Agenda Item # 2
Columbus Consolidated Government
December 3, 2013
Agenda Report # 54
Mayor and Councilors
WORKERS’ COMPENSATION CLAIM MANAGEMENT SERVICES (ANNUAL CONTRACT – RFP NO. 13-0035
It is requested that Council authorize the negotiation and execution of a contract with USIS/AmeriSys (Dunwoody, GA) to provide workers’ compensation claim management services for the City’s workforce of approximately 2,750 employees in various occupations, ranging from Public Safety to Field Force to Administrative positions.
The Contractor must provide complete system integration and coordination to provide all core workers’ compensation program services, including medical management and claims administration, as follows:
1. Administrative services
2. Claims services
3. First Notice of Injury services
4. Loss statistic services
5. Managed Care Organization (MCO) services to include:
a. Network access and development services
c. Telephonic case management and (when appropriate , site case management)
d. Pharmaceutical benefit management services
e. Communicable disease management program services
f. Utilization review
i. Medical bill review and audit services
iii. Concurrent and retrospective review
g. Peer-to-peer review
6. Workers’ Compensation excess placement assistance
7. Loss Control services
Other services include: collaborating with the City’s manager of workers’ compensation services to reach settlement of claims in appropriate circumstances, to assist in selection of defense counsel, providing loss control, assistance in excess coverage access, and assistance with required State reporting.
The term of this contract shall be for two years, with the option to renew for three (3) additional twelve-month periods. Contract renewal will be contingent upon the mutual agreement of the City and the Contractor.
Request for proposal invitations were mailed to twenty-eight vendors and specifications were posted on the City’s website, Georgia Procurement Registry and DemandStar. The RFP has been advertised, opened and evaluated. Proposals were received on July 19, 2013 from the following nine offerors:
USIS/AmeriSys (Dunwoody, GA)
Collins & Company, Inc. (Chattanooga, TN)
PMA Management Corp. (Atlanta, GA)
TriStar Insurance Group (Atlanta, GA)
Marsh USA-ACCG (Atlanta, GA)
Alternative Service Concepts (Nashville, TN)
Party Administrators (Columbia, SC)
Underwriter Safety & Claims (Savannah, GA)
AMTrust North America (Duluth, GA)
The Evaluation Committee reviewed the proposals from Underwriter Safety & Claims and AmTrust North America, and based on the information contained, unanimously deemed their proposals non-responsive. Both vendors were notified in writing.
Proposals were reviewed by the Evaluation Committee members, which consisted of representatives from Fire/EMS, Public Works and Finance Departments. Representatives from the Civic Center, Engineering, Police Department, and the Risk Manager served in an advisory capacity.
The RFP process is governed by the City’s Procurement Ordinance, Articles 3-110, Competitive Sealed Proposals for the procurement of Equipment, Supplies and Professional Services. During the process of an RFP there is no formal opening, due to the possibility of negotiated components of the proposal. In the event Council does not approve the recommended offeror, no proposal responses or any negotiated components are made public until after the award of the contract. If Council does not approve the recommended offeror, negotiations will begin with the next responsive offeror or the RFP specifications may be re-advertised.
Evaluation results and pricing information have been submitted to the City Manager in a separate memo for information purposes.
The City expends approximately $1,200,999 for workers’ compensation per year. Funds will be budgeted each fiscal year for this on going expense: Risk Management Int Serv – Human Resources – Workers Compensation – Contractual Services, 0860-220-3820-WCOM-6319.
A RESOLUTION AUTHORIZING THE NEGOTIATION AND EXECUTION OF AN ANNUAL CONTRACT WITH USIS/AMERISYS (DUNWOODY, GA) TO PROVIDE WORKERS’ COMPENSATION CLAIM MANAGEMENT SERVICES.
an RFP was administered (RFP 13-0035) and proposals were received from nine offerors; and,
the proposal submitted by USIS/AmeriSys met all proposal requirements and was evaluated most responsive to the RFP.
NOW, THEREFORE, THE COUNCIL OF COLUMBUS, GEORGIA, HEREBY RESOLVES AS FOLLOWS:
That the City Manager is hereby authorized to negotiate and execute an annual contract with USIS/AmeriSys (Dunwoody, GA) to provide workers’ compensation claim management services. Funds will be budgeted each fiscal year for this on going expense: Risk Management Int Serv – Human Resources – Workers Compensation – Contractual Services, 0860-220-3820-WCOM-6319.
Introduced at a regular meeting of the Council of Columbus, Georgia, held the _________ day of
, 2013 and adopted at said meeting by the affirmative vote of _________ members of said Council.
Councilor Allen voting __________.
Councilor Baker voting __________.
Councilor Barnes voting __________.
Councilor Davis voting
Councilor Henderson voting __________.
Councilor Huff voting __________.
Councilor McDaniel voting __________.
Councilor Thomas voting __________.
Councilor Turner Pugh voting __________.
Councilor Woodson voting __________.
Tiny B. Washington, Clerk of Council Teresa Pike Tomlinson, Mayor