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23 Texas Municipal League Workers' Compensation Joint Insurance Fund 1020 Southwest Tower Building, Austin, Texas 78701 INTERLOCAL AGREEMENT This Contract and Interlocal Agreement is entered into. by and between the Texas Municipal League Workers' Compensation Joint Insurance Fund (hereinafter referred to as "Fund") and the undersigned political subdivision of the State of Texas (hereinafter referred to as "Em player Member") for the purpase af praviding the statutary benefits prescribed by Article 8309h af the Texas Warkers' Campensatian Act for emplayees af palitical subdivisians. WITNESSETH: The undersigned Emplayer Member in cansideratian of the adaptian af a plan af self-insurance as autharized in Article 8309h, Vernan's Annatated Texas Statutes, to. pravide warkers' campensation benefits at a minimum cast and in further cansideratian af other palitical subdivisians executing identical Intertacal Agreements daes hereby agree to became a self-insured warkers' campensatian emplayer by becaming one af the members of the Fund Poo.l af self-insured Employer Members. The canditions af membership agreed upon by and between the parties are as fallaws: 1. Definitian af terms used in this Interlocal Agreement a. "Baard" - refers to. the Baard ef Trustees af the Texas Municipal League Workers' Campensation Jaint insurance Fund. b. "Premium" and "Cantributian" - are used interchangeably in same parts af thìs Interlacal Agreement. "Premium" is used to. identify the rating formulas established by the State Baard ef Insurance, which are used as guidelines to. establish Emplayer Members' cash cantributians to. the Fund. Any reference at any time in this Interlacal Agreement to. an insurance term not ardinarily a part of self-insurance shall be deemed far canvenience anly and is nat to. be canstrued as being cantrary to. the self-insurance cancept except where the cantext clearly indicates no. other possible interpretatian such as, but nat limited to., the reference to. "reinsurance." c. "Servicing Cantractar" - Jahnsan and Higgins af Texas, Inc. d. "Manual Rates" - the basic warkers' campensatien rates applicable to. each classification af employees pramulgated by the State Board at Insurance. e. "Experience Modifier" - refers to. the factor applied to the manual rates that reflects the political subdivisian's loss experience, which is based an the State Baard of Insurance promulgated insurance plan. f. "Standard Rates" - rates that are determined by applying the experience modifier af each individual Employer Member to the annual rates. g. "Fund Modifier" - 75% that is applied to the standard rates by the Fund to. reflect the savings to. the Employer Member by entering into the Interlocal Agreement. 2. The term of this Contract shall be far a term cammencing 12:01 a.m. 3-15-85 and terminating 12:01 a.m. October 1, 1986, unless the same is sooner terminated by sixty (60) days' written notice of intent to. terminate by either party unless otherwise specified under the terms and agreements af this Cantract or by the Bylaws af the Fund. The Fund will have the right to. terminate this agreement anly far noncompliance wIth paragraphs 3,5. and 8. 3. Annually, each Employer Membershall submit to. the Fund on a Premium Worksheet ferm supplied by the Fund, its estimated payro.ll for each classificatien of empleyee. The rates established by the State Board ef Insurance shall be applied to. arrive at a manual premium. If the Employer Member has established. thraugh experience, a medifier, then the experience modificatian af that Emplayer Member shall be used to. arrive at the standard premium to. be paid by the Employer Member. In the absence af an earned experience modificatian far the Employer Member, the manual rate as established by the State Baard of Insurance in effect at the beginning af each Fund Year will be used as a guide to preduce a manual. as well as a standard contributian. The Fund madifier of 75% shall then be applied to the standard premium to praduce the annual contributian that the Employer Member shall pay to the Fund, The Emplayer Member agrees to pay the standard annual contributian to. the Fund in twelve (12) equal monthly installments, in advance, commencing at the beginning af each Fund Year, with subsequent installments due the first of each menth thereafter, provided that if the payable annual contribution shall be less than $5,000, it shall be payable in four (4) equal quarterly installments. in advance. commencing at the beginning af each Fund Year, with subsequent installments due the first of each quarter thereafter. It is understood by the Employer Member that there wi II be cantribution adjustments based upon the increased benefit levels mandated by the Texas Workers' Compensation Act.