Los Angeles Unified School District
Owner Controlled Insurance Program
(OCIP)
Boot Camp
September 2014
Aristeo Aguilera, CRIS
OCIP Risk Manager
Agenda
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LAUSD Background
Owner Controlled Insurance Program (OCIP)
OCIP enrollment process
Insurance Manual
OCIP Claims Reporting protocol
Risk Management contacts
LAUSD Background
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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:
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BB, R, K, & Y
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Measure Q upcoming
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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 Process
Alliant 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
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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
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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 offsite 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)
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Project/School site name
Project/School address
Employer name
Prime contractor’s LAUSD contract number
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:
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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 1-888709-3644 at the time of the accident
OCIP partners:
Risk
Management
Alliant
ESIS
Safety
Claims
Adjuster
Pre-Qual
Unit
Labor
Compliance
Unit
MPN
18
3/12/2016
LAUSD OCIP Primary Contacts
Aristeo 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