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Correctional Risk Services, Inc. provides inmate medical insurance, administers inmate medical claims, and works to reduce inmate medical costs.
 Correctional Risk
Services, Inc.		      Managing Inmate Medical Costs for
Sheriffs' Departments and County Governments

Request for Formal Proposal
 

Inmate Medical Insurance - Request for Quotation

     (You may use the Tab key to move through fields)
  Your Name:
  Name of Facility:
  Street Address:
  City, State, Zip:
  County:
  Phone  (please include area code):
  Fax  (please include area code):
  E-mail:
  The questions below are based on COUNTY inmates.  Please exclude those inmates you are housing for the state and for whose hospital expenses you are not responsible.
  Average daily inmate population:
  Maximum jail capacity - County:
 

Estimated
percentage
of inmates
kept:

 Under 30 days: %
30 days to 6 months: %
6 months to 1 year: %
Over 1 year: %
Do you contract with a correctional healthcare provider? Yes     No
     If yes, who?
  Do you have discount agreements in place with local hospitals? Yes     No
      If yes, what percent? %
  Do you have discount agreements in place with local physicians? Yes     No
      If yes, what percent? %
  Do you have case management staff to assure proper monitoring of hospital stay? Yes     No
      If yes, who?
  Do you have an on-premise infirmary? Yes     No
  What is the current Sheriff's Dept. budget for inmate medical expenses? $
  How many dollars are currently budgeted for off-site inmate medical care? $
  How many dollars per month are spent on inmate drugs? $
  How many large claims have you had this past budget year?   
  What was the dollar amount of those claims? $
     
  To prevent automated spam, please type the code word into the box below it: coverage

      
 

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Correctional Risk Services, Inc. • 5214 Maryland Way, Ste. 107  • Brentwood, TN 37024
Phone 615/376-6101 • Toll-free 866/345-4554 • Toll-free Fax 877-720-4041
 

 
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