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1988-0582005L NO 2R 6_9 AN ORDINANCE AUTHORIZING THE MAYOR TO EXECUTE A SUPPLEMENT TO THE AGREEMENT BETWEEN THE CITY OF DENTON AND THE TEXAS POLITICAL SUB- DIVISIONS WORKERS' COMPENSATION JOINT INSURANCE FUND, PROVIDING FOR COVERAGE FOR VOLUNTEERS, AUTHORIZING THE EXPENDITURE OF FUNDS, AND PROVIDING AN EFFECTIVE DATE THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS SECTION I That pursuant to art 8309h, V A C S , the elected official-~f-the City shall be eligible for worker's compensation benefits in accordance with state law SECTION II That the Mayor is authorized to execute a supple- ment to tFie agreement between the City of Denton and the Texas Political Subdivisions Workers' Compensation Joint Insurance Fund for the purpose of providing the benefits prescribed by art 8309h of the Texas Workers' Compensation Act to volunteers, under the terms and conditions contained in said agreement which is attached hereto and made a part hereof SECTION III That the City Council hereby authorizes the expenditure of funds in the manner and amount as specified in the agreement SECTION IV That this ordinance shall become effective imme ate y upon its passage and approval PASSED AND APPROVED this the X " day of 1988 RAY STE E1 S, M OR ATTEST 0'kw, Lfta SECRETARY APPROVED AS TO LEGAL FORM DEBRA ADAMI DRAYOVITCH, CITY ATTORNEY SUPPLEMENT TO INTERLOCAL AGREEMENT TEXAS POLITICAL SUBDIVISIONS WORKERS' COMPENSATION JOINT INSURANCE FUND In consideration of the Fund Members' request for payment of additional benefits and in further consideration of the Fund's agreement to pay such benefits, the Interlocal Agreement is amended by adding thereto the following applicable coverages Volunteers - Firemen, Policemen and Emergency Medical Personnel - If any person within these groups of employees hereinafter described and for which a payroll classification is checked below, shall sustain injury, including death resulting therefrom, while acting within the course and scope of their official volunteer duties, the Fund will pay on behalf of the Fund Member the full medical benefits and the minimum compensation payments provided under the Texas Workers' Compensation Law Other Volunteers - Inside and Outside - If the Fund Member specifi- cally names volunteers other than those in catagories set out above, registers such names with the Fund, and a payroll classification is checked below for these groups of employees hereinafter described, the Fund will pay on behalf of the Fund Member the full medical benefits and the minimum compensation payments provided under the Texas Workers' Compensation law for injury, including death resulting therefrom, sustained by such persons while acting within the course and scope of their official volunteer duties. Elected Officials - If a resolution of the governing body has been adopted providing coverage for elected officials as required by law, and a payroll classification is checked below, such elected officials while acting within the course and scope of their official duties, shall be covered by the Interlocal Agreement as any other employee of the political subdivision. The Fund Member agrees to pay premium for the payroll classifications checked below Description of Group of Employees Volunteer Firemen Volunteer Policemen _ Volunteer EM Personnel Other Volunteers-Inside _ Other Volunteers-Outside _ Elected Officials Code 7704 Code 7720 Code 7720 Code 8742 Code 3724 Code 8742 The parties to this agreement do applicable to themselves any provision Law not already in force and effect as not by its use intend to make of the Texas Workers' Compensation to them This agreement shall be subject to 811 the terms, provisions and conditions of the Interlocal Agreement, and nothing herein contained shall vary, alter or extend any termi provision or condition of the Interlocal Agreement except as here n specifically stated. This agreement shall be effective on e/ /S 19R. Contract Number Fund Member By ¢.ru - gnature -~-Tit e TEXAS POLITICAL SUBDIVISION WORKERS' COMPENSATION JOINT INSURANCE FUND By TPS Fund Secretary .2- "OTHER VOLUNTEERS" I Calculation of Premium A Use $5,200 annual payroll per volunteer (or $433 monthly) B Use the following high-low classification codes 1) All inside volunteers - Code 8742 (Messengers, Social Workers, Elected Officials) To qualify, the volunteer's activities must take place exclusively indoors 2) All outside volunteers - Code 3724 (Traffic Signals and Controls) Any routine activities of the volunteer taking place outdoors would require usage of this code II Prior to effect of coverage A TPS WC Member will furnish TPS Fund a written description of the duties and activities of volunteers to be covered (see suggested form) B TPS WC Member will furnish TPS Fund a complete listing of the names of the volunteers to be covered if known (see suggested form) C TPS WC Member will furnish TPS Fund an executed copy of the "Supplement to the Interlocal Agreement" where the group of volunteers to be covered will be named and the effective date recorded III To effect coverage and premium charge A Premium worksheet will be revised to reflect additional payroll in proper class code according to the number and type of volunteers for which the Member is requesting coverage B Billing statement will be revised to reflect premium change C Upon receipt of copy of "Supplement", TEIA will notify field claims personnel of new coverage in effect Page 2 IV After coverage is in effect A TPS WC Member will keep updated listing of names of volunteers along with dates they become volunteers or ceased volunteer work An updated listing will be sent to TPS Fund Office Quarterly B TEIA will audit at year end the volunteer comp payrolls based on the updated listing maintained by the TPS WC Member TPS WC FUND VOLUNTARY COMPENSATION "OTHER VOLUNTEERS" Please send us a listing of all current "other volunteers" Coverage is on a notification basis Claims will be accepted only for volunteers listed This list will need to be updated quarterly OUTSIDE VOLUNTEERS (Code 3724) 1) Description of duties 2) Names of volunteers to be covered Date Became Date Removed Name Volunteer from Volunteer Status TPS WC FUND VOLUNTARY COMPENSATION "OTHER VOLUNTEERS" Please send us a listing of all current "other volunteers" Coverage is on a notification basis Claims will be accepted only for volunteers listed This list will need to be updated quarterly INSIDE VOLUNTEERS (Code 8742) 1) Description of duties 2) Name of volunteers to be covered Date Became Date Removed Name Volunteer from Volunteer Status