015; 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,
parties agree to amend the Agreement as follows:
1) Section IV shall be amended as follows:
(i) Term. The terms of this Agreement shall be effective October 1, 2015 and
continue for a period of one (1) year. This Agreement will be
automatically renewed for successive one-year periods until either party
gives the other notice of cancellation in accordance with the teems 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 one (1)
year of claims adjusting and fees as per 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
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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.
3) In all other respects the terms and conditions of the original agreement remain in
full force and effect.
IN WITNESS WHEREOF, The Employer and Contractor have caused this amendment to
Agreement to be executed this 15Th day of frp I , 2015.
ATTEST: AMY HEAVILIN, CLERK Board of County Commissioners of Monroe County
By: By: (\ �-
Depr yc or, anny L. Kolhage
Employers
Mutual,
,IInnnc.
By: ` VV` v`-t-'
Tim McCreary, Pr*l ent
MONROE COUNTY ATTORNEY
PRO D.ASO FPP.1M,'
CYNTHIA L. ALL
NEY
2 ASSIS AN COUNTY ATT
DateOR
ATTACHMENT"A"
MONROE COUNTY
WORKERS'COMPENSATION
THIRD PARTY CLAIMS ADMINISTRATION
WORKERS' COAII'LNSATION 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 one(1) year. The annual fee may be paid in
twelve equal installments.
All pricing is based on a life 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: $1.50 per line or$5.50 flat-rate per bill
(flat-rate excludes hospital bills)
• Network Access: 25%of savings
• Telephonic Case Management: $85 per hour
• Field Case Management: $95 per hour
• Hospital Bill Audits: 25% of savings
• Subrogation 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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