Intercare Holdings Insurance Services, Inc 5/8/2026

City of Everett RFP #2026-001 for Third Party Claims Administrator (TPA) Services GENERAL ADMINISTRATIVE FEES – ADDITIONAL TO ADJUSTING FEES *All fee options are subject to the Annual Fee Escalator described above. General Administrative Fee Section – Applicable to each fee option. One-Time Startup Fee $5,000 Annual Administration Fee – billed yearly $5,000 Mileage - Adjuster Current IRS Rate MMSEA Annual Reporting Fee (paid to ExamWorks, billed yearly) One-Time Startup Fee: $800 Annual Fee: $500 Adjuster travel expenses for mediations, settlement conferences, trials; subject to prior approval. Actual CXP access fee (up to 5 users) Included Custom reports, if exceeds three hours and is client specific $250/hour Allocated File Expenses (see attached details) At cost Catastrophic Pricing Current hourly rate Allocated Expenses Typically, allocated expenses are those expenses that are generated by a claim (by outside vendors other than Intercare) that cannot be foreseen nor included in this Contract. These expenses are generally allocated back to the specific claim file for which the cost was incurred and then charged back to the entity whose claim incurred that cost. In most situations these are pass-through costs (with processing fees) for services and/or fees not directly generated by the TPA, but rather by a third-party consultant where the TPA has acted as an agent on behalf of the entity to necessarily outsource services to a third-party consultant and/or miscellaneous fees applicable to the specific claim applied by an outside entity, such as a court or copy services. Below, Intercare has provided a non-exhaustive list of typical allocated expenses. Paid to Intercare CMS reporting costs and fees (ExamWorks) Paid to Others as Authorized by Client Fees of outside counsel for claims in suit, coverage opinions, and litigation, and for representation and hearings or pretrial conferences Fees of court reporters All court costs, court fees, and court expenses Fees for service of process 10