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R2021-210 2021-09-27 RESOLUTION NO. R2021-210 A Resolution of the City Council of the City of Pearland,Texas,authorizing the City Manager or his designee to enter into an Interlocal Agreement with Texas Municipal League-Health Benefits Pool ("TML-HBP") to provide City retirees and/or retirees dependents access to a Medicare Supplement Plan. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PEARLAND, TEXAS Section 1 That certain Interlocal Agreement by and between the City of Pearland and TML-HBP, a copy of which is attached hereto as Exhibit"A"and made a part hereof for all purposes, is hereby authorized and approved Section 2. That the City Manager or his designee is hereby authorized to execute and the City Secretary to attest an Interlocal Agreement with TML-HBP PASSED, APPROVED and ADOPTED this the 27th day of September, A.D , 2021 EVIN COLE AYOR T ST C STAL ROAN, TRMC, CMC °,,,,1ty0, ' CITY SECRETARY Q. ' APPROVED AS TO FORM g4CY- DARRIN M COKER ,,,,�,,,,,,""""`,,,,,,,,```` CITY ATTORNEY _ _ . Interiocal Agreement , Tm I, Raw , Ai Benefits Pool IILMNIMMI , Non-Risk Qualified Employer Approved January 2021 Doc ID'b07c36625c992146b8ae323f031df2a33e41cc3f TML Ficatth. Aph Benefits Pool TML MultiState Intergovernmental Employee Benefits Pool Austin,Texas INTERLOCAL AGREEMENT (NON-RISK PARTICIPATING QUALIFIED EMPLOYER) WHEREAS, the TML MultiState Intergovernmental Employee Benefits Pool d b.a TML Health Benefits Pool,hereinafter referred to as TML Health,is a legal governmental entity created by Political Subdivisions of the State of Texas and governed by a Board of Trustees; and WHEREAS, the undersigned Qualified Employer represents (1) that it is (a) a Political Subdivision of the State of Texas or of its state of domicile,(b)an Affiliated Service Contractor(as defined by Section 172.003, Texas Local Government Code) of a Political Subdivision of this state or of its state of domicile (each of which is referred herein to as "Political Subdivision"), or (c) an Economic Development Corporation organized under Subtitle C1, Title 12, Texas Local Government Code, (2) that it is qualified under the interlocal cooperation law of the Employer's domiciliary state to enter into this Interlocal Agreement;and (3) that its governing body has acted by majority vote, at a duly called and posted public meeting, to authorize the Employer to participate in this Interlocal Agreement; and WHEREAS, the undersigned Qualified Employer has examined all the facts and issues it deems relevant and determined that it is in the best interest of the Employer, its Employees, officials, and retirees and their dependents to enter into this Interlocal Agreement and obtain the services provided by the TML Health in connection with one or more life, sick, accident and other health benefits provided to its employees,officials,and retirees and their dependents, and WHEREAS, the undersigned Qualified Employer acknowledges that it is not an Employer Member participating in TML Health risk pool,and therefore, is not entitled to rights and privileges of an Employer Member under the First Amended and Restated Trust Agreement for the TML Multistate Intergovernmental Employee Benefits Pool(the Trust), as amended; and WHEREAS, the undersigned Qualified Employer acknowledges that the purpose of this Interlocal Agreement is to permit Qualified Employer to access benefits contracts and services through TML Health as authorized under Chapter 791 of the Texas Government Code, and WHEREAS, the TML MultiState IEBP represents that it is a Local Government qualified to enter into this Interlocal Agreement pursuant to Chapter 791 of the Texas Government Code, NOW,THEREFORE, in consideration of the covenants and agreements herein set forth,the undersigned Qualified Employer, enters into this Interlocal Agreement for the purpose of obtaining services for the administration of one or more life, sick, accident and other health benefits provided by the Qualified Employer The services will be provided under the authority of the laws of the State of Texas including the Interlocal Cooperation Act(Chapter 791,Texas Government Code) The Employer hereby designates the TML MultiState IEBP as its instrumentality to administer the business and supervise the performance of the Interlocal Agreement. The conditions are agreed upon by and between the parties as set forth hereinafter Qualified Employer Page 2 Doc ID.b07c36625c992146b8ae323f031df2a33e41cc3f 1. When used in this Interlocal Agreement,the capitalized terms shall have the meanings specified in this paragraph unless the context clearly requires otherwise "Board of Trustees" or "Board" or"Trustees" means the trustees selected pursuant to the Trust Agreement Establishing the TML MultiState Intergovernmental Employee Benefits Pool to supervise the operation of the TML MultiState IEBP "Qualified Employer"means a non-risk Political Subdivision,Affiliated Service Contractor,or Economic Development Corporation as these terms are defined herein that is qualified to enter into this Interlocal Agreement under Chapter 791 of the Texas Government Code. "Employer Member"means a risk participating Political Subdivision,Affiliated Service Contractor, or Economic Development Corporation. "Plan" or "Plans" mean the health benefit plan(s) and other benefit plans as contracted by the Qualified Employer through TML Health "Political Subdivision"means any legal entity included within the definition of political subdivision in Chapter 791,Texas Government Code. "TML Health" means the TML MultiState Intergovernmental Employee Benefits Pool. "Interlocal Agreement" or "this Agreement" means the TML MultiState Intergovernmental Employee Benefits Pool Non-Risk Qualified Employer Interlocal Agreement. "Local Government" means any legal entity included within the definition of"local government" in Chapter 791,Texas Government Code. "Affiliated Service Contractor"means an entity described by Section 172.003(1)of the Texas Local Government Code. "Economic Development Corporation" means a corporation organized under Subtitle C1,Title 12, Texas Local Government Code. 2 The Qualified Employer agrees to be bound by this Interlocal Agreement and the policies and procedures established by the TML Health which collectively establish the conditions for non-risk Qualified Employers services. 3 TML Health and the Qualified Employer will comply in all respects with their respective obligations under the applicable benefits contracts accessed through this Interlocal Agreement. 4 This Interlocal Agreement may be terminated by either the Qualified Employer or the TML Health with 30 days written notice Qualified Employer Page 3 Doc ID• b07c36625c992146b8ae323f031df2a33e41cc3f 5 The Qualified Employer shall furnish all the information TML Health deems necessary and useful for the purposes of this Agreement and shall abide by the policies and procedures adopted for the benefits contracts services.TML Health may amend its policies and procedures at the time of annual renewal of this Agreement and its Trust Agreement.TML Health may contract with a third party administrator to perform some or all of TML Health's duties under this Interlocal Agreement. 6. Qualified Employer will designate and appoint a contact of department head rank or above and agrees that TML Health shall not be required to contact or provide notices to any other person. Further, any notice to, or agreement by a Qualified Employer's contact, with respect to services or claims hereunder,shall be binding on the Qualified Employer Qualified Employer reserves the right to change the contact from time to time by giving written notice to the TML Health 7 The Qualified Employer hereby acknowledges that TML Health will be responsible for any and all request for proposal processes pertaining to the benefits contracts and/or services Qualified Employer seeks to access and TML Health will not be responsible nor have any administrator responsibilities in relation to the benefit contracts and/or services Qualified Employer accesses through this Interlocal Agreement, unless by mutual written agreement of the Parties. 8. Any benefit contract coverages or services accessed by Qualified Employer will be subject to applicable carrier's payment provisions for the accessed coverages or services. In the event, Qualified Employer fails to comply with applicable carrier's payment provisions,TML Health may terminate this Interlocal Agreement for cause and any rates and/or coverage quoted as a result of Qualified Employers access to benefit contracts or service through TML Health will no longer be valid upon the effective date of termination of this Interlocal Agreement. 9 Each Qualified Employer,as the employer,acknowledges it has responsibility for compliance with the state and federal laws applicable to employee benefits. 10 To the extent authorized by law,the Qualified Employer agrees to indemnify and hold harmless TML Health for all claims,damages and expenses, including but not limited to attorney's fees and costs of court, arising out of acts or omissions of officers or employees of the Qualified Employer in connection with accessing benefits contracts through TML Health Qualified Employer agrees to pay all such claims, damages, and expenses out of current revenues at the time the obligation is determined In the event current revenues are inadequate to fund the obligation at the time it is determined,the Qualified Employer agrees to take the appropriate budgetary action sufficient to pay the obligation 11. The Qualified Employer and the TML Health may contract for additional administrative services relating to the Qualified Employer benefits contracts. 12. No bond is required of the Board of Trustees of the TML Health 13 If any part of this Interlocal Agreement,save and except paragraph 3,'is declared invalid, void or unenforceable, the remaining parts and provisions shall continue in full force and effect. It is further agreed that venue for any dispute arising under the terms of this Interlocal Agreement shall be in Austin,Travis County,Texas. 14 This Agreement with attachment represents the complete understanding of the TML Health and the Qualified Employer and may not be amended, modified or altered without the written agreement of both parties. Qualified Employer Page 4 Doc ID' b07c36625c992146b8ae323f031df2a33e41cc3f 15 The term of this Interlocal Agreement shall be concurrent with that of the applicable benefits contracts accessed by Qualified Employer Absent notice of termination,the Qualified Employer may annually renew and extend this Agreement. 16. This Interlocal Agreement is entered into in the State of Texas, and it is understood and agreed that this Interlocal Agreement shall be governed by, construed, and enforced in accordance with and subject to the laws of the State of Texas. 17 Qualified Employer represents and warrants that (a)this Agreement fully complies with the laws of the State of Texas and (b) Qualified Employer has full legal authority to enter into this Agreement. By entering into this Agreement, a Qualified Employer who is an Affiliated Service Contractor further warrants that it is an organization qualified for exemption under Section 501(c),Internal Revenue Code(26 U.S.C.Section 501(c)),as amended,that provides governmental or quasi-governmental services on behalf of a political subdivision and derives more than 25 percent of its gross revenues from grants or funding from the political subdivision. Qualified Employer Page 5 Dot ID'b07c36625c992146b8ae323f031df2a33e41cc3f This Interlocal Agreement is entered into for the Employer Member under authorization of City of Pearland (Employer Member) a duly called meeting held n 27 September. 2021 Date of Meeting) e1wi Pf. io#z. By O Clay Pearson (Signature) •(Typed or'Printed Name), Au horized Official Title City Manager Dae 10/ 11 /2021 This Interlocal Agreement entered into and Appointment Accepted By. The TML Multistate Intergovernmental Employee Benefits Pool at Austin,Texas By. •i ' ' Approved as to Form. Date 10-11-2021 B Leah Sim n,General Counsel Qualified Employer Page 6 Doc ID*b07c36625c992146b8ae323f031df2a33e41cc3f 2022 Post-65 Group Retiree Healthcare Program CONFIRMATION OF PLANS & RATES Please confirm below if you would like to remain in your current package or switch to an alternative package Monthly Cost Package 1 Package 2 Package 3 Medicare Supplement $258.00 $144.00 $236.00 .,._. .,.-...----•-_•�•-T._ ... ..,Y.-..-«.i�...r...-...., r kr,_.: ,.,-^,�r� - ^'-.^t_,' f{ Medicare=Advantage �' '$332°.24 � `$253:76 �> Prescription Drug $264.80 $104.42 $243.88 Please,:checkbox: 1. 1 _ 1 Voluntary Dental /Vision Program Yes ❑ No Please check box to approve ❑This attests that all retirees, and/or their Medicare-eligible dependents, enrolling in Group Sponsored Medicare Part D plan for the upcoming plan year were covered under prior medical and prescription drug coverage through our employer-sponsored group.plan This prescription drug coverage was deemed as creditable coverage, being equal to or better than Medicare Part D coverage This attestation also applies to all eligible retirees, and/or their Medicare-eligible dependents, enrolling in the plan throughout the 2022 plan year Melissa Sullinger Risk Manager Print Name Print Title NediaQa Sue€asyez 8/16/21 Signature Date AMWI NS- GROUP BENEFITS,LLC Page i 1 Doc ID. b07c36625c992146b8ae323f031df2a33e41cc3f 2022 Post-65 Group Retiree Healthcare Program IMPLEMENTATION QUESTIONNAIRE Please provide as much detail as possible These questions can be discussed in more detail during a scheduled implementation call, should you not yet be inclined to answer them all �w . Con.tact�fnfor>�ma,t7�oFn• era ae .• ? 4 NAME Melissa Sullinger TITLE Risk Manager EMAIL. msullinger@pearlandtx.gov Please provide information for 1. the main contact of the group PHONE 281-652-1633 if we have questions FAX. ADDRESS. 3519 Liberty Dr CITY, STATE, ZIP Pearland TX 77581 2 Tax ID#• 3 NAIC Code/SIC Code x '¢e. FF Plan Selection .: . .:.e�. .u �'��.� %, _..5� 7:: �'�" ,;,,,., �'t ;K:f1r',$n"9��.1t .'�'Y•NF'.'�. fir., 4a Will you be filing plan(s) under ❑Yes ERISA(filing a form 5500)? El No If YES to above,.will you require a Schedule A each year? CI Yes 4b If a Schedule A is required, ❑No please confirm the Company's Fiscal Year End Date: fiscal year end date AAMWI NSTM GROUP BENEFITS,LLC Page 12 Doc ID' b07c36625c992146b8ae323f031df2a33e41cc3f �� ~�� U8�� A^�� U��U�&�� ~~~~~~~ ~ `~`~~ `~~ ~—^ ~~~~n~ ~ ~`~~^^ ~~`~ ^ ^`~~~^~^^`~~~^ ~~ Program Per TIVIL guidelines, members can enroll in medical only 5 without Rx, but not Rxonly 0Yes without medical Please confirm - &URetnee What Post 65 members will be NSpouse eligible to enroll in this LJSunviving3pouse employer sponsored plan? 6. []SpousenfRemarriage (Members must be enrolled in �ed��a� Pa�a� �0\ U Domestic Partner �omeg��r—�� (please check all that apply) joined) L1 Domestic Partner(opposite gender) |f more than one group XYes sponsored program isoffered, E]No 7 must a Retiree and Spouse []Not Applicable elect the same medical plan Additional Details option? - Can Spouses enroll ifthe El Yes Retiree is not yet eligible to 0No 8. enroll? Additional Details E]Yes Can a Spouse remain enrolled NNo S if the Retiree cancels orwaives coverage? Additional Details �� N �� ~ ��N��N �� N N�� `�� moouposwcp/ro.uu Pwgw!3 ` Doc ID-bO7o30825oS82140b8ao328031df2o33o41oo3f 2022 Post-65 Group Retiree Healthcare Program ®Yes El No 10 Can a Spouse remain enrolled if the Retiree dies? Additional Details ❑ Yes Are Spouses of remarriage DX No 11 eligible?g Additional Details ❑Yes If a retiree or spouse cancels ❑x No 12 their coverage, can they re- enroll in the future? Additional Details Members are enrolled on the first day of the month and are 13 terminated as of the last day of DYes the month Does this coincide ❑No , with your current plans? -4- EMPLOYER SUBDY`SI _ . x. . r.= If no subsidy°is provided,pled eskip questions=100 ' Will the employer provide a EYes 14 subsidy towards the monthly ❑No cost? If YES to above question,will the contribution be a flat dollar amount, percentage or 15 according to a vesting Combination depending on when retired schedule? If necessary, please provide detailed subsidy rules and subsidy schedule as an attachment. AMWI NSTM GROUP BENEFITS,LLC Page 14 Doc ID• b07c36625c992146b8ae323f031df2a33e41cc3f 2022 Post-65 Group Retiree Healthcare Program ©Retiree Only ®Retiree &Spouse—Same amount 16 Subsidy applies to ©Retiree &Spouse— Different amounts (please check all that apply) ❑Surviving Spouse ❑Domestic Partner Subsidy applies to 17 (please check all that apply) ❑x Medical ❑x Rx Does subsidy continue for the ❑ Yes 18 spouse if the retiree opts-out or ❑X No cancels coverage? ❑Not Applicable ❑Yes If the retiree or spouse ❑No 19 terminates coverage but later ®Not Applicable re-enrolls,will subsidy be provided? Additional Details ❑Yes ❑No 20 Does subsidy apply to spouses ©Not Applicable of remarriage? Additional Details r Billing In�f.�.✓fon ation,yy,� . ; kw t C F:. Sep,Its _.. !+ v.4. ..i. `t"7[tid4 l ifea:. 'SIL .'''... 5s '.:. i Billing Contact Name. Ana Flores Please indicate who is the Address 3519 Liberty Dr 21 primary billing contact, address for billing, email and telephone number Telephone 281-652-1618 Email aflores@pearlandtx.gov Please indicate preference for ❑Paper invoice mailed 22. employer invoice delivery ❑x Electronic- Email AAMWI NSTM GROUP BENEFITS,LLC Page 15 L Doc ID.b07c36625c992146b8ae323f031df2a33e41cc3f ~~—~~~~ ^ -~`~~ '~— -~~ `~~~n~ ~ ~`~~^^ ~~`~ ' '~'~~^~''~~~~' ~ Program LJDiract8iU Invoice for 1U096of the cost toeach rnennoer How should the billing beset MListBi|| Invoice sent to the employer for 10096ofthe 23 up? cost for each member E]3p|it Bill Invoice will be sent to the group for employer subsidy and invoice will be sent tothe members for their remaining portion gM / El Yes Are reinstatements allowed for NNo 24 members who lapse due to Additional Details non-payment? ` Does the group allow for a 0yes _ member (previously MNo ZS ' ternninated\ tore-enterthe plan during the Medicare Additional Details annual enrollment period for the next plan year? --`��— --'- JS 2�_4.�6��---~�� --. ._'��-�� Confirmation pfCensus LJCensus /ttaChed Please provide a current census 0Not Completed to confirm enrollment aothat 26 members are correctly enrolled ` into the correct plans Please ensure that all applicable fields needed to automatically as of 1/1/%1 adnninistersubsidy are included -i e Date of Hire, Date of — ' Retirement,Years of Service, Retiree Classification otc Please include K88|#'s ' ' Are there any other members that will be eligible to enroll throughout2U2Z? RCenuusAttached 27 (Those already retired but []Not Completed turning 65 during the plan year) LJ Not Applicable If so, please prVvide a census of those members ` �� 0��N��N 0�N ��~ ' ��N=�N �� N N�� oomuposwsr/rs.Luc Pwge|6 Doc ID-b07c36625c992146b8ae323fO3ldf2a33e4lcc3f OHELLOSIGN • Audit Trail TITLE TML Health Interlocal Agreement FILE NAME 2021-8-23 Pearland Interlocal.pdf DOCUMENT ID b07c36625c992146b8ae323f031df2a33e41cc3f AUDIT TRAIL DATE FORMAT MM/DD/YYYY STATUS •Completed Document History L.J 08/23/2021 Sent for signature to Melissa Sullinger SENT 20.44:53 UTC (msullinger@pearlandtx.gov)from waldo.navarro@tmlhb.org IP• 66 69.200.200 0 08/23/2021 Viewed by Melissa Sullinger(msullinger@pearlandtx.gov) VIEWED 21 19:23 UTC IP• 170 76 141.2 10/11 /2021 Signed by Melissa Sullinger(msullinger@pearlandtx.gov) SIGNED 21:25 13 UTC IP• 170 76 141.2 10/11 /2021 The document has been completed COMPLETED 21:25 13 UTC Powered by V HELLOSIGN 1