HomeMy WebLinkAboutCC Resolution 12844 (Public Employees Medical & Hospital Care Act)RESOLUTION NO. 12844
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL FIXING THE
EMPLOYER'S CONTRIBUTION UNDER THE
PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT
WHEREAS, (1) Government Code Section 22892(a) provides that a contracting agency
under the Public Employees' Medical and Hospital Care Act shall fix the
amount of the employer's contribution at an amount not less than the
amount required under Section 22892(b)(1) of the Act, and
WHEREAS, (2) City of San Rafael , hereinafter referred to as Special District is a
contracting agency under the Act; now, therefore be it
RESOLVED, (a) That the employer's contribution for each employee, retired employee or
survivor shall be the amount necessary to pay the full cost of his/her
enrollment, including the enrollment of family members, in a health
benefits plan up to a maximum of:
CODE BARGAINING UNIT
001 701 — MAPE Misc.
002 702 — MAPE Supervisory
003 703 — MAPE Childcare
004 704 — Police
005 705 — Fire
CONTRIBUTION PER MONTH
PEMHCA Minimum
PEMHCA Minimum
PEMHCA Minimum
PEMCHA Minimum
PEMCHA Minimum
Plus administrative fees and Contingency Fund Assessments; subject to
chance on an annual basis as set by PEMHCA; and be it further
RESOLVED, (b) That City of San Rafael has fully complied with any and all applicable
provisions of Government Code Section 7507 in electing the benefits set
forth above.
I, Esther C. Beirne, Clerk of the City of San Rafael, hereby certify that the foregoing
Resolution was duly and regularly introduced and adopted at a regular meeting of the City
Council of the City of San Rafael, held on Monday, the 5th of October, 2009, by the following
vote, to wit:
AYES: Councilmembers: Brockbank, Connolly, Heller, Miller & Mayor Boro
NOES: Councilmembers: None
ABSENT: Councilmembers: None
Esther C. Beirne, City Clerk
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10PV
INSTRUCTIONS
This resolution form is the approved form designated by the Public Employees' Retirement System. It
should be used by a Special District which is contracting for coverage under the Public Employees'
Medical and Hospital Care Act when the agency desires to change the employers' contribution towards
the cost of their employees' and retired employee or survivor's enrollment to an amount equal to or
greater than that prescribed by Section 22892(b) as authorized by Section 22892(a) of the Government
Code.
The employer's contribution specified (if RESOLVED) will be effective on the first day of the second
month following the month in which the resolution is filed (date stamped as received) in the office of
the Board of Administration, Public Employees' Retirement System, 400 Q Street, P. O. Box 942714,
Sacramento, CA 94229-2714.
WHEREAS (2) should be completed with full name of the contracting agency/Special District.
RESOLVED (a) should be completed to specify the bargaining units and amount of the
employer's (agency's) contribution toward the cost of its employees', retired
employees' or survivors' enrollments.
RESOLVED (b) should be completed with full name of the contracting agency/Special District.
Because resolutions serve as our legal contract, we require the original resolution, certified
copy with original signatures, or a copy of the resolution with the agency's raised seal.
For resolution processing, deliver to the following:
Overniqht Mail Service
California Public Employees' Retirement System
Office of Employer & Member Health Services
400 Q Street
Sacramento, CA 95811-6210
Reqular Mail
California Public Employees' Retirement System
Office of Employer & Member Health Services
PO BOX 942714
Sacramento, CA 94229-2714
The certification shown following the resolution is to be completed by those individuals authorized to
sign for the Special District in legal actions and is to include the name of the executive body; i.e. Board
of Directors, Board of Trustees, etc., the location and the date of signing.
CHANGE NPERS ALL GROUP EQUAL 1 FIXED Revision July 2009