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RES-2000-094 Resolution to Adopt the Interlocal Agreement and Join the NC Assoc. of County Commissioners' Health Insurance Trust
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RES-2000-094 Resolution to Adopt the Interlocal Agreement and Join the NC Assoc. of County Commissioners' Health Insurance Trust
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Last modified
4/10/2013 4:25:21 PM
Creation date
4/4/2013 4:36:54 PM
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BOCC
Date
10/3/2000
Meeting Type
Regular Meeting
Document Type
Resolution
Agenda Item
8g
Document Relationships
Agenda - 10-03-2000-8g
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\Board of County Commissioners\BOCC Agendas\2000's\2000\Agenda - 10-03-2000
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ANNUAL PARTICIPATION AGREEMENT <br /> RESOLUTION TO ADOPT THE INTERLOCAL AGREEMENT AND TO JOIN THE <br /> NORTH CAROLINA ASSOCIATION OF COUNTY COMMISSIONERS <br /> HEALTH INSURANCE TRUST <br /> WITNESSETH: <br /> WHEREAS,the Member Group desires to provide to Its employees insurance and other group benefits as authorized <br /> by G.S. 163A-92(d);and <br /> WHEREAS, the North Carolina Association of County Commissioners Health Insurance Trust, d.b.a. NCACC Group <br /> Benefits Pool ("the Pool") has been established by counties pursuant to G. S. 153A-445(a)(1) and G. S. 16OA-460 through <br /> 160A-464;and <br /> WHEREAS, it is desirable for the Member Group to join the Pool in order to provide a method of risk sharing for <br /> health-related claims of its employees; <br /> NOW,THEREFORE, BE IT RESOLVED that the Board of the Member Group hereby adopts the intedocal agreement <br /> entitled"Interlocal Agreement for a Group Self Insurance Fund for Health, Dental,Life and Disability Risk Sharing,"and thereby <br /> joins and agrees to participate in the Pool,which has been formed to create a group fund to pay and service the health-related <br /> claims of the employees of the counties and other local agencies joining the Pool. <br /> FURTHER, BE IT RESOLVED that the undersigned official of the Member Group is authorized to execute the <br /> Agreement to join the Pool. <br /> TERMS AND CONDITIONS <br /> 1. Agreement and Continuation of Coverage. The term of this Agreement is for one (1) year commencing on the <br /> medical benefit plan effective date. A Member Group's coverage will be automatically renewed on the anniversary <br /> date even though payment for this coverage may not have been received. This Continuation of Coverage will be on <br /> the same terms and conditions as the expiring coverage until and unless notified by the Member Group. Each renewal <br /> shall be subject to recalculation of contributions. <br /> 2. Applicable Coverages. This Agreement applies to those coverage limits,deductibles and exposures as stated in the <br /> Summary Plan Description or otherwise provided to the Member Group at renewal. <br /> 3. Contribution Determination. Contributions are based upon the number of employees and the number of dependents <br /> applied to a specific rate,which includes estimated claims liability and/or fees,combined to create a Member Group's <br /> total annual contribution. It is the responsibility of the Member Group to provide accurate exposure data within thirty <br /> (30) days of the first of each month. Should this not be done, it will be at the discretion of the Pool to adjust <br /> contributions accordingly. <br /> 4. Charges.Changes in rates,discounts and other charges will occur only on the Member Group's renewal date and will <br /> remain in effect for a twelve(12)month period. However,the Pool reserves the right to make contribution changes in <br /> the event of substantive changes in the governing laws or the underlying plan assumptions. It is the responsibility of <br /> the Pool to inform the Member Group sixty(60)days prior to the effective date of such off cycle changes. <br /> 5. Contribution Collection. Contributions are due on or before the fifth(5th)of each month. <br /> 6. Claims Administration. <br /> a. Claims Filing/Reporting. All claims must be reported to the Claims Administrator in order to receive <br /> reimbursement. It is the responsibility of the employees of the Member Group to report any eligible claims. <br /> Claims must be filed as outlined in the Summary Plan Description. <br /> If a claim is made or suit is brought against the Member Group, the Member Group shall immediately forward to <br /> the Pool every demand,notice,summons or other process received by the Member Group or its representative. <br /> b. Claims Filing Limit. The Pool will pay eligible claims incurred up to midnight on the date of termination,provided <br /> such claims are submitted for payment to the Claims Administrator within twelve (12) months of the covered <br /> occurrence. Any claims submitted later than twelve (12) months following the date of termination shall be <br />
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