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<br />, ' . I <br />',. . ATHENS <br />'.0 . "ADMi," , ,,-eRATo"R" <br /> <br />physician within twenty-four (24) hours of receipt of injury report and shall make contact with attend.in& . <br />physician's office within forty-eight (48) homs of receipt of injury report and shall document such <br />contact in the claim tile. <br /> <br />b. Review and discuss Vocational RehabiHtation Program(s) with Employer prior to its initiation for an <br />individual claimant. <br /> <br />c. Monitor individual vocational rehabilitation programs to determine appropriateness and progress. <br /> <br />4.04. Administrator agrees to the following record keeping and reporting requirements: <br /> <br />a. Provide Employer with monthly reports consisting of <br /> <br />(1) Check Registers including all claim disbursements made on behalf of Employer. <br /> <br />. (2) Computerized loss reports in an acceptable format as mutually agreed upon at the <br />effective date of this Agreement, showing descriptive data, details of each month's <br />payments, total payments, reserves and total experience and incmred loss values for <br />each claim. <br />(3) Any and all other reports as required by Employer. <br /> <br />b. Provide oral claims reports on demand, special specific-focus loss run reports within twenty-four (24) <br />hours and larger or major computer analysis reports within seven (7) worldng days, excluding weekends <br />and holidays. It is further agreed and understood that should Employer require that Administrator <br />prepare for Employer special reports, which require additional programming costs there may be an <br />additional charge for said reports. <br /> <br />c. Maintain all records and statistical data on each employee claim of injury or illness, including, but not <br />limited to, a record of each denial, delay, litigated claim. and loss, which records and data shall be <br />available upon request by Employer. Employer, at Employer's discretion, may audit all records <br />maintained by Administrator including, but not limited to, all payments made on behalf of Employer. <br />Such audit may incorporate random sampling or other audit procedures suitable to Employer. <br /> <br />d. Prepare and submit Federal Information Retmn (Form 1099) by statutory deadline for applicable <br />payments made by Administrator on Employer's behal( during the term of this Agreement and as <br />specified under Section 1.02. (e) of~Agreoment. <br /> <br />e. Prepare all other reports as necessary to remain in compliance with all Workers' Compensation Laws <br />and other state andfe4er.aI laws' rules. and regulations. . <br /> <br />f. Provide report to Accounting Department of Employer of all payments when made and any other <br />information necessary for Employer to adequately fund the bank trust account. All such payments shall <br />be supported with check payment detail and monthly summary report showing all payees, payment <br />amounts and dates of payment. <br /> <br />g. Provide for Employer the ability to be on-line with Administrator's computer system. This system will <br />provide Employer with all financial and statistical data relating to Employer's workers' compensation <br />claims, together with narrative topical "notepad" reports, on each individual claim. This system will also <br />include electronic mail service between Administrator and Employer; the ability to electronically <br />transmit 5020's (Employer's First Report of Industrial InjurylIllness); OSHA Log generation; and <br />complete report generation capabilities. <br /> <br />City of Redwood City. Claim Service Agreement - 2009 through 2010 <br /> <br />s <br />