The URL can be used to link to this page

Home My WebLink AboutResolution - 2019-R0298 - Texas Municipal League Intergovernmental Risk Pool - Worker's Compensation - 08/27/2019 Resolution No. 2019-RO298 Item No. 6.24 August 27, 2019 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF "I HE CITY OF LUBBOCK: THAT the City Manager of the City of Lubbock is hereby authorized and directed to purchase for and on behalf of the City of Lubbock, workers' compensation coverage from the Texas Municipal League Intergovernmental Risk Pool, for a premium amount not to exceed $1,250,988.00; and THAT the City Manager may execute any routine documents and forms associated with said coverage. Passed by the City Council this August 27, 2019 DANIEL M. POPE, MAYOR ATTEST: P"Oj��e- Re ecca Garza, City Secr Lary APPROVED AS TO CONTENT: Leisa Hutcheson, Director of Human Resources and Risk Management APPROVED AS TO FORM: Y`�itG e_- Jeff Hartsell,Deputy City Attorney RES.Risk Mgml-Municipal League Risk Pool August Ii,2019 Resolution No. 2019-RO298 Workers' Compensation — Option 2 —Texas Municipal League Insurance Company: Texas Municipal League Intergovernmental Risk Pool Policy Term: 10/1/2019 to 10/1/2020 Coverage: Part One—Workers' Compensation agrees to pay the benefits required under the applicable State's Workers'Compensation Law. Part Two—Employers Liability for work-related injuries or disease other than that which is imposed by a state Workers'Compensation Law. Part Three —Other States in which you have no exposure on the policy inception date, but in which you may have a temporary or future worksite or exposure in during the policy term. If listed, statutory benefits will apply as if the state were listed in Part One; with the exception of excluded states, North Dakota, Ohio, Washington and Wyoming. Coverage Description Limit Employers Liability-Each Accident $1,000,000 Employers Liability- Disease(Policy Limit) $1,000,000 Employers Liability-Disease (Each Employee) $1,000,000 Experience Mod 0.31 Statutory Limits Apply Yes Coverage is not automatic in all states. Please notify us immediately if you begin operations in another state. �, � 55 Premium Adjustments Amount Experience Modifier(0.31) ($3,551,603.00) Fund Discount(20%) ($319,129.00) Paid In Full Discoutn(2%) ($25,530.00) EstimatedTotal Annual PremiumAdjustments $1,250,988.00 Audit Provisions Description Deposit Audit based on Payroll $1,250,988.00 Premiums are calculated based on the insurance company's rules and rates.Premiums shown as advance or deposit premiums are subject to audit and adjustment at the close of each audit period.If the advance premium is less than the earned premium as determined by the audit, the insured pays the difference. If the advance premium is more than the earned premium as determined by the audit,the insurance company returns the difference to the insured. The insured must keep records of the information needed for the audit and the premium calculations and send copies to the insurance company when it requests them. Excluded coverage or other coverages sought may be available: please discuss with USI Other exclusions and policy limitations may apply. Please refer to the actual policies for specific terms, conditions,limitations,exclusions and sublimits that will govern in the event of a loss. ®. � 57 Workers'Compensation Schedule of Exposures—2.5%Payroll Increase State: TX DescriptionEstimated Classification 7539 Electric Light Or Power Co Noc--all Employees&Drivers $14,013,564 8107 Contractors' Machinery Dealer&Drivers $51,302 8810 Clerical Office Employees NOC $27,480,218 0011 Farm: Noc&Drivers $616,242 8810 Counseling Service Inside If Any 3064 Sign Mfg--metal $2,031 4299 Printing-Copying&Duplicating Service $58,895 4511 Analytical Chemist $1,301,215 4519 Exterminator&Drivers $209,203 5190 Traffic Signal Control Installation& Drivers $1,362,749 5506 Street Or Road Construction: Paving Or Repaving&Drivers $1,594,095 7423 Aircraft Or Helicopter Operation:All Other Employees&Drivers $1,685,773 7520 Waterworks Operations&Drivers $5,888,070 7580 Sewage Disposal Plant Operation&Drivers $2,625,844 7590 Garbage Works $899,719 7704 Firefighters& Drivers $33,748,454 7720 Police Officers&Drivers $34,941,759 8107 Heavy Equipment Maintenance $681,118 8601 Engineer Or Architect--consulting $767,745 8742 Tax Appraisers $35,748 8831 Animal Shelter&Drivers $702,734 8833 Hospital: Professional Employees&Clerical $1,242,136 8838 Public Library/museum: professional Employees&Clerical $1,734,899 9015 Buildings--operations By Owner Or Lessee $2,509,377 9101 Public Library Or Museum:All Other Employees $72,899 9102 Park NOC--all Employees&Drivers $2,188,567 9220 Cemetery Operation&Drivers $271,641 9402 Refuse,Ashes or garbage collection &Drivers $2,231,574 9402 Street Cleaning&Drivers $594,692 9040 Hospital: All Other employees If Any 7720 Police Officers&Drivers If Any 7423 Aircraft Ground Support Equipment Repair&Driver If Any 7539 Electric Light Or Power Co Noc--all Employees&Drivers If Any Total Estimated Standard Premium $5,147,250.00 ®, � 56 WBid/Proposal Summary Date:08/01M 19 Proposed Proposed Member Name:Lubbock Effective Date Anniversary Date Member ID:0547 10/01/2019 10/01/2020 Types of Coverage Unit Deductible Annual Mit Contribution Workers Compensation Statutory 501 $1,276,518 TOTAL.ANNUAL: $1,276,518.00 2%Annual Payment Dlscount12: $25,530,36 Total Annual Contribution: S1,250,987.64 Quarterly Payment: $,919,129.50 12.Annual Payment Discount applies If full annual cantrlbuiion is paid within 30 days of the effective date,or receipt of your f rst hill,whichever is later.(The Annual Payment Discount does not apply to pubic officials'bonds or windstorm coverage for Tier 1 members.) Texas Munk�pal League Intergovernmental Risk Pool 1821 Rutherford Lane,Austin,Texas 78754 X104 (512)491-2300 1(800)537-6655 OBM 1/2017 Page 1 of i WOO 1 158 Proposal Acceptance Form T L Workers'Compensation Member Name: Lubbock Member 10: 0547 O rections:This form must be completed,signed and returned.The Interlocal Agreement must also be completed and returned If you are not a current Workers'Compensatlon Fund participant.II time Is of the easence,you may wish to use an express mail service or facsimile copier.In the event you submit these documents by facsimile,the originals must still be returned. Indlaate ratth(X]the coverage®and method of payment that you are accepting.Forward all documents to: Texas Munlclpal League lntoigovemmental Riau Pool Underwrtting Mpartment PO Box 149194 Austin, Texas 78714-8194 Phone:{8001$37-6665 or FAX.,(612)491-2404 Workera'Componsation Coverages Elected: M All Paid Employees Mandaory Outside Vofuntoars Optional M Volunteer Firefighters Optional Q Vo(untear Ambu ance/EMS Optional Police Reserves Optional EX Elected/Apptd Ofilclals-Governing Board Only Optional Eloctsd/Appld Officfafs-Al Boards/Comma Optional Inside Volunteers Optional Police Resarvoa-Motorcycte Oplfonal Deduedblo Options: No Doductlble Contribution as Proposod: $1,276,518 ContrUtion as Accepted: Method of Payment: [ [0-fterly ( l Annualty(2%DISCOUNT) Effective Date: Anniversary Date I,the undersigned,as an authorized representative of: (Name of Poiltical Subdivision do hereby accept on behalf of the above named poillioaf subdivision the portions of the proposal as Indicated above Signature of Authorized Official: Title: Date: The Signed Inter acal Agreement Must Accompany Thta Form Cortnbulion S mambar 10: 0547 fFxcaprlon:Current Warhora'ComponsObn Fund partklpanb Verification: are riot ntqu!2d to submit a new rnhfrlocaI Agreement) ) New RQ awwding A Coverage Texas Municipal League Intergovernmental Risk Pool 1621 Ruthodord Lane,First Floor,Austin,Toxas 78754 W126 (512)491-2300 1(800)537-6655 toto5rtata Page 1 of 1 �._ ( 59