STRATEGIC PRIORITY: Government Performance & Financial Management
AGENDA DATE: August 28, 2024
COUNCIL DISTRICT(S): N/A
DEPARTMENT: Office of Procurement Services
EXECUTIVE: Donzell Gipson
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SUBJECT
Title
Authorize (1) a three-year service contract, with three one-year renewal options, for self-insured workers' compensation claims administration and related cost containment services for the Office of Risk Management, in an amount not to exceed $3,156,590.00; and (2) the ratification of $507,912.16 for the Office of Risk Management to pay outstanding invoices for self-insured workers' compensation claims administration and related cost containment services - TRISTAR Claims Management Services, Inc., most advantageous proposer of three - Total not to exceed $3,664,502.16 - Financing: Workers' Compensation Fund (subject to annual appropriations)
Body
BACKGROUND
This action does not encumber funds; the purpose of a service contract is to establish firm pricing for services, for a specific term, which are ordered on an as needed basis.
This service contract will provide for self-insured workers' compensation claims administration and related cost containment services for the Office of Risk Management. The third-party administrator is responsible for, but not limited to:
* Evaluating, process, and paying claims
* Medical cost containment through bill auditing review, pre-authorizations pharmacy management, and medical case management
* Surveillance and investigation services
* Providing legal representation for Texas Workers' Compensation Commission issues for the City
A seven-member committee from the following departments reviewed and evaluated the qualifications:
* Department of Information and Technology Services (1)
* Office of Risk Management (2)
* Park & Recreation Department (1)
* Police Department (1)
* Business Enterprise Hub (1)
* Office of Procurement ...
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