HomeMy WebLinkAboutResolution - 2016-R0332 - Purchase - TX PSWCJSI Fund - Workers Comp Coverage - 09/22/2016Resolution No.2016-R0332
Item No.6.16
September 22,2016
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE 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 Political Subdivisions Worker's Compensation Joint Self-Insurance Fund,
for a premium amount not to exceed $1,565,047.00;and
THAT the City Manager may execute any routine documents and forms associated
with said coverage.
Passed bytheCity Council this September 22,2016
DANIEL M.POUE,MAYOR
ATTEST:
Rebecca Garza.City Secretary
APPROVED AS TO CONTENT
Leisa HutcHeson,Director of Human Resources
and Risk Management
APPROVED AS TO FORM:
JeffHaitt'sell,Chief Litigation Attorney
sj/RES.Risk Mgmt-Workers Compensation
September 7,2016
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Workers' compensation and employer's liability
Named insured:
City of Lubbock
Insurance carrier:
Carrier name Texas Political Subdivision (TPS)— Admitted
A.M. Best rating: N/A as of TPS is a joint self- insurance fund
Policy number:
TBD
Policy term:
October 1, 2016 to October 1, 2017
Premium:
$ 1,565,o47
Workers' compensation
State law requires most employers to provide workers' compensation insurance
coverage:
for employees. Benefits are paid to employees who suffer work -related injury. Lost
wage benefits may be paid in addition to medical expenses, which can include
permanent disability or disfigurement.
Employer's liability
Protects your business in the event you are sued by an employee or his/her family
coverage:
as a result of a work -related injury.
States covered:
A. Part One of the policy applies to the workers' compensation law of the states
listed in the attached schedule.
B. Other states insurance as provided by part three of the policy applies to the
following states:
Workers' compensation
Limits:
Texas Statutory — Coverage A
Employer's liability
Limits:
$ t,000,000 Bodily injury by accident —each accident
$ 1,00o,000 Bodily injury by disease —each employee
$ r,000,000 Bodily injury by disease —policy limit
Deductibles:
$ o Medical, Indemnity or Both (other)
Premium basis:
$ 132,470,014 Estimated Annual Payroll
Experience mod:
•95
Terms and conditions:
As per Texas statutory workers compensation law
Elected Officials:
Included
Audit:
Auditable
Note: If you have work on the effective date of the policy in any state not listed in the
payroll schedule, coverage will not be provided unless the carrier is notified within
3o days. You must also notify us at once if you begin work in any state listed in
part "B" under states covered above.
Rating: Please see attached TPS quote
This proposal is merely a descriptive summary of coverage provided by the insurance companies being proposed and should be used for reference
purposes only. This is a quotation of coverage only. It is not a binder. This proposal does not amend or alter the insurance contract.
Please refer to the policy contract for specific terms, conditions, limitations, and exclusions.
Proposal date: 9/6/2016 Prepared for City Of Lubbock
Confidential. m 2016 Wells Fargo Insurance Services USA, Inc. All Rights Reserved.
Page 27
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Workers' compensation and employer's liability
Named insured:
City of Lubbock
Insurance carrier:
Carrier name Texas Municipal League (TML)— Admitted
A.M. Best rating: N/A as of TML is an interlocal governmental risk pool
Policy number:
TBD
Policy term:
October 1, 2016 to October 1, 2017
Premium:
$ 1,587,821(Requires total premium paid within 3o days of effective date)
Workers' compensation
State law requires most employers to provide workers' compensation insurance
coverage:
for employees. Benefits are paid to employees who suffer work -related injury. Lost
wage benefits may be paid in addition to medical expenses, which can include
permanent disability or disfigurement.
Employer's liability
Protects your business in the event you are sued by an employee or his/her family
coverage:
as a result of a work -related injury.
States covered:
A. Part One of the policy applies to the workers' compensation law of the states
listed in the attached schedule.
B. Other states insurance as provided by part three of the policy applies to the
following states:
Workers' compensation
Limits:
Texas Statutory — Coverage A
Employer's liability
Limits:
$ 1,000,00o Bodily injury by accident —each accident
$ 1,000,00o Bodily injury by disease —each employee
$ i,000,000 Bodily injury by disease —policy limit
Deductibles:
$ o Medical, Indemnity or Both (other)
Premium basis:
$ 132,470,014 Estimated Annual Payroll
Experience mod:
.47
Terms and conditions:
As per Texas statutory workers compensation law
Elected Officials:
Included
Audit:
Auditable
Note: If you have work on the effective date of the policy in any state not listed in the
payroll schedule, coverage will not be provided unless the carrier is notified within
3o days. You must also notify us at once if you begin work in any state listed in
part "B" under states covered above.
Rating: Please see attached TML quote
This proposal Is merely a descriptive summary of coverage provided by the Insurance companies being proposed and should be used for reference
purposes only. This is a quotation of coverage only. It is not a binder. This proposal does not amend or alter the insurance contract.
Please refer to the policy contract for specific terms, conditions, limitations, and exclusions.
Proposal date: 9/6/2016 Prepared for City Of Lubbock
Confidential. m 2016 Wells Fargo Insurance Services USA, Inc. All Rights Reserved.
Page 28