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Agmt04 Claims Management BCJPIA
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Agmt04 Claims Management BCJPIA
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Last modified
4/24/2007 12:33:29 PM
Creation date
7/7/2004 8:39:33 AM
Metadata
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Template:
Agreement
Contractor Name
Claims Management Inc - BCJPIA
PROJECT NAME
third party administrator
RMP File Number
304
Date
6/10/2004
MO Ref
04-125
Box
6360
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<br />13. Initial Indemnity Payment: The initial indemnity payment or voucher will be <br />issued and mailed to the injured employee together with properly completed DWC <br />notices within fourteen (14) days of the first day of disability. <br />Late payments must include the ten percent (10%) self-imposed penalty in accordance <br />with Labor Code Section 4650. <br />14. Subsequent Indemnity Payments: All indemnity payments or vouchers subsequent <br />to the first payment will be verified, except for obvious long-term disability, and issued in <br />compliance with Labor Code Section 4651. <br />Late payments must include the ten percent (10%) self-imposed penalty in accordance <br />with Labor Code Section 4650. <br />15. Return to Work: The TP A shall provide assistance to the member cities in <br />returning injured employees to modified duty while recovering and prior to their return to <br />regular duties. <br />The TP A shall consult frequently with the member city in those cases where the injury <br />residuals might involve permanent work restrictions and/or retirement potential. <br />16. Transportation Expense: Transportation reimbursement will be mailed within <br />five (5) days of the receipt of the claim for reimbursement. Advance travel expense <br />payments will be mailed to the injured employee ten (10) days prior to the anticipated <br />date of travel. <br />17. Permanent Disability: The TP A shall explain and assist injured employees in <br />completing the necessary forms to obtain a permanent disability rating. <br />The TP A shall determine the nature and extent of permanent disability and arrange for an <br />informal disability rating whenever possible to avoid Workers' Compensation Appeals <br />Board litigation. <br />All permanent disability benefit notices shall be sent to the employee as required by the <br />Labor Code. <br />18. Litigated Cases: The TP A shall promptly initiate investigation of issues identified <br />as material to potential litigation. The member city shall be alerted to the need for an <br />outside investigation as soon as possible and the examiner shall appoint an investigator <br />who is acceptable to the member city. The member city shall be kept informed on the <br />scope and results of all investigations. <br />When defense counsel is not necessary, the TPA shall work closely with the applicant's <br />attorney in informal disposition of litigated cases. <br /> city of Redwood City - Performance Standards Page 4 of8 July 1, 2004 <br /> -_... -- <br />
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