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RFP 2014 Claims Management and Loss Prevention Services

RFP
2014 Claims - LP
Cost Proposal
Addendum 1 - Pre-proposal Conference Call
Addendum 2
2014 Claims - LP with Tracked Changes
Addendum 3 - Questions and Responses
Addendum 4 - Questions and Responses
Addendum 5 - Questions and Responses
Addendum 6
Addendum 7 - Questions and Responses
Addendum 8 - Questions and Responses 
Addendum 9 - Corrected Cost Proposal Workbook 
2014 Claims-LP with Addendum 6 Tracked Changes

SUPPORTING DOCUMENTATION
Summary of Insurance Coverages
2014 Louisiana Government Efficiencies Management Support (GEMS)
Premium Invoice Example
Loss Triangle Example
Record Retention Schedule
Pharmacy Utilization Savings Report Jan-Nov 2014
Pharmacy Utilization Savings Report Jan-Dec 2013
Statewide Schedule of Property Values
Current TPA Staffing Information
Loss Listing Closed Claims FY09-FY14
Loss Listing Open Claims as of 10-31-2014
FARA MASTER Summary Savings Analysis (Bill Review Results)
   FY 2013-14
   FY 2012-13 
   FY 2014-15 
Sample Marshall & Swift-Boeck Bldg Appraisal Reports
   - LSU Health Sciences Center-New Orleans - Medical Education Building -Part 1 
   - LSU Health Sciences Center-New Orleans - Medical Education Building -Part 2
   - University of New Orleans - Earl K. Long Library
   - University of New Orleans - Kiefer Lakefront Arena
   - Medical Center of LA at New Orleans - Charity Main Hospital (Vacant)
   - Medical Center of LA at New Orleans - Main Building (Interim LSU Public) - Part 1
   - Medical Center of LA at New Orleans - Main Building (Interim LSU Public) - Part 2
  Sample Invoice
  Pharmacy Benefit
   - 2013 Network Savings
   - 2013 Retail Savings
   - 2013 Pharmacy Prescription Counts
   - 2014 Network Savings
   - 2014 Retail Savings
   - 2014 Pharmacy Prescription Counts
 Medical Paid by Category
 Closing Ratios by Month - with RPO's
 Closing Ra​tios by Month - excluding RPO's
 Claims Incurred FY09-FY14 (Open Date)
 Subro Recoveries by Fiscal Year
 WC Penalty Detail by FY
  Existing Contract Information
  - Contract #692289
  - Fara Cost Proposal
  - Contract Amendment
 Appraised Building List
 Workers' Comp Lag Time
 Open Claims by Line of Coverage and Type - All Lines
 Surveillance Usage
 Premium Development Process Narrative

CLAIMS PROCEDURES
Client Instructions Property - LSU
Client Instructions Property
Client Instructions - Road Hazards
Client Instructions - Transportation Claims
Client Instructions - Workers' Compensation Claims
  Physician's Modified Work Information
  Transitional Return to Work Audit
  Transitional Return to Work Flowchart
  Transitional Return to Work Plan
  Return to Work Report
Client Instructions - General Liability/Civil Rights Claims
Client Instructions - Medical Malpractice Claims 
Attorney Case Handling Procedures and Billing Guidelines
SF-7 Concurrence in Non-Litigated Claims
Fields in Acuity

LOSS HISTORY
Worker's Compensation Penalties - 5 Year History - UPDATED
Open Claims by Coverage and Litigation Status
Closed Claims by Coverage by Line of Coverage
Open Claims by Line of Coverage
Open Litigated Claims by Line of Coverage

LOSS PREVENTION PROCEDURES
General Safety Program    
Driver Safety Program  
Equipment Management Program  
Flight Operations Program
Water Vessel Program
Self-Audit 3.0
Audit Grid Master
ORM Location Listing

AWARDED

Sedgwick Claims Management Services, Inc.