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Home My WebLink AboutNATIONAL HEALTH SYSTEMS - CONTRACT - RFP - P682 BENEFITS (2)Administrative Services Purchasing Division Citv of Fort Collins July 30 2002 American Stop Loss 250 Commercial Street Suite 200 Worcester MA 01608 Attn Marsha Ford Sales Coordinator Re Ulico Casualty Company/City of Fort Collins Contract #D 9565 Enclosed please find your copy of the contract for the above mentioned matter Please note When mailing anything to the City of Fort Collins Purchasing Div please use the following address P O Box 580 Ft Collins CO 80522 Sincerely J m B O Neill II CPPO FNIGP D for of Purchasing and Risk Management JBO/)be 215 North Mason Street 2nd Floor PO Box 580 Fort Collins CO 80522 0580 (970) 221 6775 FAX (970) 221 6707 Administrative Services Purchasing Division ON of Fort Collins July 29 2002 Ms Karen Rosati Account Executive American Stop Loss 250 Commercial Street Suite 200 Worcester Massachusetts 01608 Re City of Fort Collins - January 1 2003 Renewal Dear Ms Rosati As you are aware the City of Fort Collins (the City) medical plans renew effective January 1 2003 Additionally Great West Life will be the administrator for all medical plans Please provide us with the renewal for the specific stop loss premium rates effective January 1 2003 In addition to receiving the new premium rates we would like to see the calculations that are used to develop the new rates We need to receive this renewal as soon as possible Please also send copies of the renewal to Vincent Pascale at the City and Phil Goldstein of Mercer Human Resource Consulting at the following address 370 17th Street Suite 4000 Denver Colorado 80202 If you have any questions please call me at (970) 221-6779 ttrc ly ame B O Neill II CPPO FNIGP ctor of Purchasing and Risk Management Cc Mr Vincent Pascale Mr Phil Goldstein 215 North Mason Street 2nd Floor PO Box 580 Fort Collins CO 80522 0580 (970) 221 6775 FAX (970) 221 6707 1111V lC"It, liltv May 28 2002 Stop Loss Insurance Brokerage Services Inc Mr Vincent Pascale City of Fort Collins 215 North Mason P O Box 580 !J g ?002 Fort Collins CO 80522-0580 RE Ulico Casualty Company/City of Fort Collins Contract Number D-9565 ttCES Effective Date January 1 2002 Dear Vince Enclosed is the Excess Loss contract for the City of Fort Collins Please take time to review the contract for accuracy and completeness and be sure to notify me in writing if you feel that any changes need to be made Excess Loss contracts contain varying terms conditions and exclusions Each Excess Loss contract is unique in this regard and conditions may vary from carrier to carrier It is important that you and your Administrators are familiar with this contract We urge you and your Administrators to thoroughly review this Excess Loss contract If you have any questions about the terms and conditions of your contract please contact us The contract will provide a complete description of your coverage Please note that changes in coverage and/or enrollment may necessitate rate and/or factor adjustments and/or higher annual retentions Please have both copies of the Application page of the Contract signed where indicated by an authorized representative of the City Please keep one copy of the Contract for the City's files and return the other original signed Contract to my attention Please be certain that the Contract returned to me contains only original signatures ASL appreciates your business and if you should have any questions or if I can be of further assistance please do not hesitate to call or e-mail me Sincerely Q Marsha Ford Sales Coordinator (800)944-7659 ext 3034 mfordaamencanstooloss com cc Cindy Kunkel Paaficare Mary Schlobohm National Health Systems Inc v21502 250 Commercial Street • Suite 200 • Worcester MA 01608 • Phone 800 944-7659 • FAX 508 799 0161 Email into@amen canstoploss com • Websrte www amencanstoploss com APR-29-2002 MON 10 57 AM ASL FAX NO 5087990161 P 01 American Date April 29, 2002 To City of Fort Collins Attn Mr Vincent Pascale (970)221 6236 Stop Loss tnsoranco Brokerage Services Ins RE Request for Proposal/Proposal Number P-832 Effective Date 1/1103 Thank you for submitting the above referenced case for our review Unfortunately we are choosing not to quote at this time due to the following underwriting reason(s) ® Unable to quote a 1/1/03 effective date at this time ❑ Nature and Number of potentlally ongoing claims ❑ Previously received this group from another source ❑ Missing sufficient information to quote See below ❑ Census ❑ Current/renewal rates ❑ Large loss Data ❑ Aggregate paid claims ❑ Schedule of benefits We are sorry we could not be of service to you on this group, however, please keep us in mind for future proposals Sincerely, Marsha Ford Sales Coordinator (800)944-7649 ext 3034 mfordrcDamencanstooloss com 250 COn11TICIL1r1 Street Suitc 200 - Worcester MA O]609 - Phom. 800 944-7659 I-AX 508 799 0161 Lmaii uifo@mneucvtstoploss com - We!)YIC www nnencanstoploss com ULICO CASUALTY COMPANY (A Stock Company) Admimstrative Office 111 Massachusetts Ave N W Washington D C 20001 ■EE■ EXCESS LOSS CONTRACT CONTRACT NUMBER D-9565 CITY OF FORT COLLINS EFFECTIVE DATE OF CONTRACT JANUARY 1 2002 � MAY 2 3 2002 This Contract is issued in consideration of the Insured s Application and payment of the first premium The Company will pay the Insured when the Insured has an eligible claim subject to the limits of liability, exclusions conditions and all other terms of this Contract This Contract is delivered in Colorado and is governed by its laws The Insured s Application, other attached forms and Endorsements if any form part of this Contract The provisions and conditions set forth on the following pages are a part of this Contract as fully as if recited over the signature below EXCESS INSURANCE CONTRACT PROVIDING, UNTIL TERMINATION SPECIFIC EXCESS INSURANCE 300 UC