12/11/1991Agreement to Operate a Payroll Budget Plan
The Prudential n//// with
The Prudential Insurance Company of America
Name of Organization Nature of Business
MONROE COUNTY COUNTY GOVERNMENT
Address
WHITEHEAD STREET, KEY WEST, FLORIDA 33040
The above -named organization agrees to make available to its employees the Payroll Budget Plan of The Prudential Insurance Company of
America. It is further agreed that, when authorized by employees becoming insured under this plan, the necessary deductions will be made
from their salary, wages pay
premiums for insurance or purchase price instalments for annuities issued to them under The Prudential Payroll Budget Plan and such
amounts will be remitted in the manner hereinafter specified., to be deducted on an after tax basis.
The amounts for premiums and purchase price instalments under the plan shall be nag
pl` deducted from epl4ees �olled
and such amounts will be remitted to The Prudential on each such due date.
It is also agreed that the organization assumes no responsibility for the payments of such amounts on behalf of any employee who withdraws
from the plan or terminates his employment, nor will the organization accept payments for transmission to the insurance company after such
withdrawal or termination of service. The organization agrees to notify The Prudential of any such withdrawals or terminations.
It is further agreed that either The Prudential or the organization may terminate the Payroll Budget Plan by submitting written notice to the
other party, such termination becoming effective as follows:
If the Plan is terminated by The Prudential, the termination will be effective on the first day of the third calendar month following the
month in which the notice of termination is mailed to the organization.
If the Plan is terminated by the organization, the termination will be effective on the first day of the second calendar month following
the month in which the notice of termination is mailed to The Prudential.
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If the organization is an association, "employee" and "employment", as used in this agreement, should be understood to include
"member" and "membership", respectively.
MAYOR
Accepted for the Organization by
December 11 ,tg 91 MONROE COUNTY BOARD OF COMMISSIONERS
Date Title
Information for The Prudential
Number of Full-time Employees
ATTEST: WWNY L. KLHAIiE,. CLERK
By
Name, including title, and address to which notices and correspondence should be sent: (If more than one, pleas ow each.)
, i APPROVED .5 TO FUI;-U,
Ford 8929 Ed 2-88 Litho in U.S.A. by PruPress