Item C22
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: 9/17/03
Division:
Management Services
Bulk Item: Yes X
No
Department: Administrative Services
AGENDA ITEM WORDING:
Approval by the Board of County Commissioners to accept the recommendation of the Risk
Consultant for the County and purchase excess workers' compensation insurance from Midwest
Employers with an annual premium of$197,271 through Arthur J. Gallagher. Self-insured retention
will go to $1,000,000.
ITEM BACKGROUND:
The County cwrently uses Employers Reinsurance Corp. as excess insurer at an annual premium of
$193,533. Self-insured retention is $500,000.
PREVIOUS RELEVANT BOCC ACTION:
At the 2/19/03 Board of County Commissioners Meeting the Board approved advertising for Bids for
excess insurance. Bids were received and opened on 7/15/03
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATIONS:
Approval
TOTAL COST: $197,271
BUDGETED: Yes X No
COST TO COUNTY:
Same
SOURCE OF FUNDS: Primarily ad valorem
REVENUE PRODUCING: Yes
No X AMOUNT PER MONTH
Year
DIVISION DIRECTOR APPROVAL:
OMB/Purchasing _ Risk Management _
~. JA L
d~L a~~
eila A. Barker
APPROVED BY: County Atty
DOCUMENT A TION:
Incl uded
X
To Follow
Not Required_
DISPOSITION:
Revised 1/03
AGENDA ITEM # ~/.AJ_
INTERISK
CORPORA TION
Risk Management
Employee Benefits
1111 North Westshore Boulevard
Suite 208
Tampa, FL 33607-4711
Phone (813) 287-1040
Facsimile (813) 287-1041
Consultants
July 25, 2003
Ms. Nancy Cohen
Workers' Compensation Manager
Monroe County
1100 Simonton Street
Suite 2-274
Key West, Florida 33040
Re: Evaluation of Workers' Compensation Proposals
Dear Nancy:
The County has successfully re-marketed its Excess Workers' Compensation insurance for the period
October 1,2003 to October 1,2004. The County wanted to evaluate the cost benefits of joining the Florida
Sheriffs' Self-Insurance Fund and purchasing its compensation insurance for its Sheriff's department from
the Florida Sheriffs Workers' Compensation Self-Insurance Fund (FSWCSIF). Proposers were therefore
requested to submit separate proposals for:
)> BOCC employees only;
)> Sheriffs' employees only and
)> BOCC and Sheriffs' employees combined.
The County currently purchases its Workers' Compensation insurance for both the BOCC and Sheriffs'
employees on a combined basis. Coverage is provided by Employers Reinsurance Corporation through the
Arthur 1. Gallagher insurance brokerage firm. Under the terms of the program, the County retains the first
$500,000 of each occurrence and the policy is subject to a $25 million limit of liability.
Following the development of the bid specifications, they were posted on Demand Star in accordance with
the County's purchasing procedures. In an effort to control the process and to ensure all participants had
unrestricted access to the insurers they wanted to utilize, agents were required to submit, ranked in order of
preference, a list of companies they wanted to use. Ten (10) agents submitted requests for a total of
twenty-two (22) different insurance companies, It is believed that the companies requested represent the
majority, if not all, of the companies with the capabilities and desire to provide the County's insurance
needs. Throughout the process, the activities of the agents were closely monitored and several addendums
to the bid specifications were issued in response to requests for additional information,
Ms, Nancy Cohen
July 25, 2003
Page 2
The bid specifications required that all proposals must be received by July 15, 2003 at which time they
were publicly opened by the County. Proposals were received from the following agents:
~ Arthur 1. Gallagher (the incumbent agent);
~ The Florida League of Cities and
~ The Hunt Insurance Group (representatives of the FSWCSIF)
Attached is a tabular summary of the major features of the County's current program and the proposals
received from each agent. Also attached is a higher level summary designed to accompany the Board
agenda item.
Since most Workers' Compensation policies contain comparable tenns and conditions, the following
factors were considered when evaluating the proposals;
J
,/ The financial strength of the insurer;
,/ The ability of the County to select its own Third Party Claims Administrator;
,/ The County's right to select its own Defense Counsel;
,/ Proposed annual premium of the policy;
,/ The claim obligations that are within the selected retention;
,/ The cost to administer the claims that are within the County's retention and
,/ State assessments that are imposed on all self-insureds within Florida.
Following is narrative discussion of each proposal along with Interisk's recommendation for selection.
The Hunt Insurance Group
Despite the fact that the Hunt Group was assigned four (4) traditional insurers in addition to the FSWCSIF,
they only submitted a proposal for the Sheriffs employees from the FSWCSIF. The FSWCSIF offered to
provide coverage consistent with Florida Statute ~ 440 (Statutory) without a deductible or retention. Since
FSWCSIF proposed a first dollar program, all claim costs and claim administration fees are included in
FSWCSIF premium. In addition, since the County would no longer be considered a self-insured, there
would be no obligation to pay any State Assessment fees. If the County were to select this option, a
separate program for the BOCC employees would also have to be purchased. With FSWCSIF proposing a
premium of $1,148,650 plus the lowest projected cost of $680,764 for the BOCC employees, this option
would produce a total program cost of $1,829,414. Not only is this considerably higher than other viable
options, it would result in a split in the County's program which would increase the administration efforts
to oversee the program. It is therefore recommended that the FSWCSIF program as submitted by the Hunt
Insurance Group be eliminated from further consideration.
The Florida League of Cities
The Florida League of Cities (the League) proposed both a Self-Insured program as well as a Large
Deductible program. To comply with the RFP, the League issued three (3) options for both programs. The
first option offered to insure the BOCC employees only. The second option offered to insure the Sheriffs
employees only. The third option for each proposed program combined the BOCC and Sheriffs
employees in one program. Since the combined option was the aggregate of the BOCC and Sheriffs
option and the only other stand-alone Sheriffs option was proposed by the Hunt Group which has been
recommended to be eliminated from further consideration, our evaluation of the Florida Leagues' proposal
focused on the coverage that included both the BOCC and Sheriffs employees.
Ms. Nancy Cohen
July 25, 2003
Page 3
Under the Self-Insured option, the County would be required to absorb the first $500,000 of each
occurrence with the League providing insurance protection for all costs in excess of $500,000. The League
proposed an annual premium of $348,997 for this option. If this option were selected, the County would
be responsible for all claim costs under $500,000. Based on the County's historical losses, this is estimated
to be $891,934. In addition, the County would have to continue the services of a third party claims
administrator (TPA). Through a separate RFP process, the County has received proposals from various
TP As and while a final decision has yet to be made on which TP A proposal will be selected, it is being
recommended that PGCS be retained as the County's claims administrator. For the purposes of this
evaluation, PGCS' flat annual fee proposal has been used for all self-insured options. If the County
maintains its self-insured status, they would have to continue paying the Florida State Self Insured
Assessment which is currently $193,200. If this option is selected, the County could expect a total
program cost of $1 ,514, 131 for the 2003/2004 policy year.
Annual Premium $348,997
Projected Claim Costs 891,934
TPA Fees 80,000
State Assessment Fees 193,200
Total $1,514,131
The League also proposed a Large Deductible plan that would require the County to assume the first
$25,000 of each claim. The League's proposed premium for this option is $2,087,736. Since this option is
not considered to be self-insurance, the County would not be obligated to continue paying the Florida State
Self Insured Assessment. In addition, the County would not have to incur the costs of a TPA since the
League would administer the handling of all claims (the administration cost being included in the League's
premium). The County would be responsible for the first $25,000 of all claims which is estimated to be
$237,470. The total projected cost of this option is $2,325,206.
Annual Premium $2,087,736
Projected Claim Costs 237,470
TPA Fees 0
State Assessment Fees 0
Total $2,325,206
It should be recognized that the Florida League's is a self-insured trust and does not enjoy the protection of
the Florida Insurance Guarantee Association (FIGA). FIGA is a State administered program designed to
pay the claims of insurance companies that become insolvent. If the League were to experience financial
difficulties, the liability for all claim costs would be transferred back to the County. The fact that the
County received other proposals that are projected to produce lower costs and the League does not enjoy
FIGA protection. It is recommended that the Florida League's proposal be eliminated from further
consideration,
Ms. Nancy Cohen
July 25, 2003
Page 4
Arthur J. Gallagher
Arthur 1. Gallagher, the County's current agent, submitted proposals from Midwest Employers and
Employers Reinsurance Company (Employers Re). The Employers Re proposal only included coverage
for the BOCC employees and since no viable option was submitted for the Sheriffs employees, it is
recommended that the Employers Re proposals be eliminated from further consideration.
Likewise, Midwest submitted two options that only included the BOCC employees. Again since their is no
viable option to insure the Sheriffs employees on a stand-alone basis, it is being recommended that these
two options be eliminated from further consideration.
Midwest did submit two options that included both the BOCC and Sheriffs employees, Both of these
options would require the County to retain the first $1 million of each claim. While this would double the
County's retention, there have been only three (3) claims that have exceeded $500,000 since the County
became a self-insured in 1976, In addition, the State Legislature has recently amended the statutes in an
attempt to lower the probability of an organization experiencing a catastrophic loss. This move was made
in an attempt to attract new insurers to Florida willing to provide Workers' Compensation insurance. Over
the years, Florida has been recognized as a highly liberal state when it comes to benefits for injured
employees. This has forced a majority of insurers to withdraw from the Florida Workers' Compensation
market which has had an adverse effect on the cost of insurance, If the changes to laws achieve the desired
effects, more insurers will be willing to offer Compensation insurance in Florida that will produce more
competition which in turn will result in lower costs and more attractive terms, such as lower retentions for
Excess insurance. Even if a catastrophic claim were to occur, Workers' Compensation benefits are paid
out over time and the present value of the County's payments for the claim would be significantly reduced,
One of the Midwest's options proposed by Gallagher offered statutory benefits while the other option
offered a per occurrence limit of $25 million. It is highly unlikely that the County would ever experience a
Workers' Compensation claim that would exceed $25 million. Both options require that the cost of the
retained claims, the fees paid to a TPA and the Florida State Self Insured Assessment be included in the
evaluation process. Following is a summary of the projected costs for both options,
Statutory $25 million
Limits Limit
Annual Premium $216,083 $197,271
Projected Claim Costs 1,020,793 1,020,793
TPA Fees $80,000 $80,000
State Assessment Fees 193,200 193,200
Total $1,510,076 $1,491,264
It is believed that the Projected Claim Costs may be significantly overstated since it represents an average
of the County's historical claims. It is believed that the probability of the County having a claim that
exceeds $500,000 is extremely low, however to maintain a consistent approach in the evaluation process,
the few claims that have exceeded $500,000 had to be included in developing the Projected Claim Cost.
Ms. Nancy Cohen
July 25, 2003
Page 5
Conclusion and Recommendations
It is believed that the County will best be served if it were to select the Midwest Employers proposal with
the $25 million limit and a $1 million retention as submitted by Arthur J. Gallagher. Not only does this
produce the lowest overall projected cost, favorable loss experience will make this option even more
attractive, In addition, by retaining Gallagher as the agent, the County can maintain the structure of its
current program which will provide a greater opportunity to take advantage of more competitive programs
in future years if the legislative changes achieve the desired effects.
If you have any questions, please do not hesitate to call.
Cordially,
INTERISK CORPORA nON
~ /j
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Sidney G. Webber
CPCU, ARM
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MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
WORKERS' COMPENSATION INSURANCE
AND
ACCIDENTAL DEATH & DISMEMBERMENT
OCTOBER 1, 2003 - OCTOBER 1, 2004
Submitted Bv:
SUSAN AINSZTEIN, ARM
Area Assistant Vice President
susan _ ainsztein@ajg.com
HEIDI L. GREENE, CPCU, CIC
Account Manager
heidi_greene@ajg.com
Arthur J. Gallagher & Co.
2255 Glades Road, Suite 400E
Boca Raton, FL 33431
Telephone: (561) 995-6706
Fax: (561) 995-6708
ajg.com
Date Presented:
August 22,2003
-
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
IMPORT ANT DISCLOSURES
The proposal is an outline of the coverages proposed by the insurers, based on the information
provided by your company. It does not include all the terms, coverages, exclusions, limitations,
or conditions of the actual contract language. The policies themselves must be read for those
details. Policy forms for your reference will be made available upon request.
In addition to the fees and/or commissions retained by Arthur J. Gallagher & Co., it is
understood and agreed that other parties, such as excess and surplus lines brokers, wholesalers,
reinsurance intermediaries, underwriting managers, and similar parties, some of which may be
owned in whole or in part by Arthur J. Gallagher & CO.'s corporate parent, may earn and retain
usual and customary commissions and/or fees in the course of providing insurance products.
Any such fees and/or commissions will be the responsibility of client and not Arthur J. Gallagher
&Co.
The information contained in this proposal is based on the historical loss experience and
exposures provided to Arthur J. Gallagher & Co. This proposal is not an actuarial study. Should
you wish to have this proposal reviewed by an independent actuary, we will be pleased to
provide you with a listing of actuaries for your use.
Gallagher from time to time enters into arrangements with certain insurance carriers or those
carriers' reinsurers providing for compensation, in addition to commissions, to be paid by such
carriers or reinsurers to Gallagher or its affiliates based on, among other things, the volume of
premium and/or underwriting profitability of the insurance coverages written through Gallagher
by such carriers or reinsurers. In addition, Gallagher and its affiliates provide management and
other services to, and receive compensation for those services from; certain reinsurers that
reinsure insurance coverages written through Gallagher by other insurance carriers. The
insurance coverages your purchase through Gallagher might be issued by an insurance carrier or
reinsured by a reinsurer that has such a relationship with Gallagher or its affiliates.
N:\A1G\PUBLPROP\MONROE.BCC\2003 WC RFP\MONR-BCC-WC 0803.doc
1
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MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
TRANS MITT AL LETTER
August 22, 2003
Ms. Nancy Cohen
Workers' Compensation Manager
Monroe County Board of County Commissioners
1100 Simonton Street, Room 2-213
Key West, FL 33040
On behalf of Arthur J. Gallagher & Co. and the Account Service Team, we are pleased to
respond to Monroe County Board of County Commissioners Workers' Compensation
Insurance Bid #1 96-1 69-0-2003/LC and provide the following formal proposal for Board
recommendation.
Arthur J. Gallagher & Co. was established as a corporation under the laws of the State of
Florida on May 6, 1977 and our Federal Identification number is 59-1743669.
The contact person who is authorized to make representations for the County is:
Susan Ainsztein, ARM
Area Assistant Vice President
National Public Entity and Scholastic Division
Arthur J. Gallagher & Co.
One Boca Place
2255 Glades Road, Suite 400E
Boca Raton, FL 33431
Arthur J. Gallagher & Co. is one of the world's largest insurance brokerage and risk
management services firms that plans, designs and administers a full array of customized,
cost-effective property/casualty and employee benefits programs. We offer global reach
through our network of brokers, consultants and third-party administrators in more than 200
offices in seven countries.
We have achieved seven decades of profitable growth through our responsive customer
service and a pioneering approach in the design and implementation of insurance, reinsurance,
risk management and self-insurance programs. A strong team spirit, continuing product and
service innovation, solid professional development programs and strategic technological
advances ensure that we will fully perform for our client partners for years to come.
The Gallagher Companies are known in Florida as the leading broker when it comes to Public
Entity clients. We handle more of this business than any other broker. Our staff of talented
insurance professionals truly understands the unique risks associated with a Public Entity.
N:\AJG\PUBLPROP\MONROE,BCC\2003 WC RFP\MONR-BCC-WC 0803,doc
2
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MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
TRANSMITTAL LETTER
(Continued)
Quotes included from:
· Midwest Employers Casualty Company (W.R. Berkley Corp.) - To follow is the
overview for the selected Excess Workers' Compensation proposal for all employees
with a Self-Insured Retention of $ 1,000,000 Per Accident and Workers' Compensation
coverage of $25,000,000 Per Accident. The Annual Minimum and Deposit Premium is
$197,271/Rate .3543 per $100 of payroll.
· Hartford Life and Accident Insurance Company - Included in the renewal proposal is an
overview of the Accidental Death and Dismemberment coverage at the new Florida
Statutes 112.19/112.191 increased benefit limit. The annual renewal term of$2,822.00-
second year term has not changed.
When you choose Gallagher, you gain the experience and expertise of our entire team.
Best Regards,
Arthur J. Gallagher & Co. - Boca Raton
Susan Ainsztein, AR
Area Assistant Vice President
N:\AJG\PUBLPROP\MONROE.BCC\2003 WC RFP\MONR-BCC-WC 0803,doc
3
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MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
SPECIFIC WORKERS' COMPENSATION
Policy Term: October 1, 2003 - October 1, 2004
Carrier/Rating: Midwest Employers Casualty Corporation
(A XI as of August 22, 2003)
Coverage: Specific Excess Workers' Compensation Coverage/ Indemnity Form
- Specimen Policy Form included in RFP- Response #196-169-0-
2003/LC
Specific Limit: Cov. A Workers' Compensation $25,000,000 Per Accident
Cov. B Employers Liability $1,000,000 per employee/
aggregate per accident for
Employers Liability
Estimated Annual Payroll: All Employees: $55,691,377
Self-Insured Retention: $1,000,000 Per Accident
Rate: .3543 per $100 Payroll
(subiect to audit based on actual payroll)
Annual Minimum and
Deposit Premium: $197,271 - due immediately upon binding
Major Exclusions: . Punitive or Exemplary Damages
(including but not limited . Employment Related Practices Claims
to) . Serious or willful misconduct of the employee, including
intentional acts
Terms and Conditions: . Includes Incidental USL&H and Jones Act (I0-34; 10-32)
. Voluntary Workers' Endorsement (I0-66)
. Defense Costs are included in Retention
. Aircraft Endorsement-$l ,000,000 maximum anyone
Life/$5,000,000 maximum per policy
. Premium subject to annual audit based on PAYROLL, NOT
PREMIUM
. Signed Application to be provided subsequent to binding
. Terrorism Endorsement
. On-site claims audit during policy term
Third Party To be determined by County and approved by Midwest Employers
Administrator: Casualty Corporation
N:\AJG\PUBLPROP\MONROE,BCC\2003 WC RFP\MONR-BCC-WC 0803,doc
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MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
ACCIDENTAL DEATH AND DISMEMBERMENT
OCTOBER 1, 2003- OCTOBER 1, 2004
Carrier: Hartford Life and Accident Insurance Company
Best Rating: A+ XV as of August 22,2003
Policy Term: Three (3) Years - Annual installments billed annually
October 1, 2002 - October 1, 2005
Policy Form: 7679 - B2 (HL) same as expiring
Limit: $ 51,138 AD&D in the Line of Duty
$ 51,138 Fresh pursuit
$153,415 Unlawful & Intentional Death
Eligible Persons: All Full-Time, Part-Time, Volunteer and Auxiliary Firefighters and Full-
Time/Part-Time Police Officers ofthe Policyholder -Class I
Exclusions · Intentionally Self-Inflicted Injury
(including but not · Suicide or Attempted Suicide
limited to): · War
Annual Premium: $2,822 Annual Premium/Second Year Term - Due immediately upon
binding
Note: New limit reflects amended Florida Statutes 112.19 and 112.191 increasing
benefits - effective July 1,2003.
N:\A1G\PUBLPROP\MONROE,BCC\2003 WC RFP\MONR-BCC-WC 0803.doc
6
SCHEDULE
Rider * 6
THE.
HARTFORD
POLICY MODIFICATIONS: This policy as issued is amended as follows:
In consideration of the second annual installment premium of $2,822.00, it is agreed that
coverage under this policy shall continue in force for a period of 12 months commencing on
the effective date of this rider.
This page is a policy page issued and effective on the Policy Effective Date unless dates
are shown below making this page a rider.
~: This rider, issued July 28, 2003, forms a part of policy No. ETB-I0006 issued to
Monroe County Board of County Commissioners. It is effective October 1, 2003. It does
not vary, waive, alter or extend any of the terms, conditions, or provisions of the
policy, except as stated herein. Signed for the Hartford Life and Accident Insurance
Company
a~~4~ ~~~
Christine Hayer Rcp43y. S~t:fO!ltJry ThomOl.. M. M:m-.... I'raid=.r
Form 7679 BlD SCHEDULE (Modifications)
-
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
INSURANCE COMPANY SELECTION
The Best's Guide is the guidebook the insurance industry uses to determine the financial stability of
an insurance company. A copy of the Best's Guide report on the insurance companies quoted is
available for your review.
While we strive to be certain that your insurance is placed with reputable, highly rated insurance
companies, we have no way of guaranteeing the financial accuracy of the Best's Guide or the
financial stability of any insurance company.
For these reasons, we recommend that you take into account the financial stability of all the insurance
companies prior to making your selection as to who will write your insurance.
Excess Workers' Com ensation
Midwest Employers Casualty Company
(WR Berkle Co .)
AD&D
Hartford Life and Accident Insurance Co.
AXI
Yes
No
A+XV
Yes
No
Al h b . I L' .
N
. I L' .
IpJ a etica IstinS?; umenca IstmS?;
A+, A++ = Superior Ranges from 1 to 15
A, A- = Excellent 1 = Smallest Category
B+, B++ = Very Good 15 = Largest Category
B,B- = Good
C+,C++ = Fair
C = Marginal
Admitted Carrier - Authorized licensed insurer doing business in Florida and protected by the Florida
Insurance Guarantee Association, Inc. under F.S. 631.
Surplus Lines Carrier - An unauthorized insurer which has been made eligible by the Florida
Department of Insurance to issue insurance coverage. Surplus Lines carriers are not protected by the
Florida Insurance Guarantee Association, Inc. under F .S. 631.
N:\AJG\PUBLPROP\MONROE,BCC\2003 WC RFP\MONR-BCC-WC 0803,doc
7
.'-..- -'-'-~----~'--,"","-----,....... '.
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MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
GUIDE TO A.M. BEST'S RATINGS
Best's Insurance Reports, published annually by A.M. Best Company, Inc" presents
comprehensive reports on the fmancial position, history, and transactions of insurance
companies operating in the United States and Canada. Companies licensed to do
business in the United States are assigned a Best's Rating which attempts to measure
the comparative position of the company or association against industry averages,
Best's ratings are based on analysis, which give consideration to a number of factors
of varying importance. While the analysis is believed to be reliable, we cannot
guarantee the accuracy of the rating or the financial stability of the insurance
company.
A copy of the Best's Insurance Report on the insurance companies is available for
your review.
Best's Rating
Classifications are:
A++ to A+ Superior
A to A- Excellent
B++ to B+ Very Good
BtoB- Fair
C++ to C+ Marginal
C to C- Weak
I $0 to $1,000,000
II $1,000,000 to $2,000,000
III $2,000,000 to $5,000,000
IV $5,000,000 to $10,000,000
V $10,000,000 to $25,000,000
VI $25,000,000 to $50,000,000
VII $50,000,000 to $100,000,000
VIII $100,000,000 to $250,000,000
IX $250,000,000 to $500,000,000
X $500,000,000 to $750,000,000
XI $750,000,000 to $1,000,000,000
XII $1,000,000,000 to $1,250,000,000
XIII $1,250,000,000 to $1,500,000,000
XIV $1,500,000,000 to $2,000,000,000
XV $2,000,000,000 to or more
Best's Financial
Classifications are:
Note:
At your option, you may wish to consult with other available rating services.
Arthur J. Gallagher & Co. uses A.M. Best & Co.'s rating services to evaluate the financial condition of insurers whose
policies we propose to deliver. The rating of the carrier and the year of publication of that rating are indicated. Arthur 1.
Gallagher & Co. makes no representations and warranties concerning the solvency of any carrier, nor does it make any
representation or warranty concerning the rating of the carrier which may change.
N:\A1G\PUBLPROP\MONROE.BCC\2003 WC RFP\MONR-BCC-WC 0803,doc
8
--,..._----~--~~--~-~_..,...,...
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MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CLIENT AUTHORIZATION TO BIND COVERAGE
After careful consideration of your Excess Workers' Compensation and Accidental Death and
Dismemberment proposal dated August 22, 2003, we accept your insurance program subject to
the following exceptions/changes:
Exceptions
It is understood this proposal provides only a summary ofthe details; the policies will contain the
actual coverages.
We confirm 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 your earliest
convemence.
Broker's Signature
Client Signature
Dated
Dated
N:\AJG\PUBLPROP\MONROE,BCC\2003 WC RFP\MONR-BCC-WC 0803,doc
9
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MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
ADDITIONAL UNDERWRITING INFORMATION
OCTOBER 2003-2004
OVERVIEW:
Description NUntberofPeople BOtJ.;fS Worked
Library Volunteers 496 5,033
Poll Sitters 325 4,550
Volunteer Police Office 86 Varies
Volunteer Firefighters 144 Varies
County Employees 1,619 Varies
Paid Firefighters 58 Varies
AIRCRAFT:
Des~ripti()1l Nttjlbeff.JifSeats FAACert.# TYPE
1 976 Beech C- 1 2C 9 N465MC Fixed Wing
I 966 Bell UH-IH 8 N91 1 GE Rotorcraft
1 968 Bell OH-58 5 N463MC Rotorcraft
WATERCRAFT:
Number DeactiiltloR L~rlgt...
6 Jet Skis N/A
Basta n W haler
1 Mercurv 75 1 7'
N:\AJG\PUBLPROP\MONROE.BCC\2003 WC RFP\MONR-BCC-WC 0803.doc
10