Chino Planet bids #2026-0026

City of Chino Workers’ Compensation Claims Administration and TPA Services

The City of Chino is seeking a third-party administrator to manage its workers’ compensation claims and related program services. - Government buyer: City of Chino, California; Human Resources and Risk Management offices; San Bernardino County. - Named firms and systems: Innovative Claim Solutions and LWP Claims Solutions, Inc. are named as prospective bidders. PlanetBids is identified as the proposal portal and system-support provider. Public Risk Innovation, Solutions, and Management (PRISM) is the referenced risk-management organization and claims-standards source. - OEMs: No product manufacturers or OEMs are identified; this is a services procurement. - Requested services: Administer existing open and closed claims and new workers’ compensation claims for a workforce of approximately 661 employees. Services include claims intake and triage, investigations and compensability decisions, employee and City communications, benefits and reserves, fraud identification, subrogation, settlement coordination, return-to-work support, litigation coordination, utilization review (UR), medical bill review (MBR), pharmacy benefit management (PBM), and financial administration. - Claims inventory described: 9 indemnity/no-compensated-lost-time claims, 45 future-medical claims, 7 medical-only claims, 6 major permanent-disability claims, 8 minor permanent-disability claims, and 21 temporary-disability claims. - Systems and reporting: Provide claims-management software with read-only access for at least five City users at the same time, user training, electronic and custom reporting, monthly and annual reports, weekly payment registers, and monthly financial reconciliations. - Notable requirements: The City is self-insured with a $500,000 retention per claim and excess coverage to statutory limits through PRISM. The administrator must comply with California workers’ compensation law and PRISM standards; provide qualified California claims staff with specified supervision and caseload limits; meet prompt claim setup and employee-contact expectations; provide California-based medical direction and UR reviewers; achieve URAC accreditation by the required deadline; and integrate utilization review decisions with medical bill review. - Contract term: Two-year initial term, with up to three additional one-year renewal options at the City’s discretion. - Pricing attachment caveat: The fee schedule includes COBRA and retiree-administration charges, such as enrollee notifications, premium billing, and custom reports, rather than a clearly aligned workers’ compensation fee schedule; bidders may need clarification.

Description

The City of Chino is seeking proposals from qualified firms to provide Workers’ Compensation Third-Party Administration (TPA) services. The selected TPA will administer the City’s existing open and closed claims and new claims during the contract term, including claims management, employee communications, triage, reporting, managed care, bill review, and related services. Services must comply with applicable California requirements and PRISM’s workers’ compensation claims administration standards. The initial contract term is two years, with up to three additional one-year renewal options at the City’s discretion.

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