Title
Contract No. 2101048
Third Party Claims Administration
O&M
Body
Agenda of: November 18, 2021
Item No.: 2021-437
Amount: $1,630,000.00
TO: The Honorable
Board of Directors
Great Lakes Water Authority
FROM: Suzanne R. Coffey, P.E.
Interim Chief Executive Officer
Great Lakes Water Authority
DATE: November 4, 2021
RE: Contract No. 2101048
Third Party Claims Administration
Vendor: PMA Management Corp.
MOTION
Upon recommendation of William M. Wolfson, Chief Administrative and Compliance Officer, the Board of Directors (Board) of the Great Lakes Water Authority (GLWA), authorizes the Interim Chief Executive Officer (ICEO) to enter into Contract No. 2101048, "Third Party Claims Administration" with PMA Management Corp., at a cost not to exceed $1,630,000.00 for a duration of five years; and authorizes the ICEO to take such other action as may be necessary to accomplish the intent of this vote.
BACKGROUND
The contract with the incumbent Third Party Claims Administrator (TPA) expires on December 31, 2021 after six (6) years. Consequently, this past summer a Request for Bid (RFB) was advertised for a new TPA contract. The incumbent firm, Broadspire, was eligible to submit a bid, but declined to do so.
By engaging PMA Management Corp, GLWA will benefit from more than simply the administration of workers' compensation, general liability and auto liability claims. For example, GLWA will have:
* The ability to work with leading casualty insurers for excess insurance coverage.
* Access to claims investigations, subrogation, loss control, and safety programs.
* Access to a risk management information system (RMIS) and analytical summary reports.
* Access to a variety of clinical programs and networks such as bill review, utilization review, nurse case management, pharmacy benefit management, Medicare Set-Aside services, surveillance services, and subrogation services.
JUSTIFICATION
Since the new contract is for five (5) years at an estimated total val...
Click here for full text