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HomeMy WebLinkAboutResolution - 473 - 2 Agreements - Aetna & HNB - Funds Transfer From TCB For Insurance Plan - 04/10/1980t' ,� RESOLUTION #473 - 4/10/80 DWR:bs BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock BE and is hereby authorized and directed to execute for and on behalf of the City of Lubbock a Split -Funded Group Plan Service Agreement with Aetna, a Banking Agreement with Hartford National Bank, and a Letter to Texas Commerce. Bank authorizing the transfer of funds to Hartford National Bank, a copy of such documents is attached herewith which shall be spread upon the minutes of the Council and as spread upon the minutes of this Council shall constitute and be a part of this resolution as if fully copied herein in detail. Passed by the Council this 10th day of April 1980. ATTEST -i-- - ;Evelyn Gaff a, ity Sec etary- easurer `APPROVED AS TO CONTENT: Tom Witt, Personnel Director APPROVED AS TO FORM: AW. fReagan,�As t. 011ty Attorney LUBBOCK CITY COUNCIL CITY OF LUBBOCK LUBBOCK, TEXAS April 10, 1980 Mr. Tony Wayland, Vice -President Texas Commerce Bank P. 0. Box 841 Lubbock, Texas 79408 Dear Mr. Wayland: The City of Lubbock is in the process of entering into an agreement with Aetna Life Insurance Company to implement a Split Funded Group Plan. One of the requirements of this plan is that Aetna's bank, Hartford National Bank and Trust Company, be authorized to wire or telephone your bank with a request for -funds from our Aetna Insurance Account, number 8-415-2321, and receive those funds the same day as the request. This letter is authorization for Texas Commerce Bank to accept and comply with the requests of Hartford National as noted above. Additionally, we would request that copies of transfers made be sent to our Investment Analyst Gene Brock. Attached is a copy of our banking agreement with Hartford National Bank. Sincerely, Bill McAlister Mayor BM:js Enclosures RESOLU11ON #473 - 4/10/80 BANKING AGREEMENT THIS AGREEMENT by and between City of Lubbock, Texas, herein called City, and Hartford National Bank, herein called Hartford, W I T N E S S E T H: WHEREAS, agreement has been reached with Aetna Life Insurance Company, Hartford, Connecticut, herein called Aetna, whereby Aetna is to act as City's agent in making benefit payments for which City is liable under certain of City's employee benefit plans; NOW THEREFORE THE PARTIES HERETO AGREE AS FOLLOWS: Drafts in payment of these benefits will be drawn by Aetna on bank account number 034-3372 (the Account) at Hartford National Bank and Trust Company (Hartford National). Drafts made payable through the Account are to be presented to Aetna. Subse- quent to Aetna's inspection of the drafts, Aetna will advise Hartford National of the amount to be charged to City. Hartford is to advise City's bank, as designated below, by wire or telephone, to make available to Hartford, on the same day the request is made, sufficient federal funds to cover the total amount of our identified liability for drafts paid, as determined by Aetna. City's designated bank will be under standing instructions from City to accept and comply with such orders from Hartford National. Copies of transfer notices should be sent by Hartford National to City's designated representative as shown below. City understands that Hartford, or such other financial institution with which there is a working agreement, may advance funds to the Account on City's behalf in order to fund payments from the time drafts are presented for payment until the time reimbursement is provided by City's designated bank and City agrees to repay all such advances. Send Copies of Fund Transfer Requests To Name of Representative: Gene Brock Title: Investment Analyst Address: City of Lubbock CITY OF LUBBOCK, TEXAS C By: Title: MAYOR Date: April 10, 1980 ATTEST: - &��_ _� Evelyn Ga fga, City e e ry-Treasurer APPROVED AS TO CONTE C Rod Bouff7, Internal Auditor APPR ED AS TO FORM: David W. Reagan, Ass st City Attorney Send Fund Transfer Request To Tony Wayland Vice -President Bank: Texas Commerce Bank City of Lubbock Account Name: Aetna Insurance Acct. Account Number: 8-415-2321 HARTFORD NATIONAL BANK By: Title: Date: A 151 Farmington Avenue Donald P. Burke M Me Hartford, Connecticut 06156 Secretary Group Division LIFE & CASUALTY April 4, 1980 City of Lubbock Lubbock, Texas 79457 Gentlemen: The Split Funded Group Plan Agreement, GR-SFGP, issued to the City of Lubbock, effective May 3, 1980, provides for iEtna to administer the Contractholder's plan, the benefits of which are described in specified Group Policies, and contains a right for either ,Etna or the City to discontinue the Agreement as specified in such Agreement. This confirms that exercising the right to discontinue the SFGP Agreement has no effect on the rights of either party as provided in the Group Policies. If, for example, a notice was provided by one party or the other to terminate the SFGP Agreement only, termination of that Agreement would not alter or change the terms and provisions of the Group Policies. The Plan would in effect revert to a conventionally insured plan with an appropriate adjustment of the premium rates under the Group Polities. Very truly yours, am�a /a &,,4 - Donald P. Burke, Secretary ,,Etna Life Insurance Company / The ktna Casualty and Surety Company / The Standard Fire Insurance Company • J y RESOLUTION #473 - 4/10/80 ,., AGREE ' This Agreement by and between CITY OF LUBBOCK (herein called the Contractholder) and !E'T'NA LIFE INSURANCE COMPANY (herein called lEtna), WITNESSETH: WHEREAS, the Contractholder has established an Employee Benefit Plan some or all Of the benefits of which are described in certain group insurance policies (here- in called the Group Policies) issued by !Etna and listed in Appendix I; and WHEREAS, the Contractholder wishes to accept liability for payment of such benefits - described in the Group Policies, subject to certain maximum payment limits as de- scribed herein; and WHEREAS, the Contractholder has requested !Etna to serve as its agent with respect to payment of such benefits and !Etna is willing to do so in accordance with the terms of this Agreement; NOW, THEREFORE, it is agreed as follows: 1. This Agreement shall be effective May 39 1980 2. In this Agreement: a) "Plan" means only that portion of the Contractholder.'s Employee Benefit Plan which is described in the Group Policies. b) "Benefits payable to Participants under the Plan" shall mean those benefits for which coverage is described under the Group Policies, including, any extensions of such coverage. c) A."contract year" shall coincide with a policy year as that term is defined in the Group Policies, except that the first "contract year" shall commence with the effective date of this Agreement and the last "contract year" shall terminate up= tcz—_ ination of this Agreement. d) A "contract month" shall coincide with a policy month as that term is defined �,..� in the Group Policies, except that the first "contract month" shall commence with the effective date of this Agreement and the last "contract month" shall terminate upon termination of this Agreement. e) Benefits become "due" upon receipt'by !Etna of dud proof, in accordance with the provisions of the Group Policies pertaining to proof of claims, in sub- stantiation of such claim. f) Benefits become "payable" or "paid" when a draft dzuwn in satisfaction of a claim for benefits that become due has been accepted for payment by the drawee bank and has been reported to !Etna. -2- 3- This Agreement shall apply with respect to the classes of employees and cover- ages designated in Appendix I, and shall apply to all claims of such employees and their covered dependents (herein called Participants) under such coverages with respect to benefits due during the continuance of this Agreement. 4. (a) The Contractholder shall be liable for, and agrees to provide funds suf- ficient to satisfy, all benefits payable to.Participants under the Plan subject to a maximum payment by the Contractholder for all benefits pay- able with respect to Participants under the Plan while this Agreement is in force (hereinafter referred to as the Liability Limit). (b) The Liability Limit for any contract month prior to termination of this Agreement shall be equal to the sum of: (i) the product obtained by multiplying the number of Participants, indicated by Etna'sreeords,on the first day of the contract month by the appropriate Liability Limit Factor set forth in Appendix II, plus (ii) an amount equal to the Liability Limit for the preceding contract month less the amount of benefits actually charged against the Liability Limit in that month, but not less than zero, except that this Item (ii) shall be zero for any contract month which corresponds to the first contract month of a contract year. (c) In no event shall the Contractholder's liability for Major Medical or Com- prehensive Medical Expense Benefits with respect to any Participant exceed #,. the limit set forth in Appendix I, if any. 5. In the event that the Contractholder does not pay benefits under the Plan for which it is liable under this Agreement, )Etna shall arrange for payment of such benefits on behalf of the Contractholder, subject to reimbursement in accordance with paragraph 6 hereof. This paragraph shall not apply to residents of Cali - forma, if any. 6. If any person or organization pays any amount of benefits which is an obligation of the Contractholder hereunder, the Contractholder shall reimburse such person or organization to the extent of such payment, plus any reasonable costs or charges in connection with such payment. In no event shall any such payment by either party to this Agreement, or by any other person or organization, be construed as obliging such party, person or organization to assume any liability of any other party, person or organization for payment of benefits. GR-SFGP 1007 i 7. Fina shall, as agent for and on behalf of the Contractholder: a) make final determination of the amount of benefits, if any, to which a Participant may be entitled under the Plan, in accordance with the terms and conditions describe in'the Group Policies, and b) undertake the defense of any suit brought with respect to any claim for benefits hereunder and settle any such suit when in its judgment it appears expedient to do so. With respect to any benefits payable to residents of California, the Contractholder shall be responsible for the obligations set forth in (a) and (b) above. The Contractholder agrees to pay the amount of benefit payments included in any judgment or settlement to the extent of its liability hereunder. Benefit payments �., made in accordance with the terms of any judgment or settlement shall be considered benefits paid to Participants under the Plan for the month in which such judgment or settlement is satisfied. 8. This Agreement may be terminated by either party on 31 days written notice stating when, after the date of such notice, such termination shall become effective. If the Contractholder fails to provide funds necessary to satisfy its liability here- under, this .Agreement shall terminate immediately upon written notice from Etna to the Contractholder. If any state or other jurisdiction enacts a law or regulation which, as determined by Fina or by the Contractholder, prohibits the continuance of this Agreement, or if existing law or regulation is, as determined by !Etna or by the Contractholder, amended or construed to prohibit the continuance of this Agreement, this Agreement shall ter- minate as to such jurisdiction (a) as of the date such law is determined to be effec- tive, or (b) the date such notice is received by Stna, that the Contractholder has made such determination. 9. Payment of benefits under the Plan shall be by draft drawn by Etna as agent for the Contractholder on a bafA account at Hartford National Bank and Trust Company, Hartford, Connecticut (hereinafter called Hartford National). Such drafts shall be presented by Hartford National to JEtna, who shall advise Hartford National of the amount to be charged to the Contractholder. Hartford National, upon approval of the draft. by Fina, will notify the Contractholder or its designated bank of the amount of the drafts ap- proved by Etna. The Contractholder or its designated bank shall, on the date: of such notice, make available to Hartford National an amount in Federal funds equal to the total -of such drafts. The Contractholder authorizes ]Etna to draw and approve such drafts for the purpose of payment of benefits to Participants under the Plan and agrees to enter into such agreements, and to issue such instructions to its designated bank, as are necessary to effect the terms of this paragraph. �,, GR-SFGP 1009 10. (a) (Etna shall use ordinary care and reasonable diligence in the exercise of its powers and the performance of its duties hereunder, but shall not be liable for any mistake of judgment or other action taken in good faith. (b) Etna agrees to indemnify the Contraetholder and hold the Contractholder harmless against any and all loss, damage and expense Stith respect to this Agreement resulting from or arising out of the dishonest, fraudulent or �.•, criminal acts of Etna's employees, acting alone or in collusion with others. Etna shall maintain Blanket Bond coverage with a limit in reasonable propor- tion to the volume of benefit payments under the Plan. (c) The Contractholder shall furnish a written notice to each employee covered under the Plan who was previously insured by Etna, on the date this Agree- ment becomes effective as to such employee, that the Contractholder is liable for payment of a portion of the benefits under the Plan and that this portion will no longer be insured by Etna Life insurance Company. The Con - f tractholder agrees to indemnify Etna and hold Etna harmless against any and all loss, damage and expense sustained by Etna as a result of any failure by the Contractholder to provide such notice. f� (d) The Contractholder agrees to indemnify Etna and save Etna harmless against any liability with respect to premium taxes (by whatever name called), assessments and penalties incurred by Etna by reason of benefit payments made or services performed hereunder, and any interest thereon. (e) The functions to be performed. by !Etna under this Agreement may, at Etna's discretion, be performed wholly or in part by or through any other organi- zation, uhich is a subsidiary or affil:Late of Etna or under a contract with an organization of its choosing. 11. The Contractholder agrees to furnish to Etna all information which Etna may from time to time require in order to determine if and when the Contractholder's Lia- bility Limit has been reached. The Contractholder shall notify Etna immediately as to any modification of the Plan or of the termination thereof. Etna shall not be responsible for any delay or non-performance of its functions under this Agree- ment which is caused or contributed to in whole or in part by the failure of the Contractholder to timely furnish any required information. 12• The terms and provisions of this Agreement shall be'construed iri accordaner with the laws of the State of Texas. IN WITNESS WEEREREOF, the parties hereto have caused this Agreement to be executed. Dated at LUBBOCK, Texas 4/10/80 CONTRA O C I TY4 F - 880 eT Byt. r, ayor Official Title ATT �� : f Evelyn Gafi:gf, .,City . Secretar}l"-�f asurer GR-SFGP Dated at Hartford, Conn. A=J 1 ?NSURAN�C('PANY By: Secretary Official Title egistrar 1010 43 43 Z V •ri J a° "{-t C � . 1012 a , v cspc,�s a A . m a� b 4-31 w o U '� .° P F-1 O O H ri CH •� O O N d1 Cd N H U eO�1 O a3 H p •ei Z V •ri J a° GR—SMP 1012 APPENDIX II Monthly Liability Eligible Classes of Employees Limit Factor Group Policy No. GC -383629 Under age 65 f^ Employee Basic Medical Regular $25.09 Special 24.75 Major Medical Regular. 3.64 Special 3.64 �^ Dependents Basic Medical Regular 25.65 Special 22.74 �. Major Medical 6.16 Regular Special 6.16 Over Age 65 Employee 14.00 Dependent 14.00 ADDENDUM RETROSPECTIVE PREMUM AGREEMENT Etna Life Insurance Company (Etna) and the City of Lubbock (the Policyholder), in consideration of their mutual interests in establishing a retrospective premium rating arrangement with respect to the coverage designated for ex- perience rating purposes as ERG 383629 (the coverage), agree that a retrospective premium or experience credit shall be determined and due as of the end of each experience accounting period while this Agreement is in force. If Etna's experience accounting statements with respect to such period indicate that the coverage is in a surplus financial position as of the end of the period, the amount of such surplus shall be credited to the Policyholder. If such experience accounting statements indicate that the coverage is in a deficit financial position as of the end of the period, a retrospective premium shall be payable by the Policyholder within 31 days following the date notice of such due premium is provided by Etna. The amount of any such retrospective premium payment shall be the lesser of: a) The amount of the deficit shown in Etna's experience accounting statements, or b) (i) 896 of credited premium and accumulative Liability Limit as shown in such experience accounting state- ments, plus (ii) The amount by which the policyholder's aggregate Liability Limit for that portion of the coverage ad- ministered under agreement form GRA-SFGP effective May 3, 1980 exceeds the amount of claims paid directly by the policyholder and charged against such Liability Limit as shown in such experience accounting. This agreement shall be effective 'May -3,: 1980 and may be terminated by either party on 31 days' written notice to the other party. In the event of termination of this Agreement, the date of such termination shall be deemed to be the end of an experience accounting period. THE CITY UBBOCK: En By By Name Mayor Title Lubbock, Texas Date Place GR -BP -2 Hartford, Conn. Date