Salt Lake City Request for Information SLCI27041 Workers Compensation Third Party Administrator Services

Salt Lake City Corporation (City) is seeking information from qualified vendors regarding workers compensation third party administrator services. The goal is to learn more about potential costs to the City. This RFI is for information-gathering purposes only and does not constitute a solicitation or commitment to purchase.

The City provides a full range of municipal services and has approximately 3,100 full-time equivalent employees. The City presently has a contract with an occupational medicine clinic for initial and follow-up care including physical therapy.

Please provide responses to the following:

1. How are your services invoiced? Can you provide a range of estimated implementation fees/costs?
2. How many personnel would be assigned to an account this size, are all personnel included in the administration fees? Does personnel include a dedicated adjuster?
3. What services are included in the base and/or administrative fee vs. what is unbundled (e.g., nurse case management, litigation, bill review)?
4. Which tasks, services, or reports are charged in addition to a base and/or administrative fee?
5. Which services do you provide in house and which do you outsource? How does this affect pricing?
6. Do you offer in-house triage or 24/7 telemedicine programs? If so, is that a separate fee?
7. What are the fees for the transfer of data to another provider? What are the fees to store data? What are the fees to use TPA software? How is data destroyed and what is the fee for said destruction? How is retention set and what is the fee for standard Workers' Comp. retention?
8. Does your technology contain a model to flag complex, high exposure, or potentially fraudulent claims?
9. Do you offer performance guarantees in your contract tied to claim closure rates or financial outcomes?
10. Are your nurse case managers, utilization review clinicians, and medical directors in-house or outsourced?
11. Please detail information about your Preferred Provider Organization (PPO) networks and your average net savings after all bill-review fees.
12. What tools, guidelines and transitional strategies do your adjusters use to achieve timely return to work outcomes?

Please limit your response to **30 pages**.