TMF CLAIMS MANAGEMENT - 4700000004

Contract Award Notice ID 4700000004

Publish Date 29-Jun-2020

Category Insurance services

Agency Insurance and Care NSW (icare)

Particulars of the goods or services to be provided under this contract

Professional services to manage TMF claims to achieve the Principal's objectives including minimising Government exposures, reduce claims costs and budget impacts and deliver high quality service to employers following an open RFP as per approved procurement strategy

Original Contract Duration 1-Jun-2020 to 31-Dec-2022

Amended Contract Duration 1-Jan-2020 to 31-Dec-2024

This Contract Award Notice relates to an agreement with 2 other contractor/s; follow links below for details:

Total Contract Period 1-Jan-2020 to 31-Dec-2024

ALLIANZ AUSTRALIA INSURANCE LTD
15 000 122 850
1-Jan-2020 to 31-Dec-2024
$130,000,000.00

QBE Insurance (Australia) Limited
78 003 191 035
1-Jan-2020 to 31-Dec-2024
$142,882,450.40

Contract Award Notice Details

Contractor Name Employers Mutual Limited
Trading Name EML
ACN 000006486
ABN 67 000 006 486
Is an Aboriginal or Torres Strait Islander owned business No
Street Address 321 Kent St 345 George Street
Town/City Sydney
State/Territory NSW
Postcode 2000
Country AUSTRALIA

Related RFT ID
RFP-001/2019

Other private sector entities involved in, with an interest in or benefiting from this contract

TMF Claims Managers - parrallel agreements

Is this a revenue contract? (Is the private sector entity paying the agency?)

Yes

Estimated amount payable to the contractor (including GST)

$0.00 (Goods or services supplied)

Amended estimated amount payable to the contractor (including GST)

$237,000,000.00 (Goods or services supplied)

Any provisions for payment to the contractor for operational or maintenance services

Not Applicable

Method of Tendering

Open

Description of any provision under which the amount payable to the contractor may be varied

Not Applicable

Description of any provisions under which the contract may be renegotiated

Any amendments to the contract must be by way of Deed of Variation.

Summary of the criteria against which the various tenders were assessed

Evaluation Criteria	Weighting
PART 1: Minimum Demonstrable Requirements – extensive experience (5+ years) in providing workers compensation claims management services in NSW; AND/OR - extensive experience (5+ years) in providing workers compensation claims management services to government agencies; AND - have an operational claims technology platform capable of delivering end to end workers compensation claims management services and reporting by the Claims Management Agreement commencement date
PART 2: Compatibility and Capability & PART 3: Scenarios – Respondents were evaluated against the extent to which the response complied with the Statement of Requirements and level to which demonstrates that the Respondent could deliver the Claims Management Services.
PART 4: Pricing – Respondents were evaluated against the extent to which value for money was demonstrated considering the content provided in Parts 2 and 3.
PART 5: Compliance – Respondents were evaluated against their risk profile based on an analysis of the information provided to Part 5 including any references sought and consideration of any publicly available information

Contract Contains Agency 'PiggyBack' Clause

Yes

Industrial Relations Details for this Contract

Name of Sub-contractors (incl. ABN & ACN)

Employers Mutual Management Limited ABN 11 001 735 191
AS White Global Pty Ltd ABN 11 613 463

Applicable Industrial Instruments

Not Applicable

Location of Work

345 George St Sydney
280 Mann St Gosford

NSW Industrial Relations inspectors routinely audit the employment records of contractors and sub-contractors to all NSW Government contracts. The results of these inspections are published on the NSW Industrial Relations website.

Agency Contact Procurement

Street Address 321 Kent St

Town/City Sydney

State/Territory NSW

Postcode 2000

Country AUSTRALIA

Email Address procurement@icare.nsw.gov.au

Other Information

Contract value based on the volume and complexity of claims managed, and a component at risk based on service performance. TCV is an estimate only based on forecasted claims volume.

** URL will be inserted following Legal's review **

Particulars of future transfers of assets to the State, at zero or nominal cost to the State, including the date of their transfer

Not Applicable

Particulars of future transfers of assets to the contractor including the date of their transfer

Not Applicable

The results of any cost-benefit analysis of the contract conducted by the agency

Not Applicable

The components and quantum of the public sector comparator if used

Not Applicable

If relevant, a summary of information used in the contractor's full base case financial model (for example, the pricing formula for tolls or usage charges)

Not Applicable

If relevant, particulars of how risk, during the construction and operational phases of a contract to undertake a specific project (such as construction, infrastructure or property development), is to be apportioned between the parties, quantified (where practicable) in net present-value terms and specifying the major assumptions involved

Not Applicable

Particulars as to any significant guarantees or undertakings between the parties, including any guarantees or undertakings with respect to loan agreements entered into or proposed to be entered into

Financial security required and performance guarantee to be provided on request.

Particulars of any other key elements of the contract

The contract contains clauses regarding the performance of claims management services in order to achieve the WC scheme principles, which includes to promote recovery at work and the health benefits of returning to work. EML is acting as the agent for icare and IfNSW and there is no guarantee of any volume of services or allocation of any particular claims