2.03
3.01
3.02
| 4.01
4.02
4.03
Compensation. In consideration for the services set forth herein, Plan Sponsor shall pay PDA the
compensation and applicable re1mbursements as set forth on Exhibit A.
SECTION 3
RELATIONSHIP OF THE PARTIES
2.01
2.02
(d) Staff a processing center with US-based, live-answer staff during the hours of 8:00am —
8:00pm ET, Monday through Friday, and a toll-free number unique to each Plan Sponsor;
(ce) Provide a secure web portal for 24/7 upload of member documents and status of member
verification;
(f) Produce a Report of Findings detailing the result of the verification process and
coordinate a meeting to discuss any relevant recommendations for the Plan;
SERVICE AGREEMENT FOR
DEPENDENT ELIGIBILITY VERIFICATION SERVICES
This AGREEMENT FOR DEPENDENT ELIGIBILITY VERIFICATION SERVICES (this
“Agreement’) is entered into by and between Part D Advisors, Inc., a Michigan corporation (hereinafter
referred to as “PDA”) and the City of Nashua (hereinafter referred to as “Plan Sponsor’) on behalf of
itself and the City of Nashua Health Plan (hereinafter referred to as the “Plan”) and shall be effective as
of December 8, 2020 (the “Effective Date’’).
RECITALS
4. Spanish calls are handled in house and PDA can utilize a 3" party translation service
for live translation at no additional cost.
5. PDA offers a performance guarantee of a maximum 5% of their fee (net of printing
and postage costs). In addition, PDA guarantees a 3:1 return on investment for the city
and will forfeit 10% of the audit fee (net of postage and printing) if the ROt is not
achieved.
The audit will commence with planning, customization and data acquisition the second
igses\ THE CITY OF NASHUA
Administrative Services Division
"The Gate City"
To: Mayor Donchess
Finance Committee
From: Kim Kleiner, Director of Administrative Services
Date: December 29, 2020
Subject: Dependent Eligibility Verification Audit
In October, the city requested bids for proposal thru our consultant, Workplace Benefit
Solutions (WBS), for firms to conduct a Dependent Eligibility Verification Audit on our
medical and dental plans.
THE CITY OF NASHUA
Adwunistrative Services
Purchasing Department
"The Gate City"
December 30, 2020
Memo #21-072
TO: Mayor Donchess
Finance Committee
SUBJECT: Dependent Eligibility Verification Audit in the amount not to exceed $33,000 funded from
Benefits Self Insurance Fund Account 53999 Other Professional Services
Summary
CHANGE IN CONTRACT PRICE:
Original Contract Price
$913,343.24
CHANGE IN CONTRACT TIMES:
Original Contract Times
Substantial completion; NONE
Ready for final payment:
Net changes from previous Change Orders
$17,491.91
Net change from previous Change Orders
NONE
Contract Price prior to this Change Order
$930,835.15
Contract Times prior to this Change Order
Substantial completion: NONE
Ready for final payment:
Net Increase (decreasejof this Change Order
Summary
CHANGE IN CONTRACT PRICE:
Oniginal Contract Price
$913,343.24
CHANGE IN CONTRACT TIMES:
Original Contract Times
Substantial completion: NONE
Ready for final payment:
Net changes from previous Change Orders
$5,953.59
Net change from previous Change Orders
NONE
Contract Price prior to this Change Order
$919,296.83
Contract Times prior to this Change Order
Substantial completion: NONE
Ready for final payment:
Net Increase (deerease}of this Change Order
Summary
CHANGE IN CONTRACT PRICE:
Original Contract Price
$913,343.24
CHANGE IN CONTRACT TIMES:
Original Contract Times
Substantial completion: NONE
Ready for final payment:
Net changes from previous Change Orders
$0.00
Net change from previous Change Orders
NONE
Contract Price prior to this Change Order
$913,343.24
Contract Times prior to this Change Order
Substantial completion: NONE
Ready for final payment:
Net Increase (deereasejof this Change Order
$5,953.59
CO #2 Added Smoke-Heat Detectors $2,322.54
CO #2 Change Tax Office Entrance ($4,963.20)
CO #2 Firestop Assessing Firewall $4,443.32
CO #2 Install Pipe Insulation in Assessing $2,925.46
CO #2 Drywall Changes in Assessing $4,229.60
CO #2 Access Control Changes _ $2,580.60
Total CO #2: $11,538.32
Justification:
All of the above changes were as of a result of unforeseen structural items discovered
during construction.
CO #3 Skim Coat Assessing Area Walls $4,840.27
CO #3 Rooftop Equipment Rails _ $4,220.03
