Los Angeles Unified School District

Owner Controlled Insurance Program(OCIP)

Aristeo Aguilera, CRISOCIP Risk Manager

Boot CampSeptember 2014

Agenda

• LAUSD Background• Owner Controlled Insurance Program (OCIP)• OCIP enrollment process• Insurance Manual• OCIP Claims Reporting protocol• Risk Management contacts

LAUSD Background• 2nd largest school district in the nation

• The District covers 710 square miles

• LAUSD is completing a $19.5 Billion (OCIP II); $1.5 Billion (OCIP III as of 5/1/2013) voter-approved transformation to build new schools, Modernization & Repair phase.

• The District has 1278 schools

• The District has built 129 new schools since 1997

• LAUSD has completed more than 25,000 modernization and repair projects at existing campuses

LAUSD OCIP Insurance Coverage’s (site specific) $500K SIR

LAUSD’s Risk Management department has arranged for the Districts construction projects to be insured under an OCIP; a single insurance program that insures the District, the Board, all enrolled contractors and enrolled subcontractors, and other designated parties for work performed at the Enrolled Project Site(s).

LAUSD’s OCIP is Bond funded through Measures approved:

• BB, R, K, & Y

• Measure Q upcoming

• For both New & Existing projects

LAUSD OCIP Insurance Coverage’s (site specific) $500K SIR (cont)

• Workers’ Compensation (Statutory Coverage) for work related industrial injuries/accidents

• General Liability ($2 Million) bodily injuries / property damage

• Excess Liability ($100 Million)• Contractor’s Pollution Liability ($50 Million)

contamination / spills• Builder’s Risk (deductible – policy governs)

property damaged during the course of construction

LAUSD OCIP Enrollment ProcessAlliant is the LAUSD OCIP Broker and handles enrollments

• Each enrolled contractor shall provide details about themselves and their subcontractors to the OCIP Administrator in order to properly enroll them into LAUSD’s OCIP.

• The contractor and subcontractor must each complete and submit the Alliant “Enrollment Application” form for each and every contract, even if they already have another contract enrolled on the same project.

LAUSD OCIP Enrollment Process (cont.)Upon receipt & completion of all required data, Alliant will issue to the contractor and subcontractor, a certificate of insurance (COI) evidencing coverage in the OCIP. The completed COI and workers’ compensation insurance policy will be provided to each enrolled Contractor and Subcontractor.

•Alliant will provide a welcome letter confirming OCIP enrollment specific to the contract number awarded, referencing the workers’ compensation policy issued.

•Insurance information required by Alliant: 1) workers’ compensation, general liability and automobile for any outside non – LAUSD work, listing LAUSD as additional insured.

•Master Job Order Contracts – Alliant will need Prime contractor award letter, including contract number, School name(s) and certificate of insurance(s).

Contractor and Subcontractor Required Coverage

• Contractors and all Subcontractors are required to maintain coverage to protect against losses that occur away from the Project Site or that are otherwise not covered under the OCIP

• The OCIP places Contractors and Subcontractors into one of two main categories: Enrolled Parties and Excluded Parties• Enrolled Parties must provide evidence of Workers’ Compensation,

General Liability, and Excess/Umbrella Liability insurance for off-site activities and Automobile Liability insurance for both on-site and off-site activities as specified in the Contract. See Section 2 for the definition of Enrolled Parties. Prime Contractors must provide their Certificate of Insurance to Alliant upon enrollment in the OCIP. Subcontractors must provide their Certificates of Insurance to their Prime Contractor.

• Excluded Parties must provide evidence of Workers’ Compensation, General Liability, and Excess/Umbrella Liability, Automobile Liability and Pollution Liability insurance for all activities including both on-site and off-site activities as per the insurance specifications in the Contract. See Section 2 for the definition of Excluded Parties. Prime Contractors and Subcontractors must provide their Certificates of Insurance to LAUSD Attn: Larry Chatman.

OCIP Claims Reporting Protocol

Complete the report / claim is called into ESIS, with: (instructions in distributed claims kits)

1) Project/School site name2) Project/School address3) Employer name4) Prime contractor’s LAUSD contract number5) Employer’s OCIP insurance policy number

Claim Reporting Procedures (1of2)Risk Management OCIP claims oversight

• Receive notice of claim from third party administrator (TPA), job site or blind application

• Confirm Enrollment in the OCIP Program• Confirm scope of work / jobsite listed on policy• Contact the owner authorized representative

(OAR) / general contractor (GC) to confirm the status of the injured worker

• Confirm the DWC1(claim form) and MPN Form B is signed and sent to the claim file

Claim Reporting Procedures (2of2)

• Injured worker is directed to an MPN provider

• Complete a telephone investigation to eliminate red flags (Monday morning or last day before a layoff)

• Secure physical evidence, if necessary• Maintain a working relationship with all

parties approving issues as necessary

Contractor OCIP Claim Reporting Protocol

• Complete the ESIS Express Wrap up claim report received in the claims kit

• You must include the following: • Project school site name

• Project school address

• General Contractors LAUSD contract number

• Employers’ OCIP insurance policy number

• The ESIS reporting number is

• 1-888-709-3644

Claim Packet Includes (WC)• WC LAUSD Insurance Procedures before

and after an injury• The ESIS Wrap Up Report form used for

telephone reporting• The EEs DWC1claim form to be completed

at the time of injury • MPN revised notices and Form B to be

completed by the Injured Worker at the time of injury

• CA employer required posting notices

Claim Packet Includes (GL)

• G.L. LAUSD OCIP Insurance Procedures to be completed before and after an accident

• Report of General Liability Accident Form (ASC-3094 R1) which should be completed and reported by phone to ESIS at 1-888-709-3644 at the time of the accident

04/19/23

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OCIP partners:

Pre-Qual Unit

MPN

Labor Compliance Unit

Claims

Adjuster

Alliant

ContractUnit

Safety

ESISRisk Management

LAUSD OCIP Primary ContactsAristeo Aguilera

OCIP Insurance / coverage’s / general liability / builder’s risk / claims questions

(213) 241-7994

Don Hughes

Workers’ Compensation Supervisor

WC Claims reporting / MPN

(213) 241-2210

Questions