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Agmt10 Athens Administrators
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Agmt10 Athens Administrators
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Last modified
8/30/2010 9:29:47 AM
Creation date
8/30/2010 9:29:45 AM
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Template:
Agreement
Contractor Name
Athens Administrators
PROJECT NAME
Ca. Workers' Compensation Service Agreement
RMP File Number
304
Date
6/22/2010
MO Ref
10-111
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<br />. <br />. <br /> <br />, <br /> <br />it ' ::N~:A~: <br /> <br />6.04 Copies of Flies <br />Administrator may, at its discretion keep a copy of Employer's flies if it deems it necessary to <br />comply with or defend itself In relation to any obligation or rights that it has under this <br />Agreement, applicable laws or regulations. <br /> <br />VII. FINES. PENALTIES AND STANDARDS <br /> <br />7.01. All services as described in this Agreement shall be performed in accordance with all <br />applicable laws, rules and regulations of any and all governmental authorities and applicable <br />standards, and speCifically performed in accordance with all applicable Workers' <br />Compensation Laws of the State of California. <br /> <br />7.02. Administrator and Employer acknowledge the obligations and penalties contained in the <br />California Workers' Compensation Reform Act of 1989 that may be imposed on both <br />employers and claim administrators and agree to the following: <br /> <br />a. Penalties for errors or omissions caused by Employer's failure to act or timely report claims or <br />issues to Administrator that create a delay in payment of benefits, Incorrect payment of <br />benefits, or administrative flne(s) or penalty(s) shall be the responsibility of Employer. <br />Penalties for errors or omissions caused by Administrator's performance of services under <br />this contract that create a delay in payment of benefits, incorrect payment of benefits, or <br />administrative fine(s) or penalty(s) shall be the responsibility of Administrator. <br /> <br />b. Administrator shall provide Employer with a quarterly accounting of penalties paid by <br />Administrator on behalf of Employer including a description and detailed listing of each <br />penalty payment and the specific claim file to which the penalty payment was charged. <br />Penalties, which are computed by Administrator, shall be paid out of Employer's benefit <br />account and Administrator shall then reimburse Employer quarterly for those penalties, <br />which are the responsibility of Administrator under the terms and conditions of this <br />Agreement, with pro-rated interest at the prevailing prime interest rate. <br /> <br />c. Without limiting the provisions set forth in the above two paragraphs it is agreed that upon <br />receipt by Administrator of a notice of claim from Employer, upon which indemnity benefits <br />shall be paid or notice given promptly to the employee In order to avoid late payment or <br />notice of benefit penalties, Administrator shall have ten worklnl days (excluding weekends <br />and holidays) from the date of receipt of the claim from Employer, to investigate and pay the <br />temporary disability or send the required wage continuation notice, and that failure on the <br />part of Administrator to do so within this time frame shall be the financial responsibility of <br />Administrator for any fine Imposed for late notice or payment of benefits. Any fines or <br />penalties for late payment or notice of benefits on claims, which are received from Employer <br />by Administrator on or, after the ninth day following the date Employer knew or should have <br />known about the c1aim(s) shall be the responsibility of Employer. <br /> <br />d. Administrator will be responsible for any fines or penalties associated with questionable or <br />controverted claims which Administrator denies without first consulting and obtaining <br />approval by Employer for denial of the c1aim(s) Administrator will not be responsible for any <br />fines or penalties levied by the Division of Workers' Compensation or any other judicial or <br />quasi-judidal organization for improper denial of a c1aim(s) if, over the written objections of <br /> <br />The Oty of Redwood CIty - Calm Service Asreement - 2010 - 2012 <br /> <br />8 <br />
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