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NO
AN ORDINANCE AUTHORIZING THE MAYOR TO EXECUTE AN AGREEMENT
BETWEEN THE CITY OF DENTON AND THE TEXAS POLITICAL SUBDIVISIONS
EXPENDITUREOOFENSATION FUNDS, AND JOINTINSURANCE
RANN EFFECTIVE FUND, HORIZING THE
DATE
THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS
SECTION I. That the Mayor is authorized to execute an
agreemen a ween the City of Denton and the Texas Political
Subdivisions Workers' Compensation Joint Insurance Fund for the
purpose of providing the statutory benefits prescribed by art
and
ch Workers'
r the
ms
onditionsc ntainedin Compensation
said agreementwhich uiseattachedrhereto
and made a part hereof
SECTION II That the City Council hereby authorizes the
expen ture or funds in the manner and amount as specified in the
agreement
SECTION III That this ordinance shall become effective
imme lately upon its passage and approval Q
PASSED AND APPROVED this the e' _ day of 1987
ATTEST
APPROVED AS TO LEGAL FORM
DEBRA ADAMI DRAYOVITCH, CITY ATTORNEY
BY /'w
TEXAS POLITICAL
JSUBDI I SIONS WORKER
FUNDS' COMPENSATION
NT (Flexible Cost Plus/Cash Flow Plan For Large Political Subdivisions)
INTEPLOCAL AGREEMENT
This Contract and Interlocal Agreement entered into by and between
the Texas Political Subdivisions Workers Compensation Joint Insurance
(hereinafterFund
subdivisiooftherState eoftTexas 11(hereinafterFun") and hreferred itoeasp cal
"Fund
Member") for the purpose of providing the statutory benefits prescribed
by Article 8309h of the Texas Workers' Compensation Act for employees of
political subdivisions
WITNESSETH
The undersigned Fund Member in consideration of the adoption of a
TexasoStatutes,�stoance as provideauthorized in Article 4orkerso' Compensation8benefitsratnasminimumted
cost and in further consideration of other political subdivisions
executing similar interlocal agreements does hereby agree to become a
self -insured workers' compensation employer by becoming one of the
members of the Fund The conditions of membership agreed upon by and
between the parties are as follows
1. Definition of terns used in this Interlocal Agreement
a Polit"Board" - refers to ical Subdivisions eWooard of Trustees of the exas
Workers' Compensation Joint
Insurance Fund
b "Pemiuinr some parts rnd o
pats ofthisbInterlocalre used Agreementter"heably
Premium" is
used to identify the rating formulas established by the
State Board of Insurance, which are used as quidelines to
establish Fund Members' cash contributions to the Fund
Any reference at any time in this Interlocal Agreement to
an insurance term not ordinarily a part of self-insurance
shall be deemed for convenience only and is not to be
construed as being contrary to the self-insurance concept
except where the context clearly indicates no other
possible interpretation such as but not limited to the
reference to "reinsurance"
d. "Servicing
"Manual Ratesntrather'basicexas Fmployers' workers' cInsurance Association
compensation rates
applicable to each classification of employees promulgated
by the State Board of Insurance
e "Manual Premium
the manual rate tofn'hpremium
eachclssificationrcodto the e
by applying is the
payroll in
anythat modifiersiorcation discountstss
are applied
"Exp
difier" -
hat
actor
ts
f. FundeMember'soindividualtlossfexperiencehandfisce
based on
the State Board of Insurance experience rating plan
g Standard Premium or Contribution" - the amount that is
determined by applying the experience modifier of the
Fund Member to the Fund Member's manual premium. While
this ,,CostpPlus"mplanure doesnder the not reflectdpaymentssorered
charges
made, it does serve as a desirable benchmark and allows
the Fund Member to compare its results with other entities
of comparable size.
h. "Fund Year" - October 1 through September 30
2. This Contract shall commence at 12 01 a m on the date shown
as effective date" found on the signatory page of this contract, and
shall remain in full force and effect until terminated as hereinafter
provided. This Contract may be terminated by mutual consent or by sixty
(60) days prior written notice by certified mail of such termination by
either party.
3. Annually,
each
Fund
Member
FundI itsestimated
shall
tpayrollFund
for eachPremium
Worksheet form supplied bythe
classification of employees The rates established by the State Board
of Insurance shall be applied to arrive at a manual premium If the
Fund Member has established, through experience, a modifier, then the
experience modification of that Fund Member shall be used to arrive at
the standard premium In the absence of an earned experience modification
for the Fund Member, the manual rate as established by the State Board
of Insurance will be used as a guide to produce a manual, as well as a
standard, contribution
The newly enrolling Fund Member who has not previously been a
u derrthisof this "Costund or the Fund Plus" plant agrees ber who has not to pay the Fund, oniorsly beforerthe
d
inception date of this Interlocal Agreement, an initial deposit of one
(1) month's estimated paid losses plus 1/12 of the administrative service
charge, catastrophic excess of loss excess insurance/reinsurance charge,
safetyaengineeringfchargee(ifsapplicable)/asisetrance forthcinrge, and Exhhe
loss Exhibit p
attached hereto On or before the beginning of the second month after
theminceptionan date
alfpthis
Inasrdeterminedeabove the
OnFordbeforertherees
ake
beinningthirdnception equalet fthethis
actualInterlocal paid
losses of the first month times (x) the loss conversion factor as set
forth in Exhibit A, for claims administration services plus 1/12 of the
annual administrative service charge, catastrophic excess of loss excess
insurance/reinsurance charge, aggregate excess of loss excess insurance/
reinsurance charge, and safety engineering charge (if applicable). On
or before the beginning of the fourth month of this Interlocal Agreement,
a similar payment based upon the actual paid losses of the second month
shall be paid each?and every tmonth thereafter,ubased o the Funwith eupon nt oactual nthly payments be paid
paid losses
The Fund Member who has previously been a member of this Fund prior
to the inception date of this Interlocal Agreement and has operated
under this "Cost Plus" plan agrees to pay the Fund for those services
described in this Agreement and at the charges listed in Exhibit A
attached hereto Each month's billing will include 1/12 of the annual
charge for administrative services, safety engineering, catastrophic
excess of loss excess insurance/reinsurance, and aggregate excess of
loss excess insurance/reinsurance as set forth in Exhibit A attached
hereto Also included in this billing will be an amount equal to the
actual paid losses of the Fund Member times (x) the loss conversion
factor as set forth in Exhibit A as the claims administration charge
The actual paid losses of the Fund Member are those losses paid by the
Fund on behalf of the Fund Member in the month which is two months prior
to the billing month These payments are due at the beginning of the
month, that is, for example, the December billing is due at the Servicing
Contractor's office on December 1.
It is further agreed that those charges (administrative services,
catastrophic excess of loss excess insurance/reinsurance, aggregate
excess of loss excess insurance/reinsurance, and safety engineering)
that are based on standard contribution will be adjustable at the end of
each Fund Year, based on audited standard premium which is calculated
usine actual payrolls, manual rates, and experience modifiers. At the
end of each Fund Year there will be submitted by the Fund Member actual
payrolls as reflected on the books of the Fund Member The Fund reserves
the right to audit the payroll records of any Fund Member
It is further agreed that the Fund Member will maintain a loss
deposit with osit e
osit will be adjustaFund ble months to two
leperiodicallytoeaccurately stimated areflect realisticid losses and s
monthly loss payments
After termination of this Agreement, the Fund will continue to
handle claims with an accident date occurring durino the term of this
Agreement until such claims are disposed of After termination of this
Agreement, the Fund Member will pay the Fund each and every month, until
all claims handled by the Fund are disposed of, only the monthly claims
administration charge calculated as described above, and the monthly
reimbursement of actual claims losses paid on behalf of the Fund Member
as determined above
In the event that the Fund Member fails or refuses to make the
payments of charges as herein provided, the Fund reserves the right to
terminate such Fund Member by giving ten (10) days written notice by
certified mail and to collect any and all payments that are earned pro
rata for the period preceding contract termination
4. The Fund has obtained specific excess of loss excess insurance/
reinsubehalfrofcits nFund gPlembers. The excessregate excess of sinsurance/reinsurance excess
insurance/reinsuranceprotection
is, however, optional with the Fund Member. If the Fund Member elects
this protection, its election shall be indicated on Exhibit A
3
5. The Fund has contracted with the Servicing Contractor to
supply safety engineering services to the Fund Member to assist them in
following a plan of loss control that may result in reduced losses The
Servicing Contractor shall provide all of the services as provided in
the service contract entered into by and between the Servicing Contractor
and the Fund or as may be modified for the individual Fund Member The
Fund Member agrees that it will cooperate in instituting any and all
reasonable safety regulations that may be recommended for the purpose of
eliminating or minimizing hazards that would contribute to workers'
compensation losses. In the event that the recommendations submitted by
the Servicing Contractor on behalf of the Fund seem unreasonable, the
Fund Member has a right to appeal to the Board of Trustees The Board
shall hear the objections of the Fund Member at its next regularly
scheduled meeting and its decision will be final and binding on all
parties The safety engineering services provided are, however, optional
with the Fund Member If the Fund Member elects this service, its
election shall be indicated on Exhibit A
6. The Fund Member agrees that it will appoint a workers' compensation
coordinator of department head rank, and that the Fund and its Servicing
Contractor shall not be required to contact any other individual except
this one person Any notice to or any agreements with the workers'
compensation coordinator shall be binding upon the Fund Member. The
Fund Member reserves the right to change the coordinator from time to
time but when doing so agrees to give written notice to the Fund
7 The Fund, through the Servicing Contractor employed by the
Fund, agrees to handle any and all claims after notice of injury has
been given, to prepare all required Industrial Accident Board forms, and
provide a defense The Fund Member hereby appoints the Servicing Contractor
as its agent to act in all matters pertaining to processing and handling
of workers' compensation claims and shall cooperate fully in supplying
any information needed or helpful in such defense They shall carry on
all negotiations with the injured employee and his attorney at the
prehearing conference and negotiate within authority previously granted
by the Fund If a personal appearance by a representative or a co -
employee is necessary, the expense of this appearance will be paid by
the Fund Member. The Servicing Contractor will retain and supervise
legal counsel on behalf of and at the expense of the Fund necessary for
the prosecution of any litigation All decisions on individual cases
shall be made by the Fund through the Servicing Contractor, which includes
the decision to appeal or not to appeal an Industrial Accident Board's
final ruling and decision. However, any Fund Member shall have the
right in any case involving one of their employees, to consult with the
Fund on any decision made by the Servicing Contractor The Board shall
hear the objections of the Fund Member at its next regularly scheduled
meeting and their decision will be final and binding on all parties
Any suit brought or defended by the Servicing Contractor and the Fund
shall be in the name of the political subdivision Notwithstanding any
provisions of this paragraph, all reports and filings required by the
Workers' Compensation Law and the Industrial Accident Board of any
employer will be the responsibility of the Fund Member. It is further
understood that this agreement does not cover discrimination suits under
Article 8307c. There shall be supplied periodically to each Fund Member
a computer printout involving a statement of claims, claims status, and
activity report cumulative for each Fund Year
8. The Fund Member acknowledges that it has received a copy of
the Bylaws of the Fund and agrees to abide by the Bylaws and any amendments
thereto.
9. The Fund agrees that all Fund transactions will be annually
audited by a nationally recognized, certified public accounting firm
10. The Fund Member agrees to pay any Industrial Accident Board
maintenance tax that may be imposed and the Fund agrees to file the
necessary tax forms with the Internal Revenue Service
11. Any party hereto paying for the performance of governmental
functions or services shall make payments therefor from current revenues
available to the paying party.
12. The Fund further agrees to provide a complete range of admini-
strative services to include, by way of example, but not of limitation,
the following
a. Statement of claims printouts rendered monthly and keyed
by designated functions or departments
b Monthly billing statements for reimbursement of current
payments plus contracted fees
c Semi-annual printouts of all claims including prior Fund
Years indicating current incurred loss valuation
d. Maintenance of loss and payroll statistics for determination
of the Fund Member's experience modifier
13. The Fund agrees to provide Employers Liability Insurance
coverage (commonly called coverage B), in accordance with and to the
same extent as, the provisions of Part Two -Employers Liability Insurance
of the standard Workers Compensation and Employers Liability Insurance
Policy, as approved by the Texas State Board of Insurance, including the
Texas Amendatory Endorsement as it is applicable to such Part Two,
except as follows
a. In Part Two, paragraph A, 2, the state or territory
listed is to be Texas
b. In Part Two, paragraph G, the limits of liability of this
coverage are to be as follows
Bodily Injury by Accident $100,000 each accident
Bodily Injury by Disease $100,000 each accident
Bodily Injury by Disease $500,000 policy limit
It is understood that this Employer Liability coverage
does not cover discrimination suits under Article 8307c
d References to "workers' compensation" in this Interlocal
Agreement shall include Employers Liability Coverage
unless the context clearly shows otherwise All other
provisions of this Interlocal Agreement shall apply to
this Employers Liability Coverage unless the context
clearly shows otherwise
e. The Fund agrees to provide at no additional charge Employers
Liability Coverage at the following limits
Bodily Injury by Accident $100,000 each accident
000 each accident
Bodily Injury by Disease
Bodily Injury by Disease $500,000 policy limit
If the Fund Member elects higher limits than this, the
Fund Member agrees to pay an additional charge for the
higher limits at a mutually agreeable rate The higher
limits and corresponding charge, if so elected, shall be
indicated on Exhibit A
14 No accidental errors or omissions upon the part of either
party shalt relieve the other party of its responsibilities under this
Agreement, provided such errors or omissions are rectified as soon after
discovery as possible. The Fund shall not be held accountable for any
increased cost or expense to the Fund Member under any contention that a
claim, safety engineering, or an administrative service could have been
handled differently except that the fund may be held accountable for any
deliberate or willful failure to carry out reasonable instructions of
the Fund Member with respect to a specific matter
15 The Fund Member will be solely responsible for future benefits
payable and for funding its net reserve The Fund Member agrees to hold
the Fund harmless from any and all claims (including attorney fees) that
may be asserted against the Fund for the non -payments of any claim due
to the failure of the Fund Member to maintain adequate reserves for the
payment of claims.
EXRIBIT A
CITY OF DENTON
TPS WORKERS' COMPENSATION JOINT INSURANCE FUND
1 The Fund shall at all times provide for specific excess of loss
(catastrophe) reinsurance of the Fund Member excess of $ 200,000 for any one
accident or occurrence up to a maximum limit of $ 10,000,000 for any one
accident or occurrence
2 It is mutually agreed that the fees payable for services and excess
reinsurance under this contract shall be based on the following
schedule
Claims Administration 7 5% of Paid Losses
Administrative Services 3 0% of First $100,000 of Standard
Contribution ,1 5% of Next $400,000 of
Standard Contribution,0 75% of Standard
Contribution over $500,000, Not to Exceed
Overall Charge of $25,000
Safety Engineering 1 0% of Standard Contribution
Catastrophe Reinsurance 4 3% of Standard Contribution
IN WITNESS WHEREOF, the parties have hereunto set their hands by
their representatives thereunto duly authorized this day o
,
Contract Number H0165
10-1-87
Effective Date
TEXAS POLITICAL SUBDIVISIONS
WOPKERS' COMPENSATION
JOINT INSURANCE FUND
B
U\g
and ecretary
Dallas, Texas
FOR Cit of Denton
Fund Member Name
BY hors d f c
ur
Signate b Title
Denton , Texas
The Workers' Compensation Coordinator
for the Fund Member is
COORDINATOR
NAME Harlan Jefferson
FUND MEMBER
NAME Citv of Denton
ADDRESS 901-B Texas Street
CITY Denton, TX ZIP 76 3-0.____
TELEPHONE 817-566-8320