Request for Proposal for Workers' Compensation Claims Administration
Project Information
- Bid Title
- Request for Proposal for Workers' Compensation Claims Administration
- Issuing Agency
- City of San Leandro
- Location
- California
- Published Date
- Feb 20, 2026
- Closing Date
- Mar 18, 2026
- Government Level
- State & Local
- Status
- Closed
- Ref. #
- 64281
- Original Source
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- Bid Documents
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- Project Description
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Bid Number: 64281
Bid Title: Request for Proposal for Workers' Compensation Claims Administration
Category: All Open RFPs Status: Open Description: The City of San Leandro (“CITY”) is soliciting proposals from qualified Third-Party Administrators (“TPA”) for administration of the City’s self-insured worker’s compensation program. The CITY will consider proposals with a minimum three-year contract and options for multi-year extensions of the contract. The CITY requires a vendor who demonstrates an innovative and effective claims management process that is streamlined and user-friendly, has a strong customer service focus, robust reporting features paired with reliable technology infrastructure, proactive and consistent management of employee/claimant occupational absences, competitive rates and fees, and the ability and willingness to comply with the CITY’s performance standards.
Request for Proposals #64281 - Workers' Compensation Claims Administration
Publication Date/Time: 2/19/2026 4:00 PM Closing Date/Time: 3/18/2026 5:00 PM Submittal Information: Electronically to: [email protected] (please read RFP for further instructions) Bid Opening Information: Please Review RFP Addendum Date/Time: Contact Person: Questions shall be submitted to Yana Taran, Sr. Human Resources Analyst, at [email protected] , with an email copy (cc) to the City’s Purchasing Technician, Sally M. Perez, at [email protected] . Download Available: Yes Fee: No Fee to Download Business Hours: 8:30am - 5:00pm Plan Holders List: Interested parties are encouraged to advise both Yana Taran, Sr. Human Resources Analyst, at [email protected] and Sally Perez, Purchasing Technician at [email protected] , to be placed on the project plan holder's list to receive courtesy notifications of the Questions & Answers, as well as any addenda and other project information. Project Addenda, if any, will also be posted on the website. A bidder who fails to address all project addenda in its proposal may be deemed non-responsive. Related Documents: - Attachment Preview
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REQUEST FOR PROPOSALS FORWORKERS’ COMPENSATION CLAIMS ADMINISTRATION SERVICESFOR THE CITY OF SAN LEANDRORFP NO. 64281RFP Issue Date:February 19, 2026Proposal Submittal Due Date:5:00pm, Wednesday, March 18, 2026Purchasing Office, San Leandro City Hall,835 E. 14th Street, San Leandro, CA 94577Proposals via Emailsperez@sanleandro.orgTABLE OF CONTENTSI. OBJECTIVES ...................................................................................................3II. BACKGROUND ...............................................................................................3III. SCOPE OF WORK ...........................................................................................4IV. INSURANCE REQUIREMENTS..........................................................................4V. ESTIMATED TIMETABLE...................................................................................5VI. SELECTION CRITERIA .....................................................................................5VII. INSTRUCTIONS FOR PREPARING WRITTEN PROPOSAL ....................................6VIII. SUBMISSION INFORMATION......................................................................... 10IX. CONDITIONS ............................................................................................... 11Exhibit A – Scope of Services ........................................................................ 12Exhibit B – Draft Consulting Services Agreement ........................................... 15Exhibit C – LAWCX Performance Standards for Claims Administrators ........... 33Exhibit D – Living Wage Guidelines and Frequently Asked Questions (FAQs).... 53Exhibit E – Living Wage Self-Verification Form................................................ 59RFP 64281 Workers' Compensation Claims AdministrationPage 2 of 60REQUEST FOR PROPOSALWORKERS’ COMPENSATION CLAIMS ADMINISTRATION SERVICESFOR THE CITY OF SAN LEANDROI.OBJECTIVESThe City of San Leandro (“CITY”) is soliciting proposals from qualified Third-PartyAdministrators (“TPA”) for administration of the City’s self-insured worker’s compensationprogram. The CITY will consider proposals with a minimum three-year contract and optionsfor multi-year extensions of the contract. The CITY requires a vendor who demonstrates aninnovative and effective claims management process that is streamlined and user-friendly,has a strong customer service focus, robust reporting features paired with reliabletechnology infrastructure, proactive and consistent management of employee/claimantoccupational absences, competitive rates and fees, and the ability and willingness tocomply with the CITY’s performance standards.II. BACKGROUNDThe CITY is a charter city incorporated in 1872 with a Mayor/Council-Manager form ofgovernment. The CITY is located in the San Francisco Bay Area and has a city population ofover 90,000. The CITY maintains a biennial budget, and the total adopted budget for FY 2025-26 is $272.9 million, comprised of all General Funds, special revenue funds, enterprisefunds, and other agency funds.The CITY is a full-service city, which includes the departments of the City Manager,Community Development, Finance, Human Resources, Human Services, InformationTechnology, Police, Library, Public Works, Recreation & Parks. Fire protection services arecontracted with the Alameda County Fire Department. The CITY employs approximately 359full-time employees and 150-200 part-time employees. Additional information about theCITY can be obtained at https://www.sanleandro.org.The CITY maintains a self-insured workers’ compensation program and is a member of theLocal Agency Workers’ Compensation Excess Joint Powers Authority (“LAWCX”). The City’sWorkers’ Compensation Program is currently administered by Intercare Holdings InsuranceServices, Inc., which serves as the CITY’s third-party administrator (TPA). San Leandro’scurrent loss run reflects 80 open claims, of which 26 are future medical, 53 are indemnity,and 1 is medical-only.RFP 64281 Workers' Compensation Claims AdministrationPage 3 of 60III. SCOPE OF WORKThe CITY is interested in a TPA who will be able to most favorably respond to the Scope ofServices and performance standards as outlined in Exhibit A. Proposals should clearlyindicate where they differ from the attached scope of services and performance standards.In addition, quarterly file review meetings are required by the CITY. TPA shall present awritten summary report on all open claim files identified by the CITY, and review status todate and action plan. File review meetings shall take place within approximately 30 daysfollowing the close of the quarter (July – September, October – December, January – March,April – June).Another important area of focus for the CITY is customer service, responsiveness,timeliness, and proactive claim handling. The CITY desires to contract with a firm that has astandard of returning calls and emails promptly (within one (1) business day) and thatprovides proactive claim handling information and recommendations to the client in atimely manner. Consistent staff assigned to the CITY is also a critical item. A firm that isfamiliar with the medical providers in the CITY’s geographic area is also needed.Lastly, the CITY desires to implement best practices for workers’ compensationadministration to achieve efficiency and reduce costs. The CITY desires to partner with a TPAfirm that will actively engage and assist with the implementation of best practices.Seasoned experience managing public safety workers compensation claims is required,specifically for police/law enforcement claims.IV. INSURANCE REQUIREMENTSThe proposal must include the name of TPA’s insurance carrier(s), the policy coverage andlimits, and expiration dates.The TPA must agree to indemnify, hold the CITY harmless, and defend the CITY from allclaims and legal action for damages arising from its performance under an agreementspecified in Section 4 of the attached draft agreement (Exhibit B). Please confirm in RFPresponse whether or not the firm will be able to meet the minimum insurance requirements.RFP 64281 Workers' Compensation Claims AdministrationPage 4 of 60V. ESTIMATED TIMETABLEThe CITY anticipates the following timetable:Issuance of the Request for Proposals (RFP):Deadline to Submit Written Questions:Deadline to Submit Proposals:Review of Responses and Select Interviewees:TPA Interviews:Date of Contract Award:Contract to Begin:February 19, 2026February 27, 2026, 5:00 p.m.March 18, 2026, 5:00 p.m.March 27, 2026TBDPrior to July 1, 2026July 1, 2026The CITY reserves the right to cancel and/or modify the above dates at any time.VI. SELECTION CRITERIAProposals will be evaluated based on the following criteria, including but not limited to thefollowing:A. Proposals will be evaluated by Purchasing for completeness and compliance withthe RFP requirements.▪ Proposals must fully comply with the submission instructions and requirementsoutlined in the RFP. Only complete and properly formatted proposals will beconsidered for evaluation; proposals missing the required documents will bedeemed non-responsive and will not be considered.B. Scored Evaluation Criteria (100 Points Total)CriteriaTechnical Approach &Understanding of ScopeExperience, Staffing &QualificationsAccount Management,Customer Service & ProgramManagementCompliance, Quality Assurance& Program ManagementDescriptionDemonstrated understanding of the CITY’sworkers’ compensation program and proposedmethodology to deliver required services.Points20Experience with public agencies and self-insured 15programs; staffing model, caseloads,qualifications, and continuity planning.Responsiveness, communication standards,15governance structure, escalation procedures, andongoing program oversight.Compliance with applicable laws, LAWCX 15standards, MMSEA reporting, internal audits, andcorrective action processes.RFP 64281 Workers' Compensation Claims AdministrationPage 5 of 60
- Commodity Codes
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- NAICS 541611Administrative Management and General Management Consulting Services
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