Posted: 4/11/2023

Type of Addition: Preproposal Meeting Minutes and Sign-in sheet

Overview: Meeting notes and sign-in sheet are attached.

Documents:

• RFP No. 23-HRD-RFP-506 Meeting Notes and Sign-in sheet.pdf

Posted: 7/27/2023

Type of Addition: Notice of Award Information

Overview: Contract No. 23-HRD-RFP-506 is awarded to CORVEL ENTERPRISE COMP, INC.

Documents:

• 23-HRD-RFP-506 Award Notice.pdf

Posted: 3/28/2023

Question: Hello, will you accept property, casualty, auto separate from worker's compensation? Or are you requiring the vendor to handle all lines of business?

Response: The County is seeking one qualified contractor to provide third-party administration of all claims for workers’ compensation, general and auto liability, and first-party property including auto physical damage claims and related services.

Posted: 4/4/2023

Question: 1. We ask for eight years of detailed Workers' Compensation claims data <01/01/2015 thru 01/01/2023> to provide accurate and competitive pricing. This MS Excel loss data should include but not be limited to: a. Dates: Loss Date, Report Date, Close Date, Coverage Year / Calendar Year b. Claim Status: Open, Closed, Re-Opened c. Litigation: Yes or No data d. Employee: Job Description / Class Code / Department (Ex: Police and Fire) e. Claim Type: Lost Time, Medical-Only, Incident/Report Only, or other f. Expenses to include: i. [1] Reserves, [2] Paid, [3] Total Incurred for the following columns: o (a) Indemnity, (b) Medical, (c) Legal, (d) Other and (e) Total Incurred

Response: Please reference the attached documents "ACG AL GL Claims 1 1 18 3 31 23" and "WC Claims Run through March 31, 2023". The data the County can provide is included in the RFP. Additional years of data cannot be provided.

Posted: 4/4/2023

Question: 3. Please provide the number of open WC indemnity claims w/ occurrence dates prior to 01/01/2015.

Response: The data the County can provide is included in the RFP. Additional years of data cannot be provided.

Posted: 4/4/2023

Question: 5. Please provide the number of open Permanent Partial / Permanent Total claims w/ occurrence dates prior to 01/01/2015.

Response: The data the County can provide is included in the RFP. Additional years of data cannot be provided.

Posted: 4/4/2023

Question: 7. In addition to regularly scheduled quarterly claims review meetings, how many additional administrative meetings does Arlington anticipate having each calendar year?

Response: The County is expecting the Offeror to advise on the number of recommended meetings that, in their opinion, should be held in a calendar year. Additional administrative meetings with the adjusters or the account manager may depend on the performance and necessity of the County or TPA team.

Posted: 4/4/2023

Question: 9. Please provide the total number of open AL-GL-First Party claims effective 04/01/2023.

Response: 15 = 13 auto physical + 2 first party property.

Posted: 4/4/2023

Question: 11. Please provide the number of subrogation claims, broken down annually, over the past five years.

Response: The County cannot provide this data as requested. However, the County averages 2-3 subrogation claims per quarter.

Posted: 4/4/2023

Question: 1. Does Arlington have a preferred Claims Team structure with designated maximum claim counts?

Response: The County is expecting each Offeror to provide, as part of the response to the RFP, the Claims Team Structure for the County’s review. Our Claim handler claim count experience is 150 maximum for indemnity claims and for Med Only claims 250.

Posted: 4/4/2023

Question: 3. Does Arlington currently have dedicated, designated or a blend of both for its claims team?

Response: The County has designated representatives.

Posted: 4/4/2023

Question: 2. Does Arlington utilize the incumbent's PBM services or a separate vendor? a. Can you provide detailed PBM statistics? i. Specifically, aggregated annual data for 01/01/2015 thru 01/01/2023. 1. number of prescriptions filled, 2. gross annual expense, 3. gross savings, 4. net savings, 5. any other related PBM expenses?

Response: The County currently utilizes the incumbent’s PBM services. The County cannot provide this data.

Posted: 4/4/2023

Question: 4. Does Arlington utilize 24-7 nurse triage? a. If yes to 24/7 triage, does Arlington utilize the incumbent TPA's triage or a separate vendor? b. If yes to 24/7 triage, what has been the associated annual expense?

Response: Arlington currently does not use nurse triaging services.

Posted: 4/4/2023

Question: 6. Can Arlington provide detailed utilization review statistics, such as annualized net-gross savings report, and utilization review volume for the past five years?

Response: The County cannot provide this data.

Posted: 4/4/2023

Question: 8. Can Arlington provide annualized net and gross subrogation statistics for the past 5-years?

Response: The County cannot provide this data.

Posted: 4/4/2023

Question: 2. May we have a copy of the current TPA – City of Arlington service agreement and/or current through 2022-2023 addendum? (We will not have the time for a FOIA request.)

Response: The current contract is located at: https://vrapp.vendorregistry.com/Contract/View/Contract?contractId=8bb8f352-7de8-41a3-a479-841df929bbb6

Posted: 4/4/2023

Question: 4. Does the County have preferred defense law firms? a. If yes, may we have the preferred law firm or lawyer names?

Response: Within the self-insured retention/deductible claims are handled or assigned to outside law firms, by the County Attorney’s Office. For any claims above the self-insured retention/deductible, attorneys can be assigned by the insurer/carrier from their panel of attorneys

Posted: 4/5/2023

Question: Are you able to provide a more detailed loss run with a breakdown of indemnity, medical only, etc.?

Response: Please reference the attached documents "ACG AL GL Claims 1 1 18 3 31 23" and "WC Claims Run through March 31, 2023".

Posted: 4/11/2023

Question: Can you account for the uptick in work comp claims from 7/1/21 -6/30/22 (wc claims reported 611) and 7/1/20- 6/30/21 (wc claims reported 985). Was the increase in claims during the two year period tied to an event? Were the majority of the claims medical only claims?

Response: The uptick in data in FY21 is due to 2 causes: a. The County transitioned vendors between FY20 and FY21. FY21, FY22, and FY23 “New” claims are inclusive of Incident Only claims; FY19 and FY20 “New” claims are exclusive of Incident Only claims. See the revised data below. b. We had a spike in claims from April 2020-mid/to late 2022 due to COVID. In the beginning, we had employees report ALL possible exposures as Record Only claims. In the fall of 2020, if multiple possible exposures occurred in one day, we instructed employees to report one Record Only claim for the day. 7/1/22- 12/31/22 as of 1/23/23 WC Incidents Only: 142; New (inclusive of Incident Only): 312 7/1/21 - 6/30/22 as of 1/23/23 WC Incidents Only: 252; New (inclusive of Incident Only): 611 7/1/20 -6/30/21 as of 1/23/23 WC Incidents Only: 538; New (inclusive of Incident Only): 985 7/1/19 -6/30/20 as of 7/31/20 WC Incidents Only: 891; New (inclusive of Incident Only): 1150 7/1/18 -6/30/19 as of 7/31/20 WC Incidents Only: 263; New (inclusive of Incident Only): 552

Posted: 4/14/2023

Question: Please provide a copy of your most current loss runs in Excel format for at least the last five (5) years?

Response: Please reference the attached documents "ACG AL GL Claims 1 1 18 3 31 23" and "WC Claims Run through March 31, 2023"

Posted: 4/14/2023

Question: What is the program’s anticipated start date?

Response: The County anticipates contract execution by July with an anticipated start date for claims handling of October 1.

Posted: 4/14/2023

Question: How many cases does the telephonic NCM currently have open? How many assignments per year do they receive?

Response: The County currently has NCM services assigned to 59 claims.

Posted: 4/14/2023

Question: How many medical bills, including hospital & pharmacy, has the Bill Review Vendor processed per year, for the last three (3) years?

Response: See response to Question #20.

Posted: 4/14/2023

Question: Please provide total amount billed, total fee schedule savings, total PPO reductions, UR reductions and other savings, as well as net paid per year for the past three (3) years.

Response: See response to Question #20.

Posted: 4/16/2023

Question: For the submitted questions you had referred to attachments but they were not attached to the questions nor in documents as of 3/27/23 section. Please provide. 1) WC Physician PANEL 8 10 21 2)WC Claims Run through March 31, 2023 3) ACG AL GL Claims 1 1 18 3 31 23.

Response: Documents are under the attachments

Posted: 4/17/2023

Question: For General Liability is the County able to provide a detailed loss run for the five most recent claims years that includes the total number of General Liability Bodily Injury claims for each claim year and the total number of open General Liability claims, specifying which of the open claims are bodily injury claims. If the detailed loss run cannot be provided, can the County provide the total number of General Liability Bodily Injury claims for each year within the five most recent claim years and the total number of open General Liability Bodily Injury claims. What authority will the adjusters have to handle claims, if any. Do you have a panel of attorneys that handle your litigation? How many of the files, that are open are litigated.

Response: Please refer to the response to item number 3, 14, and 27. The adjusters have zero-dollar settlement authority and some reserve authority depending on the type of claim.

Posted: 4/17/2023

Question: With regard to workers’ compensation medical bill review, can the County please provide the following information: Estimated Annual Bill Review Data for each of the prior three claim years: • Bill Count/Volume annually • Total billed charges annually • Total Annual Savings o Annual Savings above Fee Schedule (ex: PPO discounts)

Response: See response to Question #20.

Posted: 4/17/2023

Question: Can the County provide the total number of General Liability and Auto Liability adjusters that are engaged by the current TPA?

Response: Two designated complex claim adjusters that handle all types of liability claims ie. PD and BI and one designated adjuster for minor PD and auto physical claims

Posted: 4/17/2023

Question: With regard to pricing, is the County seeking program pricing for staffing or price per claim or both?

Response: Please reference Attachment D.