Resolution - 2006-34RESOLUTION NO.2006-34
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF WEST COVINA,
CALIFORNIA, AUTHORIZING EXECUTION OF THE APPLICATION -
AGREEMENT FOR MEDICARE COVERAGE FOR EMPLOYEES OF THE CITY
OF WEST COVINA WHO ARE MEMBERS OF THE CALIFORNIA PUBLIC
EMPLOYEES RETIREMENT SYSTEM
WHEREAS, a division of the California Public Employees' Retirement System with respect to
•eligible employees of the City of West Covina, hereinafter referred to as "Public Agency", who are
members of and in positions covered by said retirement system, has been conducted in accordance with
Federal and State Laws and State regulations for the purposes of coverage under the insurance system
established by the Federal Social Security Act and a deemed retirement system, hereinafter referred to as
Group B of the California Public Employees' Retirement System, has been established thereby as
provided in Section 218(d)(6) of the Federal Social Security Act, composed of positions of members of
such retirement system who desire coverage under the Health Insurance system established by the Federal
Social Security Act; and
WHEREAS, the Public Agency desires to file an application with the State and to enter into an
agreement with the State to extend coverage under the said insurance system on behalf of the Public
Agency to services performed by individuals as employees of the Public Agency as members of a
coverage group, as defined in Section 218(d)(4) of the Federal Social Security Act, of the said Group B of
the California Public Employees' Retirement System; and
WHEREAS, official form "Application and Agreement, PERS-MED-321)" containing the terms
and conditions under which the State will effect such inclusion has been examined by this body.
NOW, THEREFORE, BE IT RESOLVED, that said Application and Agreement on said official
form be executed on behalf of the Public Agency and submitted to the State to provide coverage under the
California State Social Security Agreement of March 9, 1951, of all services performed by individuals as
employees of the Public Agency as members of a coverage group (as defined in Section 218(d)(4) of the
Social Security Act) of said Group B of the California Public Employees' Retirement system, except the
following:
1. All services excluded from coverage under the agreement by Section 218 of the Social Security
Act; and
2. Services excluded by option of the Applicant as indicated in Resolution No. 2005-23 adopted at a
meeting of the City council the l71h day of May 2005:
No exclusions.
Effective date of coverage of services under said agreement to be May 6, 2006; and
BE IT FURTHER RESOLVED, that Thomas Bachman, Finance Director, City of West Covina,
1444 W. Garvey Ave., West Covina, CA 91793, is hereby authorized and directed to execute said
Application and Agreement on behalf of and as Authorized Agent of the Public Agency and to forward
same to the State for acceptance and further action; and
BE IT FURTHER RESOLVED, that authority hereafter to act as Authorized Agent, and so to
conduct all negotiations, conclude all arrangements, submit all reports, and sign all agreements and
instruments which may be necessary to carry out the letter and intent of the aforesaid application and
agreement, in conformity with all applicable Federal and State laws, rules and regulations, is vested in the
position of Finance.
The effective date of this Resolution is May 6, 2006.
The City Clerk shall certify.to the adoption of this Resolution.
0 APPROVED AND ADOPTED on this 16"h day of May 2006.
Mayor Ste e He fert
ATTE
City Clerk Laurie Carrico
I, LAURIE CARRICO, CITY CLERK of the City of West Covina, California, do hereby certify that the
foregoing resolution was duly adopted by the City Council of the City of West Covina, California, at a
regular meeting thereof held on the 16`h day of May 2006, by the following vote of the City Council:
AYES:
Hernandez, Lane, Sanderson, Touhey,
NOES:
None
ABSENT:
None
ABSTAIN:
None
APPROVED AS TO FORM:
" A I /I//- --
City Attorney Arnold lvarez-Glasman
0
City