The URL can be used to link to this page

Home My WebLink AboutWorkers_Compensation_Program_2022-23WORKERS’ COMPENSATION & EMPLOYER’S LIABILITY PROGRAM INTEGRITY EXCELLENCE INNOVATION TEAMWORK Providing innovative risk management solutions for our public agency partners Protection period: July 1, 2022 to July 1, 2023 Overview 1 Detail 2 Schedule of Insurers 3 Members Roster 4 WORKERS’ COMPENSATION & EMPLOYER’S LIABILITY PROGRAM Page 1Rev: 7/1/22 PR O G R A M S U M M A R Y THE ABOVE IS A SUMMARY ONLY. IT DOES NOT MODIFY THE MEMORANDUM OF COVERAGE, NOR THE REINSURANCE OR EXCESS INSURANCE DOCUMENTS. FOR FULL COVERAGE DETAILS, SEE THE FULL CONTRACTS AND POLICIES ON FILE AT THE CALIFORNIA JPIA OFFICE. EFFECTIVE JULY 1, 2022 Overview July 1, 2022 WC 21 Program Workers’ Compensation losses are pooled by California JPIA Members to $2 million. Coverage above $2 million is purchased with statutory limits. Employer’s Liability losses are pooled by California JPIA Members to $2 million. Coverage from $2 million to $5 million is purchased. Any loss from $5 million to $10 million will be pooled by California JPIA Members. Protection Period July 1, 2022 at 12:01 a.m. to July 1, 2023 at 12:01 a.m. Pacific Time Protects California JPIA Members that participate in the Workers’ Compensation Program through resolution of the agency’s legislative body, and their employees (including the Member’s city council, board of directors, or other legally authorized or appointed committees or commissions of the Member) for statutory benefits allowed under California’s workers’ compensation laws. Covers Statutory liability under California Workers’ Compensation Law; and Employer’s Liability. Limits Workers’ Compensation: Scheduled Statutory Benefits Employer’s Liability: $10,000,000 per Occurrence Coverage Note Volunteers covered only if Workers’ Compensation coverage has been extended to them by resolution of the member’s legislative body. 1 Facultative reinsurance is provided by Safety National Casualty Company. Some exclusions and sub-limits apply, see coverage documents for more information. 2 Facultative reinsurance is provided by Safety National Casualty Company. Some exclusions and sub-limits apply, see coverage documents for more information. WORKERS’ COMPENSATION & EMPLOYER’S LIABILITY PROGRAM Page 2Rev: 7/1/22 PR O G R A M S U M M A R Y THE ABOVE IS A SUMMARY ONLY. IT DOES NOT MODIFY THE MEMORANDUM OF COVERAGE, NOR THE REINSURANCE OR EXCESS INSURANCE DOCUMENTS. FOR FULL COVERAGE DETAILS, SEE THE FULL CONTRACTS AND POLICIES ON FILE AT THE CALIFORNIA JPIA OFFICE. EFFECTIVE JULY 1, 2022 Detail July 1, 2022 - July 1, 2023 Covered Parties California Joint Powers Insurance Authority and participating members Address 8081 Moody Street, La Palma, California 90623 Coverage Workers’ Compensation: Statutory Employer’s Liability: $3,000,000 excess of $2,000,000 Facultative Reinsurance Certificate Number: FCS4066721 Protection Period July 1, 2022 at 12:01 a.m. to July 1, 2023 at 12:01 a.m. Pacific Time Coverage Provided By Safety National Casualty Corporation A.M. Best Rating A+ (Superior) Financial Size Category of XV ($2 Billion or greater) California Status Authorized Reinsurer Limits Workers’ Compensation: Statutory Employer’s Liability: $3,000,000 Each Accident for Bodily Injury by Accident $3,000,000 Policy Limit for Bodily Injury by Disease $3,000,000 Each Employee for Bodily Injury by Disease Self-Insured Retention $2,000,000 Per Occurrence Self-insured retention is eroded by allocated claims expense. Major Exclusions (Including but not limited to) • War and Civil War • Nuclear Incident • Extra Contractual Obligations • Loss in Excess of Policy Limit Claims Reporting Sedgwick Claims Management Services 8855 Haven Ave Rancho Cucamonga, CA 91730 Phone: (909) 942-5445 Fax: (866) 548-2637 Memorandum of Coverage contains full reporting requirements. Broker Guy Carpenter Mike Waterman, Managing Director and Public Entity Segment Leader; Chicago, IL Isabella Pang, Vice President; Chicago, IL James Turner, Vice President; Philadelphia, PA WORKERS’ COMPENSATION & EMPLOYER’S LIABILITY PROGRAM Page 3Rev: 7/1/22 PR O G R A M S U M M A R Y Schedule of Insurers July 1, 2022 - July 1, 2023 WORKERS’ COMPENSATION AND EMPLOYER’S LIABILITY COVERAGE – Limit: Worker’s Compensation (WC):Statutory Excess of $2,000,000 Employer’s Liability (EL):$3,000,000 Each Accident for Bodily Injury by Accident $3,000,000 Policy Limit for Bodily Injury by Disease $3,000,000 Each Employee for Bodily Injury by Disease Excess of $2,000,000 REINSURED BY SAFETY NATIONAL CASUALTY CORPORATION - WC - Statutory - EL - $3,000,000 FACULTATIVE CERTIFICATE NUMBER: FCS4066721 GC RISK REFERENCE NUMBER: UA8T00022201 California Status: Standard & Poor’s Rating: Best’s Guide Rating: Admitted A+ (Positive) A+ (Superior) Financial Size Category of XV ($2 Billion or greater) WORKERS’ COMPENSATION & EMPLOYER’S LIABILITY PROGRAM Page 4Rev: 7/1/22 PR O G R A M S U M M A R Y Member Roster July 1, 2022 - July 1, 2023 Agoura Hills AHCCC Aliso Viejo Apple Valley Arroyo Grande Artesia Atascadero Bell Gardens Bellflower Big Bear City Community Services District Big Bear Fire Big Bear Lake Bishop Bradbury Brawley Buellton Calabasas California JPIA Camarillo Carpinteria CASA Cerritos Chino Hills Claremont Dana Point Diamond Bar Duarte El Centro ESTA Fillmore Gateway Cities COG Goleta Grand Terrace Grover Beach Guadalupe Hawaiian Gardens Imperial Indian Wells Indio Irwindale La Canada Flintridge La Habra Heights La Mirada La Palma La Puente La Quinta La Verne Laguna Niguel Laguna Woods Lake Elsinore Lake Forest Lakewood Lawndale Loma Linda Lomita Malibu Mammoth Lakes Midpeninsula ROSD Mission Viejo Monrovia Monterey Peninsula RPD Moorpark Morro Bay Mountain Area RTA Needles Norwalk Ojai Palm Desert Palos Verdes Estates Paramount Paso Robles Pismo Beach Pomona Valley TA Port Hueneme Poway Rancho Palos Verdes Rolling Hills Rolling Hills Estates Rosemead San Dimas San Gabriel San Juan Capistrano San Luis Obispo Santa Fe Springs Santa Paula SCAG SEAACA Seal Beach Seaside Signal Hill Solvang South El Monte Temple City Ventura Port District Villa Park Walnut Westlake Village * Azusa, Alhambra, Hemet, Lemon Grove, Pacific Grove, Santa Clarita, Stanton, West Covina and West Hollywood participate in the Excess Workers’ Compensation Program