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2020-154 Resolution
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2020-154 Resolution
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1/6/2021 3:51:13 PM
Creation date
1/6/2021 1:49:07 PM
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North Olmsted Legislation
Legislation Number
2020-154
Legislation Date
1/5/2021
Year
2021
Legislation Title
Sedgwick Contract
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EXHIBIT B <br />SERVICE FEES <br />Client shall pay the following fees on a life of contract basis for services provided during the term <br />of this Agreement: <br />1. Flat Annual Fees: <br />01/01/2021 — 12/31/2121: 526,111.00; <br />01/01/2022 —12/31/2022: S26,896.00; and <br />01/01/2023 —12/31/2023: 527,701.00 <br />A. For purposes of this Agreement, an "Indemnity Claim" shall mean any workers' <br />compensation Qualified Claim: <br />For which a payment is made or reserve is posted under the indemnity <br />portion (i.e. not medical and not expense) of the Qualified Claim or there is <br />time lost from work; <br />- For which an application for adjudication of a claim or hearing notice is <br />received or otherwise involves litigation or communication from or to a <br />petitioner's attorney; <br />- Where incurred medical costs exceed 53,000; <br />- That is denied but otherwise would have been classified as Indemnity <br />Claims; <br />- For which Client requests to be investigated or classified as an Indemnity <br />Claim; <br />- That Sedgwick determines additional investigation is necessary to determine <br />compensability, to comply with applicable laws, or both; <br />- For which subrogation is investigated or pursued; or <br />- That is open longer than twelve months. <br />B. For purposes of this Agreement, a "Medical Only Claim" shall mean any workers' <br />compensation Qualified Claim which is not an Indemnity Claim or an Incident Only. <br />C. For purposes of this Agreement, an "Incident Only" shall mean claims reported by <br />Client that require no payment or activity other than generating a record in the data <br />management system. These claims carry no reserves and no contacts are made by <br />Sedgwick. If contacts are required on incident only cases, additional fees will apply. <br />D. Client acknowledges that if an Incident Only Claim is converted to another claim <br />type, then Client shall pay the difference in the per claim fee between the per claim <br />fee already paid and the applicable per claim fee after the claim's conversion. <br />E. Client acknowledges that the per claim fees set forth in this section 1 are based on <br />the assumption that Client will forward to Sedgwick all claims arising under the <br />Program within the applicable time period in a covered jurisdiction. In the event <br />C/20912 13 <br />
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