Amended and Restated Appendix B to Consulting Services Agreement between RTW, Inc. and State Auto Insurance Companies

Summary

This agreement outlines the services RTW, Inc. will provide to State Automobile Mutual Insurance Company and its affiliates, including claims management, nurse case management, medical bill review, medical director services, and alternative return-to-work services. The document specifies the fees for each service and confirms that these services will be provided to the client or its policyholders as agreed. The agreement is effective as of January 1, 2013.

EX-10.35 12 d445577dex1035.htm AMENDED AND RESTATED APPENDIX B TO THE CONSULTING SERVICE AGREEMENT Amended and Restated Appendix B to the Consulting Service Agreement

EXHIBIT 10.35

RTW, INC.

CONSULTING SERVICES AGREEMENT

APPENDIX B

STATEMENT OF WORK – ALL OTHER SERVICES

AMENDED AND RESTATED AS OF JANUARY 1, 2013

RTW shall perform other workers compensation and disability management services for CLIENT or CLIENT’s policyholders as agreed upon by the parties.

Claims Management Services

RTW will provide claims management services for CLIENT or CLIENT’s policyholders on a cost basis for the following types of claims: Incident Only, Medical Only and Indemnity.

RTW’s fees for the following services are as stated below:

 

                                 Nurse Case Management   

Up to $100 per hour

                                 Medical Bill Review   

Actual expense of vendor partner, Coventry, under its then-current agreement

                                 Medical Director   

$275 per hour

RTW PlaceRite

RTW will provide the RTW PlaceRite alternative return-to-work services to CLIENT and CLIENT’s policyholders at a rate of $500 per referral.

 

State Automobile Mutual Insurance Company
State Auto Property & Casualty Insurance Company
Meridian Security Insurance Company
Meridian Citizens Mutual Insurance Company
Milbank Insurance Company
RTW, Inc.
By:   

/s/ Susan Bowron-White

 

Susan Bowron-White, Assistant Secretary