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01
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2007
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082107
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01
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8/16/2007 4:31:45 PM
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CITY CLERK
CITY CLERK - TYPE
STAFF REPORTS
DOCUMENT DATE
8/21/2007
DESTRUCT DATE
15 Y
DOCUMENT NO
01
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13. Arrange and supervise rehabilitation services where indicated. <br />14. Arrange for and set up system for payment of benefits and allocated expenses in <br />accordance with CLIENT'S needs. <br />15. ICS shall prepare with the assistance of the CLIENT all reports, which are now, or <br />will be required by the State of California or other government agencies with respect <br />to self-funded programs. <br />16. ICS shall subscribe to and pay for enrollment in the Index Bureau System and will <br />report to the Index Bureau on each and every indemnity claim. The per claim cost of <br />this service shall be posted as an allocated expense to the CLIENT. <br />B. Medical Administration. ICS shall adhere to the following medical administration <br />standards: <br />1. Authorize, review and monitor all medical treatment required on injury or illness <br />claims. <br />2. Audit and pay all medical expenses in a timely manner, and within statutory <br />guidelines. <br />3. Maintain close contact with treating physicians to ensure employees receive proper <br />medical treatment and are returned to full employment at earliest date. <br />4. Arrange for medical-legal opinions in disputed cases, conferring with medical <br />examiners, CLIENT, and legal counsel where indicated. <br />5. Consult as required with CLIENT on those cases where injury residual might involve <br />restriction and/or retirement potential. <br />C. Legal Administration. ICS shall adhere to the following legal administration <br />standards: <br />1. Refer litigated cases, when needed, to attorneys recommended by ICS and approved <br />by CLIENT for purposes of defending CLIENT's interests before Workers' <br />Compensation Appeals Board and the court. <br />2. Work closely with counsel in preparing defense of litigated cases. <br />3. Obtain CLIENT's authorization on all settlements or stipulations when required. <br />4. Work closely with applicant's attorney and legal counsel in informal dispositions of <br />litigated cases. <br />5. Attend, when required, Workers' Compensation Appeals Board hearings. <br />
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