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Home My WebLink AboutHilb, Royal & Hamilton Company of Savannah Inc Augusta Richmond GA DOCUMENT NAME g; \ b I Y-OSO;.. \ -r t\C<..'.,...:, \ -\-01\ C 0 'M.\?OJ\~ o-f: So- \.J o\.vV\O,-\n .l-- ('\ L . DOCUMENT TYPE: G. 9 ("'e.e-~ +-- YEAR: 1 q Of Co BOX NUMBER: , FILE NUMBER: / r;) 7;) 7 NUMBER OF PAGES: 5' 9 SERVICE AGREEMENT This Agreement, made effective January 1, 1996 Augusta- Richmond and Augusta- Richmond County Commission Council by and between' Augusta-Richmond County and Augusta-Richmond County Commission Council and Hilb, Rogal & Hamilton Company of Savannah, Inc. (The Administrator), is entered into on the following terms and conditions: I. Hilb, Rogal & Hamilton Company of Savannah, Inc. agrees to assist Augusta- Richmond County and Augusta-Richmond County Commission Council in the performance of the following services with respect to Augusta-Richmond County and Augusta-Richmond County Commission Council Workers' Compensation Self- Insurance Program: A. Program Development 1. Assist Augusta-Richmond County and Augusta-Richmond County Commission Council -in the continued monitoring and evaluation of your administrative policy as a qualified self-insured employer under the provisions of the State of Georgia Workers' Compensation Statute. 2. Provide information on changes or proposed changes in legislation, rules, and regulations affecting Augusta-Richmond County and Augusta-Richmond County Commission Council responsibilities as a Self-Funded employer. 3. Monitor the Augusta-Richmond County and Augusta-Richmond County Commission Council self-funded program and evaluate program goals and objectives, recommendin~ corrections where needed. B. Claims Administration 1. Review and process the Aug~sta-Richmond County and Augusta- Richmond County Commission Council Workers' Compensation accident and occupational disease cla.ims as reported to Hilb, Rogal and Hamilton Company of Savannah, Inc. per Georgia's Workers' Compensation Statute. 2. Assist in determining 'compensability of injury/or occupational disease cases in accordance wIth Georgia's iVorkers' Compensation Statute. 2; g;. ::0 Q ()'Q ~ ~ = c. ::c ~ :3 -. - .... Q ::s ('":l Q a "0 ~ ::s '-< Q ~ r:n ~ -< ~ ::I ::I ~ F' ..... ::I r'l Page 2 I, 3. Provide utilization review on' all medical reports and bills concerning Workers' Compensation claims to determine eligibility for payment. Issues reviewed will include evaluating relationship of sustained injury to the job, reasonableness of!'charges, and necessity of treatment. 4. Using funds provided by Augusta-Rlchmond County and Augusta- Richmond County Commission Council , process payments of all eligible temporary total benefits, permanent partial disability benefits, and death benefits to Augusta-Richmond County and Augusta- Richmond County Commission Council employees and/or their dependents. 5. Using funds provided'by Augusta-Richmond County and Augusta- Richmond County Commission Council , process payments of all eligible medical bills on behalf of Augusta-Richmond County and Augusta-Richmond County Commis~don Council employees. 6. Assist in determining extent and degree of permanent disability as defined by the Georgia Workers' Compensation Act, utilizing, when desirable, physicians selected by Augusta-Richmond County and Augusta-Richmond County Commission Council for medical examinations. 7. Maintain a claim file on each reported claim, which shall be the property of Augusta-Richmond County and Augusta-Richmond County Commission Council and be availa~le at all times for inspection by personnel authorized by , 8. , Maintain current estinlates 'of the cost of all anticipated benefits on each case. 9. Investigate questionable cases to assist in establishing adjustment and litigation strategy. All such Investigations are to be done with the prior approval of Augusta-RichmoI)d County and Augusta-Richmond County Commission Council. 10. Assist Augusta-Richmond County and Augusta-Richmond County Commission Council Attorney in the preparation of cases involving a pending Hearing and/or negotiations'of compromise. Settlements must have the approval of Augusta"-Richmond County and Augusta-Richmond County Commission Council: :;; ..a- ~ o (JC ~ - ~ = c. :r: ~ :3 -. - - o = Ci o :3 ~ ~ = ~ o ""0) en ~ < ~ = = ~ .?' - = p II , ' . Page 3 11. Work with Augusta-Richmond COUIIty and Augusta-Richmond County Commission Council persorfnel, injured employee, and other agencies to provide rehabilitation, retraining or reassignment of employees with physical limitations a!'ising out of Workers' Compensation claims. .. 12. Assist Augusta-Richmond County a.nd Augusta-Richmond County Commission Council personnel with evaluating and filing of claims against The Subsequent Injury Trust Fund. C. Fiscal Analysis 1. Provide Augusta-Richmond County and Augusta-Richmond County Commission Council ,. with a monthly computer check register showing medical and indemnity benefits paid by name of injured employee. 2. Provide a quarterly accumulative claim activity report to list the claimant, cause of injury, type of in,!ury, current paid benefits, paid to date benefits, estimated future cost and total estimated cost on each case, segregated in a imanner as agreed upon. II. Service Fees A. Augusta-Richmond County and Augusta-Riehmond County Commission Council shall pay for all services of attorney used in handling of Augusta- Richmond County and Augusta-Richmond County Commission Council claims. B. Augusta-Richmond County and Augusta-Richmond County Commission Council shall pay for the cost of any outside investigations required in handling of any claim. Hilb, Rog'al:& Hamiiton Company of Savannah, Inc. will not assign any outside irtvestigation without first obtaining the approval of Augusta-Richmond County and Augusta-Richmond County Commission Council. C. Claims Administration servic~ fees for the fear 1996 shall be $22,000. :; ~s: ~ o C1Cl C:I - C:I = c. :t:: C:I S -. - .... o = n o S 't:l C:I = '-< o """ en C:I -< C:I = = C:I F' - = !'l II , -. Page 4 III. Terms of Agreement A. The term of the Agreement shall be for a period of ( 1 ) year effective January 1, 1996 and shall automatically renew for (2) two additional one year periods. Either party may terminate the Agreement by giving sixty (60) days written notice of such termination, and in such an event, Augusta-Richmond County and Augusta-Richmond County Commission Council shall pay Hilb, Rogal & Hamilton Company of Savannah, Inc. a pro-rated portion of the annual fees from the termination date, based on the fee schedule in effect at the time of cancellation. IV. General Terms and Conditions: A. Practices of the Law Excluded. The services to be performed in connection with this Agreement shall specifically exclude any which now or in the future may be deemed to be the practice of the Law. B. Augusta-Richmond County and Augusta-Richmond County Commission Council shall make available, at all times, funds upon which Hilb, Rogal & Hamilton Company of Savannah, Inc. can draw upon at any time to make payments on claims, within discretionary limits, and all allocated loss expenses . and awards and claims in excess of discretionary limits for which it has approval of Augusta-Richmond County and Augusta-Richmond County Commission Council. C. Hilb, Rogal & Hamilton Company of Savannah, Inc. will not assign any of the rights or benefits arising out of this Agreement without first obtaining written consent of Augusta-Richmond County and Augusta-Richmond County Commission Council. ,i Ii )1 I' I Ii t, il Ii I' II I' !I II II I I '"'" - wa- ~ Q (JQ ~ - ~ = Co '"'" - ~ 3 -. - - o = (j o 3 "'0 ~ :::I ~ o ...., rJ:J ~ -c ~ :::I :::I ~'" ::r ... " - :::I ~ II. . Page 5 D. All claim fIles, documents and data of every kind prepared in whole or in part by Hilb, Rogal & Hamilton Company of Savannah, Inc. under this Agreement shall become the sole property of Augusta-Richmond County and Augusta- Richmond County Commission Council and shall be delivered to Augusta- Richmond County and Augusta-Richmond County Commission Council upon request or termination of the Agreement. Augusta-Richmond County and Augusta-Richmond County Commission Council shall have full and unlimited right and title thereto of such documents. All of the foregoing, together with all knowledge otherwise acquired by Hilb, Rogal & Hamilton Company of Savannah, Inc. during the term hereof relating to Augusta-Richmond County and Augusta-Richmond County Commission Council business shall be deemed confidential information. The Administrator shall not disclose or use directly or indirectly at any time, either during or subsequent to the term hereof any corifidential 'information, knowledge or data of Augusta-Richmond County and Augusta-Richmond County Commission Council other than that necessary for the performance of this Agreement, unless it shall first secure the written consent of Augusta-Richmond County and Augusta-Richmond County Commission Council. E. This Agreement contains the entire understanding of the parties. No statement of any officer, agent, or employee of Augusta-Richmond County and Augusta-Richmond County Commission Council shall modify the terms of this Agreement or the rights and obligations of Augusta-Richmond County and Augusta-Richmond County Commission Council hereunder. This day of WITNESS WITNESS Hilb, Rogal & Hamilton Company of Savannah, Inc. By:~Z~4J/~~ TITLE: V' ,;f? - (" 4r-~~ ~"c - TITLE: ;. I' ,I II II !I 1/ I, II i I ..... - -. F' :== o (JQ ~ - ~ = Q. ..... - ~ 3 -. :::: o = () o 3 "'0 ~ = '< o ~ rJ) ~ -< ~ = = ~ :;r.' .. = !"l