CSP019642_Amendment_1.pdf

Index No.: DAS054 Contract No.: CSP019642 Eff. Date: 07/01/24

STATE OF OHIO

DEPARTMENT OF ADMINISTRATIVE SERVICES

GENERAL SERVICES DIVISION

OFFICE OF PROCUREMENT SERVICES

4200 SURFACE ROAD, COLUMBUS, OH 43228-1395

AMENDMENT FOR CHANGE

AMENDMENT NO. 1

TO: LIMITED DISTRIBUTION – DEPARTMENT OF ADMINISTRATIVE SERVICES, STATE HUMAN

RESOURCES DIVISION, OFFICE OF BENEFITS ADMINISTRATION SERVICES

FROM: KATHLEEN C. MADDEN, DIRECTOR, DEPARTMENT OF ADMINISTRATIVE SERVICES

SUBJECT: CONTRACT FOR DISABILITY ADMINISTRATION SERVICES

Attached are pages two and five to this contract. Remove these pages from the existing contract and replace with the attached pages on the effective date.

This amendment is issued to include a mutually agreed upon modification to the RFP.

All other prices, terms and conditions remain unchanged.

This Amendment, the main Requirements Contract and any additional amendments thereto are available from the DAS Web site at the following address:

http://www.ohio.gov/procure

Affected Contractor(s):

HR00001398 (OHALL)

Sedgwick Claims Management Services, Inc.

8125 Sedgwick Way Memphis, TN 38125

MUTUALLY AGREED TO CLARIFICATIONS / MODIFICATIONS TO THE RFP

1. Clarification response documents titled “1.30.24 State of Ohio Follow Up Final” and “State of Ohio Appendix”.

2. Cost negotiation response titled “2024.02.02 Ohio DAS - Cost Summary Form - Sedgwick revised”.

3. SRC0000014447 Sedgwick Exceptions spreadsheet – final response dated 02/20/24.

4. Revised Supplement A - response dated 02/09/24.

5. Revised Supplement S - response dated 02/15/24.

6. Modification of the staffing plan - Clarification response dated 01/24/24 resulting in a reduction in staffing from ten to six dedicated disability representatives.

7. Final Performance Guarantees:

Performance Guarantees (PG)

The State expects the Contractor to maintain, at a minimum, the following Performance Guarantees throughout the term of the Contract. The State requires a minimum risk of 30% of the total annual administrative fees. Performance Guarantees may be modified on an annual basis, as mutually agreed upon by the State and the Contractor.

PG#

Performance Guarantee Proposed amount of risk (in %)

Enter new claim into claims management system within twenty-four (24) business hours of receipt 95% of the time. 20%

Upload all new documentation to claim file within three (3) days of receipt or creation, 95% of the time. 15%

Determinations to accept, pend, or deny a claim must be made within three (3) business days upon of receipt of all necessary information, 95% of the time.

15%

Turn-around time (notification to employee and employing agency) of twenty-four (24) hours following any change in claim status, 95% of the time.

Attendance at all hearings held throughout the state 99% of the time. 20%

95% of claims examiners must receive a score of at least 90% on quarterly internal audits.

The Contractor must agree to renegotiation of Performance Guarantees on an annual basis.

Confirmed

8. *EFFECTIVE 07/01/24

The “Program operation cost Per Employee Per Month (PEPM) based on the eligible employee count as of the 15th of each month” Cost Summary item does not apply prior to the go-live date of 09/01/24.

*Indicates the addition of a mutually agreed upon modification, per amendment 1.

SUMMARY OF AMENDMENTS

Amendment

Number Effective

Date Description

1 07/01/24 This amendment is issued to include a mutually agreed upon modification to the RFP.

All other prices, terms and conditions remain unchanged.

SUMMARY OF AMENDMENTS