Loading...
HomeMy WebLinkAboutA018 - Resolution approving contract renewal with EMC Risk Services to provide 3rd party administration of the City's Workers Compensation & Municipal Fire & Police 411 System claims 07/0126-06/30/27ITEM #:19 DATE:06-09-26 DEPT:HR SUBJECT:WORKERS COMPENSATION AND MUNICIPAL FIRE AND POLICE SYSTEM MEDICAL CLAIMS ADMINISTRATION COUNCIL ACTION FORM BACKGROUND: The City contracts third-party administration services for workers’ compensation and Municipal Fire and Police “411 System” injury medical claims. EMC has provided these services since at least 2009. For FY 2025/26, the City posted a Request for Proposal for Third Party Claims Administration Services. EMC Claims Solutions was awarded a one-year contract with four (4) optional 1-year extensions. The City’s current contract with EMC is set to expire on June 30, 2026. FY 2026/27 is the first of the optional extension years. Services provided by EMC in this contract include workers’ compensation claims administration for all City employees, medical bill review, self-insured loss fund management, and pharmacy and medical expense consultation. EMC also performs regulatory filings and maintains an online claims database accessible to City staff. Additionally, EMC collects for medical bill review and savings identified through that process. The fees, along with actual claims expenses are charged to individual departments. The table below compares the FY 2025/26 fees to the proposed FY 2026/27 fees. There are slight increases for medical claim set up and lost time claim set up. Fee Component Fee Components FY2025/26 Fee Components FY2026/27 Change Claim Set Up, Incident Only $35 per claim $35 per claim 0% Claim Set Up, Medical Only $260 per claim $265 per claim 2% Claim Set Up Lost Time $1,142 per claim $1,150 per claim .7% Medical Bill Review Fees & Reimbursement $9.50/invoice 30% of Savings Capped at $10,000 $9.50/invoice 30% of Savings Capped at $10,000 0% In addition to the per claim fees and the medical bill review fees listed above, EMC is requesting an annual administrative/reporting fee of $5,350 and an OSHA 300 Reporting fee of $3,000. The FY 2026/27 budget contains $35,000 for the per-claim fees, administrative/reporting fees and the OSHA 300 reporting fees. The medical bill review fees are paid from the claim fund account. 1 ALTERNATIVES: 1. Approve the contract renewal with EMC Risk Services, LLC, of Des Moines Iowa, to provide third party administration of the City’s worker ’s compensation and municipal fire and police “411 System” claims for July 1, 2026 through June 30, 2027. 2. Reject the EMC renewal option and direct City staff to seek other claims administration alternatives. CITY MANAGER'S RECOMMENDED ACTION: EMC Risk Services, LLC, continues to be an effective provider of professionally administered workers’ compensation claims and associated services. Its staff has been responsive and sensitive to the needs of City employees in managing their injury and disability claims. The online claims system makes cost and other data accessible to City staff and provides a frequently utilized tool for analyzing injury types and safety program effectiveness. Therefore, it is the recommendation of the City Manager that the City Council adopt Alternative No. 1, as described above. ATTACHMENT(S): 2026-2027 Claims Handling Proposal City of Ames Final 2 717 Mulberry Street Des Moines, IA 50309 | P.O. Box 9399 Des Moines, IA 50306 | 515.345.4532 | 800.741.5302 | F 866.504.6598 | emcclaimssolutions .com Employers Mutual Casualty Company Illinois EMCASCO Insurance Company Union Insurance Company of Providence EMC Underwriters, LLC EMCASCO Insurance Company Dakota Fire Insurance Company Hamilton Mutual Insurance Company EMC National Life Company (affiliate) EMC Reinsurance Company EMC Property & Casualty Company EMC Risk Services, LLC EXHIBIT C SERVICE FEE SCHEDULE Claims Program–City of Ames Renewal terms 7/1/2026 Claim Fees Claim Fees shall be effective as of the Effective Date, or upon the agreed established date. The claim fees will include all Medicare and State EDI filings as required. City of Ames agrees to pay EMC Claims Solutions the following Claims Handling fees: Workers Compensation Claims Incidents Only $35.00 per claim Medical Only and 411 $265.00 per claim Indemnity $1,150.00 per claim Subrogation/Recovery 20% of the amount of recovery OSHA Reporting $3,0000 Annually . Medical Bill Review Services Our in-house Bill Review audit team of nurses review each bill for coding accuracy and then apply the best possible discounts via multiple PPO networks and negotiated discounts. Our Pharmacy Program provides both savings and clinical management of prescription drugs for injured workers, keeping costs down and preventing abuse. As one of the largest writers of Workers Compensation in Iowa, EMC has the buying power to achieve the best results in medical bill savings. Per bill fee $9.75 PPO/Bill Review 30% of savings on the bill capped at $10,000 3 717 Mulberry Street Des Moines, IA 50309 | P.O. Box 9399 Des Moines, IA 50306 | 515.345.4532 | 800.741.5302 | F 866.504.6598 | emcclaimssolutions .com Employers Mutual Casualty Company Illinois EMCASCO Insurance Company Union Insurance Company of Providence EMC Underwriters, LLC EMCASCO Insurance Company Dakota Fire Insurance Company Hamilton Mutual Insurance Company EMC National Life Company (affiliate) EMC Reinsurance Company EMC Property & Casualty Company EMC Risk Services, LLC Miscellaneous Fees On-Line Claims Submission, Reporting and Administration Annual Administration Software Maintenance Fee $3,500.00 This includes system maintenance in the format of your choosing, file reviews and loss reporting as requested. Reports available include a variety of loss and safety reports available on demand, as well as reports which can be tailored to your business needs. Additional Users One Time Fee $500.00 Optional Services We can tap into extensive resources to take advantage of tools such as: Medical or Legal Review services to coordinate or facilitate the right medical treatment for your injured employee so return to work is primary and we can minimize downtime, scheduling issues and lost productivity. Medical/Legal Review We have Registered Nurses available who can review legal issues and resolve disputes. $128.00 per hour Loss Control Services - tailored to the specific needs of your business Environmental, Ergonomic, or Material Handling Testing, Safety Training and Site Evaluation as requested by EMC’s Risk Improvement Specialists. $220.00 per hour 4