RESOLUTION NO. RESOLUTION TO JOIN SCHOOLS HEALTH INSURANCE FUND



Similar documents
Holly C. Bakke, Commissioner, Department of Banking and Insurance.

Joint Insurance Funds for Local Government Units Providing Property and Liability Coverages

1. The GROUP, through its Board of Trustees, hereinafter referred to as the. delinquent accounts from any Member

MUNICIPAL EXCESS LIABILITY JOINT INSURANCE FUND BYLAWS

R: RESOLUTION APPOINTING RISK MANAGEMENT CONSULTANT

Act means Intergovernmental Risk Management Act.

TITLE 11. DEPARTMENT OF BANKING AND INSURANCE - DIVISION OF INSURANCE CHAPTER 2. INSURANCE GROUP SUBCHAPTER 33. WORKERS' COMPENSATION SELF-INSURANCE

corporation with its principal place of business in the City of

This page left blank intentionally

Chapter 47 - GROUP SELF-INSURANCE RULE IMIPLEMENTING THE INTERGOVERNMENTAL RISK MANAGEMENT ACT

corporation with its principal place of business in the City of

DIRECTOR OF CURRICULUM, INSTRUCTION, ASSESSMENT AND INSTRUCTIONAL TECHNOLOGY CONTRACT OF EMPLOYMENT

PERFORMANCE BOND INSTRUCTIONS (FEB 2015)

GEORGIA CODE PROVISIONS PUBLIC RETIREMENT SYSTEMS INDEX

NATIONAL CONTRACTORS INSURANCE COMPANY, INC., A RISK RETENTION GROUP SUBSCRIPTION AND SHAREHOLDERS AGREEMENT

State of Rhode Island and Providence Plantations DEPARTMENT OF BUSINESS REGULATION Division of Insurance 1511 Pontiac Avenue Cranston, RI 02920

STATE OF NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY DIVISION OF CONSUMER AFFAIRS

PRODUCER AGREEMENT. Hereinafter ("Producer"), in consideration of the mutual covenants and agreements herein contained, agree as follows:

388 Blohm Ave. PO Box 388 Aromas CA (831) FAX (831) ADDENDUM NO. 1

SUBCONTRACTOR LABOR AND MATERIAL PAYMENT BOND ("Bond") SURETY Address

RESOLUTION TO BORROW AGAINST ANTICIPATED DELINQUENT 2013 REAL PROPERTY TAXES

Agent Agreement WITNESSETH

MIDDLESEX COUNTY JOINT HEALTH INSURANCE FUND

TRUST AGREEMENT TO DEMONSTRATE LIABILITY COVERAGE

RESOLUTION NO RESOLUTION OF THE BOARD OF COMMISSIONERS MORRIS COUNTY IMPROVEMENT AUTHORITY

QUALCARE AMENDMENT TO PROVIDER NETWORK PARTICIPATION AGREEMENT

CARVER COUNTY INDEPENDENT CONTRACTOR/PROFESSIONAL SERVICE AGREEMENT

CITY OF BOCA RATON POLICE & FIREFIGHTERS RETIREMENT SYSTEM AND [CONSULTANT] CONSULTING SERVICES AGREEMENT

WASHINGTON STATE TRANSIT INSURANCE POOL I RISK MANAGEMENT IN MOTION. Washington State Transit Insurance Pool 2014 lnterlocal Agreement

APPROVING AND AUTHORIZING THE UNDERTAKING AND IMPLEMENTATION OF A PROJECT

AGREEMENT BETWEEN COUNTY AND CONTRACTOR FOR GOODS AND SERVICES. THIS AGREEMENT, effective this 20th day of April in the year, 2015, between:

CHAPTER 260. AN ACT concerning employee leasing companies. BE IT ENACTED by the Senate and General Assembly of the State of New Jersey:

INDEPENDENT CONTRACTORS AGREEMENT

PERFORMANCE BOND. That we, (operator name as established by Office of Conservation and address) (hereinafter called the Principal ), and

Insurance Market Solutions Group, LLC Sub-Producer Agreement

PUBLIC ENTITY RISK MANAGEMENT AUTHORITY MEMORANDUM OF WORKERS COMPENSATION AND EMPLOYERS LIABILITY COVERAGE

SCHEDULE 14. Part 1 Performance Bond PERFORMANCE BOND NO.

The New Municipal Health Insurance Law: Final FY12 Budget Proposal (H w/ Gov s Amendments in H. 3581)

NEW MEXICO SELF-INSURERS' FUND WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY PLAN

Standardized Forms for Performance Guarantees 5:36-4 STANDARDIZED FORMS FOR PERFORMANCE GUARANTEES

TEXAS FAIR PLAN PRODUCER REQUIREMENTS AND PERFORMANCE STANDARDS

WEST VIRGINIA OFFICES OF THE INSURANCE COMMISSIONER Medical Malpractice Insurance Review Standards Checklist

THE CORPORATION OF THE CITY OF BURLINGTON D1 - AGREEMENT

THIRD AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OF DYNEGY INC. Pursuant to Section 303 of the Delaware General Corporation Law

INDEPENDENT CONTRACTOR AGREEMENT. Currituck (hereinafter County ) and, RECITALS

DEPARTMENT OF TRANSPORTATION OFFICE OF SMALL AND DISADVANTAGE BUSINESS UTILIZATION SHORT TERM LENDING PROGRAM GUARANTEE AGREEMENT

CONTRACT FOR LAW ENFORCEMENT SERVICES FOR THE CITY OF NORTH BONNEVILLE

SECTION AWARD AND EXECUTION OF CONTRACT

Case 3:06-cv MJR-DGW Document 526 Filed 07/20/15 Page 1 of 8 Page ID #13631 IN THE UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF ILLINOIS

1. Provide advice and opinions regarding workers compensation issues, as needed;

BY THIS BOND,, whose principal address is, business phone number is as Principal,hereinafter Contractor, and, whose principal address is

MIDDLESEX COUNTY JOINT HEALTH INSURANCE FUND

TOWNSHIP OF WASHINGTON, COUNTY OF WARREN

MORTGAGE LOAN CORRESPONDENT BOND ADVANCE FEES

Ohio Department of Transportation

LLC Operating Agreement With Corporate Structure (Delaware)

RESTATED ARTICLES OF INCORPORATION THE CALIFORNIA ATTORNEYS, ADMINISTRATIVE LAW JUDGES AND HEARING OFFICERS IN STATE EMPLOYMENT ("CASE")

NORTH CAROLINA STATE UNIVERSITY MASSAGE THERAPIST AGREEMENT

these changes for subscribers, including retirees, low-income subscribers and subscribers with high outof-pocket

How To Write A Health Care Insurance Policy In Nebraska

Table of Contents ARCHIVE

NC General Statutes - Chapter 44A Article 3 1

PERFORMANCE BOND. KNOW ALL MEN BY THESE PRESENTS that we,, as. Principal (the Principal ), and, a corporation

HEALTH MAINTENANCE ORGANIZATION ( HMO ) APPLICATION FOR A NEW CERTIFICATE OF AUTHORITY MEDICARE ONLY INTRODUCTION

ANNEX 1 PERFORMANCE BOND

AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OF FLUOR CORPORATION

RESOLUTION AUTHORIZING TAX AND REVENUE ANTICIPATION NOTE

CHAPTER 79A WORKERS' COMPENSATION SELF-INSURANCE

TABLE OF CONTENTS Supplement No. I Temporary Financing Forms

G U A R A N T Y B O N D

HADDONFIELD PUBLIC SCHOOLS ONE LINCOLN AVENUE HADDONFIELD, NJ Phone: , X 215 Fax:

CITY OF NORTHFIELD ANNUAL REORGANIZATION OF COUNCIL JANUARY 6, 2015

LABOR & MATERIAL PAYMENT BOND

AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OF THE HOME DEPOT, INC.

Public Notice of Proposed Rule-Making

PAYMENT/PERFORMANCE BOND. This is the front page of the payment/performance bond issued in compliance with Florida Statutes

LTC ELITE, LLC MEMBERSHIP AGREEMENT

PERFORMANCE BOND. Surety Bond No. STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF

PERFORMANCE BOND FOR CONSTRUCTION IN CITY RIGHTS-OF-WAY

BUSINESS ASSOCIATE AGREEMENT

AGREEMENT BETWEEN THE CITY OF CRESTWOOD, MO AND BIEG PLUMBING COMPANY FOR ON-CALL PLUMBING SERVICE FOR THE PERIOD

State of New Jersey New Jersey Public Broadcasting System New Jersey Network Standard Terms and Conditions

BROKER AND CARRIER AGREEMENT

IRREVOCABLE LETTER OF CREDIT REIMBURSEMENT AGREEMENT

ARTICLE 3 PENSION AND HEALTH PLANS

AMENDED AND RESTATED CERTIFICATE OF INCORPORATION DOMTAR CORPORATION

CHAPTER 179. BE IT ENACTED by the Senate and General Assembly of the State of New Jersey: 1. R.S.34: is amended to read as follows:

N.J.S.A. 40:69A-1 et seq.

Business Associate Agreement Involving the Access to Protected Health Information

Proper Procedures to Make Business Permit Changes

NEW JERSEY BOARD OF PUBLIC UTILITIES. ELECTRIC POWER and/or GAS SUPPLIER INITIAL APPLICATION INSTRUCTIONS

CITY ADMINISTRATOR EMPLOYMENT AGREEMENT

DEBT MANAGEMENT BOND

PAYMENT BOND. KNOW ALL MEN BY THESE PRESENTS that we,, as Principal (the Principal ), and, a corporation organized

IDA INSURANCE TRUST PARTICIPATION AGREEMENT

INDIANA BASIC PROPERTY INSURANCE UNDERWRITING ASSOCIATION (INDIANA F.A.I.R. PLAN)

MISSISSIPPI LIFE AND HEALTH INSURANCE GUARANTY ASSOCIATION PLAN OF OPERATION

IN THE MATTER OF THE TERMINATION ) OF THE CONTRACT BETWEEN PHYSICIANS ) HEALTH SERVICES AND CENTRASTATE ) ORDER MEDICAL CENTER )

Amendment and Consent No. 2 (Morris County Renewable Energy Program, Series 2011)

STATE OF GEORGIA DEPARTMENT OF TRANSPORTATION OPEN AGENCY SERVICE CONTRACT

Transcription:

RESOLUTION NO. RESOLUTION TO JOIN SCHOOLS HEALTH INSURANCE FUND WHEREAS, a number of school boards in the State of New Jersey have joined together to form the SCHOOLS HEALTH INSURANCE FUND hereafter referred to as "SHIF", as permitted N.J.S.A. 18A:18B-1 et seq., and; WHEREAS, the SHIF has applied for operational approval by the Commissioner of the Department of Banking and Insurance on July 1, 2015 and anticipates formal approval during 2015; WHEREAS, the statutes and regulations governing the creation and operation of a joint insurance fund, contain certain elaborate restrictions and safeguards concerning the safe and efficient administration of the public interest entrusted to such a school board joint insurance fund; WHEREAS, the governing body of Black Horse Pike Regional School District, hereinafter referred to as "SCHOOL BOARD" has determined that membership in the SHIF is in the best interest of said SCHOOL BOARD. NOW, THEREFORE, BE IT RESOLVED that the governing body of the SCHOOL BOARD hereby agrees as follows: i. SCHOOL BOARD shall become a member of the SHIF for the period outlined in the SCHOOL BOARD's Indemnity and Trust Agreement. ii. SCHOOL BOARD will participate in the following type (s) of coverage (s): a.) Health Insurance as defined pursuant to N.J.S.A. 17B:17-4, the SHIF's Bylaws, and the SHIF s Plan of Risk Management. iii. iv. SCHOOL BOARD accepts and approves the SHIF's Bylaws and agrees to be bound by the terms thereof. SCHOOL BOARD shall execute an application for membership and any accompanying certifications. v. SCHOOL BOARD agrees to commit to the four principles of the SHIF which are: 1

a.) b.) c.) d.) A long term philosophy on rates. A willingness to work with bargaining units to achieve plan design changes. Professional management with stability and commitment. Rating structure based on actuarial numbers. BE IT FURTHER RESOLVED that the governing body of the SCHOOL BOARD is authorized and directed to execute the Indemnity and Trust Agreement and such other documents signifying membership in the SHIF as required by the SHIF's Bylaws, and to deliver these documents to the SHIF's Executive Director with the express reservation that these documents shall become effective only upon: i. Approval of the SCHOOL BOARD by the SHIF. ii. iii. Receipt by the SHIF of a Resolution from the SCHOOL BOARD accepting SCHOOL BOARD s SHIF assessment. Approval by the Commissioner of the New Jersey Department of Banking and Insurance of SCHOOL BOARD as a member of the SHIF. ADOPTED: August 20, 2015 BY: CHAIRPERSON ATTEST: SECRETARY 2

SCHOOLS HEALTH INSURANCE FUND INDEMNITY AND TRUST AGREEMENT THIS AGREEMENT made this 20th day of August, 2015, in the County of Camden, State of New Jersey, by and Between the SCHOOLS HEALTH INSURANCE FUND referred to as SHIF and the governing body of the Black Horse Pike Regional School District a duly constituted Board of Education (or insert appropriate description), hereinafter referred to as SCHOOL BOARD. WITNESSETH: WHEREAS, the governing bodies of various school boards within the State of New Jersey, have elected to form a joint insurance fund as defined in N.J.A.C. 11:15-5.2, and as such an entity is authorized and described in N.J.S.A. N.J.S.A. 18A:18B-1 et. seq. and the administrative regulations promulgated pursuant thereto; and WHEREAS, the SCHOOL BOARD has agreed to become a member of the SHIF in accordance with and to the extent provided for in the Bylaws of the SHIF and in consideration of such obligations and benefits to be shared by the membership of the SHIF; NOW THEREFORE, it is agreed as follows: 1. The SCHOOL BOARD accepts the SHIF s Bylaws as approved and adopted and agrees to be bound by and to comply with each and every provision of said Bylaws and the pertinent statutes and administrative regulations pertaining to same. 2. The SCHOOL BOARD agrees to participate in the SHIF with respect to health insurance, as defined in N.J.S.A. 17B:17-4, and as authorized in the SCHOOL BOARD s resolution to join. 3. The SCHOOL BOARD agrees to become a member of the SHIF and to participate in the health insurance coverages offered for an initial period, (subject to early release or termination pursuant to the Bylaws), such membership to commence on January 1, 2016 and ending on December 31, 2018 at 12:01 AM provided, however, that the SCHOOL BOARD may withdraw at any time subsequent to the delivery of ninety (90) day prior written notice of the intent to withdraw to the SHIF as provided in the Bylaws. 1

4. The SCHOOL BOARD certifies that it has never defaulted on payment of any claims if self-insured and has not been cancelled for non-payment of insurance premiums for a period of at least two (2) years prior to the date of this Agreement. 5. In consideration of membership in the SHIF, the SCHOOL BOARD agrees (i) that it shall jointly and severally assume and discharge the liability of each and every member of the SHIF for the periods during which the SCHOOL BOARD is a member of the SHIF, (ii) acknowledges that the SCHOOL BOARD and all other members of the SHIF, as a condition of membership in the SHIF, have executed and delivered an Indemnity and Trust Agreement similar to this Agreement and (iii) by the execution of this Agreement the full faith and credit of the SCHOOL BOARD is pledged to the punctual payment of any sums which shall become due to the SHIF in accordance with the Bylaws thereof, this Agreement or any applicable Statute. However, nothing herein shall be construed as an obligation of the SCHOOL BOARD for claims and expenses that are not covered by the SHIF, or for that portion of any claim or liability not within the SCHOOL BOARD s retained limit or in an amount which is in excess of the SHIF s limit of coverage. 6. If the SHIF in the enforcement of any part of this Agreement shall incur necessary expenses or become obligated to pay attorney s fees and/or court costs, the SCHOOL BOARD agrees to reimburse the SHIF for all such reasonable expenses, fees, and costs, inclusive of attorney fees, on demand. 7. The SCHOOL BOARD and the SHIF agree that the SHIF shall hold all moneys in excess of the SCHOOL BOARD s retained loss fund paid by the SCHOOL BOARD to the SHIF as fiduciaries for the benefit of SHIF claimants all in accordance with N.J.A.C. 11:15-5.1 et seq. 8. The SHIF shall establish and maintain Claims Trust Accounts for the payment of health insurance claims in accordance with N.J.S.A. N.J.S.A. 18A:18B-1 et seq., and N.J.A.C. 11:15-5.13 and such other statutes and regulations as may be applicable. More specifically, the aforementioned Trust Accounts shall be utilized solely for the payment of claims, allocated claim expense and stop loss insurance or reinsurance premiums for each risk or liability as follows: a) Employer contributions to group health insurance b) Employee contributions to contributory group health insurance c) Employer contributions to contingency account d) Employee contributions to contingency account e) Other trust accounts as required by the Commissioner of Insurance 9. Notwithstanding the terms of paragraph 8, above, to the contrary, the SHIF shall not be required to establish separate trust accounts for employee contributions provided the SHIF provides a plan in its Bylaws or Risk Management Plan for the recording and accounting of employee contributions of each member. 2

10. Each SCHOOL BOARD who shall become a member of the SHIF shall be obligated to execute an Indemnity and Trust Agreement similar to this Agreement. Each SCHOOL BOARD, by the execution and delivery of an Indemnity and Trust Agreement agrees to be jointly and severally bound with each other member of the SHIF who executes and delivers an Indemnity and Trust Agreement to the terms and conditions set forth in said Indemnity and Trust Agreement. ADOPTED: August 20, 2015 BY: CHAIRPERSON ATTEST: By: SECRETARY 3