Item D09
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: 9/21/05
Division:
Management Services
Bulk Item: Yes X
No
Department: Administrative Services
AGENDA ITEM WORDING:
Approval to purchase Specific Excess Workers' Compensation Insurance from Safety National
Casualty Corporation at a rate of .2591 per $100 of payroll for a proj ected annual premium in the
amount of $158,377,00 for FY 05/06, Waiver of purchasing policy is requested to the extent that a
change in carrier only requires a waiver. (Broker remains unchanged) Approval to renew the
Accidental Death & Dismemberment Policy with Hartford Life & Accident Insurance Company in the
amount of $2,822,00,
ITEM BACKGROUND:
The County is currently insured with Midwest Employers Casualty Company for this fiscal year, The
current premium is ,3011 per $100 of payroll for a projected premium of $168,443,00, The significant
reduction in premium is due to the softening workers' compensation insurance market and favorable
claims experience,
PREVIOUS RELEVANT BOCC ACTION:
This insurance contract was last bid on 2/29/03 for the 03/04 fiscal year. Low bidder at that time was
Midwest at a rate ,3543 per $100 payroll for a projected premium of $197,271.00,
CONTRACT/AGREEMENT CHANGES:
Change in carrier from Midwest to Safety National. Both companies are AM Best "A" rated carriers,
Safety National's contract language is more favorable to the County, (Stronger aircraft coverage, better
definition of "occurrence," and continued "Statutory" coverage,)
STAFF RECOMMENDATIONS:
Approval
TOTAL COST: $ 161,199,00
BUDGETED: Yes X No
COST TO COUNTY: $161,199,00
SOURCE OF FUNDS: Primarily ad valorem
REVENUE PRODUCING: Yes
No X AMOUNTPERMONTH Year
APPROVED BY: County Atty _ OMB/Purchasing _ Risk Management _
DIVISION DIRECTOR APPROVAL:
Sheila A. Barker
DOCUMENTA TION:
Included
X
To Follow
Not Required_
DISPOSITION:
Revised 1/03
AGENDA ITEM #
Oct-04-05 11:24A MONROE COUNTY
305-295-4301
P.02
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CLIENT AUTHORIZATION TO BIND COVERAGE
After careful consideration of your Excess Workers' Compensation and Accidenlal Death and
Dismemherment proposal dated September 2, 2005. we accept your insurance program subject to
the following:
Please check tire de.'i/ired Option~':
Specific Excess Workers Compensation
DOption I - Midwest Employers Casualty COIporation
o $1,000.000 SIR Deposit Premium $168,035
525,000,000 Limit
o $1,000,000 SIR Deposit Premium $J 84,049
Statutory
~tion II - Safety National Casualty Corporation
po $1,000,000 SIR Deposit Premium $158,377
Statutory
o Two year option Deposit Premium $316,753
D $500,000 SIR
Statutory
Deposit Premium $481,670
Accidental Death and Dismemberment
~ Hartford Life and Accident Insurance Co
Annual premium $2,822
TRIA EXPIRATION DISCLOSURE
The Terrorism Risk Insurance Ad (TRIA) Is set to expire uli December 31, 20t5. There is no certainty of
e:deJllion, thus tile covera.e prCJvided by your ills.rers mayor may DCJt es.tcod beyond December 31, lOGS.
Ip the event you have loan covenanb ur other canlr.etual obllgatiHs requiriJae that terrorilm conrage be
...intained tbroughout the duration of your policy period, we recommend that II sepante "Stand Alo.,"
terrorism poUc:y be purebased to satisfy those obllgationll.
It is undel"5tood thift proposal provides only a summary of the details; the policies will contain the actual
cuverages.
We confjnn the values, schedules, and other data contained in the proposal are from our records and
acknowledge it. is our responsibiJity to see that they are maintained at:4;uratcly. Please provide us with a
binder(s) and invoicc(~) for the coverages agreed upon at yo earl' HL con\' .CIICC.
. ~
Broker's Signature
Dixie K. S ehar
Mayur/Chairman
Dated
September
Dated
N;\I'UBl.pROl'\MC)NkOr..RCC\200~-200(.\WC lIr. ^DO Pr~al Q80S.doc
Oct-04-05 11:24A MONROE COUNTY
305-295-4301
P.03
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CLIENT AUTHORIZAnON TO BIND COVERAGE
After careful consideration of your Excess Workers' Compensation and Accidental Death and
Dismembennent proposal dated September 2~ 2005, we accept your insurance program subject to
the following:
Please check the desired Opti0n3:
Specific Excess Workers Compensation
DOption I . Midwest Employers Casualty Corporation
o $1,000,000 SIR Deposit Premium $168,035
525,000,000 Limit
o $1,000.000 SIR Deposit Premium $184,049
Statutory
.i!Option Jl - Safety National Casualty Corporation
~ 51,000,000 SIR Deposit Premium $lS8,3n
Statutory
o Two year option Deposit Premium $316,753
o $500,000 SIR
Statutory
Deposit Premium $481,670
Accidental Death and Dismembenneut
CiI Hanford Life and Accident Insurance Co
Annual premium $2,822
TRIA EXPIRATION DISCLOSURE
Tile Terrorism Risk IRsurallCC Act (TRIA) I, set to espire on December 31, Z0t5. 'fbere is DO certatnt)' of
extellllon, tlu. the coverqe provided by your wllren mayor may Dot emad be70nd December 31, 2005-
In tile eveat YOD b.ve 10.. ~venan" or other centrlCt.1 ob.....1QI reqlllrlq thai terrorism coveraae be
aaai.-'i.ed tbrolllllout the duration of yo..r policy period, wi reeo.mend Ilia. . separate "St.nd Alae"
ter-ra...... policy be purchased to .atllt)' tltole Db....tlOD..
It is understood this proposal provides only a summary oC the details; the policies will contain the actual
coverages.
We conflnn the values, schedules, and other data contained in the proposal are from our records and
acknowledge it is our responsibility to see that they are maintained accurately. Please provide us with a
binder(s) and invoice(s) for the coverages agreed upon at y earliest c nvcnience.
. .
Dixie M. S ehnr
Chai.rman/Mayor
Broker's Silnature
September 28, 2005
Dated Dated MONROE COUNTY ATTORNEY
APPROVED AS TO FORM:
N:\PUBLPROP\MONROIi.IJCruooS-2006\WC ole ADD Proposal 080S,doc .~ ~~';AN M ~~ ~,~et,...c~~
ASSISTANT COUNTY ATTORNEY
Oct-04-05 11:24A MONROE COUNTY
305-295-4301
P.04
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CLIENT AUTHORIZATION TO BIND COVERAGE
After ClRfuI consideration of your Excess Workers' Compensation and Accidenral Death and
Dismembennent proposal dated September 2, 200S, we awcept your insurance progrdIn subject to
the following:
Please chec1r. rite desired Optimu:
Specific Excess Workers Compensation
OOption I - Midwest Employers Casualty Corporation
o $1,000,000 SIR Deposit Premium $168,035
$25,000,000 Limit
o $1,000,000 SIR Deposit Premium $184,049
Statutory
~tion D - Safety National Casualty Corporation
.f2] $1,0001000 SIR Deposit Premium $158,377
Statutory
o Two year option Deposit Premimn S316,753
o $500,000 SlR Deposit Premium $481,670
Statutory
Accidental Death and Dismembenneot
~ Hartford Life and Accident Iosurance Co
Annual premium $2,822
TRIA EXPIRATION DISCLOStJRE
Tbc Terrorism. Risk IDsDnnce Ad (TRIA) It set to ezplre OD December 31, 20t5. TheFe ia ao certaJaty of
ate....... III.. tile cover. provided by your i...rers may 01' may not eKtead beyond Deeember 31. ZOos.
III dle eveat you b.ve Ioaa COY_UII or other ~DtrH..ll obU..IIo... requb1Da that terrorism ClOVemp be
..'ataiDcd tbro..bobt tbe duntioD .(your poDe)' period, we reco.lDead dI., . ....nte "sr.1Id AIoae"
lerrHima polley be purcbased to ..tiafy thOle obUJ.tht....
It is understood this proposal provides only a summary of the details; the policies will contain the actual
cover8.JeS.
We confirm the values, schedules, and otl1er data contained in the proposal are from 0Uf records and
acknowledge It is our responsibility to see that they are maintained accurately. Please provide us with a
bindcr(s) and invoice(s) for the coverages agreed upon at~. .eaz~l~icst coo. vcni)mc .c.
t-- --l_ DI",fQ M. Spf!har
Broker's SiiJ1ature J ent. ture Chairman/Mayor
September
Dated Dated
28, 2005
iv;ONRO~ COUNTY ATTORNEY
APPR,~VE"D AS TO FORM:
~ ..( .
...J€::/?( /1.1....~J,L..:!....e~
SAJ6~N M. GRI LEY
.I\sr STANT COUNTY ATTOfltNI=V
N:\rUPI.PIlOP\MONROc.BCC\ZOO'.2006\WC at AJ)U f'nIpORl 080~.duc:
O~t-04-05 11:25A MONROE COUNTY
305-295-4301
P.05
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CLIENT AUTHORIZATION TO BIND COVERAGE
Aftei- careful consideration of yout Exces.c; Workers' Compensation and Accidenlal Death and
Dismemberment proposal dated September 2, 2005, we accept your insurance program subject to
the following:
Please check the desired Opti(m8:
Specific Excess Worlte:rs Compensation
OOption I - Midwest EmpJoyen Casualty Corporation
o $1,000,000 SIR Deposit Premium 5168,03S
525,000,000 Limit
o 51,000,000 SIR Deposit Premium $184,049
Statutory
mOption IT - Safety National Casualty Corporation
sa 51,000,000 SIR Deposit Premium $158,377
Statutory
o Two year option Deposit Premium 5316,753
o $500,000 SIR Deposit Premium $481,670
Statutory
Accidental Death and Dismemberment
~ Hartford r life and Accident Insurance Co
Annual premium $2,822
TlUAI:XPlRATION DISCLOSURE
The l'errorllm RUk I..urauee Act (I'RlA) Is set to elpire on December 31, Z.,. Tbere is DO certafDty of
ut.DIJoa, tbus tile cover.. JIf1Jvided by your ins........ may or ...y Dot n:tead beyond December 31, 1005.
In tile event yOII bave loan co\'eaaatl or other contractual obUaad... requlrbaa tIuIt terrorism coverap be
..i.biDed tIInHllhout the du...Cioa 0' yo..r poIIry period, WI reco,..mead ".t a Mpante ..Stand Alone"
ternrfJm poliey be purtb"ed to .atisf)' tIIoR obU.atioal.
It it lDIdcrstood thi,; proposal provides only a swnmary of the details; the policies will contain the aclUal
coverages.
We confirm the values, schedules, and other data contained in the proposal are from our records and
acknowledse it is our respomibility to see that they are maintained accuratc:ly. Please provide us with a
binder(s) and invoicc(s) {or the coverages agreed upon at liest con~ence.
Uixie M. Spehar
Broker's Signature Ilyor a rman
Dated
September 28 2005
D eel MEftJReC OO~tffy ATfOANI!Y
at APPROVED AS TO FORM:
~.1 '~~~A;~: G-RI;{{e~ T
ASSISTANT COUNTY ATTORNEY
N:\l'UBU'ROP\MONROlO.BCC\200S.2006\Wr. & ADD Propn.~.1 OIlOS.doc