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HomeMy WebLinkAbout144217 CANNON COCHRAN MGMT SERVICES CCMSI - CONTRACT - RFP - P686 CLAIMS ADMINISTRATOR SERVICESPROFESSIONAL SERVICES AGREEMENT THIS AGREEMENT made and entered into the day and year set forth below, by and between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter referred to as the "City" and OCCUPATIONAL HEALTHCARE MANAGEMENT SERVICES, INC (OHMS), a corporation, hereinafter referred to as "Professional". WITNESSETH: In consideration of the mutual covenants and obligations herein expressed, it is agreed by and between the parties hereto as follows: 1. Scope of Services. The Professional agrees to provide services in accordance with the scope of services attached hereto as Exhibit "A", consisting of Four (4) pages, and incorporated herein by this reference. 2. Time of Commencement and Completion of Services. The services to be performed pursuant to this Agreement shall be initiated within a fifteen (15) days following execution of this Agreement. Services shall be completed no later than December 31,1999. Time is of the essence. Any extensions of the time limit set forth above must be agreed upon in writing by the parties hereto. In addition, at the option of the City, the Agreement may be extended for additional one year periods not to exceed four (4) additional one year periods. Pricing changes shall be negotiated by and agreed to by both parties and may not exceed the Denver - Boulder CPI-U as published by the Colorado State Planning and Budget Office. Written notice of renewal shall be provided to the Service Provider and mailed no later than ninety (90) days prior to contract end. 3. Early Termination by City. Notwithstanding the time periods contained herein, the City may terminate this Agreement at any time without cause by providing written notice of termination to the Professional. Such notice shall be delivered at least PSA 10/97 D. To encourage early recovery from injury and early return to productive work. E. To encourage employees' return to work for modified duty. To identify fraudulent claims and aggressively defend those claims indicating no negligence on the City's part. G. To identify cause of loss and correct, if necessary, to prevent future loss. H. To keep communication open between the Administrator, Risk Manager, Employees, Claimants, and Doctors. SECTION IV The City of Fort Collins does D&2 send all claims to a third party claims administrator. The City Attorneys Office and the Risk Management division reserves the right to determine which claims will be handled in house and those that will be assigned to the third party administrator. B. TITLE RIGHTS Ensure that the City shall have full, complete and absolute title to all studies, files, documents, correspondence, tapes, movies, recordings, reports, analyses and other materials prepared or acquired regardless of the state of completion. Further ensure that the City may make full and complete use of said materials as it desires, and within its own discretion without liability of any kind whatsoever to the Administrator other than payment of consideration as provided. PSA 10/97 EXHIBIT B INSURANCE REQUIREMENTS 1. The Service Provider will provide, from insurance companies acceptable to the City, the insurance coverage designated hereinafter and pay all costs. Before commencing work under this bid, the Service Provider shall furnish the City with certificates of insurance showing the type, amount, class of operations covered, effective dates and date of expiration of policies, and containing substantially the following statement" "The insurance evidenced by this Certificate will not be canceled or materially altered, except after thirty (30) days written notice has been received by the City of Fort Collins." In case of the breach of any provision of the Insurance Requirements, the City, at its option, may take out and maintain, at the expense of the Service Provider, such insurance as the City may deem proper and may deduct the cost of such insurance from any monies which may be due or become due the Service Provider under this Agreement. The City, its officers, agents and employees shall be named as additional insureds on the Service Provider's general liability and automobile liability insurance policies for any claims arising out of work performed under this Agreement. 2. Insurance coverages shall be as follows: A. Workers' Compensation and Employer's Liability. The Service Provider shall maintain during the life of this Agreement Workers' Compensation insurance as required by Colorado law, and Employer's Liability Insurance, in an amount not less than $400,000 for each occurrence, for all of the Service Provider's employees engaged in work performed under this Agreement. B. Commercial General Liability. The Service Provider shall maintain during the life of this Agreement such commercial general liability and automobile liability insurance as will provide coverage for claims for damages for personal injury, including accidental death, as well as for claims for property damage, which may arise directly or indirectly from the performance of work under this Agreement. Coverage for property damage shall be on a "broad form" basis. The amount of insurance to be provided shall be not less than $1,000,000 combined single limits for bodily injury and property damage. In the event any work under this Agreement is performed by a subcontractor, the Service Provider shall be responsible for any liability directly or indirectly arising out of the work performed under this Agreement by a subcontractor, which liability is not covered by the subcontractor's insurance. PSA 10/97 EXHIBIT "C" Year 2000 Compliance Blue Cross and Blue Shield of Colorado and Rocky Mountain Administrative Services Company, Inc., and all corporate affiliates, (collectively referred to as the "Company") have established a corporate -wide Year 2000 Project Plan and warrant that the Company's essential services, operating systems, software, firmware, hardware and associated equipment will be Year 2000 ready. "Year 2000 ready" means that all hardware, software and other information technology equipment will: • correctly identify, recognize and process four -digit dates; • continue to function properly with regard to dates before, during and after the transition to year 2000 including, but not limited to, the ability to roll dates from December 31, 1999, to January 1, 2000, and beyond with no errors or system interruptions; • accurately perform calculations and comparisons on dates that span centuries; • accept and properly process dates that could span more than 100 years (e.g., calculating a person's age from their birth date and the current date); • properly sort and sequence dates that span centuries; • understand that the year 2000 starts on a Saturday; • recognize that February 29, 2000 is a valid date and that the Year 2000 has 366 days; • prohibit use of data fields for any purpose other than to store valid dates; and • preclude the use of 12/31/99 or any other valid date to indicate something other than a date (e.g., 12/31/99 in a date file means "do not ever cancel"). In the event of a breach of this warranty, the Company's affirmative obligation to act shall be limited to commercially reasonable efforts to correct any such breach. The liability of the Company for damages to Customer as a result of any breach of this warranty shall be limited to the amount of payments to the Company by Customer under this Agreement. Y2KFtCollins 7/98 Service Agreement for The City of Fort Collins Workers' Compensation/Liability Self-insurance Program Attachment #1 Compensation Schedule/Agreement Compensation 1. Claims Manag ment: An annual Claims administration fee of $65,000.00, payable in twelve (12) monthly installments of $5,416.67, and If total claims volume exceeds 400 new claims (workers' compensation and/or liability claims), additional claims will be charged at the following rate: Indemnity Claims$ 600.00 per claim. Medical Claims $ 120.00 per claim. Liability Claims $ 355.00 per claim. 2. Preferred Provider and Medical Cost Contaiment• 2.1 The preferred provider network access fee shall be 50% of the difference, if any, between the Colorado State Fee Schedule for a given service or treatment, and the amount actually paid by Client for such service or treatment. This fee is only applied to those bills/services that are rendered by participating OHMS network providers. 2.2 Medical Fee Review service fees shall be: $1.35 medical fee line item. This fee is only applied to bills for which services have b en rendered by a provider that is not in the OHMS network. 7/98 3. 4. 2.3 Medical & Disability Case Management safety, loss control & early RTW services professional services(full assignment $75 / hour or field work) (Optional: Travel & wait time $35 / hour) mileage $.35 / mile 2.4 Early Intervention Clinical Review Services (includes review of workers' compensation claims that meet OHMS criteria) No Charge Medical Case Manager attendance at bi-weekly provider meeting No Charge 3.1 Furnish to Client five (5) standard reports on a monthly basis and three (3) standard reports on a quarterly basis for no additional fee. 3.2 Furnish to Client the necessary reports on an annual and biannual basis for no additional fee: As agreed upon between Client and OHMS. 3.3 Additional Reports: Provide custom reports at the request of client for a programming fee of $125.00 per hour. Participate in and attend bi-weekly claims status meetings. Hourly charges for additional meetings that include non -risk management staff are: Adjuster Nurse Management Mileage Other Expenses $65.00 per hour $75.00 per hour $75.00 per hour $.35 per mile Expenses as actual 7/98 5. Additional Services: Data conversions and/or special programming fees: $125.00 per hour. Initial data conversion fees: $125.00 per hour not to exceed a total of $7,500.00. Provide and bill for additional services as mutually agreed upon by OHMS and the Client. 6. Payment of Invoices. 6.1. OHMS shall submit to Client on or before the 101h day of each month, an invoice for all service fees payable under this Agreement. Such invoice shall reflect the basis for the calculation of the fees due. Upon receipt, Client agrees to pay the amount invoiced by check or wire transfer within fourteen (14) days following the date of invoice. Client agrees to pay any fees imposed by Client's bank for the use of wire transfer. Client Account: Client shall establish and maintain a sufficiently funded bank account authorizing OHMS to make payments from that account. OHMS shall issue any and all payments made on behalf of client under this agreement, from this account. OHMS will forward [Optional: daily, weekly, monthly] a check register, listing all payments, to client when checks have been drawn on their account. OHMS will provide 24 hour notice to the City of any single transaction that is in the amount of ten thousand dollars ($10,000.00) or higher. 7/98 Exhibit D CONFIDENTIALITY IN CONNECTION WITH SERVICES provided to the City of Fort Collins (the City ) pursuant to this Agreement (the Agreement ), the Contractor hereby acknowledges that it has been informed that the City has established policies and procedures with regard to the handling of confidential information and other sensitive materials. In consideration of access to certain information, data and material (hereinafter individually and collectively, regardless of nature, referred to as information ) that are the property of and/or relate to the City or its customers or suppliers, which access is related to the performance of services that the Contractor has agreed to perform, the Contractor hereby acknowledges and agrees as follows: That information that has or will come into its possession or knowledge in connection with the performance of services for the City may be confidential and/or proprietary. The Contractor agrees to treat as confidential (a) all information that is owned by the City, or that relates to the business of the City , or that is used by the City in carrying on business, and (b) all information that is proprietary to a third party (including but not limited to customers and suppliers of the City) . The Contractor shall not disclose any such information to any person not having a legitimate need -to -know for purposes authorized by the City. Further, the Contractor shall not use such information to obtain any economic or other benefit for itself, or any third party, except as specifically authorized by the City. The foregoing to the contrary notwithstanding, the Contractor understands that it shall have no obligation under this Agreement with respect to information and material that (a) becomes generally known to the public by publication or some means other than a breach of duty of this Agreement, or (b) is required by law, regulation or court order to be disclosed, provided that the request for such disclosure is proper and the disclosure does not exceed that which is required. In the event of any disclosure under (b) above, the Contractor shall furnish a copy of this Agreement to anyone to whom it is required to make such disclosure and shall promptly advise the City in writing of each such disclosure. In the event that the Contractor ceases to perform services for the City, or the City so requests for any reason, the Contractor shall promptly return to the City any and all information described hereinabove, including all copies, notes and/or summaries (handwritten or mechanically produced) thereof, in its possession or control or as to which it otherwise has access. The Contractor understands and agrees that the City s remedies at law for a breach of the Contractors obligations under this Confidentiality Agreement may be inadequate and that the City shall, in the event of any such breach, be entitled to seek equitable relief (including without limitation preliminary and permanent injunctive relief and specific performance) in addition to all other remedies provided hereunder or available at law. 7198 (303)773-9999 FAX ,rthur J. Gallagher & Co. - Denver 7900 E. Union Suite 200 Denver, CO 80237 ONLY AND CONFERS NO RIGHTS UPON THE HOLDER. THIS CERTIFICATE DOES NOT AME ALTER THE COVERAGE AFFORDED BY THE 24/1998 OR kttn: COMPANY American Motorists (Kemper) Ty Penvari EXt: 414 _. A INSURED _... Blue Cross & Blue Shield of Colorado '. CO BgNv American 5, Mfrs. Mutual (Ke'Ih`IJeF) 700 Broadway RM 0738 „ Denver, CO 80273 COMPANY Republic Western Insurance " CA': COMPANY D INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENDT ABOVE WITH RESP CT TO LWHICH TH ICY SD CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR ' POLICY NUMBER DATE (MM/OD/YV) GATE(MM/ODII'1') '. LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR A _._. 7KP622923-01 OWNER'S 8 CONTRACTOR'S PROT X tA9g applies per lOCati on AUTOMOBILE LIABILITY X IANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS B 7KP622923-01 ' HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY C THE PROPRIETOR/ RSU0501185 PARTNERS/EXECUTIVE INCL OFFICERS ARE: EXCL: GENERAL AGGREGATE S 2, 000, 000 PRODUCTS COMP/OP AGG $ '. 2, 000, 000 09/01/1998 09/01/1999 PERSONAL S ADV INJURY $ _1, 000, 000 EACH OCCURRENCE $ 11000,000 FIRE DAMAGE (Any one fire) $ 1, 000, 000 MED EXP (Any one person) $ 1. 10.000 '.. '., COMBINED SINGLE LIMIT $ _.... _... _.. 11000,000 BODILY INJURY (Per Person) $ 09/01/1998 09/01/1999 ---- --.... BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ -AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY ' EACHACCIDENT .............................. $ AGGREGATE'. $ EACH OCCURRENCE $ AGGREGATE $ X :70RV LIMITS' ER 09/01/1998 09/01/1999 EL EACIHACCIDENIT $ 11000,000 EL DISEASE POLICY LIMIT $ 11000,000 'EL DISEASE - EA EMPLOYEE $ 1, 000.000 E: City Of Fort Collins Third Party Administrator Contract; The insurance evidenced by this ertificate will not be cancelled or materially altered, except after thirty (30) days written notice as been received by the City Of Fort Collins. City Of Fort Collins Mr. James B. O'Neill, II; Director of Purchasing & Risk Management 256 W. Mountain Avenue P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL �O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. John McLaughlin sixty (60) days prior to the termination date contained in said notice unless otherwise agreed in writing by the parties. All notices provided under this Agreement shall be effective when mailed, postage prepaid and sent to the following addresses: Professional: City: With Copy To: OHMS Terry M. Lee State Director, Colorado P. O. Box 173682 Denver, CO 80217 3682 Stewart Ellenberg, ARM Risk Manager City of Fort Collins P. O. Box 580 Fort Collins, CO 80522 James B. O'Neill ll, CPPO Director of Purchasing and Risk Management City of Fort Collins P. O. Box 580 Fort Collins, CO 80522 In the event of any such early termination by the City, the Professional shall be paid for services rendered prior to the date of termination, subject only to the satisfactory performance of the Professional's obligations under this Agreement. Such payment shall be the Professional's sole right and remedy for such termination. 4. Design Project Indemnity and Insurance Responsibility. The Professional shall be responsible for the professional quality, technical accuracy, timely completion and the coordination of all services rendered by the Professional, including but not limited to designs, plans, reports, specifications, and drawings and shall, without additional compensation, promptly remedy and correct any errors, omissions, or other deficiencies caused by the Professional's negligence or gross negligence. The Professional shall indemnify, save and hold harmless the City, its officers and employees in accordance with Colorado law, from all damages whatsoever claimed by third parties against the City arising out of the Professional's negligence, gross negligence or willful misconduct in its performance of this agreement; and for the City's costs and reasonable attorneys fees, arising directly out of the Professional's negligence, gross negligence or willful misconduct in its performance of any of the services furnished under this Agreement. The Professional shall maintain commercial PSA 10/97 general liability insurance in the amount of $500,000 combined single limits, and errors and omissions insurance in the amount of $1,000,000.00. 5. Compensation. In consideration of the services to be performed pursuant to this Agreement, the City agrees to pay Professional a fixed fee in the amount of Sixty-five Thousand ($65,000.00). Attachment #1 consisting of 3 pages, and incorporated herein by this reference, outlines the Compensation Schedule for any additional charges. Monthly partial payments of Five Thousand Four Hundred Sixteen Dollars and sixty-seven cents ($5,416.67) based upon the Professional's billings and itemized statements are permissible. The amounts of all such partial payments shall be based upon the Professional's City -verified progress in completing the services to be performed pursuant hereto and upon the City's approval of the Professional's actual reimbursable expenses. Final payment shall be made following acceptance of the work by the City. Upon final payment, all designs, plans, reports, specifications, drawings, and other services rendered by the Professional shall become the sole property of the City. 6. City Representative. The City will designate, prior to commencement of work, its project representative who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the project. All requests for contract interpretations, change orders, and other clarification or instruction shall be directed to the City Representative. 8. Per i%A Drawings. Upon conclusion of the project and before final payment, the Professional shall provide the City with reproducible drawings of the project containing accurate information on the project as constructed. Drawings shall be of archival quality, prepared on stable mylar base material using a non -fading process to prove for long storage and high quality reproduction. 9. Independent Contractor. The services to be performed by Professional are those of an independent contractor and not of an employee of the City of Fort PSA 10/97 Collins. The City shall not be responsible for withholding any portion of Professional's compensation hereunder for the payment of FICA, Workers' Compensation, other taxes or benefits or for any other purpose. 10. Personal Services. It is understood that the City enters into this Agreement based on the special abilities of the Professional and that this Agreement shall be considered as an agreement for personal services. Accordingly, the Professional shall neither assign any responsibilities nor delegate any duties arising under this Agreement without the prior written consent of the City. 11 Acceptance Not Waiver. The City's approval of drawings, designs, plans, specifications, reports, and incidental work or materials furnished hereunder shall not in any way relieve the Professional of responsibility for the quality or technical accuracy of the work. The City's approval or acceptance of, or payment for, any of the services shall not be construed to operate as a waiver of any rights or benefits provided to the City under this Agreement. 12. Default. Each and every term and condition hereof shall be deemed to be a material element of this Agreement. In the event either party should fail or refuse to perform according to the terms of this agreement, such party may be declared in default. 13. Remedies. In the event a party has been declared in default, such defaulting party shall be allowed a period of ten (10) days within which to cure said default. In the event the default remains uncorrected, the party declaring default may elect to (a) terminate the Agreement and seek damages; (b) treat the Agreement as continuing and require specific performance; or (c) avail himself of any other remedy at law or equity. If the non -defaulting party commences legal or equitable actions against the defaulting party, the defaulting party shall be liable to the non -defaulting party for the non -defaulting parry's reasonable attorney fees and costs incurred because of the default. PSA 10/97 14. Binding Effect. This writing, together with the exhibits hereto, constitutes the entire agreement between the parties and shall be binding upon said parties, their officers, employees, agents and assigns and shall inure to the benefit of the respective survivors, heirs, personal representatives, successors and assigns of said parties. 15. Law/Severabilit. The ,laws of the State of Colorado shall govern the construction, interpretation, execution and enforcement of this Agreement. In the event any provision of this Agreement shall be held invalid or unenforceable by any court of competent jurisdiction, such holding shall not invalidate or render unenforceable any other provision of this Agreement. 16. Special Provisions. Special provisions or conditions relating to the services to be performed pursuant to this Agreement are set forth in Exhibit "C", Year 2000 Compliance consisting of one (1) page, attached hereto and incorporated herein by this reference and Exhibit "D", Confidentiality Agreement, consisting of one (1) page, attached hereto and incorporated herein by this reference. PSA 10/97 THE CITY OF FORT COLLINS, COLORADO By: (1,;) 1S-9 John 112. Fischbach Cit Manager By: D J es B. O'Neill II, CPPO Direc or f Purchasing & Risk Management DATE: / 2_1 / Q il ATTEST:: _blv City Clerk APPROVED AS TO FORM: Assistant City Attorney OCCUPATIONAL HEALTHCARE MANAGEMENT SERVICES INC. (OHMS) By: 1> \L 1 Title: CORPORATE PRESIDENT OR VICE PRESIDENT Date: _ _ \\—Z3 -` % 7ATTE4S,,:,j. r (Corporate Seal) Corpo to S retary PSA 10/97 EXHIBIT "A" SCOPE OF SERVICES CLAIMS MANAGEMENT STANDARDS & PROCEDURE Following are standards and services the City wishes to maintain. CLAIMS ADMINISTRATION A. Create files and reserve within two (2) working days from receipt of the initial report. B. Establish diaries so each claim is reviewed at least every thirty (30) days, or more frequently where needed. Document confirmation of review. C. Examine and analyze all claims to determine compensability of claimed injuries and liability of City. D. Pay bills promptly per City instructions. E. Audit medical bills and repair bills for casual relationship and reasonableness of charges. Report all indemnity claims to the Index Bureau upon file creation, and retain a copy with the file. G. Review medical -only claims for possible closure no less frequently than every thirty (30) days. H. Provide copies of all written correspondence from the administrator to doctors, claimants, attorneys, rehabilitation counselors, investigators and state agencies. I. Clearly document all file activity, including telephone conversations or personal meetings, and diary reviews to reflect the date, individuals involved, content of discussion and plan of action. J. Establish specific direction on the investigation and handling of all indemnity cases within three (3) working days from receipt of the initial report, and clearly evidenced in the file. K. Notify appropriate excess insurer(s) of all claims or losses meeting the reporting requirements of the insurer and provide such insurer with all required information and updates. Send update reports to excess carriers no less frequently than semi-annually. L. Provide a written analysis of all proposed settlements by stipulation or compromise for consideration and authorization, in losses valued in excess of $5,000. M. Establish claim reserves and provide a continual review and update of reserves to reflect changes. PSA 10/97 N. Maintain a file for each claim submitted with the file available for review by the City at any reasonable time. O. Consult and cooperate with the City and its employees as may be necessary to achieve a successful program. This includes regular meetings between City staff and the Third Party Administrator being held every 7-14 days, to discuss claim settlements/denials. P. Maintain a Fort Collins Operational Claims Servicing Office. A. Conduct the necessary investigation of each claim using competent and qualified personnel, including such investigation as is necessary to determine he City's liability. The City reserves the right to require additional investigation. With the approval of the City, engage the services of persons of firms outside its organization for special work in connection with investigations. B. Contact or attempt to contact all employees and claimants within three (3) days of receipt of claim. Upon initial contact, document the description of injury/accident. Document attempts to contact employee or claimant. C. Contact the department and designated employee for City's statement before determining liability. D. Contact the City within three (3) days to confirm whether compensability/liability is acknowledged or should have been questioned. E. Monitor treatment program for injured employees to assure that treatment is related to the compensable injury or illness. F. Maintain a close liaison with treating physicians to assure that employees receive proper care and to avoid over treatment situations. G. Determine eligibility for and authorize payment of Temporary Disability compensation in accordance with medical advice and rehabilitation efforts. H. Maintain telephone or personal contact with temporarily disabled employees no less frequently than monthly, to maintain rapport and to monitor medical progress and return to work status. Schedule independent medical examinations with qualified physicians in cases where treatment, length of disability or extent of permanent disability assigned is in question. Investigate whether subrogation can be rule out or pursued in all cases which may involve third party negligence. K. Refer litigated cases to attorneys utilizing an agreed listing or legal firms. Assist in the preparation of litigated cases and participate as needed in hearings and settlement actions. PSA 10/97 L. Attend bi-weekly meetings with City's designated physician. III. CLAIMS ANALYSIS AND REPORT r A. Provide the City with continuing information on the progress of individual claims and the effectiveness of cost control programs relating to all claims. B. Submit monthly statistical summaries and narrative reports to assist in the evaluation of the City's program. C. Assist the City in the analysis of claims in an effort to prevent future occurrences of a similar nature. D. Maintain a claim file for each reported claim which shall be available to the City at all times for inspection. Such file shall contain all data pertinent to the claim to support its disposition and shall remain the exclusive property of the City. E. Assist the City in preparation of required self insurance reports and reports required by the city's insurance carriers. A. Provide information and guidance to the employees regarding Workers' compensation benefits and respond to inquiries regarding specific injuries and permanent disability ratings. B. When appropriate, develop rehabilitation programs for injured employees for approval by the City, the employee and appropriate agencies ensuring that rehabilitation, retraining or reassignment is provided to employees with physical or performance limitations resulting from industrial injuries. C. Review existing City programs and procedures and recommend changes as needed. SECTION III • •- The City of Fort Collins' claims management philosophy is as follows: A. To be certain claimants are given a high standard of care and concern to avoid poor public opinion. B. To be certain employees are advised of their benefits under Workers' Compensation in a timely fashion. C. To give prompt attention to all claims matters in an attempt to discourage unnecessary litigation. PSA 10/97