2nd Renewal 01/18/2006
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
February 7, 2006
TO:
Maria Z. Fernandez, Administrator
Group InsurancelWorker's Compensation
Pamela G. Hanco~
Deputy Clerk CY
FROM:
At the January 18, 2006, Board of County Commissioner's meeting the Board granted
approval and authorized execution of a Renewal Agreement between Monroe County and
Preferred Governmental Claims Solutions (GCS) for third party administration of the Workers'
Compensation Program.
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.!
RENEWAL AGREEMENT
This renewal agreement is entered into this 18th day of January , 2005, by and between
Board of County Commissioners of Monroe County, Florida; 1100 Simonton Street, Room 2-268; Key
West, Florida 33040 (hereafter Employer) and Preferred Governmental Claims Solutions, a Florida
Corporation, P. O. Box 958456, Lake Mary, FL 32795-8456, (hereafter PGCS).
WHEREAS, on October 1, 2003, the Employer and PGCS entered into an agreement (hereafter
the original agreement) whereby PGCS performs claim administration for the Employer's workers'
compensation program; and
WHEREAS, the current renewal will expire on September 30, 2004 and the Employer desires to
extend the original agreement for another year, therefore, the parties agree as follows:
I. This second one-year renewal term commences effective October 1, 2005, and will
expire September 30, 2006.
2. In all other respects the terms and conditions of the original agreement remain in full
force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this Renewal Agreement.
�• f
Z�
.'; Y L. KOLHAGE, CLERK
eputy Clerk
PR:
I2
BOARD OF COUNTY COMMISSIONERS
OF MONROE CO)JNTY, FLORIDA
By V4
Mayof/Chairman o M o
> v+
aC
co
c-1
-- __...,..,JLUTIONS C:) C> - —:+
C:) A
rns W
En
�,tiUNR E L CLJNI.v AT NE
ROVED AS R
Z NNE
%ATTO
TRtSESTANTGUNTv TNEYp05
_n
ATTACHMENT "A"
Monroe County BOCC
2005/2006 WORKERS COMPENSATION CLAIMS ADMINISTRATION*
FLAT RATE: $78,000.00
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.
* 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.