1 Self-Insured Workers Compensation Third Party Administration
& Related Services PRE-PROPOSAL CONFERENCE: December 11, 2014
Civil Service Conference Room, 611 Walker, 4 th Floor Annex,
Houston, TX
Slide 2
Agenda 2 Introduction Kim Smith Demographics Helaine Rumaner
Roles and Responsibilities John Quinley RFP Review Shannon Pleasant
Contract Requirements Evaluation Committee Selection Process
Estimated Timeline MWBE and Pay or Play Velma Laws Proposal Tec
Demo Jeff Spencer
Slide 3
D Demographics 3 The City of Houston (26) twenty-six
departments 22,000+ employees, 5,300 classified Police employees
3,800 classified Fire employees 3,600 Public Works/Engineering
employees
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D Demographics 4 Civilian Fire Classified Police Classified
City-wide Average Salary (Biweekly) $1,846$2,323$2,368$2,056 Total
# of Employees 12,5834,0506,61221,792 Average Age46414345 Average
Tenure11151613
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WC Summary 1,821 workers compensation claims per year 473
involving compensable lost time 1,200 claims open at any given time
1,854 Pre-authorizations per year 25,563 Bill Reviews per year
4,274 Prescription submissions per year Total of $729,632.00 paid
prescriptions per year 252 Peer Reviews per year 175 Required
Medical Evaluations per year 5
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Roles, Responsibilities and Requirements 6 Consultants Role and
Responsibilities John Quinley Senior Vice President, Marsh Risk
Consulting (314) 342-2443 [email protected][email protected]
Slide 7
Contract Requirements Listed below are some of the requirements
of this contract. Performance Based Contract with Standards, which
must be met Requiring a Good Faith Effort the meet the 24% MWBE
goal Established Monthly, quarterly and annual reporting
requirements Must work City hours and Holidays Assume full
financial responsibility for WC related administrative violations
Agree to measure program improvements and their outcomes 7
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Contract Requirements Have a full time dedicated on-site
account manager Adjusters caseload of no more than one hundred ten
(110) active (meaning TIBs have been paid or are being currently
paid) Lost Time Claims. Provide a 24/ 7 claims intake Office
located in Houston Texas Agree to be the official custodian of the
workers compensation files during contract periods..At this time
the City dose not wish to pursue a Network 8
Slide 9
RFP Review 9 Shannon Pleasant CTPM City of Houston Senior
Procurement Specialist 832-393-8741
[email protected]
Slide 10
Evaluation Committee An evaluation committee will develop a
short list of Proposer(s) based upon the initial review of each
Proposal received. The short listed Proposer(s) may be scheduled
for a structured oral presentation, demonstration and/or interview
At the end of the oral presentation, demonstration and/or
interview, the evaluation of the short listed Proposer(s) will be
completed. However, the evaluation committee reserves the right to
visit locations, issue letter(s) of clarity when deemed necessary
to any or all Proposer(s). 10
Slide 11
Selection Process The award of this contract(s) will be made to
the respondent(s) offering the response which best meets the needs
of the City. The City may make investigations, as it deems
necessary, to determine the capabilities of the Proposer(s). The
City reserves the right to reject any offer if the evidence
submitted by or the investigation of the Proposer(s) fails to
satisfy the City or the Proposer(s) is deemed unqualified to
provide the services requested. 11
Slide 12
Estimated Timeline Date of issue of the RFP December 1, 2014
Questions to be answered at pre-proposal conference due December 8,
2014 Pre-Proposal Conference December 11, 2014 Proposals due from
Proposers January 29, 2015 Oral presentations and site visits March
2015 Notification of intent to award (Estimated) April 2015 Council
Agenda Date (Tentative) May 2015 Contract start date (Estimated) On
or Before August 31, 2015 12
Slide 13
MWBE Participation and Pay or Play Velma Laws MWBE
Participation and the Pay or Play Program 13
