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Intercare Holdings Insurance Services, Inc 5/8/2026
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Intercare Holdings Insurance Services, Inc 5/8/2026
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Last modified
5/8/2026 9:26:44 AM
Creation date
5/8/2026 9:24:25 AM
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Contracts
Contractor's Name
Intercare Holdings Insurance Services, Inc
Approval Date
5/8/2026
End Date
5/4/2029
Department
Finance
Department Project Manager
Bert Cueva
Subject / Project Title
Third Party Claims Administrator
Tracking Number
0005239
Total Compensation
$125,000.00
Contract Type
Agreement
Contract Subtype
Professional Services (PSA)
Retention Period
6 Years Then Destroy
Imported from EPIC
No
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Claims Per <br />DOL - Fiscal <br />Year <br />Total SIR Incurred SIR # of <br />Claims <br />Total Excess <br />Incurred <br />Excess # of <br />Claims <br />Grand Total <br />Incurred <br />Grand Total # <br />of Claims <br />2015/2016 $0 0 $638 2 $638 2 <br />2016/2017 $0 0 $13,399 40 $13,399 40 <br />2017/2018 $0 0 $10,252 34 $10,252 34 <br />2018/2019 $0 1 $11,839 33 $11,839 34 <br />2019/2020 $0 0 $7,812 19 $7,812 19 <br />2020/2021 $0 0 $7,965 18 $7,965 18 <br />2021/2022 $0 0 $6,352 14 $6,352 14 <br />2022/2023 $0 0 $1,215 6 $1,215 6 <br />2023/2024 $0 0 $550 2 $550 2 <br />Total $0 1 $60,022 168 $60,022 169 <br />NOTE: Paid + Reserves = IncurredPage 11 of 13 <br />54
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