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<br />.~ j ATHENS <br />. ~ :' A6!Vi I N~i S'T I~A:f'-o'r~ s' <br /> <br /> <br />One hundred and . seven thousand dollars <br /> <br />Employer's fixed annual fee will be paid in twelve equal installments and will be due and payable at the end <br />of each month during the period this Agreement is in force. <br /> <br />At the inception date of the program on July 1,2009 there will also be a onetime only start up fee of$S,OOO. <br />This fee will cover data and administrative expenses that are directly related to the integration and <br />implementation of the program. <br /> <br />2.02. Administrator has developed strategic partnerships with a select group of service providers. These <br />partnerships are designed to increase operational efficiencies, improve program results and reduce the <br />overall cost of claimS. The implementation and on-going filcilitation of th~ programs requires <br />investments in both technology and oversight personnel for Administrator. Administrator may receive <br />compensation to cover the expenses associated with manAging these programs on Employers behalf: <br /> <br />m. CONFIDENTIALITY <br /> <br />3.01. All services performed under this agreement are confidential and will not be disclosed to any1hird party <br />by Administrator without Employer's prior written consent Further, this contract and its terms are also <br />confidential and Employer agrees not to disclose same to any third party without the prior written <br />consent of Administrator. <br /> <br />N ADMINISTRATOR DUTIES AND SERVICES <br />4.01.. AdmiDistrator agrees to meet on a regular basis with Employer to: <br /> <br />a. Develop procedures, forms, instructions, schedules and other materials related to claim management, <br />including a procedure manual for Employer's use, within thirty (30) days of the effective date of this <br />Agreement and update such materials as needed. <br /> <br />b. Provide claim reporting kits including. but not limited to, claim and accident report forms, required <br />notices, and procedural instructions, for distribution by Employer to Employers staff on or before the <br />effective date of this Agreement, and as needed thereafter. <br /> <br />c. Provide group education for Employer's management personnel regarding claim management as <br />requested. <br /> <br />d Assist Employer's personnel in the development of directives, notices, and other program <br />communication to employees as requested. <br /> <br />e. Provide all forms and supplies necessary for the efficient operation of the Workers' Compensation <br />insurance program, inclucHng customized benefit checks bearing Employer's name and logo, and to <br />prepare alllepllyrequired forms and docwnents including but not limited to, 1099 reports to the I.R.S. <br />and any and all other documents and reports now or in the future required by the state or federal <br />government or any other agency associated with Employer's Workers' Compensation program. <br /> <br />4.02. Administrator agrees to administer all claims as follows: <br /> <br />a. Establish and maintain a claim file, with a diary date not to exceed thirty (30) days, on each active claim <br />upon which indemnity benefits are being paid; A diary system not to exceed sixty (60) days on all other <br />open, active Indemnity claims; and a supervisol)' review diary not to exceed one-hundred-twenty (120) <br />days, or more often when needed. <br /> <br />City ofR.edwood City - Claim Service Agreement - 2009 through 2010 <br /> <br />2 <br />