8-Addendum 2.pdf

DEPARTMENT OF GENERAL SERVICES, PURCHASING DIVISION

Dr. Robert L. Yeager Health Center

50 Sanatorium Rd, Building A Pomona, New York 10970

Phone: (845) 364-3820 Fax: (845) 364-3809 Email: purchasing@co.rockland.ny.us

Paul Brennan, FNIGP, NIGP-CPP, CPPO

Director of Purchasing

ADDENDUM # 2

RFP-RC-2025-022

Worker’s Compensation and GML 207C Claims Administration

The information in this addendum supersedes any contradictory information set forth in the contract documents.

Acknowledge receipt of this addendum in the space provided on the signature page of the bid proposal. Failure to do so, may subject the bidder to disqualification. This addendum forms a part of the contract documents.

Question # 1: Claims Data

We ask the County for six years of detailed Workers' Compensation claims data 01/01/2019 through 07/01/2025 to provide accurate and competitive pricing. This MS Excel loss data should include, but not be limited to:

Dates: Loss Date, Report Date, Close Date, Coverage Year / Calendar Year

Claim Status: Open, Closed, Re-Opened

Litigation: Yes or No data

Employee: Job Description / Class Code / Department

Claim Type: Lost Time, Medical-Only, Incident/Report Only, or other

Expenses to include:

[1] Reserves, [2] Paid, [3] Total Incurred for the following columns:

(a) Indemnity, (b) Medical, (c) Legal, (d) Other, and (e) Total Incurred

Response #1: This information is shared in the loss run report provided in Addendum #1. Please note some information is confidential and will not be made public.

Question # 2: Please provide the total number of open WC indemnity claims effective 07/01/2025.

Response #2: There is an open claims listing through 2024 in the RFP, the total number is 162.

Question #3: Please provide the number of open WC indemnity claims with occurrence dates before

01/01/2019.

Response #3: This information is in the RFP

Question #4: Please provide the number of open Permanent -Total claims with occurrence dates before

01/01/2019.

Response #4: This information is in the RFP.

Question #5: How many open litigated cases, effective July 1, 2025?

Response #5: Each open claim has components that must go to Workers’ Compensation Court. Please clarify litigation if this is not what is needed.

Question #6: In addition to regularly scheduled quarterly claims review meetings, how many additional administrative meetings does the County typically have? How many in person?

Response #6: Meeting occur annually. Our insurance department is very hands on with the claims, therefore they are in contact with the claim adjuster at least 3 times a week.

Question #7: Does the County have a preferred open indemnity caseload per examiner?

Response #7: No

Question #8: Does the County utilize the incumbent's Nurse Case Mgt. Services?

Response #8: Yes

Question #9: Does the County utilize the incumbent's PBM services or a separate vendor?

Response #9: This is handled by the TPA

Question #10: Does the County utilize the incumbent's medical bill review or a different vendor?

Response #10: This is handled by the TPA

Question #11: Can you provide detailed medical bill review statistics?

Specifically, aggregated annual data for 01/01/2021 through 07/01/2025.

1. number of invoices/number of lines,

2. gross annual expense,

3. gross savings,

4. net savings,

5. all related bill review, administrator and vendor expense

Response #11:Number of Medical bills reviewed

Year Number

2022 2171

2023 2248

2024 1863

Question # 12:Does the County utilize the incumbent's 24-7 nurse triage or a separate vendor?

Response #12:This is handled by the TPA

Question #13: Can the County provide detailed utilization review statistics, such as a savings report and UR volume for the past five years?

Response #13:Clarification is required on this question

Question #14: Can the County provide detailed MMSEA reporting volume for the past 5 years?

Response #14:I This information will be answered in another addendum. Awaiting information form the TPA.

Question #15: Does the County have an MPN? If yes, is it custom-proprietary?

Response #15:Please clarify this abbreviation , however the County does not have any custom or proprietary software.

Question #16: Does the County utilize the incumbent TPA's Loss Prevention and risk Management consultation services, or does the County contract services from an outside vendor?

Response #16:Some departments use the services of the TPA, some choose to pay outside vendors. We have

50 hours in our contract, but we have not in the past used the full 50 hours.

Question #17: What is the most critical County - WC program priority over the next 3 years?

Response #18:The number one goal is reducing fraud.

SIGNED:

Paul J. Brennan

PAUL J. BRENNAN, FNIGP, NIGP-CPP, CPPO

DIRECTOR OF PURCHASING

ADDENDUM

8/18/25