CM-2022-041 - 2/25/2022Texas Legal..
1. Group Annual Renewal Information
Organization/Business Name: City of Round Rock
Date organization joined Texas Legal: 12/1/2000
Contact Name: Sharon Callis
Address: 221 E Main
Round Rock, TX 78664
Agency Name: N/A
GROUP ANNUAL
RENEWAL AGREEMENT
Texas Legal Group Plan Number: 200103
Renewal Terms. 1/0112022-12/31/2022
Office Phone:1512) 671-2701
Fax Number: 1)
Email: $callIs@roundrocktexas.gov
Account Manager: Anna Gallego
2. Enrollment and Plan Year Information
Enrollment refers to the time frame an employee may enter the Plan. Many Groups elect to establish an open or roiling enrollment
while others establish a specific window of time when employees are only permitted to enroll. Plan Year refers to the beginning and
ending (renewal) of the consecutive 12 month period of membership. Groups have the option of establishing their Plan Year and
enrollment terms as they see fit.
Your organization's enrollment Is currently:
January -- December
Employees may enroll anytime
Your organization's Plan Year is currently.
January — December
Benefits renew each January
3. Membership Dues/Premiums
Texas Legal membership dues/premiums billed directly to the organization as collected through payroll deduction or direct bill to
employee. lfzleaw ggfect the desired cottons below.J
PAYROLL RATES:
I SELECT Single: $7.00 SELECT Faintly: $9.00
( PREFERRED Single: $12.00 PREFERRED Family: $16.00
DIRECT BILL TO MEMBER:
( ) SELECT Single: $20.00 SELECT Family: $15.00
( ) PREFERRED Single: $20.00 PREFERRED Family: $10.00
4. Education and Membership Services
Texas Legal encourages Groups to schedule routine, if not annual, membership visits to ensure members are kept educated about
the Plan. Members may also stay connected to Texas legal by subscribing to the monthly e-newsletter, frequently visiting the web -
site and other social media outlets for news and updates. Texas Legal organizes legal clinics, seminars, webinars and other mem-
bership events and meetings all designed to help educate members on various legal Issues and how they relate to the Texas Legal
membership. Please contact Texas Legal for more information.
5. Agreement
I am signing, on behalf of the above named organization/business to renew the Group's annual membership. I acknowledge no
changes have been made to our membership, unless Indicated above, and agree to continue making the legal benefits available to
employees and affiliates of such organization under the agreed upon terms. Please return the completed form to Texas Legal at
email address dygnacio@texaslegal.org or fax to 512-327-0163.
IOUND ROCK
TEXAS
City of Round Rock
Agenda Item Summary
Agenda Number:
Title: Consider executing Group Annual Renewal Agreement with Texas Legal for an
employee -paid voluntary benefit.
Type: City Manager Item
Governing Body: City Manager Approval
Agenda Date: 2/25/2022
Dept Director: Valerie Francois
Cost:
Indexes:
Attachments: Texas Legal LAF, Texas Legal Document
Department: Human Resources
Text of legislative File CM-2022-041
This renewal is from 1/1/2022 to 1/1/2023
Source of Funds: Employee -paid benefit
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