CSP010586_DAS057_Contract.pdf
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- Attached to
- Competitive Selection OH|CSP010586
- Contract number
- CSP010586
- Issued by
- Ohio
About this file
This document is a Mandatory Use Contract issued by the State of Ohio's Department of Administrative Services (DAS), specifically for a Third Party Administrator for the Workers' Compensation Program. The contract is awarded to Sedgwick Claims Management Services, Inc., located in Dublin, OH, through Request for Proposal (RFP) No. SRC0000002831. The contract is effective from 07/01/23 to 06/30/26 and is available to the Department of Administrative Services, State Human Resources Division, and Benefits Administration Services.
The contract establishes a per employee per month (PEPM) cost structure of $2.25 for program operation costs, which covers the third-party administrator's work and deliverables as outlined in the RFP and Scope of Work. The contract terms specify Net 30 Days payment terms, and there will be no additional reimbursement for travel or related expenses. The state makes no guarantee of purchase volume, and the agency is eligible to make purchases of the contracted services at any amount and time as determined by the agency. The contract and its amendments are available on the DAS website at https://procure.ohio.gov/.
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Text version
Index No.: DAS057
Eff. Date: 07/01/23
STATE OF OHIO
DEPARTMENT OF ADMINISTRATIVE SERVICES
GENERAL SERVICES DIVISION
OFFICE OF PROCUREMENT SERVICES
4200 SURFACE ROAD, COLUMBUS, OH 43228-1395
MANDATORY USE CONTRACT FOR: THIRD PARTY ADMINISTRATOR FOR THE WORKERS’ COMPENSATION
PROGRAM
CONTRACT NUMBER: CSP010586 EFFECTIVE DATES: 07/01/23 TO 06/30/26
The Department of Administrative Services has accepted Proposals submitted in response to Request for Proposal (RFP) No.
SRC0000002831 that opened on 06/01/22. The evaluation of the Proposal responses has been completed. The Offeror listed herein has been determined to be the highest ranking Offeror and has been awarded a Contract for the services listed. The respective Proposal response including, Contract Terms & Conditions, any Proposal amendment, special Contract Terms & Conditions, specifications, pricing schedules and any attachments incorporated by reference and accepted by DAS become a part of this Services Contract.
This Requirements Contract is effective beginning and ending on the dates noted above unless, prior to the expiration date, the Contract is renewed, terminated, or cancelled in accordance with the Contract Terms and Conditions.
This Requirements Contract is available to the Department of Administrative Services (DAS), State Human Resources Division (SHRD), Benefits Administration Services (BAS) as applicable.
The agency is eligible to make purchases of the contracted services in any amount and at any time as determined by the agency. The State makes no representation or guarantee that department will purchase the volume of services as advertised in the Request for Proposal.
This Requirements Contract and any Amendments thereto are available from the DAS Web site at the following address:
https://procure.ohio.gov/
MUTUALLY AGREED TO CLARIFICATIONS / MODIFICATIONS TO THE RFP
Finalist Interview and Presentation – responses dated 08/09/22
Clarifications and Performance Guarantees – response dated 08/24/22
Best and Final Offer – response dated 09/07/22
If there are any discrepancies between any of the above documents, the later dated response prevails.
PRICE SCHEDULE
TITLE: THIRD PARTY ADMINISTRATOR FOR THE WORKERS’ COMPENSATION PROGRAM
RFP NUMBER: SRC0000002831
UNSPSC CATEGORY CODES: 85100000, 80100000
PER EMPLOYEE PER MONTH (PEPM) COST STRUCTURE
Description
PEPM Cost
Program Operation Cost PEPM to provide work and deliverables as the Third-Party Administrator for the Workers’ Compensation Program as outlined in the RFP and Scope of Work, Attachment One, Part One.
$2.25 PEPM
All costs must be in U.S. Dollars.
The State will not be responsible for any costs not identified.
There will be no additional reimbursement for travel or other related expenses.
CONTRACTOR INDEX
CONTRACTOR AND TERMS: CONTRACT NO: CSP010586
0000153628 Sedgwick Claims Management Services, Inc. TERMS: Net 30 Days 5500 Glendon Ct.
Dublin, OH 43016
Remit to:
Sedgwick Claims Management Services, Inc.
Lockbox # 389456 P.O. Box 89456 Cleveland, OH 44101
CONTRACTOR’S CONTACT: Kelly Hinton Telephone: (614) 372-9057 Email: Kelly.Hinton@sedgwick.com mailto:Kelly.Hinton@sedgwick.com
CONTRACT FOR: THIRD PARTY ADMINISTRATOR FOR THE WORKERS’ COMPENSATION PROGRAM
File details come from the government source that posted it. Updated .