Reso 2004-686RESOLUTION NO 2004 -686
RESOLUTION ELECTING TO BE SUBJECT TO
PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT
AND
FIXING THE EMPLOYER'S CONTRIBUTION FOR EMPLOYEES AND THE EMPLOYER'S
CONTRIBUTION FOR ANNUITANTS AT DIFFERENT AMOUNTS
WHEREAS, (1) Government Code Section 22850 provides the benefits of the Public
Employees' Medical and Hospital Care Act to employees and annuitants
of local agencies contracting with the Public Employees' Retirement
System on proper application by a local agency; and
WHEREAS, (2) Government Code Section 22857 provides that a contracting agency may
fix the amount of the employer's contribution for employees and the
employer's contribution for annuitants at different amounts provided that
the monthly contribution for annuitants shall be annually increased by an
amount not less than 5 percent of the monthly contribution for employees,
until such time as the amounts are equal; and
WHEREAS, (3) Costa Mesa Sanitary District, hereinafter referred to as Public Agency is a
local agency contracting with the Public Employees' Retirement System;
and
WHEREAS, (4) The Public Agency desires to obtain for its employees and annuitants the
benefit of the Act and to accept the liabilities and obligations of an
employer under the Act and Regulations; now, therefore, be it
RESOLVED, (a) That the Public Agency elect, and it does hereby elect, to be subject to the
provisions of the Act; and be it further
RESOLVED, (b) That the employer's contribution for each employee shall be the amount
necessary to pay the full cost of his enrollment, including the enrollment of
his family members in a health benefits plan up to a maximum of $32.20
per month; and be it further
RESOLVED, (c) That the employer's contribution for each annuitant shall be the amount
necessary to pay the cost of his enrollment, including the enrollment of his
family members, in a health benefits plan up to a maximum of $1.00 per
month; and be it further
RESOLVED, (d) That the employer's contribution for each annuitant shall be increased
annually by at least 5% percent of the monthly contribution for employees,
until such time as the contributions are equal;
And that the contributions for employees and annuitants shall be in
addition to those amounts contributed by the Public Agency for
administrative fees and to the Contingency Reserve Fund; and be it
further
NEW PERS ALL UNEQUAL 1 FIXED
-2-
RESOLVED, (e) That the executive body appoint and direct, and does hereby appoint and
direct, Assistant District Manager to file with the Board of Administration of
the Public Employees' Retirement System a verified copy of this
Resolution, and to perform on behalf of said Public Agency all functions
required of it under the Act and Regulations of the Board of
Administration; and be it further
RESOLVED, (f) That coverage under the Act be effective on August 1, 2004.
Adopted at a special meeting of the Costa Mesa Sanitary District at Costa
Mesa, California this 23rd day of June 2004.
a L , I-- A Signe .
Arlene Srhoer, a ,es dent
s
Attest:
James Ferryman,, Secretary
NEW PERS ALL UNEQUAL 1 FIXED
,,STATE OF CALIFORNIA )
COUNTY OF ORANGE ) SS
CITY OF COSTA MESA )
I, Joan Revak, Clerk of the Costa Mesa Sanitary District, hereby certify that the above
and foregoing Resolution No. 2004 -686, was duly and regularly passed and adopted by said
Board of Directors at a regular meeting thereof held on the 23rd day of June, 2004.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of the
Costa Mesa Sanitary District, this 23rd day of June, 2,004,
Clerk of 0,- : § a Mesa' Sanitary District
NEW PERS ALL UNEQUAL 1 FIXED