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North West Territories Association of Communities

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Title: North West Territories Association of Communities


1
Alberta Urban Municipalities Association
General Insurance Program Customer Service Center
Transition
North West Territories Association of
Communities Board Room 704, Delta Centre Suite
Hotel Edmonton, Alberta January 26, 2006 at 1200
p.m.
Presented by Samantha Garcia, Senior Director,
Service Implementation
2
Agenda Overview
  • Questions to Answer
  • AUMA Who We Are
  • AMSC The Business Corporation
  • Services Provided
  • Service Delivery Models
  • Customers and Owners
  • Due Diligence
  • Service Contracts
  • Meeting Customer Expectations
  • How Do You Manage This
  • How Do You Pay for Everything
  • Lessons Learned
  • Matching Services
  • Standard for Success

3
Questions to Answer
  • What were the reasons for AUMA bringing in client
    service work rather than have the broker perform
    these functions?
  • How is the administration of the insurance
    program structured to fit in with the
    Associations administration and goals for their
    members?
  • What are some of the highlights of taking on this
    new role?
  • What problems did you encounter in the
    development of your plan?
  • What would you have done differently?
  • How did your underwriters and members react to
    the changes?
  • What advise do you have for our group as we take
    on similar responsibilities?

4
AUMA Who We Are
  • Board
  • Governance
  • Committees

5
ABOUT THE AUMA
  • VISION The Alberta Urban Municipalities
    Association is valued by our membership and
    trusted as a voice for urban municipalities.
  • MISSION The Alberta Urban Municipalities
    Association provides leadership in advocating
    local government interests to the provincial
    government and other organizations.
  • 284 Regular voting members, 215 Associate members
    and 70 Affiliate members
  • Represents over 85 of Albertas population
  • Strength in numbers
  • The AUMA has a two-pronged mandate
  • as an advocate for urban Alberta municipalities
    and
  • as a service provider for its members.

6
Alberta Urban Municipalities Association
7
Operational Practice
8
Committee Member Role
  • Networking responsibility
  • Identify and bring issues forward
  • Linkage with AUMA membership
  • Elected and administrative representation with
    various expertise
  • Consensus-based solutions and positions for a
    common voice
  • Focus on both long- and short- term
  • Work on strategic and urgent issues
  • Direct link to the AMSC business plan goals

9
AMSC The Business Corporation
  • Governance
  • Service Expertise
  • Why Aggregated Services
  • Know your customer
  • Growth
  • Niche market
  • Business Plan
  • Competitive to market
  • Customer choice to purchase services

10
About The AMSC
  • VISION The Alberta Municipal Services
    Corporation is valued by our membership and
    trusted as a shared service provider for its
    members.
  • MISSION The Alberta Municipal Services
    Corporation provides shared services that address
    the needs of its membership.
  • 284 Regular members and 215 Associate members of
    AUMA and those eligible for membership are the
    customers that have access to services offered
    through AMSC
  • Aggregated Services
  • Municipal service needs
  • Capacity Building Tools
  • Financial Savings
  • Administrative Process Reductions

11
Service Expertise
  • External service expertise at committee level
  • Specialized service providers with specified
    expertise
  • Consultants with related service expertise

12
Why Aggregated Services
  • Key drivers AMSC considers programs
  • Cost effective
  • Builds better information
  • Customer Service Centre
  • Outsourced
  • Membership owns data
  • Membership governs
  • Marketing unified
  • Contracts managed
  • Customers needs addressed

13
AMSC The Business Corporation
  • Business Plan
  • Sets Strategic Direction
  • Sets Performance Measures and Standards
  • Competition
  • Focus on
  • Bottom Line
  • Customer Service

14
Services Provided
  • Existing
  • Research and Development

15
AMSC Programs and Services Offered
  • Insurance Services
  • MUNIX Reciprocal Property, Liability EO (0
    to 1 MM)
  • AMSC Risk Control Program Credits
    (Admin./Elected/Assoc./ANI)
  • Property Building Valuations
  • Course of Construction
  • Medical Malpractice
  • Excess Liability Property
  • Umbrellas
  • Errors Omissions
  • Auto (includes transit fleet)
  • Standard Garage Auto
  • Non-Owned Auto
  • Crime
  • Environmental Impairment Liability
  • Aviation Liability
  • Additional Named Insured
  • Facility User Group
  • Boiler Machinery
  • Wrap Up Liability
  • Benefits Services (Includes Employee,
    Elected, Seasonal, Volunteer, Contract, Retired,
    etc.)
  • Web based administration software
  • Employee Extended Health Plan
  • Basic, Dependent Optional Group Life
  • Short Term Disability
  • Long Term Disability
  • Voluntary Accidental
  • Basic Accidental Death Dismemberment
  • Death and Dismemberment
  • Group Critical Illness Insurance
  • Extended Health Care (ASO) - Including Vision
    Care and Out of Country Emergency Medical
  • Dental (ASO) (including Adult Orthodontics)
  • Volunteer Fire/Ambulance Personnel
  • Employee Assistance Program (EAP)
  • Retiree Health Dental Benefits (Conversion
    Plus)
  • APEX (Supplementary Employee Pension Program)
  • APEX PLUS (Non-Registered Supplementary Employee
    Retirement Program - SERP)
  • Online Member Access
  • Energy Services
  • Electric Aggregation
  • Gas Aggregation
  • Energy Management
  • Financial Services
  • MuniShare (SAP HR, GL Revenue Systems)
  • Other Services
  • Customer Service Centre
  • Group is Great (Personal insurance Home, Auto,
    Tenants, Boat, etc.)
  • Human Resources Line (HR)
  • Casual Legal Services
  • Computer Purchase Program
  • MOAT (On-line Agenda Tool)
  • Templates
  • Electric Franchise Agreement
  • Gas Franchise Agreement
  • Municipal Access Agreements for Alberta SuperNet
  • Sample Bylaws on the web
  • Environmental Guidelines

16
Potential AMSC Programs and Services(Currently
Being Explored or Developed)
  • Insurance Services
  • Community Groups Policy
  • Expanded AMSC Risk Control Program
  • MUNIX Property, Liability EO Aggregate and Per
    Occurrence Increases
  • Possible inclusion in MUNIX
  • Auto (Property)
  • Crime
  • Boiler Machinery
  • Online Member Access
  • Live Updating Ability
  • Reporting Tools
  • Hole in One Prize Program
  • Benefits Services (Includes Employee,
    Elected, Seasonal, Volunteer, Contract, Retired,
    etc.)
  • Health Spending Account
  • Flexible Benefits
  • Elected Official Supplementary Pension Plan
  • Fire Fighters Supplementary Pension
  • Group RRSP
  • Group RESP
  • Benefits Online Electronic Claims Submission
  • Online Employee Access
  • Home Care Benefits
  • Medical Travel Benefits
  • Energy Services
  • Energy Benchmarking Tools
  • Emissions Trading
  • Power Purchase Arrangements
  • Alternative Energy Sources
  • Green Procurement
  • Other Services
  • Aggregated Legal Services
  • Web-site Templates
  • E-Procurement
  • Web Hosting
  • Telecommunication Access Agreements
  • Telecommunication Aggregation
  • Safety training programs
  • 311 Non-Emergency Municipal Government Services
  • Rental Car Services
  • Vehicle Purchasing Program
  • e-Government
  • One Window
  • Financial Services
  • Member/Employee Mortgage Services
  • Member/Employee Investment Services

Please submit any suggestions or ideas to AMSC
for consideration.
17
Service Delivery Models
  • 100 Outsourcing
  • Example TPA / Energy Aggregation (electricity
    gas)
  • Specific design of contract
  • Three way contract with AMSC as aggregator
  • Contracts
  • AMSC/partner/customer with service standards
  • AMSC/partner with service standards
  • Customer Service Center with Partial Outsourcing
  • Example Insurance Services
  • Specific design of contract
  • Two way contract with AMSC as the provider
  • AMSC/partner with service standards
  • AMSC/customer with service standards

18
AMSC Services Program Management Strategy
19
(No Transcript)
20
Customers and Owners
  • Relationship
  • Service Groups
  • Standing Committees
  • Board
  • Service Standards
  • Customer connections to AMSC/Customer Service
    Center/Partners
  • Unified marketing front customers/partners
  • Customer advisory group
  • Employee mindset
  • Perception of loss of control using a provider
  • Relationship
  • Tie back to service standards
  • Addressing issues as they arise
  • Segregation of Responsibilities within each
    Service offered
  • Hosting
  • Actuary
  • Legal council
  • Governance
  • Claims settlements (4)
  • Corporate
  • Software
  • Adjuster
  • Broker
  • Underwriter
  • Appraiser

21
Principles
  • AMSC will participate in member services market
    reforms where outcomes could affect reliability
    and cost
  • AMSC is committed to creating value for its
    members
  • AMSC will be a strong voice for the interests of
    member services consumers
  • AMSC will support government initiatives to
    improve member services consumer education and is
    committed to participating in local member
    services consumer education
  • AMSC will work with municipal and consumer groups
    on regulatory or interventions, when appropriate
  • AMSC services are by members for members
  • The voice and input of Municipalities help shape
    the direction of the AMSC Service Programs.

22
Due Diligence
  • Critical to Success of the Program
  • Setup
  • New
  • Explore with Customers Issues
  • Business Model to understand potential of the new
    business line, demands and risks
  • Major Investment of members time to determine
    expectations
  • Existing
  • Customer Focus Groups
  • Reports on Business Results to Management and
    Governing Boards
  • Financial
  • Customer Satisfaction
  • Performance Reports
  • Due Diligence process used (next chart)

23
The AMSC Due Diligence Process
AMSC SIGNS ONLY AFTER ALL OF THESE STEPS ARE
COMPLETE
24
Meeting Customer Expectations
  • Implementation Members involved in the
    establishment of the standards and the
    implementation of the service
  • Monitoring Reporting to management and members
  • Payments to providers tied to AMSC satisfied
    deliverables
  • Examples of contract standards
  • Insurance
  • Broker
  • Claims
  • Software
  • Building Valuations
  • Benefits
  • Gas
  • Electricity
  • Service evolutions planning/acting on changes
    to services (i.e. legislative) and having
    additional options available to provide
    alternative services through amending bylaws,
    management processes, contract amendments,
    calling each participant directly and
    communicating
  • Communication
  • Customer/Partner aware when transitions occur
    (i.e. partner)
  • Knowledge sharing
  • Customer Issue/resolution sharing where affects
    participants

25
AMSC Workshops Education Session
  • AMSC Regional Billing Education Sessions
  • Feedback
  • Survey to improve for next time
  • AMSC Quarterly Member Service Dialogue Session
  • Suggestions
  • Topics
  • Locations
  • Timelines
  • Introducing Virtual Meeting and Training Sessions

26
Service Contracts
  • Set Business Requirements
  • RFP
  • Negotiations (convert Customer expectations into
    performance measures)
  • Non-compete
  • Arbitration
  • Termination clause
  • Partnership support
  • Conventions
  • Tradeshows
  • RFP responses
  • Service Standards
  • Basic standards
  • Transitional standards
  • Set standards
  • Pricing
  • Kill clause
  • Examples of clauses (pull right from contracts)
  • MuniShare
  • Customer expectations

27
RFP
  • Independent consultant used to facilitate RFP
    process which cannot respond
  • Building the RFP containing
  • Current Service Delivery
  • Objectives and Overall Structure
  • Overall Services
  • Specific Services being RFPd
  • Operating Principles
  • 2 Program Requirements
  • 2.1 General and Program Principles
  • 2.2 Program Requirements and Key Activities
  • 3 Selection Process
  • 3.1 Qualification Statement
  • 3.2 Evaluation Criteria and Selection Process
  • 3.2.1 Qualifications
  • 3.2.2 Service Delivery
  • 3.2 3 Interviews and Presentations
  • 3.2 4 Competitive Negotiation
  • 3.2.5 Schedule, 2005
  • 3.2.6 Proposal Format and Submission

28
Contract Standards Implementation Example

Implementation workplan for new service with
timelines, accountabilities and related projects.
Further details behind each project are also
critical during an implementation.
29
Contract Standards ExampleThird Party
Administrator Administration
  • Identity of Service Provider
  • The Services are to be provided under the
    identity of Alberta Municipal Services (AMS) a
    division of AUMA, until such time as AUMA advises
    the Services are to be provided under the
    identity of Alberta Municipal Services
    Corporation, a corporation owned by AUMA. In the
    event the Services are to be provided by Alberta
    Municipal Services Corporation, AUMA will then
    assign the Contract to Alberta Municipal Services
    Corporation.
  • Scope of Services
  • The scope of Services set out herein are
    established to the best of the knowledge of the
    parties at the time of execution of the Contract.
    The parties acknowledge that the scope of
    Services may change materially during the Term at
    the request of either party. Any change in the
    scope of Services shall be determined under GC
    2.8-CHANGE IN SCOPE OF SERVICES.
  • Requirements Relationship Management
  • The Contractor will
  • maintain primary responsibility for the sale of
    general insurance and benefit Services
  • establish, maintain and staff a telephone, fax
    line and email address for purposes of a Help
    Desk, to receive and respond to all Member
    inquires on the general insurance and benefits
    programs administered by the Contractor
  • further establish, maintain and staff a web-based
    process for the provisions of general information
    relating to the general insurance and benefits,
    and to receive and respond to all Member
    inquires, requests, and changes
  • undertake client visits for both General
    insurance and Group Benefit program Members in
    accordance with the following schedule
  • Clients Type Loss Prevention
  • Up to 2,000 population PrR Audit if required
  • 2,000 to 10,000 population PrR, PoR Audit if
    required
  • 10,000 to 25,000 population PrR, PoR, SC Audit if
    required
  • Above 25,000 PrR, PoR, SC, SC Audit if required
  • (PrP) Prior to Renewal Call - Review and update
    values, obtain other renewal and membership
    information as required, review upcoming renewal
    changes with client, review of outstanding
    claims, complete Loss Control Inspection report.
    Complete Loss Prevention Audit if required
  • (PoR) Post Renewal Call - Review renewal issues,
    deliver any outstanding documentation, deliver
    and review Summary of Insurance, review of
    outstanding claims, complete Loss Control
    Inspection report. Complete Loss Prevention
    Audit if required
  • (SC) Service Call - Review outstanding issues.
    Review and update current coverage, values, etc.
    Review outstanding claims. Complete Loss
    Prevention Audit if required
  • provide General Insurance and Employee Benefit
    articles for the "Urban Perspective" newsletter
    or alternative vehicle for each issue as
    requested by AUMA, or as deemed appropriate by
    the Contractor

30
Contract Standards ExampleThird Party
Administrator Sales and Marketing
  • Requirements Sales and Marketing
  • The Contractor will
  • attend each of the AUMA annual and regional
    Conventions. Such attendance will include a
    booth at the Trade Fair area of each convention,
    at the Contractors own cost and expense
  • make use of planned AUMA Seminars to deliver
    Insurance information to Members where
    applicable, with written information and personal
    attendance
  • develop an overall strategic Marketing Plan in
    conjunction with AUMA and with AUMA's Broker as
    required or directed by AUMA. The first
    Marketing Plan shall be submitted to AUMA within
    six (6) months of the date of the commencement
    date of the Contract
  • develop and implement a detailed Sales plan which
    will include the following
  • Identification of both General Insurance and
    Group Benefit program prospects and grouping them
    into categories A, B, and C according to size and
    potential
  • Emphasize cross selling to existing Benefits or
    General insurance program members
  • Make telephone calls and/or electronic contact
    with prospects providing details and advantages
    of the programs
  • Supply all proposed collateral sales material to
    AUMA for approval and production
  • Maintain and update active prospect database and
    collaborate with AUMA on the utilization of a
    common CRM (Customer Relationship Management)
    application
  • Make on site visits as per attached schedule
  • Prospects Type
  • Category A PC
  • Category B PC, SSC
  • Category C PC, SSC, PD
  • PC Prospect Call General sales call, supply
    information and get commitment to compete
  • SSC Specific Sales Call Specific sales call,
    outline program advantage, review program
    highlights and demonstrate technology interface

31
Contract Standards Example Third Party
Administrator Administration and Data Management
  • Requirements General Insurance Program and
    System
  • The Contractor will
  • issue routine coverage documents including cover
    notes, and full copy policies of insurance
    certificates, endorsements, pink cards, and
    statements of coverage as required
  • distribute, track, and collect application forms
    and other requests for underwriting information
  • receive initial claims reports from clients,
    report claims to control adjuster, and track the
    claims progress
  • maintain appropriate accounting systems,
    processes and practices in the provisions of
    administrative services, including without
    limitation, premium invoicing and collection, and
    payables / reconciliations to AUMAs Broker and
    AUMA directly
  • maintain and manage comprehensive administration
    database information available and accessible
    through the world wide web, including without
    limitation insured values, underwriting
    information, equipment schedule and vehicle
    schedules, and loss control information
  • issue and update general insurance manual on an
    annual basis
  • maintain the integrity of the rating system and
    modify the rating system as appropriate in
    collaboration with AUMA, its Broker / Insurer,
    and any other service provider to AUMA
  • identify and recommend to AUMA changes to the
    system as required.
  • Requirements Employee Benefits Program and
    System
  • The Contractor will
  • develop and maintain a comprehensive
    administration database, and add and delete
    Members and their coverages on an on-going basis
  • collect premiums, reconcile accounts, and deposit
    premiums to the account or accounts specified
  • assist and provide guidance to program members on
    employee claims, and follow-up on employee
    claims
  • issue Employee Benefits manuals to each Member on
    an annual basis
  • issue employee coverage statements to employees,
    or make such statements available online on an
    annual basis
  • implement benefit programs for new customers and
  • subject to any requirements for confidentiality,
    interface and exchange information with AUMAs
    Benefits Underwriters or consultants.

32
Contract Standards ExampleThird Party
Administrator Reporting Requirements
  • Reporting Requirements
  • The Contractor will
  • provide to AUMA monthly financial statements of
    all programs including MUNIX, and including a
    monthly statement of income and expenses for each
    program
  • provide to AUMA a monthly written and verbal
    Management Report to the Membership Services
    Committee of AUMA or alternate committee,
    containing the following information
  • the status of current General Insurance and
    Employee Benefits program
  • update of claims experience on the program
  • sales and marketing activities for the period
  • a review and update of operational issues,
    activity levels for the period, comparisons of
    activity to available benchmarking information,
    and follow ups done
  • client service visits and issues arising out of
    any visits
  • current information on the loss prevention and
    control program
  • any update and review on current ALARIE issues
  • any other information requested by AUMA, the
    Members Services Committee of AUMA or its
    alternate committee.

33
Contract Standards ExampleThird Party
Administrator Management Of Responsibilities of
the Contractor
  • Designation of Management
  • It is acknowledged that the unique and evolving
    character of this service arrangement requires an
    effective relationship between the parties
    characterized by continuous dialogue, a shared
    vision, commitment to consumer service, and
    timely problem solving ability.
  • To fulfill its responsibility for the effective
    management of the relationship on a daily basis,
    and notwithstanding the authority of the Guardian
    Director as stated in the GC 2.1 AUTHORITY, the
    Contractor designates the Manager of the Edmonton
    office to be primarily accountable to AUMA for
    the delivery of the Services on a daily basis,
    and in particular for
  • Sales planning and execution
  • Issue resolution
  • compliance with service levels and standards
  • performance reporting on a monthly and annual
    basis.
  • The designation of the Manager of the
    Contractors Edmonton office does not preclude
    the use and involvement of other Contractor staff
    in the performance of the Services.

34
Contract Standards ExampleThird Party
Administrator Service Standards
  • Standards Administration and Sales
  • The Service Standards to be maintained by the
    Contractor are as follows
  • the Help Desk is to be staffed from 830 am to
    430 pm Alberta time during each Business Day
  • responses to inquires from Members, clients,
    Underwriters, Insurers, or AUMA, to be made not
    later than the close of the next Business Day
  • Database updating current within one Business
    Day (data requiring entry by AMS staff or
    validation of customer updates via the web)
  • Back-up off site daily for applications hosted by
    the Contractor
  • Issuance of invoices for Benefits Program
    monthly
  • Issuance of invoices for General Insurance
    Program quarterly
  • payments to be posted within one Business Day of
    receipt
  • Monthly statements to be prepared by the fifth
    Business Day of the following month
  • identify claims no later than the next Business
    Day
  • prepare an annual Marketing plan by October 1 of
    each year for the next ensuing year for approval
    by the Member Services Committee of AUMA or
    alternate committee designated by AUMA
  • conduct client visits and prospect visits as per
    schedules. The Contractor may combine such
    visits at its discretion
  • complete and submit the monthly Management
    Reports five Business Days prior to monthly
    Membership Services Committee meeting
  • conduct, complete, compile and submit the annual
    client satisfaction survey by March 31 of each
    year in the form approved by AUMA.

35
Contract Standards Non-Compete Example
  • Non-Competition
  • During the Term and for a period of one (1) year
    immediately following the termination or expiry
    of this Agreement, as the case may be, ABC
    Company shall not, individually or collectively,
    directly or indirectly, in partnership or jointly
    with any party or in conjunction with any person
    or persons, including, without limitation any
    individual, firm, association, syndicate,
    affiliate, company, corporation or any other
    business enterprise (any of which are hereinafter
    called a "person"), as principal, agent,
    shareholder, or in any other manner whatsoever,
    carry on or be engaged in or be concerned or have
    a financial interest in, lend money to, guarantee
    the debts or obligations of or authorize its name
    or names to be used or employed by any person for
    the purpose of
  • providing any services or carrying out any work
    which work or services are the same or similar to
    any part of the Services in the Province of
    Alberta or
  • tendering a bid or submitting a proposal for
    carrying out work or providing any services which
    work or services are the same or similar to any
    part of the Services in the Province of Alberta,
    directly or indirectly, for and on behalf of
    AMSC, the AUMA or any Member, which work or
    services are the same or similar to any part of
    the Services.
  • ABC Company acknowledges and agrees that any
    contravention by it of this Article will cause
    AMSC and/or the AUMA harm which cannot be
    compensable by monetary damages alone and,
    accordingly, in addition to any other remedy
    available, AMSC, on its own behalf and/or on
    behalf of the AUMA shall be entitled as a matter
    of right to seek immediate injunctive relief
    restraining the contravening Party from
    committing or continuing to commit such breach.
  • ABC Company acknowledges and agrees that the
    restrictions set forth in this Agreement and
    imposed upon it are reasonable in all respects,
    are valid and are enforceable against it and
    further
  • acknowledges and agrees that AMSC and AUMA would
    not have entered into this Agreement unless it
    had agreed to be bound by the foregoing
    restrictions and therefore, that all the
    restrictions imposed upon it herein are of
    significant value to AMSC and AUMA and
  • Acknowledges and agrees that the restrictions
    imposed upon it herein are necessary to protect
    the legitimate interests of AMSC and AUMA and any
    violations of such restrictions will result in
    immediate and substantial irreparable injury to
    AMSC and/or AUMA.
  • Notwithstanding the above clauses, should ABC
    Company have ABC Consulting business with a
    Member prior to the date of this and previous
    agreements, ABC Company will be allowed to
    continue the arrangement.

36
Contract Standards Dispute Resolution
  • Unless specifically described herein to the
    contrary, the following provisions shall apply to
    the resolution of conflicts between the parties
    as they arise (the fact that some provisions in
    this Agreement refer specifically to this Section
    8.2 for dispute resolution shall not derogate
    from the application of this Section 8.2 to other
    conflicts hereunder)
  • ABC Company and the AMSC agree to utilize all
    reasonable efforts to resolve any dispute,
    whether arising during the Term or at any time
    after its expiration promptly and in an amiable
    manner by negotiations between the parties.
    Conflicts should be resolved by the individuals
    closest to the issues provided that such
    individuals have the actual authority to
    implement such resolution
  • ABC Company and the AMSC shall continue to
    perform their respective obligations during the
    resolution of any dispute or disagreement,
    including during any period of mediation and
    arbitration, unless and until this Agreement is
    lawfully terminated or expires according to its
    terms
  • either party may refer any dispute to, on behalf
    of ABC Company, a representative designated by
    ABC Company and on behalf of the AMSC, the CEO.
    These individuals shall meet as soon as is
    reasonably possible after a dispute is referred
    to them, giving due regard to the nature and
    impact of the issue under consideration
  • if a dispute cannot be resolved by the designated
    representative and the CEO within a time period
    that is satisfactory to the party raising the
    issue under consideration, that party may refer
    the dispute, in the case of the AMSC, to the CEO
    and in the case of ABC Company, to the ABC
    Company Representative. These individuals shall
    meet as soon as is reasonably possible after the
    dispute is referred to them, giving due regard to
    the nature and the impact of the issue under
    consideration
  • if a dispute cannot be resolved by the CEO and
    the ABC Company Representative by mutual
    agreement within a time period that is
    satisfactory to the party raising the issue under
    consideration, that party may submit the dispute
    for mediation. Either party may, on notice to
    the other party, request that mediation takes
    place and request that the Edmonton, Alberta
    offices of Deloitte Touche, LLP Chartered
    Accountants select a mediator whose
    qualifications are appropriate to the matter to
    be mediated. The mediator shall designate a
    place for a meeting of the mediator with
    representatives of the parties. During the
    duration of the mediation process, no action will
    be taken by either party to commence or continue
    arbitration proceedings under this Agreement.
    The cost of the mediator will be equally shared
    by the parties. Any mediation that takes place
    will be strictly confidential. No proposal or
    concession made by a third party in the course of
    mediation may be used by either party in any
    subsequent proceedings. The mediator may not be
    called by either party as a witness in any
    subsequent proceedings
  • should mediation fail to result in a resolution
    of the dispute between the parties within fifteen
    (15) days after the parties initially attempted
    to mediate the dispute, either party may submit
    the dispute for arbitration as provided in
    subsection (g) below. The determination arising
    out of the arbitration process shall be final and
    binding upon the parties, provided however, that
    in the event that the dispute has not been
    resolved through the arbitration process as set
    forth in subsection (f) within sixty (60) days of
    a party giving notice nominating one arbitrator
    as set forth in paragraph (i) of subsection (g),
    any party at any time thereafter, but prior to a
    determination being made by the arbitrator(s)
    shall have jurisdiction to have recourse to the
    Courts of Alberta having jurisdiction for the
    determination of the dispute, and upon the
    commencement of any action for such purpose, the
    jurisdiction of the arbitrator(s) in respect of
    such dispute shall cease
  • arbitration shall be conducted in accordance with
    the following terms
  • the party desiring arbitration shall nominate one
    (1) arbitrator and shall notify the other party
    in writing of the nomination. The notice shall
    set forth a brief description of the matter
    submitted for arbitration. The other party
    shall, within ten (10) days after receiving such
    notice, nominate an arbitrator and the two (2)
    arbitrators shall select a chairman of the
    arbitration tribunal to act jointly with them.
    The parties will act reasonably and in good faith
    to select arbitrators who are objective and who
    are suitably qualified by education or
    professional experience to deal with the matters,
    which are the subject of the arbitration. If the
    nominated arbitrators are unable to agree on the
    selection of a chairman within ten (10) days
    after the second arbitrator is nominated, the
    parties or either one of them may apply to the
    Alberta Court of Queens Bench to have the
    chairman appointed
  • if the party receiving the notice of the
    nomination of an arbitrator by the party desiring
    arbitration fails within ten (10) days to
    nominate an arbitrator, then the arbitrator
    nominated by the party desiring arbitration may
    proceed alone to determine the dispute in such
    manner and at such time as he shall think fit and
    his decision shall, subject to the provision of
    this Agreement, be binding upon the parties
  • any arbitration conducted pursuant to this
    Agreement shall take place in the City of
    Edmonton and, subject to the provisions of this
    Agreement, the decision of the arbitrators and
    chairman, or any of two (2) of them, in writing,
    shall be binding upon the parties both in respect
    of procedure and the conduct of the parties
    during the proceedings and final determination of
    the issues. Any written award or decision of the
    arbitrators shall not repeat or recite any
    evidence which is proprietary or confidential to
    either party
  • notwithstanding the foregoing, any arbitration
    may be carried out by a single arbitrator if the
    parties so agree, in which event the provisions
    of this Section shall apply, mutatis mutandis
  • the costs of arbitration shall be borne by the
    parties as may be specified in the arbitrators
    decision and
  • except as modified herein, the provisions of the
    Arbitration Act (Alberta) as amended from time to
    time, shall govern the arbitration process.

37
Contract Standards Termination Example
  • Termination
  • This Agreement may be terminated by either party
  • immediately upon written notice to the other
    party in the event of the occurrence of an Event
    of Default with respect to the other party or
  • on ninety (90) days written notice to that effect
    given to the other party, and, if this agreement
    continues with the consent of both parties beyond
    its termination date, being June 30, 2010, it
    shall thereafter be considered to be a month to
    month contract, with all terms and conditions to
    apply mutatis mutandis.
  • Termination of this Agreement pursuant to the
    provisions of this Section 7.1 shall not limit in
    any way the recourse to any remedies available to
    any party at law, equity or otherwise.
  • Repayment upon Termination
  • The AMSC shall have no liability of any nature
    whatsoever to ABC Company for any losses or
    damages suffered or sustained, either directly or
    indirectly, by ABC Company including, without
    limitation, loss of profit, as a result of the
    termination of this Agreement.
  • In the event of termination of this Agreement ABC
    Company shall perform the Services up to and
    including the date of termination.
  • Rights and Obligations on Termination
  • Upon the termination of this Agreement and in
    addition to the other obligations of ABC Company
    as set forth herein, ABC Company shall, at its
    sole cost
  • immediately relinquish the role of administrator
    of the group, home and auto insurance services
    available to the Members as contemplated herein,
    and cease all solicitation of business under the
    representation that is doing so as part of an
    AMSC sponsored program.
  • deliver to the AMSC, as soon as reasonably
    possible, a written report detailing the
    performance of the obligations of ABC Company
    pursuant to the Agreement up to and including the
    effective date of termination
  • subject to Section 7.4 herein, immediately and
    unconditionally deliver to the AMSC all Work
    Product in the possession or control of ABC
    Company, its employees or subcontractors and
  • Subject to Section 7.4 herein, promptly and
    unconditionally return or cause to be returned to
    the AMSC, as the case may be, all data, property,
    documentation and other materials supplied by or
    at the direction of the AMSC to ABC Company or to
    any of its employees, agents or subcontractors.
    Further, ABC Company shall not and shall cause
    all of its employees, agents and contractors to
    not, as the case may be, thereafter utilize any
    of such property, documentation and materials or
    any reproduction of all or any portion of same in
    any manner whatsoever. This section will not
    apply to information that is considered private
    policyholder information as contemplated by the
    Insurance Act of Alberta.
  • immediately send a notice to each plan
    participant outlining that there is a new service
    provider, and directing each plan participant to
    the new service provider. Also, any renewals
    which may be received by ABC Company after
    termination shall also be sent a notice as
    provided herein.
  • The obligations of ABC Company as set forth in
    Section 7.3 (c) and (d) are subject to the
    proviso that ABC Company may retain copies of
    documents that may contain Confidential
    Information which are necessary for the conduct
    and proper record keeping of ABC Companys
    business in accordance with standard operating
    procedures or applicable law.

38
Contract Standards Partnership Support
  • Obligations of ABC Company
  • ABC Company shall
  • perform the Services in accordance with and
    subject to the terms and conditions contained in
    this Agreement
  • exercise the degree of care, skill and diligence
    normally used in performing services of a similar
    nature to the Services
  • shall cause all work done in performing the
    Services under this Agreement to
  • be performed in accordance with the description
    of the same as described in the ABC Company
    Proposal
  • be supervised and carried out by competent and
    qualified personnel
  • be performed to AMSC's satisfaction, acting
    reasonably and
  • comply with the requirements of this Agreement
  • at its sole expense, rectify or cause to be
    rectified, as the case may be, any defects or
    errors in the provision of the Services as
    specified from time to time by AMSC, acting
    reasonably
  • make the ABC Company Representative reasonably
    accessible by AMSC at all times when the Services
    are being performed. The ABC Company
    Representative shall provide senior level input
    into the ongoing management and provision of the
    Services and will also provide AMSC with a direct
    and continuous link into the senior levels of ABC
    Company and shall help ensure the quality and
    delivery of the Services in accordance with the
    terms and provisions of this Agreement
  • become an affiliate member of the AUMA and
    maintain such standing during the Term of this
    Agreement
  • actively participate in and be a sponsor of the
    annual AUMA Convention

39
How Do You Manage This
  • Day to day basis
  • Reporting (examples Adjuster, Broker, etc.)
  • Written
  • Verbal
  • Electronic
  • Customers
  • Expectations
  • Needs
  • Complaints
  • Requests
  • Role of Project Manager
  • Implementation
  • Management of Customer Service Center
  • A Customer Representative when a Services goes
    wrong

40
Management Report Senior Director Example
41
Management Report Director Example
42
Management Report Outsourced Provider Example
43
How Do You Pay for Everything
  • Service Cost
  • Aggregation driving cost down
  • Management cost to administer
  • Overall lower pricing
  • Better standards
  • Improved services
  • Enhancements to basic service (i.e. risk
    management, building valuations)
  • Service Cost to Participants
  • All cost factors considered
  • Aggregate fee to participants based on
    participants profile (ie individual options
    chosen, claims ratios, usage,)

44
Transitional Plan
  • Communication Plan
  • Post Board
  • During transition
  • Post transition
  • Performance and improvements over next year
  • Partner advisement
  • Underwriters
  • Brokers
  • Adjusters
  • Legal
  • Member advisement
  • Independent review
  • Implementation plan and timeline
  • Staffing levels
  • Service levels
  • Insurance Agency requirement
  • Underwriter Sponsorship requirement
  • Corporation setup
  • Infrastructure requirements
  • Space
  • Furniture
  • Computers and systems
  • Phone and systems
  • Staff recruitment process
  • Administrative
  • Financial
  • Licensed Professional Insurance Experts

45
Lessons Learned
  • Ability to remove person
  • Report on issues
  • Tracking Service Standards
  • Surveys
  • Customer Focus Groups
  • Drive Technology Changes
  • Communication
  • Partners
  • Members
  • Contracts
  • Ability to address problem partners without long
    term termination
  • Standards
  • Performance measures
  • Monitoring
  • Customers
  • No news is not always good news
  • Customer service center
  • Take care of those who already participating
  • Use feedback to improve/change services
  • Get them involved in the processes
  • Software
  • Building valuations

46
Matching Services
  • AUMA/AMSC trust
  • Customer experience if bad affects all trust in
    all areas including advocacy beyond the service
    which created the issue

47
Standard for Success
  • The Customer is the owner and they ultimately set
    the expectations in the contracts and meeting
    those creates success in your services and
    ultimately your success as well

48
  • THANK YOU
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