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BACKGROUND <br />Administration of workers' compensation claims is complex due to the legal mandates <br />governing these types of claims, as well as the multifaceted aspects of administering <br />them. In addition to the strict time lines and myriad of required forms, administrators <br />also interface with personnel in the medical and legal fields representing employees as <br />well as the employer. Delays or inappropriate processing of claims may result in severe <br />penalties. As a result, most municipalities hire professional third-party administrators to <br />handle this specialized responsibility. The City of Pleasanton retained Innovative Claim <br />Solutions (ICS) as their workers' compensation third-party administrator in 2001 to <br />assess and revamp the City's program. The goals were to develop consistent and <br />efficient procedures that comply with state requirements, while providing exceptional <br />service to both the injured worker and City staff. ICS was able to streamline the case <br />management process and provided excellent service in managing this program area for <br />the City. <br />DISCUSSION <br />At present, ICS has developed a workers compensation program that operates <br />smoothly. This third-party administrator engages in timely communications with injured <br />workers. They provide City staff with comprehensive information regarding the injured <br />employee's status, including the plan for care, ability to return to work, modifications in <br />duties for those who are able to return prior to being fully recovered. Cases are settled <br />with employees as appropriate and in a timely manner. ICS calculates permanent <br />disability ratings and assists with disability retirements. Additional services include <br />providing City staff with updates on legislative activities related to workers' <br />compensation as well as new requirements as they are enacted. <br />The City Purchasing Procedures Manual requires that three written proposals be <br />obtained for consultant services contracts in excess of $20,000. As an alternative, a <br />department may recommend selection of a consultant from a Managed Qualified Bid <br />List (MQBL) provided the consultant was prescreened and was determined to be <br />qualified to meet the project scope of work. Notwithstanding these two options, the <br />policy also allows the extension of an existing consultant or service provider contract if it <br />is determined that this action is in the best interest of the City. Further, this action must <br />be approved at a City Council meeting so that any interested party has an opportunity to <br />comment. <br />Staff is recommending athree-year extension to the ICS contract based on the following <br />factors. As noted above, worker's compensation management is a complex and detailed <br />administrative process involving significant coordination between the City and the <br />administrator. Because this coordination is developed over time, selection of a new <br />administrator often involves a significant learning curve that may impact performance. <br />With the cooperation of ICS, the City has fully implemented orderly, efficient and <br />compliant worker's compensation procedures which are based in part, on relationships <br />Page 2 of 3 <br />