HomeMy WebLinkAboutMINUTES - 04191994 - 1.117 TO: BOARD OF SUPERVISORS
Contra
FROM: Phil Batchelor, County Administrator V
� Costa
DATE: April 6, 1994 County
SUBJECT: 1ST CHOICE HEALTH PLAN TRANSITION
SPECIFIC REOUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION
Authorize the County Administrator or designee to execute the attached service contract with
W.F. Corroon consulting firm to provide assistance in preparing and recommending procedures.
required for the transition from the 1st Choice Health Plan to the QUALMED Health Plan Program.
BACKGROUND:
In an effort to meet the health care needs of its employees and retirees at an affordable
rate, the County implemented a new health plan, QUALMED, in place of the 1st Choice
Health Plan.
Services were required to assist the County with the phasing out of the 1st Choice Health
Plan.
- In order to transition active and retired employees without interruption of quality health
care, the County contracted with the consulting firm for the purpose of providing
professional expertise in the development of the most cost effective method to replace the
1st Choice Health Plan.
FISCAL IMPACT:
The original contract costs were projected at$17,000. However, due to the coordination of efforts
between the County and the consulting firm, a reduction was negotiated in the original cost of the
service contract which resulted in a $9,500 savings to the County.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE (S):
ACTION OF BOARD ON - G&4 0- 19.T904 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
�2 UNANIMOUS(ABSENT �" AND CORRECT COPY OF AN ACTION TAKEN
AYES: =7 -NOES:NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
cc: Contact: Lori Koch (6-4058) ATTESTED Qac r - 0 lq • �qg(
Personnel-Benefits PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
M382 (10/88) BY T �.q• a —0 �� ,DEPUTY
-Contra Costa County Number
Standard Form 1/87 SHORT FORM SERVICE CONTRACT Fund/0-r-9
1. Contract Identification. Account 8110
Other #
Department: CCC Personnel Department
Subject: lst Choice Health Plan Transition
2. Parties. The County of Contra Costa, California (County), for its Department named
above, and the following named Contractor mutually agree and promise as follows:
Contractor: W J. Corroon Corp. - CA (Also known as. W.F. Corroon)
Capacity: A California .Corporati:on Taxpayer IDS{ 94-2673513
Address: 50 Fremont Street, 24th Floor
San Francisco, CA 94105-2236
3. Term. The effective date of this Contract is November 18, 1991 and it
terminates April 29, 1994 unless sooner terminated as provided herein.
4. Termination. This Contract may be terminated by the County, at its sole discretion,
upon five-day advance written notice thereof to the Contractor, or cancelled immediately
by written mutual consent .
5. payment Limit. County's total payments to Contractor under this Contract shall not
exceed $ 17,000.00
6. County's Obligations. In consideration of Contractor's provision of services as
described below, and subject to the payment limit expressed herein, County shall pay
Contractor, upon submission of a properly documented demand for payment in the manner and
form prescribed .by County (Demand Form D-15) and upon approval of such demand by the head
of the County Department for which this Contract is made or his designee, as follows:
[Check one alternative only]
( ) hour; or
[ ] a. FEE RATE: $ per service unit: ( ) session, as defined below; or
( ) calendar (insert day, week
or month)
NOT TO EXCEED a total of service unit(s).
[ ] b. Payment in full after approval by the Department.
kx] c. As set forth in the attached Payment Provisions.
(Sem Attachment l: Payment Provisions)
7. Contractor's Obligations. Contractor shall provide the following described services:
(.See Attachment 2: Service. Pian)
8. Compliance with Law. Contractor shall be subject to and comply with all Federal,
State and local laws and regulations applicable with respect to its performance under this
Contract, including but not limited to, licensing, employment and purchasing practices;
and wages , hours and conditions of employment , including nondiscrimination.
9. Nondiscriminatory Services. Contractor agrees that all goods and services under this
Contract shall be available to all qualified persons regardless of age, sex, race, reli-
gion, color, national origin, or ethnic background, or handicap, and that none shall be
used, in whole or in part, for religious worship or instruction.
' r
SHORT FORM 66KVICL WjNkKAl;l
Number
10. Independent Contractor Status. This Contract Is. by and between two independent
contractors and is not intended to and shall not be construed to create the relationship
between the parties of agent , servant, employee, partnership, joint venture, or
association.
11. Disputes. Disagreements between the County and Contractor concerning the meaning,
requirements, or performance of this Contract shall be subject to final determination in
writing by the head of the County 'Department for which this Contract is made or his
designee or in accordance with the.appli.cable procedures (if any) required by the State or
Federal Government.
12. Access to Books and Records of Contractor, Subcontractor. Pursuant to Section
1861(v)(1) of the Social Security Act, and any regulations promulgated thereunder,
Contractor shall, upon written request and until the expiration of four years after the
furnishing of services pursuant to this Contract, make available to the Secretary of
Health and Human Services, the Comptroller General, the County, or any of their duly
authorized representatives, this Contract and books, documents, and records of Contractor
that are necessary to certify the nature and extent of all costs and charges hereunder.
Further, if Contractor carries out any of the duties of this Contract through a sub-
contract with a value or cost of $10,000 or more over a twelve-month period, such sub-
contract shall contain a clause to the effect that upon written request and until the
expiration of four years after the furnishing of services pursuant to such subcontract,
the subcontractor shall make available, to the Secretary, the Comptroller General, the
County, or any of their duly authorized representatives, the subcontract and books, docu-
ments, and records of the subcontractor that are necessary to verify the nature and extent
of all costs and charges hereunder.
This special condition is in addition to any and all other terms regarding the maintenance
or retention of records under this Contract and is binding on the heirs, successors,
assigns and representatives of Contractor.
13. F.eporting Requirements. Pursuant to Government Code §7550; Contractor shall include
in all documents or written reports completed and submitted to County in accordance with
this Contract, a separate section listing the numbers and dollar amounts of all contracts
and subcontracts relating to the preparation of each such document or written report.
This 'section shall apply only if the payment limit under this Contract exceeds $5,000.
14. Indemnification. The Contractor shall defend, indemnify, save, and hold harmless the
County and its officers and employees from any and all claims, costs and liability for any
damages, sickness, death, or injury to person(s) or property, including without limitation
all consequential damages , from any cause whatsoever arising directly or indirectly from
or connected with the operations or services of the Contractor or its agents, servents,
employees or subcontractors hereunder, save and except claims or litigation arising
through the sole negligence or sole willful misconduct of the County or its officers or
employees. Contractor will make good to and reimburse the County for any expenditures,
including reasonable attorneys fees, the County may make by reason of such matters and, if
requested by the County will defend any such suits at the sole cost and expense of the
Contractor.
15. Legal Authority. This Contract is entered into under and subject to the following
legal authorities: California Government Code Sections 26227 and 31000.
16. Signatures. These signatures attest the parties' agreement he to:
COUNTY OF CONTRA COSTA, CALIFORNIA COVTFAt5R
By By
Designee , iK"-a ,6k.1
i� u
Approved: County Administrator (Designate official c pacity)
By
Designee
Recommended by Department
i
By [Form approved by County Counsel]
Attachment 1
PAYMENT PROVISIONS
Consulting Fee
The cost of providing the consulting services outlined in the Service Plan (see
Attachment 2) will be based on the number of hours required to complete the project.
The total cost of the project shall not exceed the $17,000.00 payment limit.
Initial
(Contractor) (County)
Attachment 2
SERVICE PLAN
1. Prepare and recommend the procedures required for termination of the 1st
Choice Health Plan.
2. Review the current Stop Loss contract for the 1st Choice Health Plan to
determine if a new contract should be negotiated during the transition period.
2. Assess any liability in connection with an extension of benefit provision for the
1st Choice Health Plan relative to the status on disabled employees.
3. Negotiate with the current 1st Choice Health Plan Third Party Administrator
(TPA) regarding the payment of run out claims.
4. Review the termination clauses in all applicable 1st Choice Health Plan
contracts including the Third Party Administrator, the Stop Loss, the Utilization
Review Firm and the 1st Choice Health Plan document.
5. Assist the County as needed in the implementation of the new health plan
program.
Initial
(Contractor) (County)