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AgdaPkt 2010-06-21
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AgdaPkt 2010-06-21
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Last modified
6/25/2010 12:31:33 PM
Creation date
6/17/2010 3:42:03 PM
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Template:
CC Index
CC Index - Document Type
Agenda Packet
Meeting Type
Joint
Agency Type
City Council and Redevelopment Agency
Date
6/21/2010
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<br />6.18 <br />Page 8 <br /> <br />rr.- <br /> <br />(2) Computerized loss reports in an acceptable format as mutually agreed upon <br />at the effective date of this Agreement, showing descriptive data, details of <br />each month's payments, total payments, reserves and total experience and <br />incurred loss values for each claim. <br /> <br />(3) Any and all other reports as required by Employer. <br /> <br />b. Provide oral claims reports on demand, special speclflc~focus loss run reports within twenty- <br />four (24) hours and larger or major computer analysis reports within seven (7) working days, <br />excluding weekends and holidays. It is further agreed and understood that should Employer <br />require that Administrator prepare for Employer special reports, which require additional <br />programming costs there may be an additional charge for said reports. <br /> <br />c. Maintain all records and statistical data on each employee claim of injury or illness, including, <br />but not limited to, a record of each denial, delay, litigated claim and loss, which records and <br />data shall be available upon request by Employer. Employer, at Employer's discretion, may <br />audit all records maintained by Administrator including, but not limited to, all payments made <br />on behalf of Employer. Such audit may incorporate random sampling or other audit <br />procedures suitable to Employer. <br /> <br />d. Prepare and submit Federal Information Return (Form 1099) by statutory deadline for <br />applicable payments made by Administrator on Employer's behalf, during the term of this <br />Agreement and as specified under Section 1.02. (e) of this Agreement. <br /> <br />e. Prepare all other reports as necessary to remain in compliance with all Workers' <br />Compensation Laws and other state and federal laws, rules and regulations. <br /> <br />f. Provide report to Accounting Department of Employer of all payments when made and any <br />other information necessary for Employer to adequately fund the bank trust account. All such <br />payments shall be supported with check payment detail and monthly summary report <br />showing all payees, payment amounts and dates of payment. <br /> <br />g. Provide for Employer the ability to be on~line with Administrator's computer system. This <br />system will provide Employer with all financial and statistical data relating to Employer's <br />workers' compensation claims, together with narrative topical"notepad" reports, on each <br />Individual claim. This system will also include electronic mail service between Administrator <br />and Employer; the ability to electronically transmit 5020's (Employer's First Report of <br />Industrial Injury/Illness); OSHA Log generation; and complete report generation capabilities. <br /> <br />V. EMPLOYER'S DUTIES <br /> <br />5.01. Employer agrees to perform as follows: <br /> <br />a. Promptly report to Administrator as they shall occur and become known to Employer, the <br />employee claims of occupational injury, disease, illness, or death. <br /> <br />b. Promptly forward to Administrator all applications, notices of claims, notices of hearings or <br /> <br />The City of Redwood City - Claim Service Agreement - 2010 - 2012 <br /> <br />6 <br />
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