Provide sample reports, preferably including the factors identified in Section that include workers’ compensation metrics and analyses 2.1 (i) through (xi), of claims data that demonstrate the Proposer’s ability to evaluate the risk and successes of a state-wide workers’ compensation self-insured public program. f. Third Party Claims Administration (TPA) Oversight Provide sample audit reports that demonstrate the Proposer’s ability and process for auditing a TPA for technical and managed care administration of a program, as indicated in (d), Section 2.2 (e), (f), (g), (h). Provide a sample project plan for the closure of identified claims, including relevant risk analyses and strategies for closure or positioning for resolution, as indicated in Section 2.2 (j). g. Training Provide samples of workers’ compensation trainings (including relevant documentation and materials) that demonstrate the Proposer’s ability to provide training via a cost-effective delivery method for a state-wide program. h. Actuarial and Cost Allocation Services Provide sample actuarial reports that demonstrate the Proposer’s ability to provide analyses and projections for the purpose of evaluating losses and ALAE of a state-wide workers’ multi-member workers’ compensation public program. Samples will not be returned and shall become part of the procurement record. Proposers; should redact any proprietary or confidential information, if necessary i. Acceptance of the Terms and Conditions i. On Attachment 3, the Proposer must either indicate acceptance of the Terms and Conditions or clearly identify exceptions to the Terms and Conditions. An includes any addition, deletion, “exception” qualification, limitation, or other change. ii. If exceptions are identified, the Proposer must also submit a red-lined version of the Terms and Conditions that clearly tracks proposed changes, and a written explanation or rationale for each exception and/or proposed change. j. Certifications, Attachments, and other requirements. i. Proposer must include the following certification in its proposal: Proposer certifies it has no interest that constitute a conflict of interest under California Public Contract Code sections 10365.5, 10410 or 10411; Government Code sections 1090 et seq. or 87100 et
Provide sample reports, preferably including the factors identified in Section 2.1 (i) through (xi), that include workers’ compensation metrics and analyses of claims data that demonstrate the Proposer’s ability to evaluate the risk and successes of a state-wide workers’ compensation self-insured public program. f. Third Party Claims Administration (TPA) Oversight Provide sample audit reports that demonstrate the Proposer’s ability and process for auditing a TPA for technical and managed care administration of a program, as indicated in Section 2.2 (d), (e), (f), (g), (h). Provide a sample project plan for the closure of identified claims, including relevant risk analyses and strategies for closure or positioning for resolution, as indicated in Section 2.2 (j). g. Training Provide samples of workers’ compensation trainings (including relevant documentation and materials) that demonstrate the Proposer’s ability to provide training via a cost-effective delivery method for a state-wide program. h. Actuarial and Cost Allocation Services Provide sample actuarial reports that demonstrate the Proposer’s ability to provide analyses and projections for the purpose of evaluating losses and ALAE of a state-wide workers’ multi-member workers’ compensation public program. Samples will not be returned and shall become part of the procurement record. Proposers; should redact any proprietary or confidential information, if necessary i. Acceptance of the Terms and Conditions i. On Attachment 3, the Proposer must either indicate acceptance of the Terms and Conditions or clearly identify exceptions to the Terms and Conditions. An “exception” includes any addition, deletion, qualification, limitation, or other change. ii. If exceptions are identified, the Proposer must also submit a red-lined version of the Terms and Conditions that clearly tracks proposed changes, and a written explanation or rationale for each exception and/or proposed change. j. Certifications, Attachments, and other requirements. i. Proposer must include the following certification in its proposal: Proposer certifies it has no interest that constitute a conflict of interest under California Public Contract Code sections 10365.5, 10410 or 10411; Government Code sections 1090 et seq. or 87100 et
hr053012ck_rfp_jbwcp_insurance_brokerage_and_consulting_services.docx