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<br />WORKERS' COMPENSATION . ~vCESS INSURANCE OPTIONS
<br />Attachn._.t "A"
<br />
<br />
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<br />
<br />Self Insurance Retention
<br />Options
<br />Premium for 350K SIR
<br />
<br />Coverage Layers
<br />
<br />Additional Fees for
<br />Services
<br />
<br />TPA Services
<br />
<br />Total Program Cost
<br />Minimum Participation
<br />
<br />Diversity Among
<br />Participants
<br />
<br />250K, 300K, 350K
<br />
<br />$300,000
<br />
<br />350K to 5M CSAC
<br />5M - 100M Re-Insurance
<br />
<br />$1,000 On-Line Training
<br />$ 40,976,00 (Dept. of Industrial
<br />Relations Assessment for 05-06)
<br />
<br />$160,000 (CMI Fee) +
<br />Performance Based
<br />Compensation Program with
<br />Potential of additional $20,000
<br />for meeting pre-established
<br />erformance standards.
<br />$501,976.00
<br />1-year, with 60 day notice to
<br />withdraw.
<br />
<br />Includes a variety of public
<br />agencies. Provides a balanced
<br />membership profile
<br />
<br />150K,250K,350K,500K
<br />
<br />$349,553 +
<br />$5,000 (Placement Fee
<br />350K to 2M LAWCX
<br />2M - 5M CPEIA
<br />5M - 100M Re-Insurance
<br />
<br />$1,000 Underwriting Fee
<br />$ 40,976.00 (Dept. of
<br />Industrial Relations
<br />Assessment for 05-06
<br />$160,000 (CMI Fee) +
<br />Performance Based
<br />Compensation Program with
<br />Potential of additional $20,000
<br />for meeting pre-established
<br />erformance standards.
<br />$556,529.00
<br />3-years, with 180 day notice to
<br />withdraw
<br />
<br />Includes a variety of public
<br />agencies. Provides a
<br />balanced membership profile
<br />
<br />350K, 500K
<br />
<br />
<br />$317,619
<br />
<br />350K to 500K BCJPIA
<br />500K to 2M LA WCX
<br />2M - 5M CPEIA
<br />5M - 100M Re-Insurance
<br />$ 52,411 (Program Adm)
<br />$ 40,976.00 (Dept. of Industrial
<br />Relations Assessment for 05-
<br />06
<br />$162,653 (Must Transition to
<br />Octagon)
<br />
<br />$573,659.00
<br />There is a 3-year minimum
<br />participation period. The City
<br />has completed a two-year
<br />period. Maximum additional
<br />participation would be one
<br />additional year.
<br />Includes a variety of
<br />municipalities. Provides a
<br />balanced membership profile.
<br />RWC is the largest participant
<br />in the pool and therefore
<br />assumes the highest share of
<br />the risk.
<br />
<br />500K,1M
<br />
<br />350K Not Available
<br />500K - $600,000
<br />
<br />$160,000 (CMI Fee) +
<br />Performance Based
<br />Compensation Program with
<br />Potential ofjadditional $20,000
<br />for meeting pre-established
<br />erformance standards.
<br />$600,000.00*
<br />One year cancellation would
<br />be with a short rate penalty
<br />after 90 days.
<br />
<br />More diversity as it insures all
<br />types of businesses and is not
<br />limited to onry public agencies
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