HomeMy Public PortalAboutResolution - 03-03- 20030129 - Social Security Health In RESOLUTION NO. 03-03
RESOLUTION OF THE BOARD OF DIRECTORS OF THE
MIDPENINSULA.REGIONAL OPEN SPACE DISTRICT
APPROVING CERTAIN ELIGIBLE EMPLOYEES WHO DESIRE
COVERAGE UNDER THE HEALTH INSURANCE SYSTEM
ESTABLISHED BY THE FEDERAL SOCIAL SECURITY ACT
WHEREAS, a division of the California Public Employees' Retirement System with
respect to eligible employees of the Midpeninsula Regional Open Space District, 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-3213" 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. 02-14
adopted at a meeting of the Board of Directors on the 22nd day of May, 2002:
All classes of Elective Positions
Effective date of coverage of services under said agreement to be April 1, 1999; and
BE IT FURTHER RESOLVED,that L. Craig Britton, General Manager, 330 Distel Circle, Los
Altos, CA 94022, 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 General Manager.
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i
RESOLUTION No. 03-03
PASSED AND ADOPTED by the Board of Directors of the Midpeninsula Regional Open Space
District on January 29, 2003, at a Regular Meeting thereof, by the following vote:
AYES: N. kanko, P. Siemens, M. Davey, D. Litt2e, J. Cyte, K. N.c tz, L. Has4ett
I
NOES: None
ABSTAIN: Novi e
ABSENT: None
ATTEST: APPROVED:
S/earfy resident
Bo Directors Board of Directors
I, the District Clerk of the Midpeninsula Regional Open Space District, hereby certify that
the above is a true and correct copy of a resolution duly adopted by the Board of Directors of
the Midpeninsula Regional
ional Open Space District by the above vote at a meeting thereof duly
held and called on the above day.
Distr' erk