HomeMy WebLinkAboutResolution - 2015-R0282 - Direct To Purchase Workers Compensation Coverage - TPSWCJSIF - 09/10/2015No.2015-R0282
I M1 me
September 10, 2015
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the City Manager of the City of Lubbock and 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 $1,526,543; and
THAT the City Manager may execute any routine documents and forms
associated with said coverage.
Passed by the City Council this September 10, 2015
ATTEST:
Pd�
Rebec a Garza, City Secretary
?D AS TO -CONTENT:
Leisa Hutcheson, Director of Human Resources
and Risk Management
APPROVED AS TO FORM:
Je art hief�tion Attorney
RES.Risk Mgmt-Workers Compensation
August 26, 2015
Resolution No. 2015-R0282
Texas Political Subdivisions
ff
Jont Self -Insurance Funds
-J
To: Robert Bookhammer
Agency: Wells Fargo Insurance Services, USA, Inc
Reference: Lubbock, City of
Coverage: Workers' Compensation Proposal
Period: 10/01115 to 10/01/16
Proposal is valid until: 12:01 A.M. on 10/1/2015
Comments: Please review attached proposal and advise if you have any questions
or need additional information.
To bind coverage we will need you to complete our "REVISED"
New/Renewal Binder (copy attached), prior to inception date.
We appreciate the time you have invested in answering our questions
and providing information necessary for preparation of this proposal.
We look forward to working with you on this account.
Date: August 25, 2015
From: Rhonda Ruehle
Phone No: 972-361-6310
P. O. Box 803356 - Dallas, Texas 75380-3356
TEXAS POLITICAL SUBDIVISIONS JOINT SELF-INSURANCE FUND
PROPOSAL
Lubbock, City of
Rating Period
October 1, 2015 to October 1, 2016
Payment Options:
TPS's Proposal offers a monthly pay plan as follows: Deposit $129,809
Each Installment $129,808
Number of Installments 11
TPS's Proposal offers a quarterly pay plan as follows: Deposit $389,425
Each Installment $389,424
Number of Installments 3
TPS's Annual Pay Plan: Single Payment 51,526,543
Payment is due within 30 days of effective date, or receipt of first bill (whichever is later)
otherwise discount is forfeited.
f5�W6Eack Cly of WC Mo book 61-13 mtes(ReneWPF wesslul RC) Revke F7-15.1bWM&ffl lSummary 3vpm
LIMIT of
TOTAL ANNUAL
COVERAGE for RATING PERIOD
LIABILITY
CONTRIBUTION
Workers' Compensation
$ 1,557,697
Injury or Illness - Each Employee
Statutory
Employers' Liability
Included
Bodily Injury by Accident- Each Accident
$1,000,000
Bodily Injury by Disease - Each Employee
$1,000,000
Bodily Injury by Disease - Interlocal Agreement
$1,000,000
Annual Contribution:
$ 1,557,697
Total Annual Contribution
$ 1,557,697
Renewable for Three Years
A minimum Contribution of $1,475,000 will apply regardless of the result of the annual
payroll audit.
Payment Options:
TPS's Proposal offers a monthly pay plan as follows: Deposit $129,809
Each Installment $129,808
Number of Installments 11
TPS's Proposal offers a quarterly pay plan as follows: Deposit $389,425
Each Installment $389,424
Number of Installments 3
TPS's Annual Pay Plan: Single Payment 51,526,543
Payment is due within 30 days of effective date, or receipt of first bill (whichever is later)
otherwise discount is forfeited.
f5�W6Eack Cly of WC Mo book 61-13 mtes(ReneWPF wesslul RC) Revke F7-15.1bWM&ffl lSummary 3vpm
PAYROLL WORKSHEET
Member:
Lubbock, City of
Contract Number
Rates Eff.
6/112013
Effective Date
10/1/2015
Code
Classification of Operations No. of
Employees
Payroll Estimate
Per $100 of
Payroll
Manual Contribution
Before Adjustment
0570
Volunteer Police Reserves
$
29,458
3.79
$1,116
3064
Sign Mfg.
$
37,085
1 4.99
$1,851
4299
Copying & Duplicating Service & Drivers
$
56,561
2.50
$1,414
4511
Building Inspections
$
1,911,888
1.08
$20,648
4519
Exterminator & Drivers
$
138,610
3.57
$4,948
5190
Traffic Signal Control Installation & Drivers
$
1,151,205
4.98
$57,330
5506
Street or Road Construction or Repair - All Operations -
$
3,332,240
8.35
$278,242
5606
Contractor- Executive Supervisor or Construction Supe
$
64,983
1.06
$689
7380
Drivers, Chauffeurs and their Helpers Noc - commercial
Is
20,466
7.21
$1,476
7423
Airport Operations
Is
666,426
7.36
$49,049
7520
Waterworks Operation & Drivers
$
7,052,412
4.62
$325,821
7539
Electric Light or Power Cc Noc - All Employees - & Dri
$
12,803,990
1.90
$243,276
7580
Sewage Disposal Plant Operation & Drivers
$
408,550
3.26
$13,319
7590
Garbage Works
$
361,922
5.22
$18,892
7704
Fire Fighters & Drivers
$
26,656,286
3.88
$1,034,264
7720
Police Officers & Drivers
$
30,340,636
3.79
$1,149,910
8107
Heavy Equipment - Maintenance
$
438,929
4.40
$19,313
8391
Automobile Machine Shop & Drivers
$
66,091
2.93
$1,936
8601
Architect or Engineer - Consulting
$
723,067
0.42
$3,037
8742
Elected Officials
$
34,914
0.42
$147
8742V
Inside Volunteers
$
22,204
0.42
$93
8810
Clerical Office Employees Noc
$
23,053,914
0.25
$57,635
8831
Animal Shelters & Drivers
S
644,902
1.64
$10,576
8833
Hospital: Professional Employees
$
861,909
1.14
$9,826
8838
Library I Museum
$
1,488,971
0.92
$13,699
9015
Buildings Noc - Operation by Owner or lessee - & Driver
$
1,332,006
4.51
$60,073
9101
Public Library
$
53,385
4.42
$2,360
9102
Park Noc- All Employees - &Drivers
S
2,575,570
4.42
$113,840
9220
Cemetery Operations & Drivers
$
212,281
9.39
$19,933
9402
Refuse Collection & Drivers
$
73,319
8.85
$6,489
9402
Street Cleaning & Drivers
$
145,666
8.85
$12,891
0011
Farms
Is
78,747
6.62
$5,213
3724V
Outside Volunteers
$
3,995
4.96
$198
TOW E O
$
Tobi aay,dl
116,842,588
Mn C. .
$3,539,504
Member: Lubbock, City of
Guaranteed Cost
Effective: 10/1/2015
Expiration: 10/1/2016
(1)
Total Manual Contribution Before
Adjustment Column Total
3,539,504
(5) Line 3 X Factor on Line 4 =
Standard Contribution
3,393,676
2
Increased Employers Liability Factor
1.02
6 Fund Factor
0.459
(3)
Line 1 X Factor on Line 2 =
Adjusted Manual Contribution
3,610,294
11
(4)
Experience Modifier
0.94
Basic Contribution:
1,557,697
Total Contribution: $ 1,557,697
Renewable for Three Years
A minimum Contribution of $1,475,000 will apply regardless of the result of the annual
payroll audit.
Options:
=TPS Guaranteed Cost Quote offers a monthly pay plan as follows:
Initial installment of $129,809
with 11 monthly installments of $129,808
=TPS Guaranteed Cost Quote offers a quarterly pay plan as follows:
Initial installment of $389,425
with 3 quarterly installments of $389,424
=TPS Annual Pay Plan: $1,526,543
Member: Lubbock, City of
Guaranteed Cost
Effective: 10/1/2015
Expiration: 10/1/2016
(1)
Total Manual Contribution Before
Adjustment (Column Total)
3,539,504
(5) Line 3 X Factor on Line 4 =
Standard Contribution
3,393,676
2
Increased Employers Liability Factor
1.02
6 Fund Factor
0.459
(3)
Line 1 X Factor on Line 2 =
Adjusted Manual Contribution
3,610,294
4
Experience Modifier
0.94
Basic Contribution:
1,557,697
Total Contribution: 1 $ 1,557,697
Field Service Fee:
Renewable for Three Years
A minimum Contribution of $1,475,000 will apply regardless of the result of the annual
payroll audit.
Options:
=TPS Guaranteed Cost Quote offers a monthly pay plan as follows:
Initial installment of $129,809
with 11 monthly installments of $129,808
=TPS Guaranteed Cost Quote offers a quarterly pay plan as follows:
Initial installment of $389,425
with 3 quarterly installments of $389,424
=TPS Annual Pay Plan : $1,526,543