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Home My WebLink About252882 12/17/15 +or,_F�N'y CITY OF CARMEL, INDIANA VENDOR: 362876 ® l ONE CIVIC SQUARE TRAVELERS CHECK AMOUNT: $****13,064.80* sy >;q CARMEL, INDIANA 46032 13607 COLLECTIONS CENTER DRIVE CHECK NUMBER: 252882 .�iTON�, CHICAGO IL 60693 CHECK DATE: 12/17/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4347500 493956 12,226.80 GENERAL INSURANCE 1205 4347500 494596 3,280.80 GENERAL INSURANCE 1205 4347500 CREDIT -2,442.80 GENERAL INSURANCE TRAVELERS) PAGE 1 THIS ACCOUNT IS SCHEDULED TO GO TO A COLLECTION AGENCY IF PAYMENT IS NOT RECEIVED ON OR BEFORE THE DUE DATE. 14TG2033-ZLP 5216X7087 11/30/2015 000494596 12/15/2015 5,723.60 CURRENT CLAIM#: EYQ7995 DATE OF LOSS: 10/11/2013 DESCRIPTION: PLAINTIFF ALLEGES FALSE ARREST. CLAIMANT: CARL COOPER EXPENSE 3,206.90 CLAIM TOTAL 3,206.90 CLAIM#: E2SO202 DATE OF LOSS: 12/29/2014 DESCRIPTION: EPLI C- THOMPSON, JAMES L JR. EEOC COMPLAINT ALLEGING RETALLIATION DUE CLAIMANT: JAMES L THOMPSON EXPENSE 15.30 - CLAIM TOTAL 15.30 CLAIM#: E4E1787 DATE OF LOSS: 03/07/2014 DESCRIPTION: CLAIMANT ALLEGES THAT POLICE USED AXCESSIVE FORCE CAUSING BODILY INJUR CLAIMANT: LOUIS R PASTORE EXPENSE 58.60 CLAIM TOTAL 58.60 CURRENT CHARGES =$3,280.80 Submitted To DEC 14 2015 rec ISUrL m r] rk TRAVELERS NON-FUNDED DEPARTMENT ONE TOWER SQUARE -9CR HARTFORD, CT 06183 00561 38857 CITY OF CARMEL ONE CIVIC SQUARE CARMEL IN 46032 m m m a m V O O O N O a 0 N TRA ELERS J� V PAGE 2 DEDUCTIBLE / SELF-INSURED INVOICE POLICY -ACCOUNTi 14TG2033-ZLP 5216X7087 11/30/2015 000494596 12/15/2015 5,723.60 ACCOUNT SUMMARY CURRENT CHARGES 3,280.80 INSURED NAME: CITY OF CARMEL,CARMEL CLAY PARKS BUILDIN PAST DUE CHARGES 2,442.80 AGENT NAME: HYLANT GROUP INC UNAPPLIED PAYMENTS 0.00 AGENT PHONE: (317) 817-5000 TOTAL DUE 5,723.60 DISPUTED ITEMS 0.00 ACCOUNT BALANCE 5,723.60 CONTACT YOUR AGENT LISTED ABOVE IF YOU HAVE QUESTIONS RELATED TO YOUR POLICY OR COVERAGE. FOR BILLING QUESTIONS, PLEASE EMAIL DEDUCTIBLE-HELPDESK@TRAVELERS.COM OR CONTACT THE FOLLOWING ACCOUNTING SPECIALIST AT 1-860-277-5812 ANTONIO CONTRERAS TRAVELERS NON-FUNDED DEPARTMENT ONE TOWER SQUARE -9CR HARTFORD, CT 06183 00561 38856 CITY OF CARMEL ONE CIVIC SQUARE CARMEL IN 46032 m m m 0 m a m a 0 0 0 N Q O N TRAVELERS PAGE , THE TOTAL DUE INCLUDES PAST DUE CHARGES. PLEASE REVIEW YOUR ACCOUNT IMMEDIATELY. 303GP64A-810 5216X7087 11/30/2015 000493956 12/15/2015 13,945.68 CURRENT CLAIM#: E3QO215 DATE OF LOSS: 1.0/15/2015 DESCRIPTION: TRAFFIC STOPPED AND IV R/E OV CLAIMANT: JOHN KENNELLY LOSS 6,359.21 CLAIM TOTAL 6,359.21 CLAIM#: E3Q1143 DATE OF LOSS: 11/15/2015 DESCRIPTION: 3 VEH ACC - IV REARENDED OV, STOPPED - OV1 WAS PUSHED INTO OV2 STOPPED CLAIMANT: HARSHA V SUBBAGARI LOSS 5,867.59 CLAIM TOTAL 5,867.59 CURRENT CHARGES $12,226.80 ACCOUNT SUMMARY CURRENT CHARGES 12,226.80 INSURED NAME: CITY OF CARMEL,CARMEL CLAY PAST DUE CHARGES 1 ,718.88 AGENT NAME: HYLANT GROUP INC UNAPPLIED PAYMENTS 0.00 AGENT PHONE: (317) 817-5000 TOTAL DUE 13,945.68 DISPUTED ITEMS 0.00 ACCOUNT BALANCE 13,945.68 CONTACT YOUR AGENT LISTED ABOVE IF YOU HAVE QUESTIONS RELATED TO YOUR POLICY OR COVERAGE. FOR BILLING QUESTIONS, PLEASE EMAIL DEDUCTIBLE-HELPDESK@TRAVELERS.COM OR CONTACT THE FOLLOWING ACCOUNTING SPECIALIST AT 1-860-277-6812 ANTONIO CONTRERAS Submitted 'o )z D 174 Cs� 2)4� 2 g° cA Clerk nsure ' TRAVELERS NON-FUNDED DEPARTMENT ONE TOWER SQUARE -9CR HARTFORD, :CT 06183 00562 38854 CITY OF CARMEL,CARMEL CLAY ONE' CIVIC SQUARE CARMEL IN 46032 v m m m m m m m a 0 0 0 N O Q O O Spelbring, James P - HR From: Lori Hood <Lori.Hood@Hylant.com> Sent: Tuesday, December 8, 2015 1:55 PM To: Spelbring,James P - HR Subject: RE: City of Carmel CARMELO-02 Ok, make sure your accounting takes this into consideration. Thanks Lori Hood—CLCS Senior Claims Specialist 301 Pennsylvania Parkway I Suite 2011 Indianapolis, IN 46280 P 317-817-5153 1 F 317-817-51511 E lori.hood(dhylant.com I www.hylant.com I Nonecure 2a14II�51iRA�Qr.B.� .'' � _ HYLANT9BESl`P�► � '� IFor all the latest information on Health Care Reform,please visit our website at www.hylant.com From:Spelbring,James P-HR [mailto:jpspelbring@carmel.in.gov] Sent:Tuesday, December 08, 201511:10 AM To: Lori Hood Subject: RE: City of Carmel CARMELO-02 I was going off the invoices you had attached. If these have already been paid,we can take the credit out of 000493956 that we just received. From: Lori Hood fmailto:Lori.Hood 0)Hyla nt.com] Sent: Tuesday, December 8, 2015 10:49 AM To: Spelbring,James P - HR Subject: RE: City of Carmel CARMELO-02 So wouldn't this one already be paid. We don't want to send payment for it again! Lori Hood—CLCS Senior Claims Specialist 301 Pennsylvania Parkway I Suite 2011 Indianapolis, IN 46280 P 317-817-51531 F 317-817-51511 E lod.hoodnhylant.com I www.hylant.com I Nonecure IYL� T� BES OWE For all the latest information on Health Care Reform,please visit our website at www.hylant.com 1 From:Spelbring,James P-HR [mailto:ipspelbring@carmel.in.gov] Sent:Tuesday, December 08, 2015 10:48 AM To: Lori Hood Subject: RE: City of Carmel CARMELO-02 We have been paying bills as they come in. From: Lori Hood fmailto:Lori.Hood @Hylant.com] Sent:Tuesday, December 8, 2015 10:47 AM To: Spelbring,James P - HR Subject: RE: City of Carmel CARMELO-02 Have you not paid this one since August? Lori Hood—CLCS Senior Claims Specialist 301 Pennsylvania Parkway I Suite 2011 Indianapolis, IN 46280 P 317-817-51531 F 317-817-5151 1 E Iori.hood(a)hylant.com i www.hylant.com Nozsecure -202AMPOW QiSI .19 9Id5T ' APLACES , NA P HYLANT BE$TW R For all the latest information on Health Care Reform,please visit our website at www.hylant.com From:Spelbring,James P- HR [mailto:ipspelbrinp@carmel.in.gov] Sent: Friday, December 04, 2015 11:37 AM To: Lori Hood Subject: RE: City of Carmel CARMELO-02 487323 seems to be the best one, as it is the same amount. Jim Spelbring Office Administrator City of Carmel Department of Human Resources ipspelbring@carmel.in.gov 317-571-2465 -------- Original message -------- From: Lori Hood<Lori.Hood@Hylant.corn> Date: 12/04/2015 9:42 AM (GMT-05:00) To: "Spelbring, James E" <JSpelbring_na,carmel.in.gov> Subject: FW: City of Carmel CARMELO-02 2 Jim,we have a credit of 2442.80 would you like it applied to a deductible invoice and if so which one? Thanks Lori Hood—CLCS Senior Claims Specialist 301 Pennsylvania Parkway I Suite 2011 Indianapolis, IN 46280 P 317-817-5153 1 F 317-817-51511 E Iori.hood(ftylant.com I www.hylant.com Nozsecure 2aLtIIUMM moi'=A=,' /bYI�r' NT BES�rPLACES For all the latest information on Health Care Reform,please visit our website at www.hylant.com From: Kathy Albain Sent: Friday, December 04, 2015 8:08 AM To: Lori Hood Subject: RE: City of Carmel CARMELO-02 I will process the checks today, but the last time I issued a check the customer did as well and it was sent back which confused Travelers as to why two different people were making payments and they returned the money to us. There are actually three balances, can you enter one more chk1 in the amount of 2,442.80 so I can process all three and let Travelers know the checks are on the way today. Please be sure to advise the customer that we are paying so they don't send additional funds. Kathy Kathy Albain—Agency Accountant 811 Madison Avenue,Toledo Ohio 43606 P 419-259-6085 1 F 419-255-7557 E Kathy.Albain@hylant.com I www.hylant.com 3 Noisecure xcvrrs� � 2013Af, HYLANT For all the latest information on Employee Benefits Compliance,please visit our website at www.hylant.com From: Lori Hood Sent: Friday, December 04, 2015 7:38 AM To: Kathy Albain Ce: Wendi Farling; Rebekah Proctor Subject: RE: City of Carmel CARMELO-02 That may be easiest for you but the client does not want money returned to them. I requested those checks 60 days ago and you have not even discussed with me that they have not been issued yet. We have done it this way for some time if we need to change the procedure then we have to discuss it with the client and the account executive Mike Wells. The insured is probably wondering why is Hylant not paying these bills and keeping this money. Lori Hood—CLCS Senior Claims Specialist 301 Pennsylvania Parkway I Suite 2011 Indianapolis, IN 46280 P 317-817-5153 1 F 317-817-5151 1 E lori.hood(a)hvlant.com I www.hylant.com Nozsecure ® Wi �` � AP YLI�3TIlEsT Pw�� a For all the latest information on Health Care Reform,please visit our website at www.hylant.com From: Kathy Albain Sent: Thursday, December 03, 2015 4:33 PM 4 To: Lori Hood; Wendi Farling Subject: RE: City of Carmel CARMELO-02 Hi Lori, At this time I have not issued the checks for the loss payments as the last check I sent was returned. I would prefer to refund the customer funds and have them make payments on these items. Because we do not invoice these items, it's difficult to keep track of items that have or have not been paid. These are best if they are paid by one person for tracking purposes and for Travelers. Kathy Kathy Albain—Agency Accountant 811 Madison Avenue,Toledo Ohio 43606 P 419-259-6085 1 F 419-255-7557 E Kathy.Albain(oD-hylant.com I www.hylant.com OEM Nusecure JUME At HYLANT To TH BLAD� For all the latest information on Employee Benefits Compliance,please visit our website at www.hylant.com From: Lori Hood Sent: Thursday, December 03, 2015 3:44 PM To: Wendi Farling; Kathy Albain Subject: RE: City of Carmel CARMELO-02 5 Kathy, did you issue checks per my requests as follows? 10/7/15$1718.88 10/6/15 $3294.60 Both of these items are open activities under your name in EPIC. Let me know and I will look at the rest. Lori Hood—CLCS Senior Claims Specialist 301 Pennsylvania Parkway I Suite 2011 Indianapolis, IN 46280 P 317-817-5153 1 F 317-817-51511 E lori.hood(@hvlant.com I www.hylant.com Nonecure 13 2mAQl3T,1B .�r' '_ t HYLANT BE I TO RK 9 N. For all the latest information on Health Care Reform,please visit our website at www.hylant.com From: Wendi Farling Sent: Thursday, December 03, 2015 3:36 PM To: Lori Hood Subject: FW: City of Carmel CARMELO-02 Hi Lori, I'm working from home right now but can you look at this and let me know your thoughts? Thanks. 6 From: Kathy Albain Sent: Thursday, December 3, 2015 3:32 PM To: Wendi Farling Cc: ACONTRE2@travelers.com Subject: City of Carmel CARMELO-02 Hi Wendi, Could you contact The City of Carmel and ask for payment to catch up on the invoices from Travelers. Once in the past I was asked to mail payment using the credits on the customer's accounts, but unfortunately the customer made payment as well and the check was returned. I think it's best if we not make these types of payments on behalf of the customer as I cannot keep track in our system since these are items we have not billed. Travelers is asking for assistance in receiving payment for the balances on the top three invoices attached above. I have all their invoices that Travelers sent me attached along with their payments broke out on the attached spreadsheet from the information Travelers provided. Kathy Kathy Albain—Agency Accountant 811 Madison Avenue,Toledo Ohio 43606 P 419-259-6085 1 F 419-255-7557 E Kathy.Albain(ftylant.com I www.hylant.com 1112 Nozsecure 2nnM t THE BLAD� let HYLANT For all the latest information on Employee Benefits Compliance,please visit our website at www.hylant.com Notice: The contents of this communication are privileged and confidential. If you are not the intended recipient of this transmission,you are hereby notified that distributing, copying, or disclosing this communication, or 7 reliance on the contents thereof, are strictly prohibited. If you have received this communication in error, please notify the sender immediately, then destroy the original and all copies thereof. s VOUCHER NO. WARRANT NO. ALLOWED 20 TRAVELERS 13607 COLLECTIONS CENTER DRIVE IN SUM OF$ CHICAGO, IL 60693 $13,064.80 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 000494596 43-475.00 $3,280.80 1 hereby certify that the attached invoice(s), or 1205 101 000493956 43-475.00 $12,226.80 bill(s) is(are)true and correct and that the 1205 101 12.04.15 43-475.00 ($2,442.80) materials or services itemized thereon for 1205 101 which charge is made were ordered and received except Monday, December 14, 2015 i Cost distribution ledger classification if I claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 11/30/15 000494596 $3,280.80 1205 101 11/30/15 000493956 $12,226.80 1205 101 12/04/15 12.04.15 Travelers Email- Credit- apply to invoice 000493956 ($2,442.80) 1205 101 I I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer