HomeMy WebLinkAboutRFP - 8814 THIRD PARTY CLAIMS ADMINISTRATOR SERVICES (2)Addendum 1 Page 1 of 4
ADDENDUM NO. 1
SPECIFICATIONS AND CONTRACT DOCUMENTS
Description of RFP 8814: Third Party Claims Administrator Services
OPENING DATE: 3:00 PM (Our Clock) October 19, 2018
To all prospective bidders under the specifications and contract documents described above,
the following changes/additions are hereby made and detailed in the following sections of this
addendum:
Exhibit 1 – Questions & Answers
Please contact Beth Diven, Buyer, at (970) 221-6216 or bdiven@fcgov.com.with any questions
regarding this addendum.
RECEIPT OF THIS ADDENDUM MUST BE ACKNOWLEDGED BY A WRITTEN STATEMENT
ENCLOSED WITH THE BID/QUOTE STATING THAT THIS ADDENDUM HAS BEEN
RECEIVED.
Financial Services
Purchasing Division
215 N. Mason St. 2nd Floor
PO Box 580
Fort Collins, CO 80522
970.221.6775
970.221.6707
fcgov.com/purchasing
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EXHIBIT 1 – QUESTIONS & ANSWERS
1. Can you please provide the City’s definition of Triple Bottom Line (TBL) and provide an
example of how the City incorporates it in the workplace?
The Triple Bottom Line (TBL) is an accounting framework that incorporates three
dimensions of performance: economic, or financial; environmental, and social. The
generally accepted definition for TBL is that it “captures the essence of
sustainability by measuring the impact of an organization’s activities on the
world…including both its profitability and shareholders values and its social,
human, and environmental capital.”
Several examples of TBL in practice at the City, include adopting reduced size trash
containers at desks to encourage employees to recycle and utilize reusable
containers for their daily needs, and the replacement of existing light fixtures in City
buildings with LED fixtures.
2. The Section Scope of Work indicates:
a. “Provide copies of all written correspondence from the administrator to doctors, claimants,
attorneys, rehabilitative counselors, investigators and state agencies”. If the City has on-
line access to all claim files, notes, payments, etc. including any written correspondence,
does on-line access satisfy this requirement?
Yes.
3. How many authorized on-line Users will the City require?
10
4. The Section Claims Investigation and Management indicates:
a. Contact of attempt to contact all employees and claimant within three (3) days of receipt
of claim. Does contact within one business satisfy this requirement?
Yes. You must contact all involved parties 24 hrs.
5. The Section Special Provisions indicates:
a. Claims Assignment – The City of Fort Collins does not send all claims to a Third Party
Claims Administrator (TPA). Please advise which claims are typically not sent to the TPA
and handled in-house.
Citizen claims are handled in-house.
b. Does the City submit claims that will be denied or subrogated to the TPA?
Yes.
6. Who is the current TPA for workers’ compensation claims? Who does the TPA utilize for
medical bill review and PPO Network access services?
Corvel Enterprise Comp., Inc provides all of these services.
7. Who is the current TPA for auto, property and liability claims?
Corvel Enterprise Comp., Inc provides all of these services.
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8. Does the City intend to award the contract to one service provider?
Yes.
9. Section III Claims Data - In order to properly access the anticipated workload, shelf-life and
best rate for the City:
a. Please provide the current number of open indemnity claims for all years.
Please see page 9, Claims Data, in the RFP.
b. Please provide the current number of open medical only claims for all years.
Please see page 9, Claims Data, in the RFP.
c. Please provide the number of open auto liability (number of bodily injury and number of
PD) claims for all years.
Please see page 9, Claims Data, in the RFP. We do have specific details for the
break down between bodily injury and PD.
d. Please provide the number of open general liability (number of bodily injury and number
of PD) claims for all years.
Please see page 9, Claims Data, in the RFP. We do have specific details for the
break down between bodily injury and PD.
e. Please confirm the City will not submit any property claims to the TPA. If the City desires
the TPA to handle property claims please provide a five year history of property claims
and the approximate number of open property claims that may be transferred to a new
TPA.
No, the City will not be submitting property claims to the TPA.
f. Does the City submit record only incidents for workers’ compensation?
Yes.
10. How does the City currently report claims to the TPA?
Electronically, through Clear Risk.
11. Submittal: the RFP indicates a single Microsoft Word or PDF file must be under 20 MB.
The RFP also indicates the proposal format must not be more than twenty-five (25) double
sided or fifty (50) single sided pages. May proposers please include Exhibits that are not
included in the 25 double sided or fifty single pages? There are approximately 50 questions
which may be difficult to answer thoroughly within the given page limit.
We are willing to expand the page limitation to forty (40 double-sided or eighty (80)
single sided pages. Please provide thorough but concise answers. Do not include
marketing materials such as flyers and brochures.
12. What is the current annual contract value for workers’ compensation claim handling?
The following is our current contracted pricing schedule. We have encountered
challenges with the claim type limits under the annual fee given the unpredictable
nature of claims each year. Therefore, we will not be allowing that format for the
annual fee option moving forward.
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13. What is the current annual contract value for auto and general liability claims claim
handling?
Please see the answer to Question 13.
14. Will the City please allow a minimum of 10 business days for proposal submission after
answers to questions have been released? Proposers will need time to review and evaluate
information provided and modify proposals accordingly.
Yes. The Opening Date has been changed to October 23, 2018 at 3:00 PM MST.