230084_Third_Party_Administration_for_Workers_Compensation-_Price_Page.xlsx

This is a price proposal document for the City of Tucson's Third Party Administration (TPA) for Workers' Compensation services. The City is seeking bundled and/or unbundled proposals from specialist firms to administer workers' compensation claims, with a preference for a fully bundled solution. The solicitation covers TPA services for approximately 4,750 employees with an average of 453 claims filed annually over the past five years. The City, a full-service self-insurer authorized by the Industrial Commission of Arizona, is looking for a multi-year contract with the flexibility to potentially perform services in-house in subsequent years.

The price proposal document includes detailed pricing sections for annual administration fees, ancillary services, and various specific service line items such as bill review, utilization review, pharmacy benefit management, network services, case management, and claim-related fees. The City requires the TPA to provide data demonstrating successful outcomes and added value of ancillary services every six months, and to list vendors providing these services along with their service descriptions and relationship duration. The pricing structure allows for both comprehensive and itemized pricing across multiple service categories, with the expectation that the TPA will manage and recommend appropriate vendors for each service component.