HomeMy WebLinkAboutItem C25
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 for AD&D coverage with Hartford Insurance in the
amount of $2,822.00 yearly for the time period 10/1/03-10/1/05.
ITEM BACKGROUND:
Florida Statute 112 requires that this benefit be provided for volunteer and paid firefighters for the
County.
PREVIOUS RELEVANT BOCC ACTION:
The Board of County Commissioners previously approved coverage for AD&D from 10/1/02-9/30/03
with Hartford Insurance at the 9/18/02 Board meeting.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATIONS:
Approval
TOTAL COST: $2,822.00 per year
BUDGETED: Yes X No
COST TO COUNTY: Same
SOURCE OF FUNDS: Primarily ad valorem
REVENUE PRODUCING: Yes
No X AMOUNT PER MONTH
Year
APPROVED BY: County Atty
OMB/Purchasing _ Risk Management _
DIVISION DIRECTOR APPROVAL:
(~,~ a-&,,-~
/ Sheila A. Barker
DOCUMENT A TION:
Included
X
To Follow
Not Required_
DISPOSITION:
Revised 1/03
AGENDA ITEM # C::::::::;M-
BOARD OF COC~TY COMMISSIONERS
AGE~DA ITEM SUMMARY
Meeting Date: 09/18/02
Division: Management Services
~
Bulk Item: Yes x
No
Department: Human Resources
AGENDA ITE:\-I \VORDING:
Board of County Commissioner's approval of renewal of excess workers' compensation coverage \Vith
Employers Reinsurance Corporation for 10/1/02 through 9/30/03 in the amount of$193,533.00.
Additional approval of AD&D coverage with Hartford Insurance in the amount of $2,822.00 for
10/1/02 through 9/30/03.
ITEM BACKGROUND:
With the continuing hardening of the insurance market, the premium for excess coverage has gone
from $95,096.00 with a self-insured retention of $350,000.00 for the last fiscal year to a premium this
year of $193,500.00, with a self-insured retention of $500,000.00. There is also a small increase in the
premium for AD&D coverage that is required by Florida Statues for paid and volunteer firefighter for
the County. This increase is due to a change in the statutory death benefits.
PREVIOUS RELEVANT BOCC ACTION:
None
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATIONS:
Approval
TOT AL COST: $ 196,355.00
BUDGETED: Yes X No
COST TO COUNTY: $196,355.00
REVENUE PRODUCING: Yes
No X
AMOUNT PER MONTH
Year
APPROVED BY: County Atty
'.
OMB/Purchasing
Risk Management _
DIVISION DIRECTOR APPROVAL: ~ ~S~~~~ (
James L. Roberts, County Administrator
DOCUMENTATION:
Incl uded X
To Follow
Not Required
DISPOSITION:
AGENDA ITEM #
Revised 2/27/01
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INTERISK CORPORA TION
Consultants
Risk Malli!g':In.:n1
Employ.:.: Ucno.:fil:l
1111 North WC3tshore Boulevard
Suite 2011
Tampa. FL 33607-4711
FAX COVER SHEET
SUBJECT:
MESSAGE:
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The inConnation disclosed in this facsimile is intended for the use ot the addressee only. I( you are not the
intended nx;iptcnt nor &he person responsible: for cleliver1ng IIUs 10 the inlende<1 n:cipienl please notify us
via telephone and tetlU11lhc original copy of !he transmission to us via U.S. Mail. Distribution o(this
facsimile is prohibited,
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I NTERISK CORPORA TION
Consultants
1111 North Westshon: Boulevard
Suite 208
Tampa, FL 33607-4711
Pbooe (813) 287-1040
F~ (113) 287-1041
Risk M.aoagement
Empl~"CC Benefits
August 28, 2002
Ms. Nancy Cohen
Workers' COlllp"ft~OI1 Manager
Momoe County
S 100 College Road. Room. 207
Key W~ Florida 33040
Re: Renew"l of Accidelttal Detzt1r and Dis1M1Jfberllft!1lt In~"'rance
Dear Nancy:
The Acx:idental Death aad Dismemberment policy for the County's Vohmr.een lIDd Fin:fi&btcn expires on
Scpb:mbcr 30, 2002. On July 1, 2002 me limits of this p3Iic:y 'M:l'C iDcreucd to R:t1ect ~ cbauges in
the Florida StaIUtcs. This produald an addition prelDium of 5350 for the remaiDdcr of the~. HId the
inaascd beadits prcsaibcd by Florida Swutc f 112 been in dfca for tbc eDtire year, me amwaI
prcaUum would bavc been $2.791.
Arthur 1. GaDagbcr bas submitted a three year proposal from HanfonS Life IDsonmcc ~ (tbc
iD.cumbeDt iDIDrcr) tor an aDJlUal premium of S2,822. 1biJ ..~ only . 1% iDcrcuc O\'a'the
expiring premium aDd siDQe Hartfcml is the lc:adiD& AD1lD iDsuRr, it is 1tO<JoII'ftV'...Lod that 1hc Coaaly
reJJeW its Aa:idcnral Death IDd l)i.m.o......,.lDdIt ~ with Hartfotcl u submitted by AJthar J.
Gallagher.
If you have any questions, please do DOt bcsitatc to call.
Cordially,
INTERlSK CORPORATION
~~'I
SidDey G. Webber
CPCU, ARM
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l\IONROE COUNTY
BOARD OF COl~TY COMMISSIONERS
Al"DIT SLIP
Ve~dorName !~~4-' 9" qULLC'j~~. Bt.'ed.> EP0--
Invoice &5i-l/
Invoice Date 0/' g I () d
Invoice Amount ~I' K ~;;J ",n
Fund 1 (Optional) (Optional)
Cost Ctr Account # Project # Project Acct Amount
hD; () ~l ~L'cX. ..53c<f..su () ;Sc?~ ~~..lJ2)
/ () ~ (].
Description (Opt) I;; /, /Cb<' 't8C1t) 3 (2;
/ I ., /
Description (Opt) Jo. 1J:t/tJ:3
Description (Opt)
...
Description (Opt)
Description (Opt)
Review
Signature
Date
\...1, I~ /;
Approve to 51,000.00 Signature ~ ~
51,000.01 to S5,000.00 Signature
55,000.01 to 510,000.00 Signature~ t?e~
510,000.01 to 525,000.00 Signature -~ .. ~O~
Date qt-ro;>.
Date
Date
t7-~'Io 2-
Date '7-.J-v~
S25,000.01 & greater
BOCC Approval
Notes: Only one invoice per audit slip, please!!
HOCC Depts complete all areas.
Invoice # must be the invoice number from the vendor's invoice.
Description is a 25 position field for additional information.
7/29/0211:58 AM ms\ssg\aud_temp,doc
~
ARTHUR J. GALLAGHER & CO. - BOCA RATON
2255 GLADES ROAD, SUITE 400E. BOCA RATON, FLORIDA 33431
(561) 995-6706
F.E.I.N. - 59-1743669
---------- I ~ \I () I c: E: ----------
Monroe County Board of Commissioners
1100 Simonton Street
Key West, FL 33040
Invoice Date
Invoice No.
Bill-To Code
Client Code
Inv Order No.
Commissioners
Amount Remitted: $
09/18/02
8541
MONROECOUNTYB
MONROECOUNTYB
320*7850
Named Insured: Monroe County Boare. Of
Please ~ this portion WIth your payment
Make checks payable to: ARTHUR J GALLAGHER-BOCA RATON
Effective Date
10/01/02
Poricy Period
10/01/02
to
10/01/05
o ve rag e.De s c r ipti 0 n
art ford Insurance Company
olicy No. BINDER5365
*Renewal - Accident & Health
Transaction Amount <i
2,822.00
Invoice Number: 8541
Amount Due:
2,822.00
Payment is due upon receipt
THANK YOU!
.Premiums Due and Payable on Effective Date
BJG
Page: 1
ORIGINAL INVOICE
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Hart&mi Life
il'f/O~
Date: -.-L
To~ H~.~- (} r,.e€/' e-
at- q ,~- b70~
F~#:
J.U;.:
M,aYJ "0 e, t;; J/ ^ -ty /J DCe.
Florida 5trtutc Rcnew'Sl - Em /0 DOlt
D<l:ar
f/-u~.
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We have reviewed the ~ questi~ite for the above rcfc:renccd risk. RdlCU-z 1 Premium to
t:naW according to the completetl 3.ppuc:atioa. is:
S d-14 7 I Am1u=1 PtEmiun:r. or
S ~07-z, ~-r._,Bi!F..~~er ..
~ S r, If ~ & ._"IhtH y..., ~ in :",,"1.31 inslaII=Ill:s of~ .2., ~2- z
Please indicate Renewal St:a1as.
Ilc:new (I.itcle pNmium. option 8 bt lYe
Do DOt ',,~sh to R.enew
Please ~ 1hi3 ~ latter back to my a\la1liol1 at 6\&-7~-l)325 prior to tIIo: n".....t -~
you have indic:lted. 'this policy is rc:newing. this lett=r ~e:- as yourbindcr and rt:t1.:wa! covc:rag-e
---15 Oouml e.ftb;tivc ml:: r=newal ~te tor t11c premUDl Opt:t<JD chosen. 'tour ~nlar.umen~
.-will be focwarded ttJ you as socn as p<)sS101c follo1Vmg o\Ir'rece1pt of this letter. ~ t
We appr=iate the opportuIIity to write this coverage for ~fCur client.
agards.
~
Julia Bischof
Hartford We GrOllp Ilcnctil:!; Di"isiol'
Ac:1d ~ undes-ritin~
Drecc 61g...SIS6-4Z~7
'F8Qimile: 678-762-OH=-
~.(~:1..... Arltt ...... P n Rnx '.25('1
~O~j EE:gl ZOOZ-Bl-d3S
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Arthur J. Gallagher & Co. - Boca Raton
Via Facsimile (305) 295-4301& US lltlail
September 19,2002
Ms. Nancy Cohen
Monroe County Board of Commissioners
1100 Simonton Street
Key West, FL 33040
RE: Renewal of Excess Workers Compensation and AD&D Policies
Policy Term October 1,2002 to October 1,2003
Dear Ms. Cohen:
On behalf of Arthur J. Gallagher & Co. of Boca Raton, thank you for the order to bind
renewal coverage with Employers Reinsurance Corporation for Excess Workers
Compensation and Hartford Life Insurance for AD&D effective October 1, 2002.
"
Enclosed you will find:
· Insurance Binders: for the Excess Workers' Compensation and the Accidental
Death and Dismemberment Coverage. These can be used until the policy is
issued, received and reviewed by our office for accuracy.
· Invoices: Invoices for annual premiums: $ 193,533/1nvoice #8540 Excess
Workers' Compensation and $2,822/1nvoice #8541 AD&D. Please assist us in
having the invoices paid by October 1,2002.
Call with any questions you may have after reviewing the enclosed. Thank you again for
the opportunity to be of service!
Sincerely,
ARTHUR J GALLAGHER-BOCA RATON
, } ,( ~r~
-y ~'I 1 ..
,. )-~k.' ,,-e:C: 0-a-- .
)/'..7 ~-:.
Brenda Gall
Technical Assistant
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\U~\ SEP 2 3 ~ ~l01
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BJGI16718
One Boca Place
2255 Glades Road. Suite 400 E
Boca Raton, FL 33431
561.995.6706
Fax 561.995.6708
www.alg.com