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R-2018-5860 - 9/13/2018 RESOLUTION NO. R-2018-5860 WHEREAS, the City of Round Rock (the "City") has duly advertised for proposals for voluntary employee-paid accident coverage and voluntary employee-paid critical illness coverage commencing January 1, 2019; and WHEREAS, Metropolitan Life Insurance Company ("MetLife") has submitted a proposal to provide said services, and said proposal has been determined to be the most advantageous to the City considering the price and other evaluation factors included in the request for proposals; and WHEREAS, the City Council desires to accept the proposal of MetLife and authorize the Mayor to execute applications for coverage to MetLife and other related documents required for the implementation of said benefits,Now Therefore BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ROUND ROCK, TEXAS: That the proposal of MetLife for provision of voluntary employee-paid accident coverage and voluntary employee-paid critical illness coverage is hereby accepted, as the proposal is determined to be the most advantageous to the City considering the price and other evaluation factors included in the request for proposals. That the Mayor is hereby authorized and directed to execute on behalf of the City the applications for coverage with MetLife and other related documents required for the implementation of said benefits, a copy of such documents being attached hereto as Exhibit "A" and incorporated herein for all purposes. The City Council hereby finds and declares that written notice of the date, hour, place and subject of the meeting at which this Resolution was adopted was posted and that such meeting was open to the public as required by law at all times during which this Resolution and the subject matter 0112.1804;00408851/ss2 hereof were discussed, considered and formally acted upon, all as required by the Open Meetings Act, Chapter 551, Texas Government Code, as amended. RESOLVED this 13th day of September, 2018. CRAIG NiORGMayor City of Round Rick, Texas ATTEST: Fitt"- law SARA L. WHITE, City Clerk 2 EXHIBIT „A„ M: He Group, Voluntary &Worksite Benefits Metropolitan Life Insurance Company p p Y 200 Park Avenue New York, NY 10166 Statement of Responsibility MetLife will be responsible to the group policyholder for the performance of its administrative obligations under the group policy, this agreement and any other written agreement between MetLife and the group policyholder. If MetLife uses a third party in connection with any of MetLife's administrative obligations, MetLife will remain responsible to the group policyholder for the performance by the third party of those administrative obligations. The third party will work under the control and direction of Metlife and Metlife will be solely responsible for the acts, errors and omissions of the third party. The group policyholder will be responsible to MetLife for the performance of its administrative obligations under the group policy, this agreement and any other written agreement between MetLife and the group policyholder. If the group policyholder uses a third party in connection with any of the group policyholder's administrative obligations, the group policyholder will remain responsible to MetLife for the performance by the third party of those administrative obligations. The third party will work under the control and the direction of the group policyholder and the group policyholder will be solely responsible for the acts, errors and omissions of the third party. To be completed by Policyholder: Craig Morgan E (Name of Authorized Representative) (Title of Authorized Representative) City of Round Rock Texas (Signature of Policyholder Authorized Representative) (Group Policyholder Name) i i Signed at: i (City) (State) Date(MM(DD/YYYY) To be completed by Metropolitan Life Insurance Company: Jame W. Reid Executive Vice President MM/DD/YYYY Date Group,'���`oluntar� &Worksite Benefits ( ) . . CUSTOMER AGREEMENT City of Round Rock Texas 221 East Main Street ROUND ROCK, TX 78664 09/04/2018 Dear Laurie Hadley Thank you for choosing a benefits program from Metropolitan Life Insurance Company ("MetLife") and the MetLife family of Companies. We are excited to be providing benefits for City of Round Rock Texas employees. To get started, please sign a copy of this letter below. The benefits you have chosen for your Critical Illness Insurance, Accident Insurance are listed in the schedules already provided to you. If your MetLife benefit offerings change; we will reflect those changes in a new schedule. MetLife will offer the benefits listed on the attached schedules ("MetLife Benefits")to all eligible individuals. Individuals who obtain benefits are referred to as "Participants". : . For each of the MetLife Benefits listed on the attached schedule; MetLife will provide as applicable either; a group insurance policy and insurance certificates; individually underwritten insurance policies; a detailed benefits schedule; or one or more administrative agreements. These documents will detail the benefits provided, costs, effective date, and other important terms. Nothing in this letter changes any of the terms of the group or individual insurance policies, certificates or other applicable administrative agreements. MetLife will comply with all laws applicable to MetLife's activities in connection with the MetLife Benefits, 4. MetLife will provide information and materials that eligible individuals need to understand the MetLife Benefits. 5. MetLife will process eligibility information and payroll deductions in accordance with MetLife's policies and procedures for each MetLife Benefit. MetLife will be responsible for all pricing and individual underwriting decisions. 6. MetLife will provide account managernent services to City of Round Rock Texas and customer service to eligible individuals. MetLife will treat all non-public personal information about eligible individuals in a confidential manner and in accordance with all applicable laws. 8. Participants no longer employed by City of Round Rock Texas (and where applicable, their dependents) may continue certain benefits with MetLife in accordance with MetLife's policies and procedures. i� i r ii 'i (continued) City of Round Rock° exas'S RESPONSIBILIT IES: ' ,j I. City of Round Rock Texas will communicate the MetLife Benefits to all eligible individuals and distribute enrollment materials. City of Round Rock Texas will provide MetLife with full access to the eligible population. City of Round Rock Texas will perform its administrative obligations to the fullest extent to drive maximum participation in MetLife Benefits by all eligible individuals. [For Auto & Nome coverage; City of Round Rock Texas will provide employee contact information to support home mailings managed by MetLife up to four times throughout a calendar year. The campaigns will be chosen by MetLife, and can be customized by adding the employer logo.] ?. City of Round Rock Texas will process enrollments and will report to MetLife the identity of all Participants. For certain MetLife Benefits, MetLife requires that City of Round Rock Texas will provide a list of all Eligible Employees and provide regular updates thereto. City of Round Rock Texas will provide this if required to do so. MetLife and City of Round Rock Texas will agree upon the timing and format of this enrollment information. I City of Round Rock Texas will not use the name or Brand of MetLife or create or distribute materials regarding the MetLife Benefits without MetLife's approval. 4, City of Round Rock Texas will comply with all laws applicable to City of Round Rock Texas's activities in connection with the MetLife Benefits. E Where Participants contribute to the cost of the MetLife Benefits. City of Round Rock Texas will provide payroll deductions for amounts due in connection with the MetLife Benefits and will remit payments to MetLife. City of Round Rock Texas will be responsible for any filings required by the Department of Labor or other Federal or State agencies. Upon request, MetLife will provide applicable information necessary to make such filings. If City of Round Rock Texas is represented by an insurance agent or broker for purposes of a MetLife Benefit, City of Round Rock Texas agrees to inform MetLife of any change in its insurance agent or broker. I We look forward to serving your benefit needs! If the terms of this letter are acceptable to City of Round Rock Texas, please sign below. Very Truly Yours, Accepted and Agreed to: #'�>Ei ROPO I Tt N LI"EE h aRA NE » t 4 � n City of ound R oc k 3teXa s Craig Morgan Name of Authorized Representative ,E { By Title of Authorized Representative Executive Vice President Title Signature of Authorized Representative 'i 3 j I f ,i € F; i) i !E f .€f 1 { S I i� I i+ i I I 1 Meftife' Metropolitan Life Insurance Company 20OPark Avenue, New York, New York APPLICATION FOR GROUP INSURANCE The applicant named below is applying for Group Insurance to provide coverage for the class(es) of persons specified below. APPLICANT DATA 1. Full legal name ofApplicant: o (the"Policyholder") 2.Address: 221 East Main Street City ROUND ROCK State TX Zip 78e64 EFFECTIVE DATE The effective date ofthe applied for group insurance will ba 01/01/2019 subject hnN4edLife'nacceptance of this application and the applicant's payment of the Premium due on or before such date. SITUS Group Policy forms will be issued for delivery in and governed by the laws of TEXAS COVERAGE DATA Employees/Members Dependents Critical IllInsurance Critical Illness Insurance Accident Insurance Accident Insurance PREMIUM DATA Premiums will bepaid: Monthly Quarterly Annually Other.- Attached therAttenhed is on edmsnoo payment of: $U � . AGREEMENT The Applicant signing below agrees to accept the terms and provisions of all Group Policy forms issued pursuant to thio application; including all Exhibito, amendments and endorsements, if any. Fraud Warning.Any person who knowingly and with intent to defraud any insurance company orother person files an application for insurance or statement of claim containing any materially false infonnation, or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance eot, which is a crime and subjects such person tocriminal and civil penalties. Signature ofApplicant's Authorized Representative Signed at: City . State Date: Name ofAuthorized Representative Craig Morgan Title ofAuthorized Representative Applicant's Signature Signature of Licensed MetLife Agent orResident Agent as required by |avv Agent's State License No. 985808 Date: 08/23/2018 Name of Agent: Andrew Clifton Agent'a8igna1ure CW,oiv GAPp13-O2 TX