SEDGWICK CLAIMS MANAGEMENT SERVICES, INC - 3RD PARTY CLAIMS & WC & GEN LIAB. CLAIMSA CONTRACT AWARD SHEET INSTRCUTIONAL GUIDE TO ASSIST YOU WITH THE INFORMATION CONTACINED HEREIN IS AVAILABLE IN THE
PURCHASING SECTION OF OUR WEBPAGE AT:
www.hialeahfl.gov
CITY OF HIALEAH
CONTRACT AWARD
PURCHASING DEPARTMENT
CITY OF HIALEAH CONTRACT: CONTRACT EXTENSION FOR ONE YEAR
DESCRIPTION: THIRD-PARTY CLAIMS CONTRACT AND ALL WORKER’S COMPENSATION AND GENERAL LIABILITY CLAIMS
CONTRACT PERIOD: 12/01/2023 – 11/30/2024
SECTION #1 – VENDOR AWARD
Name: SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. Name:
Contact: MICHAEL SHOOK Contact:
Phone: Phone:
Fax: Fax:
E-mail: E-mail:
Name: Name:
Contact: Contact:
Phone: Phone:
Fax: Fax:
E-mail: E-mail:
SECTION #2 – AWARD/BACKGROUND INFORMATION/APPLICABLE ORDINANCES/NOTES
CITY COUNCIL APPROVED ON: 12/12/2023, ITEM FF AMENDED AMOUNT:
RESOLUTION NO: 2023-204 INSURANCE REQUIREMENTS:
ANNUAL CONTRACT AMOUNT: $490,406.04 PERFORMANCE BOND:
APPLICABLE ORDINANCES:
Notes:
SECTION #3 – REQUESTING DEPARTMENT
CITY OF HIALEAH, DEPARTMENT OF RISK MANAGEMENT
Contract Administrator: FRANKLIN DUHARTE
Phone: 305-883-8059
SECTION #4 – PROCURING AGENCY
CITY OF HIALEAH, DEPARTMENT OF RISK MANAGEMENT
Contract Administrator: FRANKLIN DUHARTE
Phone: 305-883-8059
Prepared by: MARILIN GUTIERREZ
ITEM #-.....f__.__f _
DEC 12 2023
RECEIVED
NOV 2 8 2023
COUNCIL AGENDA ITEM REQUEST FORM OFFICE OF
MMWJEt.ENT a BUDGET
This form, Jetter from the department head addressed to the Mayor and City Counc il, as well as
supporting documents are due the Monday of the week prior to t he City Council M eeting.
Date of Req uest :
11/27/2023
Requesting City Department:
Risk Management
Requested Council Meet in g
Date : 12/12/2023
Actio n Re q uested from t h e X Issu e a p urchase order
City Counci l :
□ Increas e a purch as e order
□ Award a b i d .
□ Bi d No.
□ Reject a bid
□ Bi d No.
□ Sp eci al Events Perm it
D Street Clo sur e
X Oth er : Co ntract Ext e nsi o n for On e Yea r
Scop e of servi ce(s) or
produ ct(s): Third-part y clai ms adm in istrator and all w or ker's compensa tion
and general liabili ty claims.
Ve ndor:
Sedgwick Claims Ser vices
Expenditure Amount:
Funding Source (i.e., account
funding the expenditure):
Purchasing Process:
$490,406.04
510.8500.519340
□ Competitive Bidding
□ An exception to competitive bidding applies:
□ Professional services in the nature of
consultants, accountants and attorneys
□ Sole source provider
□ Emergency based on object facts
□ Credit facilities
□ Competitive bidding is not required because the City
is utilizing a bid that has been awarded or under
contract by state, county or other governmental
agencies.
□ Title of state, county or other governmental
agencies contract:
□ Piggy-back contract expiration
date:. ______________ _
xWaive Competitive Bidding
x Reason(s) it is not advantageous to the City to utilize
competitive bidding:
-Extending Contract for Sedgwick Claims Management Services.
-Justification outline in the Council Letter.
Signatures:
Division Director
Esteban Bovo, Jr.
Mayor
Jesus Tundidor
Co uncil President
Jacqueline Garcia-Roves
Council Vice-President
November 271\ 2023
Mayor Esteban Bovo Jr. and
Members of the Hialeah City Council
501 Palm Avenue
Hialeah, Florida 330 10
l
\~
-~~.!~
City of Hialeah
Dear Mayor Bovo Jr. and Members of the City Council:
Council Members
Bryan Calvo
Angelica Pacheco
Monica Perez
Luis Rodriguez
Carl Zogby
The City of Hialeah retains the services of a Third-Party Claims Administrator to administer and process all workers'
compensation and general liabi lity claims. Sedgwick Claims Management Services Inc. h as provided s uch services
to the City since 2011.
The city was paying $40,867.17 a month to Sedgwick for the services for the past three years totaling in $490,406.04
per contract year. Risk Management is requesting permission to extend the current service agreement between
Sedgwick Claims management and the City of Hialeah for an additional one contract year commencing on December
1st 2023 -November 30th 2024 at the same monthly amount of $40,867.17. The Risk Management Department had
two senior employees retire in June of2023 and the department has not only been short staffed, but has restrnctured
the entire department over the last several months. This limitat ion inclusive of the tremendous time demands of
facilitating the health insurance open enrollment the last couple of months has not allowed the Risk Management
Department the ability to sufficiently undertake the RFP process for the November 30, 2023 contract expiration.
There a lso have been a couple of South Florida municipalities that have gone to RFP for these services which will
allow the City to analyze a possible "piggy back" o n one of these RFPs if the parameters are favorable.
Additionally, we have also negotiated changing the managed care, medical bill review, and pharmacy services
currently performed by Corvel Corporation to Sedgwick C laims Management Services which is anticipated to reduce
fees associated w ith these services by approx im ately $500,000 over the one-year extension.
Risk Management is respectfully requesting approval to open Purchase Order issued to Sedgwick Claims
Management Services Inc. VN.150 16 for an extens ion of contract in the amount of $490,406.04 for contract year
2023-24.
Respectfully,
Franklin Duharte
Risk Administrator
SOI Palm Avenue, Hialeah, Florida· 33010-47 19
www.hialeahfl.g ov
~E /DI APPROVED
DATE \ \ 2.,~ Z
APPROVED/DISA PROVED
DA TE_....L..L-i-=-i.+>L-·3
APPROVED/DISAPPROVED
DATE ____ _
irector of Finance Management
501 Palm Avenue, Hialeah, Florida· 33010 -4719
www.h ialeahfl.gov
AMENDMENT TO SERVICE AGREEMENT
This Amendment to Service Agreement, dated December 1, 2023 (the "Amendment"), shall be
attached to and made a part of the Service Agreement for Administration of a Claims Program, dated
December I , 2017, (the "Agreement"), by and between The City of Hialeah ("Client") and Sedgwick
Claims Management Services, Inc. ("Sedgwick", a nd Client and Sedgwick together th e "Parties").
In consideration of th e Agreement recitals and the mutual covenants and conditions contained herein,
the Parties acknowledge that the Agreement is hereby modified and amended as follows:
1. The Agreement shall be extended for an addi ti onal p eriod commencing December 1, 2023 and
ending November 30, 2024.
2. Exhibit B to the Agreement is hereby modified and amended to provide that Client shall pay
Sedgwick the following fees for services provided during thi s additional period:
A. Monthly Fees:
December 1, 2023-November 30, 2024 -$40,867 per month
B. Flat Fee:
December 1, 2023-November 30, 2024:
Coverage Line
Workers' Compensation
Liability
Total estimated first year fees
Program Total
Dedicated Flat Fee
$253,9 14
$236.492
$490,406
$490,406
3. The Agreement is hereby further modified and amended to the addition of Sedgwick Managed
Care Services
Sedgwick managed care
All claim administration fees and services contemplate the deploym ent
of Sedgwick's managed care services for al l bill review and case management services.
Managed care fees ar e detailed below. Fees may change from t i me to time upon 60 days written notice.
c/32956
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c/32956
Sedgwick Subrogation services
Subrogation •
1· • -• .
' 25.Qo/o of _rf;!COVeri es ·
c/32956
4. All terms and conditions of the Agreement shall othetwise remain the same, except those terms
and conditions which have been added, deleted, or modified by the Parties in writing.
IN WITNESS WHEREOF, the Parties have caused this Amendment to be executed on the dates
shown below.
The City of Hialeah
By~ /&kLZk
Title ,4Lli; £,/.,.,!,,:,~/h
Date fl"'/4 ,'/&=,z 3
c/32956
Sedgwick Claims Management Services, Inc.
Title Senior Vice President
Date November 27, 2023
Carlos Hernandez
. Mayor
Paul B. Hernandez
Council President
Oscar De La Rosa
Council Vice-President
February 4, 2020
City· of Hialeah
Mayor Carlos Hernandez and
Members of the Hialeah City Council
501 Palm Avenue
Hialefilt, Florida 330.10
CoUDCil ~mbeis
Katbarioe Cue-Fuente
Jacqueline Garcia-Roves
Monica Perez •
Jesus Tundidor
Carl Zogby
ITEM# b _....;:=:.:~--
FEB 11 2020
RE: Third Party Worke~s Compensation and Liability Claims Administration
Dear Mayor Hernandez and
Members of the Hialeah City Council :
The City of Hialeah retains the services of a Third Party Claims Administrator to administer-and process .
all workers' compensation and general liability claims. Sedgwick Claims Management Services, Inc . has
provided such services with the City since 2011; At that time, Sedgwick acquired Cambridge Integrated
Setv1ces Group, Inc., which had previously been providing the services to the City. Sedgwick is a leading
global provider of technology-enabled risk, benefits and integrated business solutions with nearly 27,000
employees in 65 countries. Over the years, Sedgwick has done a tremendous Job in processing claims,
providing loss control, and limiting risk at the City. Below are the accomplishments that Sedgwick has
contributed to as part of the City's Workers Compensation, Liability, and Safety pro~:
I) Outstanding workers compensation liability reported to the .State of Florida via S1-20 fomis has
decreased from $4,,00o,ooo in 2014 to $35,000,000 in 2019;
2) W/C experience modification number decreased from 1.89 in 2014 to l.14 in 2020;
3) Total w/c costs decreased from $8,203,337 in FY2016 to $7,045,380 in FY2019;
4) W/C costs in HPD decreased from $3,218,195 in FY2016 to $2,294,319 in FY2019;
5) Actuarial total loss reserves amount for liability claims decreased from $8,358,000 in 201 I to
$6,278,000 in 2019; •
6) W/C medical costs have decreased from $4,536,021 in FY2016 to $3,905,887 in FY2019 ;
7) Total liability costs decreased from $3,121,361 in FY2015 to $1,731,521 in FY2019;
8) General liability costs in HPD decreased from $973,230 in FY2015 to $261,091 in FY2019;
9) Auto liability costs in HPD decreased from $1,265,153 in FY2015 ~o $511,730 in FY2019;
IO)Citywide work related.injuries decreased from 378 in FY2012 to 88 in FY2019;
11) Work related injuries in HPD decreased from 96 in FY2012 to 25 in FY2019;
12) Work related injuries in HFD decreased from 91 in FY2012 to 31 in FY2019 ;
13) 17 work related injuries Citywide (2 in HPD, 6 in HFD, and 9 in all other departments) in FY2020;
14) Open w/c claims ·decreased from 370 in 2012 to 228 in 2020;
lS)Operi indemnity w/c claims decreased from 291 in 2012 to 207 in 2020; and,
. 16) Liability subrogation recovery has increased from $85,000 in FY2009 to $198,194 in FY2015 and
$68,877 in FY2020. •
501 Palm Avenue, Hialeah, Florida· 33010-4719
www.hialcahfl.gov
The City's administration, department heads, supervisors, union leadership, and all employees have
prioritized safety and loss control. The financial impact has been significant and has improved the <;!itts
financial well-being into ~e future. The teduction in injuries &om 2012 to 2020 has contributed to , much
healthier, safer work force. Sedgwick has been a major. factor in all of this and has made a tremendous
impact. • • •
~ regards to services, Sedgwick provides an on-site ·dedicated staff to the City with one supervisor, one .w/c
indemnity claims examiner, and one liability claims examiner. Two of the staff. members. have been
worltjng orrsi~e at the City for 7-10 years. The supervisor has 40 years of experience in w/c and is well
versed in all o_f the recent lepla!ive changes. She also has an excellent working ~lationship with City •
department heads, City employ~, an4 union leadership. • •
Sedgwick has. an automated data management sy~tem that has been tracking claims and payments ~d
providing varying reports for many years. It would cause significant disruption to the City and to injured
workers if the City decided to change to a new data management system and administrator.
The City is currentlypaying $40,867.00 a month to Sedgwick for tJie services listed above. · Sedgwick is
providing a renewal with the exact same rate ·of $40,867.00 a month with.the same services for the ·next
three years.
Accordingly, it is the recommendation of the Risk Management Department that Sedgwick's contract be
renewed for this amount for three additional years.
This request is to be allocated through various City departments.
Respectfully submitt~
}l~
Robert Lloyd-Still
Risk Manager
APPROVED/DISAPPROVED
DATE ___ _
RESOLUTIONNO. 2020-024
RESOLUTION OF 1HE MAYOR AND CITY
COUNCIL OF THE CITY OF HIALEAH, FLORIDA,
AUTHORIZING THE MAYOR AND CITY CLERK,
ON BEHALF OF THE CITY TO ENTER INTO A
THREE-YEAR AGREEMENT, COMMENCING
DECEMBER 1, 2020 AND ENDING ON NOVEMBER
30, 2023, • WITH SEDGWICK CLAIMS
MANAGEMENT SERVICES, INC., TO PROVIDE
ADMINISTRATIVE SERVICES FOR THE CITY OF
HIALEAH'S SELF-INSURANCE PROGRAM IN THE
AREAS OF AUTO LIABILITY, GENERAL
LIABILITY, AUTO PHYSICAL DAMAGE, POLICE
AND FIRE PROFESSIONAL LIABILITY, AND
WORKERS'· COMPENSATION FOR THE CITY OF
HIALEAH, FLORIDA AND FURTHER
AUTHORIZING THE EXPENDITURE OF THE SUM
OF $490,406 EACH YEAR FOR THE NEXT THREE
YEARS IN MONTHLY INSTALLMENTS, FOR
SERVICES RENDERED UNDER THE AGREE~NT.
~REAS, the City ~f Hialeah, Florida, has established a self-insurance program; and
WHEREAS, the City has a longstanding valuable relatiQnship with Sedgwick Claims
Management Services for providing third party workers compensation and liability claims
administration; and, •
WHEREAS, pursuant to Hialeah, Fla, Resolution 11-40 (May 10, 2011) and subsequent City
Council approvals, the City of Hialeah has entered agreements with Sedgwick Claims Management
Services, Inc. and Sedgwick Claims Management Services, Inc. has satisfactoriiy performed
thereunder; and •
WHEREAS, Sedgwick Claims Management Services, Inc. will handle all existing claims an~
• newly reported claims for the duration of the claim at no additional. cost; and .
WHEREAS, Sedgwick Claims Management Services, Inc. has agreed to a 90-day cancellation
clause in the contract whereby the City of Hialeah, may terminate its relationship with Sedgwick
Claims Management System, Inc., upon 90-day written advance notice; and
WHEREAS, it is advantageous to the City since the renewal contract provides a discount from
what the City is currently paying.
NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COUNCIL OF THE
CITY OF HIALEAH, FLORIDA, THAT:
Section l. The City of Hialeah, Florida hereby authorizes the Mayor and City Clerk, on behalf
of the City, enter into a three-year agreement; commencing on December 1, 2020 and ending on
RESOLUTIONNO. 2020-024
PAGE2
November 30, 2023, with Sedgwick Claims Management Services, Inc., to provide administrative
services for the City of Hialeah's Self-Insurance Program in the areas of Auto Liability, General
. .
Liability, Auto Physical Damage, Police· and Fire Professional Liability, and Workers' Co~pensation
for the City of Hialeah, Florida.
Section 2. The City of Hialeah, Florida hereby authorizes the expenditure of the sum of
$490,406 each year for the next three years, to be paid monthly, for the services to be provided under
the agreement.
Section 3. The three-year contract will provide for full service for the duration of
existing claims and new claiins, at no additional cost to the City.
Attest:
PASSED and ADOPTED this ....11. day of February , 2020.
Approved on the iCI day of f6bn.'1ti~2020. .
~
Resolution was adopted by a 7-0 vote with Councilmembers, Cue-
Fuente, De La Ros~ Garcia-Roves, Hernandez, Perez, Tundidor and
Zogby, voting "Yes".
ADDENDUM TO EXTEND AGREEMENT TERM FOR AN ADDITIONAL PERIOD
This Addendum to Extend Agreement Tenn for an Additional Period dated February 11, 2021 (the
"Addendum"), shall be attached to and made a part of the Service Agreement for Administration of a
Claims Program dated October 9, 2017 (the ~'Agreement"), by and between City of Hialeah (the "Client"),
and Sedgwick Claims Management Services, Inc. ("Sedgwick") (Sedgwick and Client together the
"Parties").
In consideration of the Agreement recitals and the mutual covenants and conditions contained
herein, the Parties acknowledge that the Agreement is hereby modified and amended as follows:
1. Section SA of the Agreement is hereby modified and amended to provide that the Agreement term
shall be extended for an additional period commencing December 1, 2020 and ending November
30, 2023.
2. Section 9 of the Agreement is hereby modified and amended to update Sedgwick's notice
information to the following:·
"8125 Sedgwick Way, Memphis, 1N 38125, ATIN: General Counsel -Americas"
3. Exhibit B to the Agreement is hereby modified and amended to provide that Client shall pay
Sedgwick the following fees on a life of contract basis for services provided during this additional
period:
12/2020
A. Monthly Fees:
December 1, 2020-November 30, 2023 -$40,867 per month
B. FlatFee:
December 1, 2020-November 30, 2023:
Coverage Line
Workers' Compensation
Liability
Total estimated first year fees
Dedicated Flat Fee
$253,914
$236,493
$490,406
All workers' compensation and liability claims will be managed from Client's site, in
accordance with the Agreement, with the exception of workers' compensation medical only
claims
C. SIU Service Fees:
The charges set forth below are the current fees for the services listed, and these fees may
change from time to time upon sixty days' prior written notice to Client:
12/2020
• Service name • Price
D. S ubrogation and Other Recoveries:
1) Sedgwick shall pursue recoveries for subrogation, second injury funds, and other
applicable special funds such as suppl emental state funds, COLA reimbursements,
2
retro funds, and other similar funds. Client shall pay Sedgwick twenty percent (20%)
of the recovery received. All fees and expenses, including attorneys' fees or
investigations, for pursuit of any recovery shall be charged to the appropriate Qualified
Claim file as an allocated loss adjustment expense.
2) As determined by the Parties, Sedgwick shall either:
Deposit the recovery funds and issue payment from Sedgwick's accounts payable
system to Client for the net recovery (less Sedgwick's fee). Sedgwick will deposit the
net recovery check into the Client's loss-funding account or forward it directly to the
Client; or
Deposit the recovery funds into the Client's loss-funding account and Sedgwick shall
receive payment from the claim file or directly from Client.
4. The Agreement is hereby modified and amended to delete the Medicare Reporting Services
Schedule contained therein and substitute the following therefore:
12/2020
"MEDICARE REPORTING SERVICES SCHEDULE
To assist the Client in fulfilling Client's Medicare beneficiary reporting obligations under
Medicare, Medicaid and State Children's Health Insurance Program Extension Act of 2007
("MMSEA") Section 111 as set forth in 42 U.S.C. §1395y(b)(7)&(8) and the CMS User Guide
("User Guide") published on March 16, 2009 (and as amended and revised), Sedgwick will
perform the following reporting services:
1. Sedgwick will electronically interface with the Centers for Medicare and Medicaid
Services ("CMS") to capture and report data in the format prescribed by the CMS
Specifications.
2. Sedgwick will report directly to CMS on behalf of Client as an Account Designee
(reporting agent), as such term is defined in the CMS User Guide as amended from time to
time by CMS.
3. Client will be considered a Responsible Reporting Entity ("RRE") as that term is defined
in the User Guide.
a. Client will be responsible for maintaining a valid RRE Identification Number as
described in the User Guide and is a condition precedent to Sedgwick preforming the
duties under this section. Failure to maintain the RRE Identification Number will result
in Sedgwick's inability to properly report claims on behalf of the Client. Sedgwick
assumes no responsibility for maintaining a valid RRE Identification Number on behalf
of the Client.
4. Sedgwick will assist Client as follows:
a. Sedgwick will electronically interface with CMS to capture and report data in the
format prescribed by the User Guide.
b. Sedgwick will report directly to CMS on behalf of the Client as an Account Designee
(reporting agent), and/or Account Manager as such term is defined in the User Guide.
c. Sedgwick will prepare the required data files and submit them to CMS on a periodic
basis in order to properly query and report the appropriate files as defined in the User
3
Guide.
5. Sedgwick will be responsible for payment of any and all fines·assessed to Client regarding
compliance with the Medicare beneficiary reporting requirements of Medicare, Medicaid
and SCHIP Extension Act of2007 that relate to the negligent acts or omissions of Sedgwick
except to the extent that:
a. Such fines or penalties are the direct result of specific direction given by Client and/or
its agent or the actions or omissions of Client and/or its agent; or
b. Sedgwick did not receive information from Client that is essential to the performance
of the duties set forth herein in a timely manner so as to be able to comply with the
terms of this Agreement."
All terms and conditions of the Agreement shall otherwise remain the same, except those terms
and conditions which have been added, deleted, or modified by the Parties in writing.
IN WITNESS WHEREOF, the Parties have caused this Addendum to be executed on the dates
shown below.
4
12/2020
le~ ~~ Ci t y o f Hi a l ea h Pri c in g N arra tiv e
sedgwick .. -----··--·--
City of Hialeah Customized Program Design and Pricing
Narrative 2020 / 2021
Servicing offices
All workers' compensation and liability claims will be managed from City of Hialeah si te, in accordance
with the existing agreement.
Summary of first year fees
First year claim fee estimates
··;;r1<~~:-c·~;;,~~~~~i~n-.-_--r_-~ -~ -• ~.· r-· -;~;;,_;~ ~ ----.-;
. . .. . .. .. .:. ~-. ·-... ,.. . .. .. .... , . -.. . . ·. . • I .. . . . . . . .. .. .. . .. .. ... ·... - . . . --··. -. -... : .. . ; . I. . .
l,.iability . • I • $236,493
• '_:'.;','.:'·a· ;-.:::,·=c:: ~ • •. -·,.--s=.-~. --:~ ... a: •-:c ·,·. • o •.:· : .. • • c. • ·: ( .. ·.. .,c •.: ,c ;· .. "" :.
Total .estimated first year fees I $490,406
All other terms and agreements remain as is under current Master service agreement
Current monthly fees =
1st year montly fees =
2 nd year monthly fees =
3 rd year monthly fees =
$40,867
$40,867
$40,867
$40,867
@ Cit y o f Hi a l eah Prici n g Nar r a t ive
sedgwick e
City of Hialeah Customized Program Design and Pricing
Narrative 2021/2022
Servicing offices
All workers' compensation and liability claims will be managed from City of Hialeah site, in accordance
with the existing agreement.
Summary of second year fees:
~ •,: -,, '' • < •,. ,~~: • -• -l' • --:_., • ,' -' :•
,,__ •. · Co~erage .line. ·. • ·• . . •
~·· • . ~ . : : :. •. : •• ~ -; .-, . . . .
;. ···-:-• •' "';:,, •. :1
. Dedicated· Flat-.
• •. · • Fee .. · • •
~ r • • '' • •.-• • :I ' .~.t
.""!"'~ •• r-:." .• -;.--:-...... ,._-~ -• i•-' -I
Workers' compensation. '. • : $253,914 • ;
• .. ....:. ...... ·.. . ..... ~--· .::., ~------· • ___ ........ . ... . ..... l .. .. _ .............. 1 -• ·----·-•• • ••• ·•··-·· ····-··· ---·· •• --· -.---7-· - • •• • • • ··-• '. • • --•• - ·-•.•• ,. • -
Liabilit;y . • .. _. •. ! $236.,493
.• .. :.:::..;-.;.•:.'..-:.·:-~ ---:--:~•~.-:-c:-:::-::.:. -;: __ :-_.-.: ··.::::.._..:.-,,..:..:-.~"-::-·•-.;,.· ~-: .•.• • •• ·;...i
Total estima_te~ fiist y~ar fees . $_49Q,406
~~ \}~
sedgwick 0
City of Hialeah Pricing Narrative
·-·-··---------
City of Hialeah Customized Program Design and Pricing
Narrative 2022/ 2023
Servicing offices
All workers' compensation and liability claims will be managed from City of Hialeah site, in accordance
with the existing agreement.
Summary of third year fees
_J',# ," ·~···-_-:~·.'1 __ .. " '. _;·: ,·,-.;,_:,. ~' ''•"·':·: ··:-~ :·-· .... ~-
,. • .-_ .-· :· · ·:_Cove rage line -·,· , ,--
\.:, r :.: •'• •,• :,:•. • •••••.•~:!I,• I,: •' -•, ~:.:
, ~i>:r.~~t~~T.;~~~~_i•if _:</ ·:::: __ •·:: ;~\-·· :---~:,:-?Jt~ >:;$~,~}Jr(-::·: :1 ·'-;~~I,i~l ·~--:~ ~:. :·-?· • ··•···.,-:·; ~--.-· ,_ -• -• , .... _'ii ·· -·--~$_;1~:~~;·~·-:_·'.·:_:
' • • • ' • . ...... ·-. -~ .. l .. : .: . ~ -•· ...... :·· l 'io~f 2;~~~~t~~ :;.r~~-.~~ar,fe~~ ~-· ... ·-· --•• ,-t :-,: ~$4:i~4ti,~-:: :·· :1
Detail by Entity Naine
Rprida peosrtment Qf state
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Department of state I PlvJs!an of Como@tlons I Search Records / Detail By Document Number /
Detail by Entity Name
Foreign ~rofit Corporation
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
F1Hng Information
Document Number
FEI/EIN Number
Date Filed
State
Status
Last Event
Event Date Filed
Event Effective Date
Principal Addmss
8125 Sedgwick Way
MEMPHIS, TN38125
Changed: 04/08/2019
Malllng Address
8125 Sedgwick Way
MEMPHIS, TN 38125
Changed: 04/08/2019.
P01242
36-2685608 .
03/16/1984
IL
ACTIVI;:
NAMECHANGEAMENDMENT
-06/14/1996
NONE
Registered Agent Name & Address
Co"RPORATION SERVICE COMPANY
1201 HAYS STREET
TALLAHASSEE, FL 32301
Name Changed: 01/25/2019
Address Changed: 01/25/2019
Officer/Director Detall
Name & Address
Title President/ Director
NORTH, DAVID AJR.
8125 Sedgwick Way
M~MPHIS,.TN 38125
Page 1 of3
DMSION OF CORPORATIOHS
http://search.sunbiz.org/Inquiry /CorporationSearcb/SearcbResultDetail ?inquirytype=Entity ... 2/5/2020
Detail by Entity Name
Trtle EVP / CLO / Secretary / Director
Brown, Kimberly D.
8125 Sedgwick Way
MEMPHIS, TN 38125
Title EVP / CFO't Treasurer/ Director
Lyons, Henry C.
8125 Sedgwick Way
MEMPHIS, TN 38125
Annual Reports
Report Year
2017
2018
2019
Docum~nt Images
Filed Date
04/04/2017
04/03/2018
04/08/2019
04/0812019-ANNUAL REPORT! View Image in PDF rormat
01/25/2019 -Reg. Agent Chanael View Image In PDF format
04/0312018 -ANNUAL BEPQRT I View Image in PDF format
04/0412017 -ANNUAL REPORT ! View Image in PDF ro~at
04/191201§ -ANNUAL REPORT ! View image In PDF ·rormat
03/1812015 -ANNUAL REPORT ! View image In PDF formal
04/1412014 -ANNUAL REPORT ! View Image in PDF format
04/1112013 -ANNUAL REPORT! View Image In PDF format
04/16/2012 -ANNUAL REPORT ! View image In PDF fonnat
04/1412011 ANNUAL REPORT ! View image in PDF fonnat
04/09/2010 -ANNUAL REPORT ! View Image in PDF fcnnal
04(08/2009 -ANNUAL REPORT 1-View Image In PDF format
03/31/2008 -ANNUAL REfORT I View image in PDF.format
03/1512007 -ANNUAL REPORT ! Vi1nv image In PDF formal
03130/2008 -ANNUAL REPORT ! View Image in PDF formal
07/0512005 -Req. Agent Change! View lmage·In PDF format
03/30/2005 -ANNUAL REPORT ! View Image In PDF format
04/05/2004 -ANNUAL REPORT ! View Image in PDF fonnal
04(08/2003 -ANNUAL REPORT I View Image in PDF format
05/01/2002 -ANNUAL REPORT ! View Image in PDF fonnat
04/25(2001 --ANNUAL REPORT! View image In PDF format
0511812000 •· ANNUAL REPORT! View Image In PDF format
03/01/1999-ANNUAL REPORT I View Image In PDF format
03/04/1998 -ANNUAL REPORT ! View Image In PDF formal
D1/28/1997 -ANNUAL REPORT ! y!ew image fn PDF formal
02/09/1996 -ANNUAL REPORT ! View image !n POF format
01/19/1995 -ANNUAL REPORT l View Image In PDF formal
Page 2 of3
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Detail by Entity Name . Page 3 of3 . . '
• http ://search.sunbiz.org/Inquiry/CorporationSearcb/SearchResultDetail?inquirytype=Entity ... 2/5/2020.
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Qfil}artment of state I Division of Cor~ I Search Records / ~...Entl1Y...Ns!:ml I
Detail by Entity Name
Foreign Profit Corporation
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
Filing Information
Document Number
FEI/EIN Number
Date Filed
State
Status
Last Event
Event Date Filed
Event Effective Date
fdm:lpal Address
8125 Sedgwick Way
MEMPHIS, TN 38125
Changed: 04/08/2019
.M.iilling Address
8125 Sedgwick Way
MEMPHIS, TN 38125
Changed: 04/08/2019
P01242
36-2685608
03/16/1984
IL
ACTIVE
NAME CHANGE AMENDMENT
06/14/1996
NONE
B§gistered Agent Name & Address
CORPORATION SERVICE COMPANY
1201 HAYS STREET
TALLAHASSEE,FL32301
Name Changed: 01/25/2019
Address Changed: 01/25/2019
Officer/Director Detail
Name &Address
Title President / Director
DIVISION OF CORPORATIONS
Peterson, Robert J.
8125 Sedgwick Way
MEMPHIS, TN 38125
litle EVP / CLO / Secretary/ Director
Brown, Kimberly D.
8125 Sedgwick Way
MEMPHIS, TN 38125
Title EVP / CFO / Treasurer/ Director
Lyons, Henry C.
8125 Sedgwick Way
MEMPHIS, TN 38125
AnnualReP.orts
Report Year
2021
2022
2023
Filed Date
04/06/2021
03/30/2022
03/09/2023
Document Images
03/09/2023 -ANNUAL REPORT View Image In PDF format -------------'
03/30/2022 -ANNUAL REPORT View image in PDF format ___________ __,
04/06/2021 -ANNUAL REPORT View image in PDF format ___________ __,
03/31/2020 -ANNUAL REPORT View image In PDF format ___________ __,
04/08/2019 -ANNUAL REPORT View image in PDF format ___________ __,
01/25/2019 -Reg. ~g.!ml...Qbnng~ View image in PDF format ___________ __,
04/03/2018 -ANNUAL REPORT View Image In PDF format ___________ __,
04/04/2017 ANNUAL REPORT View image In PDF format -------------'
04/19/2016 -ANNUAL REPORT View Image in PDF format ___________ ___,
03/18/2015 -ANNUAL REPORT View image In PDF format ___________ __,
04/14/2014 -ANNUAL REPORT View Image in PDF format ___________ ___,
04/11/2013 -ANNUAL REPORT View image in PDF format ___________ __,
04/1612012 -ANNUAL REPORT View Image In PDF format ___________ __,
04/14/2011 ANNUAL REPORT View Image in PDF format ___________ __,
04/09/201 O -ANNUAL REPORT View Image in PDF format ___________ __,
04/08/2009 -ANNUAL REPORT View image In PDF format ------------
03/31/2008 -ANNUAL REPORT View image in PDF format ___________ __,
03/15/2007 -ANNUAL REPORT View Image in PDF format ___________ __,
03/30/2006 -ANNUAL REPORT View image in PDF format
07/05/2005 --Reg..,hgent Chang~ View image in PDF format -------------
03/30/2005 -ANNUAL REPORT View image in PDF format -------------04/05/2004 -ANNUAL REPORT View image in PDF format ___________ __,
04/08/2003 -ANNUAL REPORT View image in PDF format ___________ __,
05/01/2002--ANNUAL REPORT View image In PDF format -------------'
04/25/2001 -ANNUAL REPORT View image in PDF format ____________ _,
05/18/2000 -ANNUAL REPORT View Image in PDF format ____________ _,
03/01/1999 -ANNUAL REPORT View Image in PDF format ____________ __,
03/04/1998 -ANNUAL REPORT View Image in PDF format ____________ _,
01/28/1997 -ANNUAL REPORT View Image In PDF format ____________ _,
02/09/1996-ANNUAL BEeORT View image in PDF format ____________ _.
01/19/1995 -ANNUAL REPORT View image in PDF format
F1orld11 Oepartmerit of State, OMslon of Corporatlol'ls
510 General Liab & Workers' Comp Fund Fiscal Year: 202 4
Acco un t
510.8500.5 19340
CONTRACTUAL SERVICES
Percent
Total for (2) Operating Expenses
T ota l expens es 8500 (Fund 5 10)
GG-General Government
Total Expe nses for Fund 510
510
Gen era l Liab & Workers' Comp Fund
A
0.00
0.00
Fund To ta ls
$0 .00
Revenu e/Ex pe nses Ba la nce:
Expe nded
8 1,734.34
81,734.34
81,734.34
81,734.34
$81,7 34.34
$81,734.34
5 10 General Liab & Workers' Co mp F und
Tri al Ba lance -Expenses
T ria l B a lance -
E nc umbered Ba la nce Last Da te
0.00 -81,734.34 11/14 /2023
0.00 -8 1,734 .34
0.00 -8 1,734 .34
0.00 -81, 734.34 Expenses
$0.00 ($81,73 4.34)
Printed: 11 /29/2023 Page: 2
RESOLUTION NO. --------
RESOLUTION OF THE MAYOR AND CITY COUNCIL OF THE CITY OF HIALEAH,
FLORIDA, WAIVING COMPETITIVE BIDDING; AND AUTHORIZING THE MAYOR OR
HIS DESIGNEE AND THE CITY CLERK, AS ATTESTING WITNESS, ON BEHALF OF THE
CITY TO ENTER INTO A PROFESSIONAL SERVICES AGREEMENT IN A FORM
ACCEPTABLE TO THE CITY WITH SEDGWICK CLAIMS MANAGEMENT SERVICES,
INC., TO PROVIDE ADMINISTRATIVE SERVICES FOR THE CITY OF HIALEAH'S SELF-
INSURANCE PROGRAM IN THE AREAS OF AUTO LIABILITY, GENERAL LIABILITY,
AUTO PHYSICAL DAMAGE, POLICE AND FIRE PROFESSIONAL LIABILITY, AND
WORKERS' COMPENSATION, AND FOR THE MAYOR ORDESIGNEE, AND THE CITY
CLERK AS ATTESTING WITNESS, TO ISSUE THE REQUIRED PURCHASE
ORDER(S) TO EFFECTUATE THIS RESOLUTION , IN AN AMOUNT NOT TO EXCEED A
TOTAL OF $ 490,406.04 , FOR A TERM OF ONE (1) CONTRACTUAL
YEAR ,COMENSING DECEMBER 01, 2023 TO NOVEMBER 30, 2024, AS IS PROVIDED
HEREIN; AND PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, pursuant to Section 2-816 of the City of Hialeah Code of Ordinances, when
impractical or not advantageous to the City of Hialeah (City"), competitive bidding may be
waived; and
WHEREAS, the City has a longstanding valuable relationship with Sedgwick Claims
Management Services for providing third party workers compensation and liability claims
administration; and,
WHEREAS, pursuant to City of Hialeah Resolution 2020-024, Adopted on February 11,
2020 and subsequent City Council approvals, the City of Hialeah has entered agreements with
Sedgwick Claims Management Services, Inc. and Sedgwick Claims Management Services, Inc.
has satisfactorily performed thereunder; and
WHEREAS, Sedgwick Claims Management Services, Inc. will handle all existing claims
and newly reported claims for the duration of the claim at no additional cost; and
WHEREAS, Sedgwick Claims Management Services, Inc. has agreed to a 90-day
cancellation clause in the contract whereby the City of Hialeah, may terminate its relationship with
Sedgwick Claims Management System, Inc., upon 90-day written advance notice; and
WHEREAS, it is advantageous to the City since the renewal contract provides a discount
from what the City is currently paying; and
WHEREAS, funding for this project will be from account #510.8500.519340; and
RESOLUTION NO. ----
Page No. 2
WHEREAS, the City finds it is advantageous to the City and in the best interest, health
and welfare of the community to waive competitive bidding.
NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COUNCIL OF
THE CITY OF HIALEAH, FLORIDA, THAT:
Section 1: The foregoing facts and recitations contained in the preamble to this resolution
are hereby adopted and incorporated by reference as if fully set forth herein.
Section 2: The City of Hialeah, Florida hereby authorizes the Mayor and City Clerk, on
behalf of the City, enter into a one year agreement, commencing on December 1, 2023 and ending
on· November 30, 2024, with Sedgwick Claims Management Services, Inc., to provide
administrative services for the City of Hialeah's Self-Insurance Program in the areas of Auto
Liability, General Liability, Auto Physical Damage, Police and Fire Professional Liability, and
Workers' Compensation for the City of Hialeah, Florida.
Section 3: The City of Hialeah, Florida hereby waives competitive bidding, and authorizes
the expenditure of the sum not to exceed $490,406.04 for the contractual year of December 01,
2023 -November 30, 2024, to be paid monthly drawn against account number #510.8500.519340,
for the services to be provided under the agreement. The Mayor or his designee and the City Clerk,
as attesting witness, are authorized to sign the required purchase order( s) and such other
procurement documents as are needed to effectuate this Resolution.
RESOLUTION N O . -----
Page No . 3
Section 4: This resolution shall become effecti ve when approved by majority vote of
the C ity Council and signed by the Mayor or at the next regularly schedul ed City Co uncil meeting,
if the Mayor's signature is withheld or if the C ity Counci l ove1Tides the Mayor's veto.
PAS SED AND ADOPTED thi s __ day of , 2023. ----------
Jesus Tundid or
Co uncil President
Attest: Approved on this __ day of ________ , 2023.
Marbelys Fatjo , City C lerk Mayor Esteban Bovo, Jr.
A pproved as to legal sufficiency and as to fom1:
l·\ray mond j salcs\assignmenis\2023\a-2023-438 ( 1 1 )-rcso-se<lgwick claims s ervices (S409.406 00)\sedg\\ick claims management services -bid waiver rcsolution .docx