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REV: 05-13-26 MI <br />Exhibit “A” <br />SCOPE OF SERVICES AND FEE <br />Consultant will provide claims administration. <br />The claims administration fees include the handling of 264 pending claims (16 <br />Medical Only; 102 Future Medical and 146 Indemnity) and up to 125 new claims <br />per year. If the number of new claims reported materially exceeds such number to <br />warrant a change in the number of staff assigned to the program, the claims <br />administration fee may be adjusted pursuant to a written amendment signed by <br />the parties. <br />The staffing model is based on an average caseload of 150 Indemnity claims per <br />adjuster and uses a 2:1 conversion ratio of Future Medical/Medical Only to 1 <br />Indemnity claim. In calculating the staffing model, a 150 average caseload on an <br />as converted basis would produce 1.5 full time employee for the Claims Adjuster <br />position. The Claims administration fee is based on 2 dedicated Claims Adjusters, <br />1 dedicated Assistant, and a designated Supervisor and designated Administrative <br />Support person. The dedicated positions will handle the City’s program exclusively. <br />In addition, an Account Manager will provide additional client support and <br />advocacy to the program, deliver the annual stewardship report at the end of each <br />contract year, coordinate training for the City as needed and provide Risk <br />Management support. A designated Nurse Case Manager will be assigned to the <br />program to assist with telephonic disability management and return to work. <br />I. Fee Schedule for Claims Administration <br />For the services outlined herein, Consultant shall be paid a flat annual rate per fee <br />schedule below. <br />Contract Year Fixed Flat Annual Fee <br />July 1, 2026 – June 30, 2027 $545,168.42 <br />ATTY/AGR.2026/Amend. No.2/Pacific Secured Equities DBA Intercare Holdings Insurance Services, Inc. (Amendment No.2) (Page 4 of 4)