Third Party Administration Services

The Vendor is required to provide third-party administration (TPA) and other claims-related services for the various types of claims that the board is responsible for administering.
- Provide for protecting the rights of employees and employers by ensuring the proper delivery of benefits and by promoting compliance with the law, including the provisions relating to workers’ compensation benefits (WC), disability benefits (DB), paid family leave (PFL), volunteer firefighters’ benefits, and volunteer ambulance workers’ benefits.
- Workers’ compensation benefits provide weekly cash payments and the cost of full medical treatment, including rehabilitation, for covered employees who become disabled because of a disease or injury connected with their employment.
- Benefits may also be paid to qualified dependents of workers who died because of their compensable injury or illness.
- Volunteer firefighters’ and volunteer ambulance workers’ law provide cash benefits and/or medical care for volunteer members who are injured or become ill in the line of duty.
- The claims administration responsibilities for:
• Claims of the special fund for reopened cases;
• Claims of defaulted self-insured employers, group self-insured trusts and public self-insured groups;
• Claims of the uninsured employers’ fund;
• Claims of the special fund for disability benefits; and/or
• Claims under any other workers’ compensation or disability benefit the board is responsible for administering.
- Claims administration responsibilities shall include:
• Efficient and cost-effective case management using industry standard best practices;
• Timely indemnity and medical payments; and
• Monthly reporting to the board.
- Contract Period/Term: 10 years    
- Questions/Inquires Deadline: May 12, 2025