HomeMy WebLinkAboutRESOLUTIONS-2009-071-R-099
E
9/17/2009
7'1-R-09
A RESOLUTION
Authorizing City of Evanston Membership in the
Intergovernmental Personnel Benefit Cooperative
WHEREAS, Section 10 of Article VII of the Illinois Constitution of
1970 authorizes units of local government to contract or otherwise associate
among themselves in any manner not prohibited by law or by ordinance; and
WHEREAS, the "Intergovernmental Cooperation Act," (5 ILCS
220/1 et.seq.) authorizes units of local government to exercise any power or
powers, privileges or authority, which may be exercised by a unit of local
government individually, to be exercised and enjoyed jointly with any other unit of
• local government in the State; and
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WHEREAS, units of local government within Illinois have foind it
increasingly expensive to provide health and life insurance benefits to their
officers and employees; and
WHEREAS, a large number of local government entities, having
undertaken a series of studies to determine the feasibility of entering into an
Intergovernmental Personnel Benefits Cooperative ("IPBC") for the purpose of
administering some or all of the personnel benefits programs offered by its
member units of local government to their respective officers and employees,
have created and successfully operated such a Cooperative; and
71-R-09
WHEREAS, the City of Evanston has studied membership in the •
IPBG as a means of providing health and life insurance benefits to its employees
in a cost-effective manner; and
WHEREAS, a membership opportunity has been extended to the
City of Evanston to participate in the IPBC; and
WHEREAS, the Mayor and City Council of the City of Evanston have
determined that it is in the best interest of the City of Evanston to join the IPBC
and participate with other municipalities in pooling health and life insurance
benefits for its employees;
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL
OF THE CITY OF EVANSTON, COOK COUNTY, ILLINOIS:
SECTION 1: That the foregoing recitals are hereby found as fact •
and made a part hereof.
SECTION 2: That this Resolution 71-R-09 constitutes a contract
between the Intergovernmental Personnel Benefits Cooperative and the City of
Evanston in the exercise of its home rule powers, and membership in the IPBC is
hereby accepted commencing December 1, 2009, until June 30, 2011.
SECTION 3: That the by-laws of the IPBC which are attached
hereto and made a part hereof are hereby adopted and approved.
SECTION 4: That Joellen Daley, is hereby designated as the
delegate to the IPBC, and Martin Lyons, is hereby designated as the alternate
delegate to the IPBC for the City of Evanston. •
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71-R-09
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SECTION 5: That this Resolution 71-R-09 shall be in full force and
effect from and after the date of its passage and approval in the manner
provided by law.
Z.�
Eli eth B. Tisdahl, Mayor
est:
�Aey Gr ne, pity Clerk
Adopted: 'YiI' '_Y' . L 2009
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71-R-09
• EXHIBIT A
•
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Intergovernmental Personnel Benefits Cooperative By -Laws
ME
Y
THIRD CONSOLIDATED AMENDMENT TO •
CONTRACT AND BY-LAWS
INTERGOVERNMENTAL PERSONNEL BENEFIT COOPERATIVE
INDEX
PAGE NO.
ARTICLE NO.
1
ARTICLE I.
Definitions and Purpose.
t
Definitions.
3
Purpose.
5
ARTICLE II.
Powers and Duties.
6
ARTICLE III.
Participation.
7
ARTICLE IV.
Commencement of the 1996 Term
of the COOPERATIVE.
8
ARTICLE V.
Board of Directors.
13
ARTICLE VI.
Board of Directors Meetings.
14
ARTICLE V11.
Cooperative Officers.
16
ARTICLE VIII.
Finances.
•
21
ARTICLE IX.
Plan of Benefits, HMOs and Reduction
In Coverage.
25
ARTICLE X.
Insurance and Other Coverages.
26
ARTICLE XI.
Obligations of Members.
29
ARTICLE XII.
Liability of Board of Directors
or Offices.
30
ARTICLE XIII.
Additional Insurance.
31
ARTICLE XIV.
Disputes Over Coverage.
32
ARTICLE XV.
Contractual Obligation.
33
ARTICLE XV I.
Expulsion of Members.
35
ARTICLE XV1I.
Withdrawal of a Member and
Continuation or Termination of
the COOPERATIVE.
Drafted by: ANGEL,
CLINK, DIAMOND, BUSH, DICIANNI & ROLEK P.C.
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SHD:DAR\96ADOPT15INDEX.CLEAN 12105.DOC\ 1379623.000
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THIRD CONSOLIDATED AMENDNIENT TO THE
CONTRACT AND BY-LAWS
INTERGOVERNMENTAL PERSONNEL BENEFIT COOPERATIVE
ARTICLE I. Definitions and Purpose.
DEFINITIONS:
As used in this agreement, the following terms shall have the meaning hereinafter set out:
ADMINISTRATIVE FUND - A fund of monies established by the MEMBERS of the
Intergovernmental Personnel Benefit Cooperative to pay for the joint administration of
the personnel non -salary benefit programs offered by each MEMBER to its employees
and officers and turned over for administration to the COOPERATIVE.
• ADMINISTRATOR - An independent contractor of the COOPERATIVE employed to
administer the personnel benefit programs of the various MEMBERS of the
COOPERATIVE.
BENEFIT FUND - A fund of monies established by the MEMBERS of the Intergov-
ernmental Personnel Benefit Cooperative to fund certain benefits granted by the individ-
ual MEMBERS to their respective officers and employees and to purchase excess, aggre-
gate, or other insurance.
BENEFITS - Non -salary payments made to employees or officers, including but not lim-
ited to payments or reimbursements of expenses arising out of an illness or an accident
and life insurance proceeds. The units of local government which participate in the
COOPERATIVE have determined not to purchase insurance coverage for benefit pay-
0 ments below certain high limits but rather to rely upon their pooled financial capabilities
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to pay benefits within'the financial obligations of the COOPERATIVE and to purchase
some insurance to protect against catastrophic and certain other benefit claims.
COOPERATIVE - The Intergovernmental Personnel Benefit Cooperative established
pursuant to the Constitution and the statutes of this State by this intergovernmental
agreement.
HMO FUND - A fund of monies established by the MEMBERS of the Intergov-
ernmental Personnel Benefit Cooperative to find certain benefits granted by the individ-
ual MEMBERS to their respective officers and employees relating to health maintenance
organizations.
CASH FLOW ACCOUNT - A fund of monies established by the MEMBERS of the In-
tergovernmental Personnel Benefit Cooperative to fund needed cash flow in the Benefit •
Pool. The Board of Directors shall establish, from time -to -time, the finding require-
ments from the MEMBERS to generally provide at least two (2) months of estimated
funding for the Benefit Pool.
LISTED ENTITIES - Governmental bodies, quasi governmental bodies and non-profit
public service entities listed by a MEMBER as having their employees and officers under
a benefit program which will be administered along with that of a MEMBER by the
COOPERATIVE.
MEMBERS - The units of local government or intergovernmental agencies established
pursuant to an intergovernmental agreement composed of units of local government (sub -
pool) which initially or later enter into this intergovernmental contract for the benefit of
their employees and officers along with the employees and officers of other listed enti- •
ties. Whenever in this agreement the phrase "units of local government, municipality" or
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similar phrase is used, it shall also refer "to any intergovernmental agency established pur-
suant to an intergovernmental agreement composed of units of local government.
TERMINAL RESERVE FUND OR TERMINAL RESERVES - A find of monies re-
tained by the Intergovernmental Personnel Benefit Cooperative on behalf of MEMBERS
whose fund balances may be in excess of all financial requirements for that MEMBER.
PURPOSE:
The Intergovernmental Personnel Benefit Cooperative is a cooperative entity voluntarily
established by contracting units of local government as are permitted by Article VII, Section 10
of the 1970 Constitution of the State of Illinois, and the Intergovernmental Cooperation Act and
other provisions of law to jointly administer some or all of the personnel benefit programs of-
0 fered by its MEMBERS to their officers and employees and the officers and employees cf other
governmental, quasi -governmental and non-profit public service entities with which some or all
MEMBERS have separately arranged to list as if such officers and employees were employed by
the MEMBER.
To the extent provided for in this Contract and By -Laws, and as approved by the Board
of Directors , the Intergovernmental Personnel Benefit Cooperative shall provide benefit cover-
age to the officers or employees of its MEMBERS. The Intergovernmental Personnel Benefit
Cooperative shall also carry out such claim reduction and educational programs as shall be au-
thorized by its Board of Directors. The creation of the various funds established in this Contract
and By -Laws are not intended by the parties to constitute the transaction of an insurance business
within the State of Illinois. The intent of the parties is to separately establish benefit programs
• and to utilize the Intergovernmental Personnel Benefit Cooperative to achieve reduced costs of
administration and insurance purchases by providing similar services to all MEMBERS and to
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require MEMBERS to pay for the costs of such benefits or to share such costs in the manner
from time -to -time established by the Board of Directors.
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ARTICLE II. Powers and Duties.
The powers of the COOPERATIVE to perform and accomplish the purposes set forth
above, within the budgetary limits and procedures set forth in these By -Laws, shall be r1he fol-
lowing:
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(a) To employ agents, employees and independent contractors,
(b) To lease real property and to purchase or lease equipment, machinery, or personal
property necessary for the carrying out of the purpose of the COOPERATIVE,
(c) To carry out educational and other programs relating to health, accident and other
claims reductions,
(d) To cause the creation of, see to the collection of fiends necessary for the admini-
stration and operation of the COOPERATIVE,
(e) To purchase such types of insurance as are approved by the Board of Directors,
(f) Solely within the budgetary limits established by the MEMBERS to carry out
such other activities as are necessarily implied or required to carry out the pur-
poses of the COOPERATIVE specified in Article I or the specific powers enu-
merated in Article I1.
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ARTICLE III. Participation
The membership of the COOPERATIVE shall consist of those MEMBERS and previ-
ously approved listed entities which were MEMBERS of the COOPERATIVE on January 1,
2006. Listed entities are other governmental, quasi -governmental and non-profit public service
entities which MEMBERS have chosen to include within their membership in the COOPERA-
TIVE. Such listing fulfills a public purpose in that such listed entities have so few employees
and officers that they could not bear the risk inherent in offering such benefit programs on their
own. In other cases, the MEMBER itself has so few employees that it requires the participation
of such other listed entities for the same reason. The MEMBER which lists entities shall, how-
ever, be the sole MEMBER of the COOPERATIVE and shall be responsible for all costs and
•
duties of membership provided herein. The MEMBER may make such arrangement as is desired •
with members of a sub -pool or the listed entities regarding the manner of payment, sharing of
risks and duration of such arrangement. Such arrangement is not a part of this Contract and By -
Laws. New MEMBERS and their listed entities and the listing of additional entities by existing
MEMBERS shall be added to the COOPERATIVE only after at least the concurrence of two-
thirds (2/3) of the entire membership of the Board of Directors and subject to the payment of
such sums and under such conditions as the Board shall in each case or from time -to -time estab-
lish.
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ARTICLE IV. Term of the COOPERATIVE and Amendment.
Since, as of May May 2, 2005, MEMBERS of the COOPERATIVE, which provided
their respective benefit plans to at least 750 officers and employees did by corporate ordinance or
resolution elected to continue as MEMBERS into the next three-year cycle, the COOPERATIVE
has continued in existence. The terms of this Third Consolidated Amendment to the Contract
and By -Laws of the Intergovernmental Personnel Benefit Cooperative shall take effect upon its
approval by the Board of Directors. If this Third Consolidated Amendment is approved, its
terms, as amended, shall govern all actions taken of the Cooperative including the obligations of
MEMBERS to provide benefits to their employees as is provided herein.
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ARTICLE V. Board of Directors.
(a) There is hereby established a Board of Directors of the COOPERATIVE. Each
MEMBER unit of local government shall, by majority vote of its governing
board, elect one (1) person to represent that body on the Board of Directors. The
MEMBER may also select an alternate representative to serve when the initial
representative is unable to carry out his duties. The person and alternate selected
need not be an elected official of the MEMBER. During the last quarter of the
fiscal year, or at its first meeting of each subsequent fiscal year, the Board of Di-
rector shall elect from the Board one (1) person to serve as Chairman of the Board
and one (1) person to serve as Vice Chairman of the Board for terms of one (1) or
two (2) fiscal years,. The Board of Directors may from time -to -time establish •
other officers of the Board and may elect a person from the Board to serve in any
of such offices. The Board may fill any vacancies which may occur in such of-
fices until the end of the term. The Board may also remove any elected officer or
appointed Committee member.
(b) The Board of Directors shall determine the general policy of the COOPERATIVE
which policy shall be followed by all officers, agents, employees and independent
contractors employed by the COOPERATIVE. It shall have the responsibility for
(1) Hiring of COOPERATIVE officers, agents, non -clerical employees and inde-
pendent contractors, (2) Setting of compensation for all persons, firms and corpo-
rations employed by the COOPERATIVE, (3) Setting of fidelity bonding re-
quirernents for employees or other persons, (4) Approval of amendments to the •
By -Laws, (5) Approval of the acceptance of new MEMBERS and listed entities,
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(6) Approval of educational and other programs relating to claim reduction, (7)
Approval of monthly and supplementary payments to the Administrative Fund
and the Benefit Fund, including that portion of the cost of insurance attributable to
each MEMBER, (8) Any other matters not assigned to another committee, officer,
independent contractor, or agent.
(c) Each MEMBER shall be entitled to one (1) vote on the Board of Directors. Such
vote may be cast only by the designated representative of the MEMBER or in the
Director's absence by an alternate selected by the MEMBER in the same manner
as specified for the selection of the principal representative. No proxy votes or
absentee votes shall be permitted, but in the absence of a quorum, not more than
• two (2) Directors may participate in a meeting by telephonic means. If more than
two (2) Directors request to participate by telephonic means, a random method
carried out in advance of the meeting shall be used by the person who will be pre-
siding at the meeting to choose the Directors to be selected. Voting shall be con-
ducted by voice vote unless one (1) or more MEMBERS of the Board of Directors
shall request a roll call vote; provided, however, that any vote to authorize the
payment of bills or which requires a greater than a majority vote for passage, shall
be by roll call.
(d) The representative selected by the MEMBER shall serve for a one fiscal year term
commencing at the beginning of each fiscal year and until his successor has been
selected. The representative chosen by the MEMBER may be removed by the
• majority vote of the corporate authorities of the MEMBER during the period of
this term. In the event that a vacancy occurs in the representative or alternate rep-
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resentative selected by the corporate authorities of a MEMBER, that body shall
appoint a successor. The failure of a MEMBER to select a representative or his or
her failure to participate shall not affect the responsibilities or duties of a
MEMBER under this contract.
(e) The Board of Directors may establish rules governing its own conduct and proce-
dure not inconsistent with the By -Laws.
(f) A quorum shall consist of a majority of the MEMBERS of the Board of Directors.
Except as provided in Subsection (g) herein, or elsewhere in these By -Laws, a
simple majority of a quorum shall be sufficient to pass upon all matters.
(g) A greater vote than a majority of a quorum shall be required to approve the fol-
lowing matters: •
(i) Such matters as the Board of Directors shall establish within its rules as
requiring for passage a vote greater than a majority of a quorum; provided,
however, that such a rule can only be established by a greater than major-
ity vote at least equal to the greater than majority percentage within the
proposed rule,
(ii) The admission of a new MEMBER or a listed entity and the expulsion of a
MEMBER shall require at least the concurrence of two-thirds (2/3) of the
entire membership of the Board of Directors,
(iii) Any amendment of these By -Laws except as provided in Subsection (iv)
below, shall require at least the concurrence of two-thirds (2/3) of the en-
tire membership of the Board of Directors, •
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(iv) The amendment of these By -Laws .to require mandatory membership in
the COOPERATIVE for more than a three-year term shall require the fa-
vorable vote of the governing board of each MEMBER evidenced by a
resolution or ordinance.
(v) The payment of a contested employee benefit in a manner contrary to that
recommended by the Administrator, which is brought to the Board of Di-
rectors, shall require the concurrence of at least two-thirds (2/3) of a quo -
cum at a Board of Directors meeting.
(vi) The approval of annual payments of all kinds, the allocation of those pay-
ments among MEMBERS, shall require the concurrence of at least two-
0 thirds (2/3) of a quorum at a Board of Directors meeting.
(h) No one serving on the Board of Directors shall receive any salary or other pay-
ment from the COOPERATIVE and any salary, compensation, payment or ex-
penses for such representative, shall be paid by each MEMBER separate from this
Contract. Provided, however, that in the event the person chosen as Treasurer is a
member of the Board of Directors, that person may receive such compensation as
is established from time -to -time by the Board of Directors. In addition, the
Chairman of the Board, Treasurer and such other officers as may be selected from
time -to -time may submit to the Board of Directors for their approval, reimburse-
ment of expenses incurred in the pursuit of their position as officers of the
COOPERATIVE. The reimbursement for such expenses shall include amounts
• advanced on behalf of the COOPERATIVE either by the officer himself cr by a
MEMBER of the COOPERATIVE.
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(i) There is hereby established an Executive Committee. The Board can establish
other Standing Committees. The Chairman shall name the MEMBERS and Cha-
irs of authorized Standing Committees subject to approval by the Board. The
Chairman may fill vacancies until the Board shall act on appointments. The day-
to-day operation of the Cooperative shall be directed by an Executive Committee.
That Committee shall be composed of the Chairman, Vice Chairman, Treasurer
and the Chairs of other Standing Committees. The Executive Committee shall
meet at the call of the Chairman or any two other members. The Executive
Committee shall review and pay the bills submitted to the Cooperative by its pro-
viders and consultants and may choose to settle disputes over coverage or raised
by the MEMBERS or to refer such disputes to the Board of Directors. The Ex- •
ecutive Committee will also carry out such assignment or duties as shall be gener-
ally, or on a specific basis, assigned to it by the Board of Directors or the Chair-
man. Any decision of the Executive Committee may be appealed by a MEMBER
within thirty (30) days to the Board at its next regular or special meeting which
occurs at least seven (7) days after the date of the appeal.
•
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ARTICLE VI. Board of Directors Meetings.
(a) Regular meetings of the Board of Directors shall be held at least four (4) times a
year. The dates of regular meetings of the Board shall be established at the be-
ginning of each fiscal year. Any item of business may be considered at a regular
meeting. At least two (2) meetings must be held during the first half of the fiscal
year and at least two (2) meetings must be held during the second half of the fiscal
year. Special meetings of the Board of Directors may be called by its Chairman,
or by any two (2) Directors. Ten (10) days written notice of regular or special
meetings shall be given to the official representatives of each MEMBER govern-
ment and an agenda specifying the subject of any special meeting shall accom-
0 pany such notice. Business conducted at special meetings shall be lin-ited to
•
those items specified in the agenda.
(b) The time, date and location of regular and special meetings of the Board of Direc-
tors shall be determined by the Chairman of the Board of Directors or by the con-
vening authority.
(c) To the extent not contrary to these By -Laws, and except as modified by the Board
of Directors, Roberts Rules of Order, latest edition, shall govern all meetings of
the Board of Directors. Minutes of all regular and special meetings of the Board
of Directors shall be sent to all MEMBERS of the Board of Directors.
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ARTICLE VII. Cooperative Officers.
(a) In addition to the Chairman and Vice Chairman, the officers of the
COOPERATIVE shall consist of a Treasurer and such other offices as are estab-
lished from time -to -time by the Board of Directors. All officers shall be ap-
pointed by the Board of Directors.
(b) .The Treasurer shall:
I . Have charge and custody of and be responsible for all fiinds and securities
of the COOPERATIVE; receive and give all receipts for monies due and
payable to the COOPERATIVE from any source whatsoever; deposit all
such monies in the name of the COOPERATIVE in such banks, savings
and loan associations or other depositories as shall be selected by the •
Board of Directors; keep the financial records of the COOPERATIVE and
invest the fiends of the COOPERATIVE as are not immediately required
in such securities as the Board of Directors shall specifically or generally
select from time -to -time. Provided, however, that all investments of
COOPERATIVE funds shall be made only in those securities which may
be purchased by Illinois non -home rule communities under the statutory
provisions of Illinois law.
2. In general, perform all the duties incident to the office of Treasurer and
such other duties as from time -to -time may be assigned to the Treasurer by
the Administrator or the Board of Directors.
(c) In the absence of the Treasurer, or in the event of the inability or refusal of such •
officers to act, the Chairman of the Board of Directors may temporarily perform
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the duties of the Treasurer and, when so acting, shall have all of the powersof and
be subject to all of the restrictions upon the Treasurer. A new Treasurer shall be
selected at the next regular or special meeting of the Board of Directors, but the
Chairman may act, in any case, until the selection is made.
(d) The COOPERATIVE shall purchase a blanket fidelity bond in an amount to be
established by the Board of Directors to assure the fidelity of all officers, direc-
tors, and employees of the COOPERATIVE who shall have the authority to re-
ceive or authorize by their signature or order the payment of COOPERATIVE
funds. Additional fidelity and similar coverages may be procured by the
COOPERATIVE from time -to -time.
(e) The Board may select a financial institution to carry out some or all of the func-
tions which would otherwise be assigned to a Treasurer and may select a man-
agement company or agent to carry out some or all of the functions which would
otherwise be assigned to an Administrator.
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ARTICLE VIII. Finances.
A. Administrative Fund.
The cost of the administration of the COOPERATIVE shall be borne by each of its
MEMBERS in direct proportion to the number of employees and officers of the MEMBER and
listed entities whose benefit programs are to be administered by the COOPERATIVE as com-
pared to the total number of such persons served by the COOPERATIVE.
Whenever payments to the Administrative Fund shall be based upon an estimate, the
MEMBER shall promptly receive a refund or pay a deficiency when final figures become avail-
able. The Administrative Fund shall pay all of the administrative costs of the COOPERATIVE
and payment shall be made to cause the administration of all actions approved by the Board of
Directors. 41
B. The Benefit Fund.
Payments into the Benefit Fund will be developed and administered in the following
manner:
1. Before the start of each fiscal year, the Administrator will determine on
the basis of financial data the amount of total payments from all
MEMBERS necessary to fund anticipated benefit payments and the cost of
insurance.
2. The Administrator will also recommend how this total amount of antici-
pated expenses should be divided among the MEMBERS. The charges to
be made to the MEMBERS shall be determined by a vote of the Board of
isDirectors which shall, in establishing such sums due, treat all similarly
situated MEMBERS in an equal manner. Such a vote must receive at least
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the concurrence of two-thirds (2/3) of a quorum at a Board of Directors
meeting.
3. The Board of Directors may, each fiscal year, choose an allocation of the
payments into the Benefit Fund whereby some or all of the costs are di-
vided among the MEMBERS based upon general increases or decreases in
the total costs of the COOPERATIVE without regard to the claims made
against individual MEMBERS or it may elect to grant debits or credits
based upon the individual plans offered by the MEMBERS or the level of
claims. Debits or credits may be expressed through the use of a banding
formula.
• 4. In the event that the Board of Directors shall fail to approve the charges or
allocations by the requisite vote, the charges and allocations for the next
year shall, until and unless modified, be based upon the prior year's alloca-
tions with charges increased by ten percent (10%) and additionally subject
to the obligation to make Supplementary Payments.
5. The Administrator will purchase such other insurance coverage as may be
approved by the Board of Directors.
6. Without regard to any other provision contained within this Article VIII,
the Board of Directors may establish charges to be paid by the
MEMBERS for life insurance benefits to be based upon total pooling of
the experience of all MEMBERS with each MEMBER paying the same
• cost per employee for such life insurance coverage. The time at which a
determination regarding the amounts due for such life insurance coverage
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and the manner in which such amounts shall be paid shall be the same as
that established for other payments into the Benefit Fund. The Board of
Directors may also establish a program to provide dental or other benefits
to MEMBERS which wish such coverage.
C. Cash Flow Account.
The Cooperative shall maintain a Cash Flow Account. Each MEMBER shall make pay-
ments into that account equal to some percentage set by the Board of Directors of the payments
that MEMBER has made into the Benefit Fund. The Board of Directors shall determine the
manner in which each MEMBER'S obligation to make payments into the Cash Flow Account is
established to assure that an adequate balance for the payment of claims remains in that account
at all times. The Board of Directors may establish a method whereby automatic withdrawals •
from Terminal Reserves are utilized to fiend deficits in the Cash Flow Account. The Board of
Directors shall determine whether the Cash Flow Account shall be treated as a single fund which
can be utilized for the payment of the claims of any MEMBER or whether each MEMBER shall
be obligated to maintain its own individual account. If separate accounts are maintained,
MEMBERS may be individually required to make up deficiencies in their accounts. The estab-
lishment of payments into this account must receive at least the concurrence of two-thirds (2/3)
of a quorum at a Board of Directors meeting.
D. General Fiscal Matters.
The Board of Directors shall provide to the MEMBERS an annual audit of the financial
affairs of the COOPERATIVE to be made by a certified public accountant at the end of each
fiscal year in accordance with generally accepted auditing principals. •
E. Suimlementary Pavments.
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If, during any year, the funds on hand are not sufficient to pay benefits or administrative
expenses which are the responsibility of the COOPERATIVE and not through insurance cover-
age or other costs, the Board of Directors shall require Supplementary Payments. The increased
payments shall be computed utilizing the same method under which payments were made for the
year in question and except for payments into the Administrative Fund where payments shall be
made by all MEMBERS, they shall only be due from MEMBERS which were entitled to receive
benefits from the account which requires Supplementary Payments. If a MEMBER transfers
employees and officers from a hind where Supplementary Payments are due to another fund, a
determination shall be made by the Board of Directors as to the amount of Supplementary Pay-
ments due from that MEMBER arising from its prior participation in that fund.
• F. Terminal Reserves
During any fiscal year, and with the approval of the Executive Committee, a MEMBER
may withdraw from the COOPERATIVE any amount of Terminal Reserves provided that there
shall be deducted from that payment any amounts owed by the MEMBER or reasonably antici-
pated to be owed by the MEMBER to the COOPERATIVE either being then due and payable or
estimated to be due based upon tentative figures or preliminary audits, or any other amounts due
from the MEMBER to the COOPERATIVE. The Executive Committee may always deduct
from a MEMBER's Terminal Reserves any amounts necessary to pay for that MEMBER's obli-
gations to the COOPERATIVE. Within thirty (30) days after a final audit, approved )y the
Board of Directors, the amounts then determined to be owed to the COOPERATIVE shall be de-
ducted from the Terminal Reserves. Thereafter, the MEMBER shall receive a determination of
• the Executive Committee within sixty (60) days of a written request. If the COOPERATIVE
shall have advanced funds on behalf of a MEMBER such that the MEMBER is expected to have
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2/9/05—amendment `
1/13/06--amendment
a deficit balance in its Ten•ninal Reserves, then, within sixty (60) days after written notice, the
MEMBER shall be required to pay to the COOPERATIVE at least sufficient funds so as to re-
move the deficit in its Terminal Reserves.
G. Runout Claims--Pre-July 1, 1996.
The administration and financing of pre-1996 claims shall be administered in accordance
with the Second Consolidated Amendment.
U
•
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ARTICLE IX. Plan of Benefits, HMOs and Reductions In Coveraee.
MEMBERS may change the Plan of Benefits provided at any time, but shall notify the
Administrator at least sixty ('60) days prior to the intended effective date of such change; and
such change shall be subject to a redetermination on an underwriting basis of the payments due
the COOPERATIVE. The Administrator shall make a determination as to the amount of the in-
creased or reduced payment required in light of the change. If the MEMBER should dispute the
amount of the redetermination, an initial decision regarding such amount shall be made by the
Executive Committee with an appeal to the Board of Directors. In the event that the Administra-
tor should determine that the proposed change provides a level or type of coverage, the cost of
which cannot be determined on an underwriting basis or which would provide an excessive risk
• to the COOPERATIVE, or is inconsistent with the insurance purchased by the COOPERATIVE
or would otherwise not be in the best interest of the COOPERATIVE, the Administrator shall
present that opinion and the reasons supporting that opinion in writing to the MEMBER request-
ing the change and to the Chairman. The change shall not come into effect within the
COOPERATIVE's plan of benefits except in the manner recommended by the Administrator
unless the decision of the Administrator is overturned or modified by the Executive Committee
or the Board of Directors. The MEMBER may institute the change, but shall be individually fi-
nancially responsible for the administration and payment of such benefits as are not eventually
authorized to be provided within the COOPERATIVE. The Administrator shall as promptly as
possible re -price covered benefits. No clairn may be made against the COOPERATIVE for the
unauthorized change.
• The COOPERATIVE may offer to its MEMBERS participation in an HMO Fune sepa-
rate from the Benefit Fund to pay the costs of providing HMO services to the officers and em-
21
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ployees of the participating MEMBERS. Accounting for this Fund, including surplus or deficit
amounts, shall be separate from the Benefit Fund. For any fiscal year if the Board of Directors
of the COOPERATIVE votes to provide an HMO Fund for the fiscal year, all MEMBERS offer-
ing HMO benefits to their officers and employees shall only offer the Plan of Benefits of the
COOPERATIVE'S HMO Fund or those in union -sponsored programs.
An HMO Plan of Benefits shall mean any plan which provides benefits to participants
through a restriction on the doctors who provide services, an absence of substantial deductible or
co -payments and an absence of or simplified claim forms. An HMO Plan of Benefits may be
offered by the COOPERATIVE either through joint purchase or pooling.
The rates for the HMO Plan or Plans of Benefits offered by the COOPERATIVE for the
specific plans of its MEMBERS shall be established by the Board of Directors. The Board may •
establish an average annual rate percentage change for the HMO Fund as a whole, and may then,
through the use of a banding formula, establish bands of no more than 10 percentage points more
or less than the average annual price adjustment for those MEMBERS whose claims experience
has been above or below the average. It may also approve other allocation formulas.
Where the Cooperative chooses to establish a single annual increase with bands, it may,
under two (2) circumstances and upon the recommendation of the Administrator, individually
rate a MEMBER or MEMBERS. Where the actual paid claims, incurred by a MEMBER during
two (2) or more years of a three (3) year cycle, were both in the highest or both in the lowest
bands, or where it is discovered that claim history material submitted by a MEMBER was im-
properly stated, that MEMBER or MEMBERS may be individually rated and may be required to
contribute to the HMO Fund a sum no more than 100% greater or lesser than the amount which •
would be payable had that MEMBER or MEMBERS been rated with the group as a whole. Such
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1/13/06--amendment
individual rating shall carry into another cycle until such time as the paid claims of the
MEMBER have declined for a year so that the MEMBER would be entitled to be rated with the
group as a whole.
If, for any year or years, the Board of Directors should determine that there are surplus
funds within the HMO Fund which can be distributed to the MEMBERS without harming the
fiscal integrity of the HMO Fund, those surplus funds shall be distributed to all existing and prior
MEMBERS of the COOPERATIVE (who validly withdrew) who made contributions into the
HMO Fund in the proportion in which those contributions were made. A determination as to
whether surplus fiinds shall be distributed to the remaining MEMBERS of the COOPERATIVE
shall be made from time -to -time by the Board of Directors.
• If a MEMBER, in accordance with the By -Laws, elects to withdraw from the
COOPERATIVE, or if it has no officers or employees who will receive the HMO Plan of Bene-
fits for the next fiscal year, it shall be the obligation of that MEMBER to pay all the claims of its
officers and employees for HMO services under the COOPERATIVE which were performed
prior to the commencement of that next fiscal year, but not submitted and processed before the
end of that fiscal year, but within the time period allowed for submissions. The Executive
Committee, on the recommendation of the Administrator, may require a MEMBER to pre -fiend
an amount estimated to be sufficient to pay for such HMO runoff claims and administration.
Within sixty (60) days after the approval of the audit of the COOPERATIVE's HMO
Fund for the prior fiscal year, a final accounting of funds owed or owing shall take place. If a
MEMBER which has offered an HMO Plan of Benefits shall have no officers or employees re-
• ceiving such benefits in a subsequent fiscal year, or if that MEMBER has validly withdrawn
from the COOPERATIVE, then that MEMBER, subject to a pre -funding of HMO run-off claims
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and administration, shall be entitled to its percentage of any surplus fiends within the HMO Fund.
The payment of surplus funds or the receipt of amounts otherwise due from the MEMBER shall
be carried out in accordance with the provisions of Article XVII.
In the event that HMO coverage is no longer offered by the COOPERATIVE, any sur-
plus funds remaining shall, after audit and the setting aside of run-off amounts, be distributed to
the MEMBERS (except for expelled MEMBERS) in the proportion in which they contributed
funds to the HMO Fund.
If the number of employees or officers of the MEMBERS eligible to receive some por-
tion of any of the COOPERATIVE's benefits should decline or where for some other reason the
Administrator is concerned about the ability of a specific fund to cover potential claims, the mat-
0
ter shall be brought to the attention of the Executive Committee and the Board of Directors. The •
Board of Directors may determine that the coverage shall no longer be offered or its scope or
amount of coverage shall be prospectively reduced. A decision to make such a reduction shall
not become effective for at least sixty (60) days after the vote of the Board.
is
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•
•
ARTICLE X. Insurance and Other Coverages.
The COOPERATIVE may purchase insurance from a company permitted to write such
coverage in Illinois. The COOPERATIVE may also join with other intergovernmental entities to
provide collective self-insurance. The obligation of any MEMBER to the COOPERATIVE shall
be limited to funding those benefits collectively self -insured by the COOPERATIVE. No
MEMBER shall be responsible for the benefit claims of another MEMBER which were to be
paid by insurance or at levels above the insurance purchased for MEMBERS.
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7/16/O1--amendment
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1/13/06--amendment
ARTICLE XI. Obligations of Members.
The obligations of MEMBERS of the COOPERATIVE shall be as follows:
(a) To appropriate for, where necessary to levy for and to promptly pay all monthly
and supplementary or other payments to the COOPERATIVE at such times and in
such amounts as shall be established by the Board of Directors within the scope of
this Contract and By -Laws. Any delinquent payments shall be paid with a penalty
which shall, for the period of non-payment, be equivalent to the prime rate of in-
terest on the date of delinquency charged by the bank in Illinois with the largest
assets or the highest interest rate allowed by statute to be paid by an Illinois non -
home rule municipality whichever is greater. In the event that the
COOPERATIVE shall be required to expend funds for administrative, legal or •
other costs brought about by the failure of a MEMBER to pay sums owed the
COOPERATIVE or to otherwise comply with its obligations, such amounts ex-
pended shall be added to the sums due the COOPERATIVE and shall be payable
by the MEMBER. In the event that a MEMBER of the COOPERATIVE should
sue the COOPERATIVE or any of its MEMBERS or officers regarding an inter-
pretation of this Contract and By -Laws, an action taken by the Board of Directors
or officers or any other matter arising out of its membership in the
COOPERATIVE, and should not be the prevailing party in that suit, it shall, as
part of its contractual obligation to this COOPERATIVE, pay the reasonable at-
torneys' fees and other costs and expenses expended by the COOPERATIVE in
defending against that suit.
26
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n 4/12/00--amendmet
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2/9/OS—amendment
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(b) During its entire membership in the IPBC, a MEMBER shall only exclusively
provide to its employees and officers, except independent contractors, or those in
union -sponsored programs, the health and accident benefits and associated life in-
surance coverage of the COOPERATIVE.
In entering into this intergovernmental agreement, each MEMBER, sub -pool and
sub -pool member acknowledges, recognizes and accepts that intergovernmental
agreements are voluntary associations where the MEMBERS can determine, by
contract and, by authorized actions of the Board of Directors, the identity of the
MEMBERS, how MEMBERS and those otherwise bound can be admitted, dealt
with during membership and expelled.
• (c) To select a person to serve on the Board of Directors and to select an alternate
representative.
(d) To allow the COOPERATIVE reasonable access to all facilities of the MEMBER
and all records including but not limited to financial records which relate to the
purpose and powers of the COOPERATIVE.
(e) To furnish full cooperation with the COOPERATIVE's attorneys, claims adjust-
ers, the Administrator and any agent, employee, officer or independent contractor
of the COOPERATIVE relating to the purpose and powers of the
COOPERATIVE.
(f) To furnish the COOPERATIVE with a copy of revisions to its written benefit
program at least sixty (60) days prior to the effective date of such change.
(g) To report to the COOPERATIVE as promptly as possible all claims made to it
within its benefit program as administered by the COOPERATIVE.
27
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7/18/01--amendment
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1/13/06--amendment
•
(h) To follow those procedures regarding the administration of and application for
benefits adopted by the Board of Directors which do not reduce the level of bene-
fits contained within any MEMBER's individual benefit program. For example,
large case management and frequency and amount of claim submissions. The
adoption of such procedures shall require at least the concurrence of two-thirds
(2/3) of the entire membership of the Board of Directors.
•
•
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4/12/00--amendment
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1/13/06--amendment
ARTICLE XII. Liability of Board of Directors or Officers.
The MEMBERS of the Board of Directors or officers of the COOPERATIVE should use
ordinary care and reasonable diligence in the exercise of their power and in the performance of
their duties hereunder; they shall not be liable for any mistake of judgment or other action made,
taken or omitted by them in good faith; nor for any action taken or omitted by any agent, em-
ployee or independent contractor selected with reasonable care; nor for loss incurred through in-
vestment of COOPERATIVE funds, or failure to invest. No Director shall be liable for any ac-
tion taken or omitted by any other Director. No Director shall be required to give a bond or other
security to guarantee the faithful performance of their duties hereunder. The Administrative
Fund shall be used to defend and hold harmless any Director or officer for actions taken by the
• Board or performed by the Director within the scope of his authority. The COOPERATIVE may
purchase insurance providing similar coverage for such Directors or officers.
•
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1/13/06--amendment
ARTICLE XIII. Additional Insurance.
The Administrator through the distribution of the minutes of the Board of Directors or
through other means shall inform all MEMBERS of the scope and amount of insurance in force
from time -to -time. Membership in the COOPERATIVE shall not preclude any MEMBER from
purchasing any insurance coverage above those amounts or in addition to that purchased by the
COOPERATIVE. The COOPERATIVE may also create and administer programs to pay dental
or other claims. All funds for the operation of such programs shall be accounted for separately
and the financial obligations arising from such programs shall only be the responsibility of
MEMBERS which participate.
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• 9/5/96--ADOPTION COPY
4/12/00--amendment
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1/13/06--amendment
ARTICLE XIV. Disputes Over Coverage.
In the event that a MEMBER should question whether its employee or officer or that of a
listed entity is entitled to payments, that MEMBER shall, in writing, direct the COOPERATIVE
not to pay any further amounts arising from such claim after the date of the receipt of the written
direction. When so directed, the COOPERATIVE shall not pay such claim unless the MEM-
BER's order is withdrawn. Provided, however, that the MEMBER shall defend and hold harm-
less the COOPERATIVE against all costs, including defense costs, or damages which the
COOPERATIVE shall incur in acting on the direction of the MEMBER. The COOPERATIVE
may require the MEMBER to advance funds to support this obligation and on a failure of the
MEMBER to do so, it may choose to make the payment.
• In the event that an officer or employee or other person claiming benefits -From a
MEMBER or the MEMBER itself should contest the decision of the Executive Committee or the
Board of Directors, which declines to pay a benefit in whole or in part, the decision of the Execu-
tive Committee or the Board of Directors shall be final in the absence of fraud. The
•
COOPERATIVE shall have no financial responsibility if a company which provides insurance
for benefit claims refuses or is unable to pay such claims. In the absence of action by the Board
of Directors to recover such funds from the Company the MEMBER affected may pursue the
matter at its expense.
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ARTICLE XV. Contractual Obligation.
This document shall constitute a contract among the MEMBERS of the COOPERATIVE.
The obligations and responsibilities of the MEMBERS set forth herein including the obligation
to take no action inconsistent with this Contract and By -Laws as originally written or validly
amended shall remain a continuing obligation and responsibility of the MEMBER. The terms of
this contract may be enforced in a court of law either by the COOPERATIVE itself or by any of
its MEMBERS. The consideration for the duties herewith imposed upon the MEMBERS to take
certain actions and to refrain from certain other actions shall be based upon the mutual promises
and agreements of the MEMBERS set forth herein and the advantage gained by MEMBERS in
anticipated reduction of administrative costs for the processing of personnel benefits. Provided,
however, that the financial obligations of a MEMBER are limited to that agreed to herein or such •
additional obligations as may come about through amendments to these By -Laws.
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4/12; o0--amendment
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1/13/06--amendment
ARTICLE XVI. Expulsion of Members.
By at least the concurrence of two-thirds (2/3) of the entire remaining membership of the
Board of Directors, any MEMBER may be expelled. Such expulsion, which shall take effect in
the manner set out below, may be carried out for one or more of the following reasons:
(a) Failure to make any payments due to the COOPERATIVE,
(b) Failure to exclusively provide to its employees and officers, except independent
contractors, or those in union -sponsored programs, the health and accident bene-
fits and associated life insurance coverage of the COOPERATIVE,
(c) Failure to furnish full cooperation with the COOPERATIVE's attorneys, Admin-
istrator and any agent, employee, officer or independent contractor of the
• COOPERATIVE relating to the purpose and powers of the COOPERATIVE,
(d) Failure to carry out any obligation of a MEMBER which impairs the ability of the
COOPERATIVE to carry out its purpose and powers.
No MEMBER may be expelled, except after notice from the COOPERATIVE, of the al-
leged failure along with a reasonable opportunity of not less than fifteen (15) days to cure the
alleged failure. The MEMBER, within that 15 day period, may request a hearing before the
Board before any decision is made as to whether the expulsion shall take place. The Board shall
set the date for a hearing which shall not be less than fifteen (15) days after the expiration of the
time to cure has passed. The Board may appoint a hearing officer to conduct such hearing and
make a recommendation to the Board based upon findings of fact. If the Board condrets the
hearing itself, it may make a decision at the close of the hearing. A decision by the Board to ex-
pel a MEMBER after notice and hearing and a failure to cure the alleged defect shall be final
unless the Board shall be found by a court to have committed a gross abuse of discretion After
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1/13/06--amendment
expulsion, the former MEMBER shall continue to be frilly obligated for any payments due to the
COOPERATIVE which were created during the term of its membership along with any other
unfulfilled obligation as if it were still a MEMBER of the COOPERATIVE.
The obligation of the COOPERATIVE to administer the claims filed under the benefit
program of the expelled MEMBER shall cease thirty (30) days after the date of expulsion, pro-
vided that the MEMBER is not in financial arrears to the COOPERATIVE. if the expelled
MEMBER is in financial arrears to the COOPERATIVE, including estimated deficits, the ad-
ministration of claims shall cease immediately upon expulsion. After expulsion, the
COOPERATIVE or its Administrator may agree by contract to administer and pay the claims of
the expelled MEMBER using funds furnished by the expelled MEMBER. The expelled
MEMBER shall be required to pay the cost of the transfer of such document if it should choose is
to pay claims by itself or through others.
s
34
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ARTICLE XVII. Withdrawal of a Member and Continuation
or Tennination of the COOPERATIVE.
All MEMBERS of the COOPERATIVE shall be obligated to continue as MEMBERS
during a three-year membership cycle. The obligation of a MEMBER during each cycle in
which it is a MEMBER shall include continuing participation with regard to all classes of offi-
cers and employees of the MEMBER, not including its listed entities, established as being enti-
tled to benefits at the commencement of each three-year cycle. Provided, however, that if a
MEMBER should choose to end continuing participation with regard to officers and employees
of the MEMBER, other than at the end of a three-year cycle, who are to be provided health and
life insurance coverage in a union -sponsored program, the COOPERATIVE shall permit such
• withdrawal, but it may re -price the costs of benefits to the continuing employees or officers
based upon the same underwriting criteria used by that COOPERATIVE in the normal course of
its business. If officers or employees are withdrawn from the COOPERATIVE into a union -
sponsored program, they may subsequently be returned to coverage, but only on an underwriting
basis. In addition, when the withdrawal is into a union -sponsored program, no MEMBER shall
be expelled from the COOPERATIVE if the continuing employees or officers meet the general
criteria required from time -to -time for other MEMBERS of the COOPERATIVE. If a
MEMBER, which no longer meets the underwriting criteria as a MEMBER should be voluntarily
admitted to an intergovernmental agency, which itself is a MEMBER of the COOPERATIVE, it
may continue receiving benefits from the COOPERATIVE under the Contract and By -Laws of
the Intergovernmental Agency. Provided, however, that upon a two-thirds (2/3) affirmative vote
of the entire membership of the Board of Directors, any MEMBER may be relieved of continu-
ing participation with regard to a particular class or classes of officers and employees of the
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r�
MEMBER. In addition, a MEMBER shall only be required to provide continuing participation
for those persons within such classes of officers and employees as are actually employed or
working for the MEMBER.
In order to continue as a MEMBER of the COOPERATIVE into the next three-year cycle
which will commence on July 1, 2008, and for each three-year cycle thereafter, the governing
Board of each MEMBER must, at least sixty (60) days before the cornmencement date, pass an
ordinance or resolution agreeing to continue as a MEMBER for the new three-year term. Failure
to pass a timely ordinance or resolution shall constitute a withdrawal; provided, however, that by
at least the concurrence of the majority of the entire continuing MEMBERS, the withdrawal may
be canceled and the MEMBER, at its request, filed within that sixty (60) day period, may be re-
instated.
U
If a MEMBER should withdraw from the COOPERATIVE, no benefit claims of the
MEMBER shall be processed or paid by the COOPERATIVE after the close of the fiscal year in
which withdrawal takes place, unless the withdrawing MEMBER shall enter into a contract with
the COOPERATIVE or the Administrator to provide such services using funds furnished by the
withdrawing MEMBER. Pending claims and other records relating to the withdrawing
MEMBER shall, in the absence of such a contract, be turned over to that MEMBER in a prompt
manner and at that MEMBER's cost.
With regards to benefit claims and administrative fees after a MEMBER withdraws in
any way from the COOPERATIVE, the contract between the COOPERATIVE and the entity
offering HMO benefits may provide that the COOPERATIVE is responsible for certain pay-
ments to the HMO for benefit claims and administrative costs for a continuing period. If a con-
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tract contains such a provision, the withdrawing MEMBER is responsible for the payment to the
COOPERATIVE for all of such payments for the period contained within that agreement.
Within one -hundred twenty (120) days after the approval of the audit of the
COOPERATIVE for the prior fiscal year, a final accounting of funds owed or owing shall take
place. Such accounting shall include all funds of the COOPERATIVE. If the amount owed to or
owing from the withdrawing MEMBER shall be $25,000 or less, the party owing such funds
shall make payment within ninety (90) days after the final accounting. If the amount owed to or
owing from the withdrawing MEMBER shall be over $25,000, the party owing such funds may
pay such funds owed in no more than 13 equal monthly payments with interest at the highest
amount lawfully payable by a non -home rule Illinois municipality with the first payment to
is commence within ninety (90) days after the final accounting is established.
If a MEMBER should withdraw from the COOPERATIVE, and the COOPERATIVE
should in error pay any benefit claims, administrative fees or other charges on behalf of a with-
drawing Member which it was not obligated to pay, the withdrawing Member shall, upor- thirty
(30) days' written notice, reimburse the COOPERATIVE for the amounts improperly paid.
If the withdrawal of MEMBERS prior to the start of any three-year cycle shall reduce the
number of covered employees and officers of the remaining MEMBERS, and any new
MEMBERS legally committed to membership for the next three-year cycle, to less than 750 per-
sons, the COOPERATIVE shall, except for winding up its affairs, cease its operations at the end
of the then -concluding fiscal year. In that case, the Board of Directors shall continue to meet on
such a schedule as shall be necessary to carry out the winding up of the affairs of the
• COOPERATIVE. If, during any fiscal year, the number of covered employees and officers
should, through the withdrawal or expulsion of listed entities or attrition, be reduced to below
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500 persons, any MEMBER may call a special meeting to discuss the feasibility of continuing
the COOPERATIVE in operation until the close of that fiscal year.
All withdrawing MEMBERS shall remain fully obligated for their portion of all expenses
of and claims against the COOPERATIVE incurred during the period of their membership.
If any MEMBER should file a suit against the COOPERATIVE questioning the validity
of the Contract and By -Laws document, or should raise the validity of this document in a suit by
the COOPERATIVE and the validity of the Contract and By -Laws document is sustained, that
MEMBER shall pay for the frill legal and defense costs of the COOPERATIVE in that suit.
SHD: DAR \ Revised 11306.doc � 1379623.000
•
•
38