gloucester county insurance commission agenda and …€¦ · 25-04-2019 · gloucester county...

GLOUCESTER COUNTY INSURANCE COMMISSION

AGENDA AND REPORTS

THURSDAY, APRIL 25, 2019

2 S. BROAD STREET

CONFERENCE ROOM B

WOODBURY, NJ

9:30 AM

To attend the meeting via teleconference please dial 1- 866-921-5493

and enter passcode 6364276#

OPEN PUBLIC MEETINGS ACT - STATEMENT OF COMPLIANCE

In accordance with the Open Public Meetings Act, notice of this meeting was given by:

I. Sending sufficient notice to South Jersey Times and Courier Post, NJ

II. Filing advance written notice of this meeting with the Commissioners of the

Gloucester County Insurance Commission,

III. Posting notice on the Public Bulletin Board of at the office of the County Clerk.

1


AGENDA

OPEN PUBLIC MEETING: April 25, 2019

WOODBURY, NJ

9:30 AM

MEETING CALLED TO ORDER - OPEN PUBLIC MEETING NOTICE READ

ROLL CALL OF COMMISSIONERS

APPROVAL OF MINUTES: February 28, 2019 Open Minutes……..……….……Appendix I February 28, 2019 Closed Minutes……………………Handout

March 12, 2019 Open Minutes………………………Appendix I

March 12, 2019 Closed Minutes…….…………………Handout

CORRESPONDENCE:

COMMITTEE REPORTS Safety Committee: ………………………………………….……………………………...Verbal

Claims Committee: …..……….....……..…..…………………………………….………....Verbal

EXECUTIVE DIRECTOR/ADMINISTRATOR - PERMA

Executive Director’s Report .................................................................................................. Pages 3-20

TREASURER – Tracey Giordano Resolution 36-19 March Bill List – Motion Required ....................................................... Pages 21-22

Resolution 37-19 March Benefit Bill List – Motion Required ................................................. 3

Resolution 38-19 April Bill List – Motion Required.......................................................... Pages 24-25

Resolution 39-19 April Benefit Bill List – Motion Required .................................................... Page 26

February Monthly Treasurer Reports .................................................................................. Pages 27-28

CLAIMS SERVICE– Inservco Insurance Services, Inc.

Resolution 40-19 Authorizing Disclosure of Liability Claims Check Register .............. Pages 29-30

Liability Claim Payments – 2/1/19 to 2/28/19 .................................................................. Pages 31-32

Liability Claim Payments – 3/1/19 to 3/31/19 .................................................................. Pages 33-34

Stewardship Report – Worker Compensation ........................................................................ Handout

MANAGED CARE– Medlogix, Jen Goldstein

Medlogix Monthly Summary Report ........................................................................................ Page 35

NJCE SAFETY DIRECTOR – J.A. Montgomery Risk Control

Monthly Report ................................................................................................................... Pages 36-37

Safety Director Bulleting – Playground Inspection Best Practices ................................. Pages 38-40

BRIT Safety Grant Program Letter ........................................................................................... Page 41

RISK MANAGERS REPORT, UNDERWRITING SERVICES DIRECTOR Hardenbergh Insurance Group

Monthly Report ................................................................................................................... Pages 42-43

ATTORNEY – Grace Marmero & Associates, LLP Monthly Report ............................................................................................................................ Verbal

2

OLD BUSINESS

NEW BUSINESS

PUBLIC COMMENT

CLOSED SESSION – Payment Authorization Requests (PARS) ………………….Pages 44-46 Resolution 41-19 Executive Session for purpose as permitted by the Open Public Meetings Act,

more specifically to discuss PARS related to pending or anticipated litigation as identified in

the list of claims prepared by third-party claim administrator Inservco Insurance Services, Inc.

and attached to this agenda

Motion for Executive Session

____________________________________________________________________________________

MEETING ADJOURNMENT

NEXT SCHEDULED MEETING: June 27, 2019, 9:30 AM, 2 South Broad Street, Woodbury, NJ

3


9 Campus Drive, Suite 216, Parsippany, NJ 07054

Telephone (201) 881-7632

Fax (201) 881-7633

Date: April 25, 2019

Memo to: Commissioners of the Gloucester County Insurance Commission

From: PERMA Risk Management Services

Subject: Executive Director's Report

RFP for Commission Attorney – The Commission Attorney’s Contract expires effective

May 3, 2019. The Fund Office issued and advertised a Request for Price Proposals. We

received one response from Grace Marmero & Associates, LLP. The response will be

available at the meeting. The Fund Office will prepare the applicable resolution and

agreement.

Motion to approve the appointment of Grace Marmero & Associates, LLP as

Commission Attorney for the period of May 3, 2019 to December 31, 2019

Cyber Security Awareness Training (Pages 5-7) – We have a received a request asking the

Insurance Commission to provide funding for a Cyber Security Awareness Training Program.

Included in the agenda on pages 5-6 is a quote from LinkHigh Technologies, Inc. for

Knowbe4 Security Awareness Training Subscription Gold for 1450 users in the amount of

$15,810. This quote is for the County, Improvement Authority, Utilities Authority and the

Library. We are asking the Commissioners to consider approving this cost. The cost for this

training program would be allocated to the miscellaneous and expense line of the budget.

Attached on page 7 is Resolution # 35-19 prepared by the Commission Attorney approving

the expense.

Motion to approve Resolution 35-19, Authorizing Cyber Security Awareness

Training

NJ Excess Counties Insurance Fund (NJCE) (Pages 8-11) – The NJCE held its

Reorganization Meeting on February 28, 2019. Included in the agenda on pages 8-11 is a

summary report of the meeting. The NJCE is scheduled to meet again in the afternoon.

Certificate of Insurance Report (Appendix II) – Attached is Appendix II of the agenda is

the certificate of issuance report from the NJCE listing those certificates issued for the months

of January, February and March. There were 14 certificate of insurances issued during

January, 22 for February and 22 for March.

GCIC Property and Casualty Financial Fast Track (Pages 12-13) - Included in the agenda

on pages 12-13 is a copy of the Property & Casualty Financial Fast Track Report for the

month of February. As of February 28, 2019 there is a statutory surplus of $2,549,450. Line

4

10 of the report, “Investment in Joint Venture” is the Gloucester County Insurance

Commission’s share of the equity in the NJCE $2,594,328. The total cash amount is

$2,645,900.

NJCE Property and Casualty Financial Fast Track (Pages 14-15) - Included in the agenda

on pages 14-15 is a copy of the NJCE Financial Fast Track Report for the month of February.

As of February 28, 2019 there is a statutory surplus of $15,366,293. The total cash amount is

$24,123,894.

GCIC Health Benefits Financial Fast Track (Page 16) – Included in the agenda on page

16 is a copy of Health Benefits Financial Fast Track for the month of February. As of

February 28, 2019 there is a statutory surplus of $210,640. The total cash amount is

$293,129.

Claim Tracking Reports (Pages 17-20) - Included in the agenda on pages 17-20 are copies

of the Claim Activity Report and the Claims Management Report Expected Loss Ratio

Analysis report as of February 28, 2019. The Executive Director will review the reports

with the Commission.

2019 Property & Casualty Assessments – The Treasurer’s Office advises all of the

member entities have paid the March 15th assessment. The second assessment payment is

due on May 15, 2019.

2019 Meeting Schedule – As a reminder the Commission will not in May. The next

meeting is scheduled for June 27, 2019.

The Conner Strong & Buckelew Employee Benefit Client Activity Report for the month of

February 2019 is included in the Appendix III section of the agenda. The Year to Date Activity is

44 items.

7

RESOLUTION 35-19

RESOLUTION OF THE GLOUCESTER COUNTY INSURANCE COMMISSION AUTHORIZING CYBER SECURITY AWARENESS TRAINING

WHEREAS, the Gloucester County Insurance Commission (“GCIC”) is duly constituted as an Insurance Commission pursuant to N.J.S.A. 40A:10-6 et seq.; and WHEREAS, the GCIC has obtained a quote for Cyber Security Awareness Training from LinkHigh Technologies, Inc., which is incorporated by reference into this Resolution (the “Agreement”); and WHEREAS, the training is appropriate and in accordance with the GCIC policies and procedures for cyber security. NOW, THEREFORE BE IT RESOLVED, by the Gloucester County Insurance Commission that the GCIC approves the expense of $15,800 for Cyber Security Awareness Training and is authorized to enter an agreement with LinkHigh Technologies, Inc. ADOPTED by THE GLOUCESTER COUNTY INSURANCE COMMISSION at a properly noticed meeting held on April 25, 2019. ADOPTED: __________________________________ TIMOTHY SHEEHAN, CHAIRMAN ATTEST: __________________________________ MICHAEL BURKE

8

NEW JERSEY COUNTIES EXCESS JOINT INSURANCE FUND

9 Campus Drive – Suite 216

Parsippany, NJ 07054-4412

Telephone (201) 881-7632 Fax (201) 881-7633

Date: February 28, 2019

To: Gloucester County Insurance Commission

From: PERMA Risk Management Services

Subject: New Jersey Counties Excess Meeting Report

Special Presentation: Chairman Angilella acknowledged Commissioner Ken Mecouch of

Cumberland County who announced his retirement from County government after 42 years of

dedicated service.

2019 Reorganization: The NJCE conducted its 2019 Reorganization and adopted the respective

resolutions to conduct the business of the Fund.

Certifying Election of Chair: As per the NJCE Bylaws, the total number of members exceeds

seven and as such the fund can meet as an Executive Committee with a Chair, Secretary, and a

five-member Executive Committee and up to four Alternate Commissioners.

Nominations for Chair resulted in the election of Commissioner Ross Angilella; action to elect a

Secretary was tabled for the next meeting.

Below is a listing of 2019 Fund Commissioners and respective Alternates.

Ross Angilella

Anna Marie Wright- Alternate

Camden County Insurance Commission

John Kelly Ocean County

Janette Kessler Atlantic County Insurance Commission

Sander Friedman Burlington County Insurance Commission

Ken Mecouch Cumberland County Insurance Commission

Tim Sheehan Gloucester County Insurance Commission

Edmund Shea Hudson County

Andrew Mair

Raissa Walker - Alternate

Mercer County Insurance Fund Commission

Laura Scutari

Eugenio Esquivel - Alternate

Union County Insurance Commission

9

Fixing Public Meeting Dates: The Board of Fund Commissioners confirmed the following

meeting schedule:

2019 Meeting Schedule & 2020 Reorganization

April 25, 2019 Camden County Emergency Training Center 1:00PM

June 27, 2019 Camden County Emergency Training Center 1:00PM

September 26, 2019 Camden County Emergency Training Center 1:00PM

October 24, 2019 Camden County Emergency Training Center 1:00PM

November 21, 2019 Camden County Emergency Training Center 1:00PM

February 27, 2020 2020 Reorganization

Camden County Emergency Training Center 1:00PM

2019 Risk Management Plan: Included as part of the Reorganization was the 2019 Risk

Management Plan with changes highlighted from the prior year.

Commission Membership – Status Update: The County of Monmouth will be reviewing the

membership applications at their March 14th Freeholder meeting to become a stand-alone County

member effective April 1, 2019.

Professional Contracts/Services:

Executive Director, Underwriting Manager and Safety Director: The Fund released and

advertised Request for Proposals (RFP) for these professional services for a three-year

period commencing February 28, 2019 through February 2022. Fund Attorney reported each

position received one response from incumbent service providers and noted the responses

were legally compliant. The evaluation committee made a recommendation to award these

contracts to PERMA, Conner Strong & Buckelew and J.A. Montgomery, respectively. The

Board adopted Resolution 13-19 authorizing the award of these contracts.

Auditor: The Fund’s one-year contract with Bowman & Company will expire in April. The

Fund office will conduct an RFP for auditing services; results will be prepared by the next

meeting for the board to review and award a contract so services can begin on the audit

ending December 31, 2018.

Actuary: The Fund’s one-year contract with The Actuarial Advantage expired in November.

The Fund office will conduct an RFP for actuarial services; results will be prepared by the

next meeting for the board to review and award a contract.

Excess Property Third Party Administrator (TPA): As previously discussed, for 2019 the

Excess Property SIR increased from $100,000 to $250,000 - funded at the NJCE level - and

managed by a TPA to adjust Excess Property claims from 1st dollar. An initial RFP was

issued; all responses were rejected and a 2nd RFP will be released.

Online Underwriting & Claims Risk Management Information System: Based on prior

authorization from the Board, PERMA will meet with representatives from Origami to begin

development of the Fund’s online underwriting and claims data platform for members’ to access

as a resource.

10

2019 MEL, MRHIF and NJCE Educational Seminar: The 9th annual seminar is scheduled for

Friday, May 3, 2019, beginning at 9:00 AM at the National Conference Center in East Windsor, NJ.

The seminar qualifies for an extensive list of Continuing Educational Credits including CFO/CMFO,

Public Works, Clerks, Insurance Producers and Purchasing Agents. There is no fee for employees

and insurance producers associated with MEL and Municipal Reinsurance Health Insurance Fund

(MRHIF) members, as well as, personnel who work for service companies that are engaged by MEL

member JIFs and MRHIF member HIFs. An electronic fillable form will be distributed via email.

Underwriting Data Validation: During the 2017 budget development, the Board agreed that the

Fund introduce progressive initiatives to obtain consistent and ratable data through payroll audits,

property appraisals and an underwriting data system. As part of payroll audit initiative, members

should anticipate receiving requests for payroll information from Bowman & Company in the

coming weeks; a copy of the correspondence that was sent was included in the agenda for

information.

NJCE Claims Review Committee: As previously discussed, a working draft of the Claims

Review Committee charter has been developed and requires final review by the Fund Attorney

and adoption by the Board. Once finalized, Fund Commissioners that have expressed interest to

serve will be contacted.

2019 Financial Disclosures: Board members should anticipate the online filing of the Financial

Disclosure forms as both a NJCE Commissioner, as well as, any County-related positions that

require filing. Based on last year, it is expected the Division of Local Government Services will

distribute a notice in March and forms will need to be filed by April 30th.

Financial Fast Track: The Financial Fast Track as of December 31, 2018 reflected a statutory

surplus of $14.9 million. Executive Director highlighted the Discounted Claim Value in which

the Fund Actuary reviews reserves and applies a discount based on anticipated future investment

earnings from invested member assessments. Executive Director reported interest earnings will

increase because of strategic steps taken by the Fund Treasurer in the current improved interest

rate environment.

Underwriting Manager

2019 Excess & Ancillary Renewals: Underwriting Manager submitted a summary report of the

2019 renewal. Underwriting Manager reported a Coverage Committee meeting would be

scheduled to address county-related coverage issues.

The Board previously approved authorization for the Underwriting Manager to bind coverage of

the 2019 renewal program. The Extraordinary Unspecifiable Services (EUS) statement binding

coverages is kept on file in the office. The Board of Fund Commissioners adopted a resolution

memorializing the authorization for the Underwriting Manager to bind coverage.

Risk Control

Safety Director submitted a report reflecting the risk control activities from November 2018 thru

March 2019 and Safety Director Bulletins.

11

Safety Director submitted a memorandum on the 2019 BRIT Safety Grant Program in which

Counties may receive reimbursement up to 50% of the cost of a “non-typical” safety item or service

to assist in controlling the frequency and severity of general liability claims. The annual grant

available to all members is $45,000. Safety Director suggested the formation of a sub-committee to

review applicable grant submissions to meet on an as-needed basis; Safety Director will send out the

memorandum and solicit interested volunteers.

Claims Status Summary: AmeriHealth Casualty Services was in need of a Closed Session to

discuss claims status and other matters, which was reviewed during Closed Session.

Next Meeting: The next meeting of the NJCE fund is scheduled for April 25, 2019 at 1:00PM at

the Camden County Emergency Training Center.

12

AS OF

THIS MONTH YTD CHANGE PRIOR YEAR END FUND BALANCE

1. UNDERWRITING INCOME 512,458 1,024,916 49,938,801 50,963,716

2. CLAIM EXPENSES

Paid Claims 68,565 260,882 14,214,471 14,475,353

Case Reserves 128,179 (9,019) 2,380,863 2,371,844

IBNR 184,953 309,872 1,388,528 1,698,400

Discounted Claim Value (4,629) (9,047) (89,728) (98,775)

TOTAL CLAIMS 377,069 552,688 17,894,134 18,446,822

3. EXPENSES

Excess Premiums 246,098 492,197 22,481,474 22,973,670

Administrative 88,390 177,561 6,816,539 6,994,099

TOTAL EXPENSES 334,488 669,757 29,298,012 29,967,769

4. UNDERWRITING PROFIT (1-2-3) (199,099) (197,530) 2,746,654 2,549,125

5. INVESTMENT INCOME 0 0 7,237 7,237

6. PROFIT (4 + 5) (199,099) (197,530) 2,753,891 2,556,362

7. CEL APPROPRIATION CANCELLATION 0 0 148,760 148,760

8. DIVIDEND INCOME 0 0 227,640 227,640

9. DIVIDEND EXPENSE 0 0 (2,977,640) (2,977,640)

10. INVESTMENT IN JOINT VENTURE 22,638 54,608 2,539,720 2,594,328

11. SURPLUS (6 + 7 + 8) (176,461) (142,921) 2,692,371 2,549,450

SURPLUS (DEFICITS) BY FUND YEAR

423 972 322,002 322,973

(8,342) (7,602) 36,971 29,369

477 1,097 442,035 443,132

753 1,730 350,263 351,993

(2,791) (1,876) 524,273 522,397

(147,399) (146,497) (585,979) (732,476)

796 36,523 1,009,348 1,045,871

771 1,770 392,103 393,873

603 1,710 201,355 203,065

(21,752) (30,747) (30,747)

TOTAL SURPLUS (DEFICITS) (176,461) (142,921) 2,692,371 2,549,449

TOTAL CASH 2,645,900

2017


FINANCIAL FAST TRACK REPORT

February 28, 2019

ALL YEARS COMBINED

2010

2011

2012

2013

2014

2015

2016

2018

2019

13

AS OF

THIS MONTH YTD CHANGE PRIOR YEAR END FUND BALANCE

CLAIM ANALYSIS BY FUND YEAR

FUND YEAR 2010

Paid Claims 0 0 1,820,826 1,820,826

Case Reserves 0 0 2,590 2,590

IBNR 0 0 0 0

Discounted Claim Value 0 0 (92) (92)

TOTAL FY 2010 CLAIMS 0 0 1,823,324 1,823,324

FUND YEAR 2011

Paid Claims 0 0 2,786,518 2,786,518

Case Reserves 0 0 31,613 31,613

IBNR 0 0 3,161 3,161

Discounted Claim Value 0 0 (1,405) (1,405)

TOTAL FY 2011 CLAIMS 0 0 2,819,887 2,819,887

FUND YEAR 2012

Paid Claims 45 432 2,031,615 2,032,047

Case Reserves (45) 2,568 54,619 57,187

IBNR 0 (3,000) 10,197 7,197


TOTAL FY 2012 CLAIMS 0 0 2,093,650 2,093,650

FUND YEAR 2013

Paid Claims 292 71,214 1,467,628 1,538,842

Case Reserves (292) (70,692) 154,281 83,588

IBNR 0 (522) 15,428 14,906


TOTAL FY 2013 CLAIMS 0 0 1,628,834 1,628,834

FUND YEAR 2014

Paid Claims 0 0 941,625 941,625

Case Reserves 0 0 18,151 18,151

IBNR 0 0 4,538 4,538


TOTAL FY 2014 CLAIMS 0 0 963,066 963,066

FUND YEAR 2015

Paid Claims 15,017 96,451 2,169,581 2,266,032

Case Reserves 195,148 131,664 690,552 822,215

IBNR (62,070) (80,020) 80,020 (0)


TOTAL FY 2015 CLAIMS 148,095 148,095 2,924,812 3,072,907

FUND YEAR 2016

Paid Claims 9,019 (21,129) 1,368,729 1,347,600

Case Reserves (8,507) 47,315 154,433 201,748

IBNR (512) (60,881) 71,654 10,773


TOTAL FY 2016 CLAIMS (0) (34,696) 1,589,468 1,554,773

FUND YEAR 2017

Paid Claims 9,994 12,712 974,819 987,531

Case Reserves (30,821) (49,999) 658,754 608,755

IBNR 20,827 37,288 350,904 388,192


TOTAL FY 2017 CLAIMS 0 0 1,964,120 1,964,120

FUND YEAR 2018

Paid Claims 19,477 85,135 653,130 738,265

Case Reserves (85,066) (168,090) 615,871 447,780

IBNR 65,856 83,222 852,626 935,848


TOTAL FY 2018 CLAIMS 266 266 2,086,973 2,087,239

FUND YEAR 2019

Paid Claims 14,722 16,067 16,067

Case Reserves 57,762 98,217 98,217

IBNR 160,853 333,786 333,786

Discounted Claim Value (4,629) (9,047) (9,047)

TOTAL FY 2019 CLAIMS 228,708 439,023 0 439,023

COMBINED TOTAL CLAIMS 377,069 552,688 17,894,134 18,446,822



February 28, 2019

ALL YEARS COMBINED

This report is based upon information which has not been audited nor certified by an actuary and as such may not truly represent the

condition of the fund.

14

AS OF February 28, 2019

THIS YTD PRIOR FUND

MONTH CHANGE YEAR END BALANCE

1. UNDERWRITING INCOME 2,062,285 3,922,444 139,838,292 143,760,736

2. CLAIM EXPENSES

Paid Claims 11,779 23,365 3,794,828 3,818,193

Case Reserves 106,851 (234,724) 5,641,230 5,406,506

IBNR 334,779 1,063,220 8,032,894 9,096,114

Discounted Claim Value (49,086) (98,156) (1,272,066) (1,370,222)

TOTAL CLAIMS 404,323 753,705 16,196,887 16,950,591

3. EXPENSES

Excess Premiums 1,293,996 2,474,595 97,129,691 99,604,285

Administrative 182,648 334,431 10,482,441 10,816,872

TOTAL EXPENSES 1,476,643 2,809,026 107,612,132 110,421,158

4. UNDERWRITING PROFIT (1-2-3) 181,319 359,713 16,029,273 16,388,987

5. INVESTMENT INCOME 38,018 87,327 497,530 584,857

6. PROFIT (4+5) 219,336 447,040 16,526,803 16,973,844

7. Dividend 0 0 1,607,551 1,607,551

8. SURPLUS (6-7-8) 219,336 447,040 14,919,252 15,366,293

SURPLUS (DEFICITS) BY FUND YEAR

1,164 2,673 777,092 779,765

(28,794) (26,241) 878,879 852,639

2,143 4,925 1,184,534 1,189,460

3,811 8,753 2,027,740 2,036,493

(19,239) (12,933) 2,492,972 2,480,039

5,399 12,399 1,162,564 1,174,962

6,252 14,353 3,256,376 3,270,729

5,965 13,694 2,011,827 2,025,521

6,454 14,770 1,127,267 1,142,037

236,181 414,648 414,648

TOTAL SURPLUS (DEFICITS) 219,336 447,040 14,919,252 15,366,292

TOTAL CASH 24,123,894

2012

NEW JERSEY COUNTIES EXCESS JIF


ALL YEARS COMBINED

2010

2011

2019

2013

2014

2015

2016

2017

2018

15


THIS YTD PRIOR FUND



FUND YEAR 2010

Paid Claims 0 0 171,840 171,840

Case Reserves 0 0 (0) (0)

IBNR 0 0 9,666 9,666


TOTAL FY 2010 CLAIMS 0 0 180,501 180,501

FUND YEAR 2011

Paid Claims 4,860 9,720 488,982 498,702

Case Reserves 65,272 60,412 461,457 521,869

IBNR (39,375) (39,375) 39,375 0


TOTAL FY 2011 CLAIMS 30,757 30,757 936,726 967,484

FUND YEAR 2012

Paid Claims 212 2,734 1,533,507 1,536,241

Case Reserves 88 (3,155) 87,538 84,383

IBNR (300) 422 126,579 127,000


TOTAL FY 2012 CLAIMS 0 0 1,724,714 1,724,714

FUND YEAR 2013

Paid Claims 1,896 3,395 520,298 523,694

Case Reserves (70,546) (74,546) 507,306 432,761

IBNR 68,650 71,150 226,103 297,254


TOTAL FY 2013 CLAIMS 0 0 1,176,165 1,176,165

FUND YEAR 2014

Paid Claims 73 308 447,238 447,545

Case Reserves 13,807 13,573 655,655 669,229

IBNR 10,226 10,225 472,893 483,117


TOTAL FY 2014 CLAIMS 24,105 24,105 1,484,004 1,508,109

FUND YEAR 2015

Paid Claims 293 2,296 395,960 398,256

Case Reserves (1,093) (139,043) 2,462,260 2,323,217

IBNR 800 136,747 603,828 740,575


TOTAL FY 2015 CLAIMS 0 0 3,238,832 3,238,832

FUND YEAR 2016

Paid Claims 0 0 0 0

Case Reserves (1,502) (10,735) 530,313 519,578

IBNR 1,502 10,735 1,132,357 1,143,092


TOTAL FY 2016 CLAIMS 0 0 1,492,266 1,492,266

FUND YEAR 2017

Paid Claims 16 209 25,647 25,856

Case Reserves 134,155 134,963 640,084 775,046

IBNR (134,171) (135,172) 2,126,369 1,991,197


TOTAL FY 2017 CLAIMS 0 0 2,544,674 2,544,674

FUND YEAR 2018

Paid Claims 4,429 4,703 211,356 216,058

Case Reserves (33,530) (216,393) 296,617 80,224

IBNR 29,100 211,762 3,295,723 3,507,486


TOTAL FY 2018 CLAIMS 0 72 3,419,005 3,419,077

FUND YEAR 2019

Paid Claims 0 0 0

Case Reserves 200 200 200

IBNR 398,347 796,727 796,727

Discounted Claim Value (49,086) (98,156) (98,156)

TOTAL FY 2019 CLAIMS 349,461 698,770 0 698,770


NEW JERSEY COUNTIES EXCESS JIF


ALL YEARS COMBINED

This report is based upon information which has not been audited nor certified by an actuary and as such may not

truly represent the condition of the fund.

16


HEALTH INSURANCE DIVISIONFINANCIAL FAST TRACK REPORT

AS OF FEBRUARY 28, 2019

ALL YEARS COMBINED

THIS YTD PRIOR FUND


1. UNDERWRITING INCOME 45,151 90,447 84,244,772 84,335,218

2. CLAIM EXPENSES

Paid Claims 81,356 89,521 74,692,329 74,781,849

IBNR - (1,626) 36,397 34,771

Total Claims 81,356 87,895 74,728,725 74,816,620

3. EXPENSES

Excess Premiums - - 3,585,466 3,585,466

Administrative 6,071 12,182 5,717,446 5,729,628

Total Expenses 6,071 12,182 9,302,912 9,315,094

4. UNDERWRITING PROFIT (1-2-3) (42,276) (9,630) 213,134 203,504

5. INVESTMENT INCOME - - 7,136 7,136

6. STATUTORY PROFIT (4+5) (42,276) (9,630) 220,270 210,640

9. STATUTORY SURPLUS (6+7-8) (42,276) (9,630) 220,270 210,640

SURPLUS (DEFICITS), CASH, BY FUND YEAR

2010 SURPLUS - - 1,882,101 1,882,101

CASH - - 1,882,099 1,882,099

2011 SURPLUS - - (1,616,746) (1,616,746)

CASH - - (1,616,745) (1,616,745)

2012 SURPLUS - - (163,367) (163,367)

CASH - - (163,367) (163,367)

2013 SURPLUS - - 4,593 4,593

CASH - - 4,592 4,592

2014 SURPLUS - - 33,331 33,331

CASH - - 33,331 33,331

2015 SURPLUS - - 39,378 39,378

CASH (0) - 39,378 39,378

2016 SURPLUS - - 31,908 31,908

CASH - - 31,908 31,908

2017 SURPLUS - 1,438 42,619 44,057

CASH - - 44,057 44,057

2018 SURPLUS (35,059) 26,870 (33,546) (6,676)

CASH (39,256) (39,256) 44,312 5,057

2019 SURPLUS (7,216) (37,938) - (37,938)

CASH 32,820 32,820 - 32,820

2019 SURPLUS (42,276) (9,630) 220,270 210,640 CASH (30,581) (30,581) (30,581) (30,581)

TOTAL CASH (6,436) (6,436) 299,564 293,129


FUND YEAR 2010

Total Claims - - 22,551,041 22,551,041

FUND YEAR 2011

Total Claims - - 34,451,946 34,451,946

FUND YEAR 2012

Total Claims - - 14,793,695 14,793,695

FUND YEAR 2013

Total Claims - - 540,221 540,221

FUND YEAR 2014

Total Claims - - 497,232 497,232

FUND YEAR 2015

Total Claims - - 477,058 477,058

FUND YEAR 2016 Total Claims - - 451,966 451,966

FUND YEAR 2017

Paid Claims - - 451,873 451,873

IBNR - (1,438) 1,438 (0) Total Claims - (1,438) 453,311 451,873

FUND YEAR 2018

Paid Claims 36,356 (3,644) 477,297 473,653

IBNR (1,296) (23,226) 34,958 11,732 Total Claims 35,059 (26,870) 512,256 485,386

FUND YEAR 2019

Paid Claims 45,000 93,165 - 93,165

IBNR 1,296 23,038 - 23,038 Total Claims 46,296 116,203 - 116,203


This report is based upon inf o rmat ion which has no t been aud it ed nor cert if ied

by an act uary and as such may no t t ruly represent t he cond it ion o f t he f und .

17


C O V E R A G E L I N E - PROPERTY

C L A I M C O U N T - O P E N C L A I M S

Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 TOTAL

January-19 0 0 0 0 0 0 0 1 4 1 6

February-19 0 0 0 0 0 0 0 1 2 1 4

NET CHGE 0 0 0 0 0 0 0 0 -2 0 -2

Limited Reserves $5,540

Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 TOTAL

January-19 $0 $0 $0 $0 $0 $0 $0 $1,062 $6,886 $10,000 $17,947

February-19 $0 $0 $0 $0 $0 $0 $0 $1,062 $6,100 $15,000 $22,162

NET CHGE $0 $0 $0 $0 $0 $0 $0 $0 ($786) $5,000 $4,214

Ltd Incurred $83,686 $211,641 $57,908 $149,379 $81,245 $344,086 $382,307 $162,958 $255,147 $15,000 $1,743,358

C O V E R A G E L I N E - GENERAL LIABILITY


Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 TOTAL

January-19 0 0 3 0 0 7 1 6 17 0 34

February-19 0 0 3 0 0 7 1 7 13 1 32

NET CHGE 0 0 0 0 0 0 0 1 -4 1 -2


Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 TOTAL

January-19 $0 $0 $7,270 $0 $0 $317,719 $12,402 $83,617 $33,175 $0 $454,183

February-19 $0 $0 $7,225 $0 $0 $517,252 $11,902 $81,544 $27,375 $100 $645,398

NET CHGE $0 $0 ($45) $0 $0 $199,533 ($500) ($2,072) ($5,800) $100 $191,216

Ltd Incurred $377,107 $752,617 $481,712 $20,525 $167,308 $767,354 $21,114 $91,279 $28,301 $100 $2,707,419

C O V E R A G E L I N E - AUTO LIABILITY


Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 TOTAL

January-19 0 0 0 0 0 2 0 3 6 0 11

February-19 0 0 0 0 0 2 0 2 4 0 8

NET CHGE 0 0 0 0 0 0 0 -1 -2 0 -3


Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 TOTAL

January-19 $0 $0 $0 $0 $0 $179,257 $0 $245,127 $4,001 $0 $428,385

February-19 $0 $0 $0 $0 $0 $178,922 $0 $238,095 $2,501 $0 $419,518

NET CHGE $0 $0 $0 $0 $0 ($335) $0 ($7,032) ($1,500) $0 ($8,866)

Ltd Incurred $9,579 $126,796 $352,688 $22,598 $3,950 $307,246 $19,249 $269,497 $9,403 $0 $1,121,006

C O V E R A G E L I N E - WORKERS COMP.


Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 TOTAL

January-19 1 2 2 3 4 8 9 11 27 9 76

February-19 1 2 2 3 4 8 8 11 23 22 84

NET CHGE 0 0 0 0 0 0 -1 0 -4 13 8


Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 TOTAL

January-19 $2,590 $31,613 $49,962 $83,880 $18,152 $130,591 $197,852 $309,771 $488,785 $30,455 $1,343,650

February-19 $2,590 $31,613 $49,962 $83,588 $18,152 $126,041 $189,846 $288,054 $411,804 $83,117 $1,284,766

NET CHGE $0 $0 $0 ($292) $0 ($4,549) ($8,007) ($21,717) ($76,981) $52,662 ($58,884)

Ltd Incurred $1,354,043 $1,727,052 $1,196,926 $1,429,927 $707,274 $1,669,562 $1,127,676 $1,072,551 $892,928 $99,184 $11,277,124

Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 TOTAL

January-19 1 2 5 3 4 17 10 21 54 10 127

February-19 1 2 5 3 4 17 9 21 42 24 128

NET CHGE 0 0 0 0 0 0 -1 0 -12 14 1


Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 TOTAL

January-19 $2,590 $31,613 $57,232 $83,880 $18,152 $627,567 $210,254 $639,576 $532,846 $40,455 $2,244,165

February-19 $2,590 $31,613 $57,187 $83,588 $18,152 $822,215 $201,748 $608,755 $447,780 $98,217 $2,371,844

NET CHGE $0 $0 ($45) ($292) $0 $194,648 ($8,507) ($30,821) ($85,066) $57,762 $127,679

Ltd Incurred $1,824,415 $2,818,107 $2,089,234 $1,622,430 $959,777 $3,088,248 $1,550,347 $1,596,285 $1,185,779 $114,284 $16,848,906


Gloucester County Insurance Commission

CLAIM ACTIVITY REPORT

T O T A L A L L L I N E S C O M B I N E D

18

2017 2018 2019 YEARS


CLAIMS MANAGEMENT REPORT

EXPECTED LOSS RATIO ANALYSIS


FUND YEAR 2017 -- LOSSES CAPPED AT RETENTION

26 25 14

Budget Actual Actual Actual

28-Feb-19 31-Jan-19 27-Feb-18

PROPERTY 178,000 162,958 162,958 91.55% 178,000 100.00% 162,958 162,958 91.55% 178,000 100.00% 174,487 174,487 98.03% 170,940 96.03%

GEN LIABILITY 609,000 91,279 91,279 14.99% 497,265 81.65% 91,279 91,279 14.99% 490,536 80.55% 84,577 84,577 13.89% 390,961 64.20%

AUTO LIABILITY 104,000 269,497 269,497 259.13% 82,077 78.92% 270,497 270,497 260.09% 80,833 77.72% 40,497 40,497 38.94% 59,242 56.96%

WORKER'S COMP 1,217,000 1,072,551 1,072,551 88.13% 1,153,664 94.80% 1,092,379 1,092,379 89.76% 1,146,383 94.20% 1,161,612 1,161,612 95.45% 911,337 74.88%

TOTAL ALL LINES 2,108,000 1,596,285 1,596,285 75.73% 1,911,006 90.65% 1,617,113 1,617,113 76.71% 1,895,752 89.93% 1,461,173 1,461,173 69.32% 1,532,481 72.70%

NET PAYOUT % $987,531


14 13 2


28-Feb-19 31-Jan-19 27-Feb-18

PROPERTY 183,000 255,147 255,147 139.42% 175,742 96.03% 255,933 255,933 139.85% 175,002 95.63% 133,660 133,660 73.04% 23,790 13.00%

GEN LIABILITY 576,000 28,301 28,301 4.91% 369,776 64.20% 34,101 34,101 5.92% 358,499 62.24% 2,500 2,500 0.43% 14,400 2.50%

AUTO LIABILITY 103,000 9,403 9,403 9.13% 58,673 56.96% 9,903 9,903 9.61% 55,787 54.16% 500 500 0.49% 2,575 2.50%

WORKER'S COMP 1,232,000 892,928 892,928 72.48% 922,570 74.88% 951,697 951,697 77.25% 864,016 70.13% 38,770 38,770 3.15% 24,640 2.00%

TOTAL ALL LINES 2,094,000 1,185,779 1,185,779 56.63% 1,526,761 72.91% 1,251,635 1,251,635 59.77% 1,453,304 69.40% 175,430 175,430 8.38% 65,405 3.12%



2 1 -10


28-Feb-19 31-Jan-19 27-Feb-18

PROPERTY 189,000 15,000 15,000 7.94% 24,570 13.00% 10,000 10,000 5.29% 11,340 6.00% 0 0 N/A N/A N/A

GEN LIABILITY 547,000 100 100 0.02% 13,675 2.50% 0 0 0.00% 5,470 1.00% 0 0 N/A N/A N/A

AUTO LIABILITY 103,000 0 0 0.00% 2,575 2.50% 0 0 0.00% 1,030 1.00% 0 0 N/A N/A N/A

WORKER'S COMP 1,278,000 99,184 99,184 7.76% 25,560 2.00% 31,800 31,800 2.49% 6,390 0.50% 0 0 N/A N/A N/A

TOTAL ALL LINES 2,117,000 114,284 114,284 5.40% 66,380 3.14% 41,800 41,800 1.97% 24,230 1.14% 0 0 N/A N/A N/A

MONTH

TARGETED

46.85%

Current Last Month Last Year

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

35.24%


Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED


Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

19

2014 2015 2016 YEARS






62 61 50


28-Feb-19 31-Jan-19 27-Feb-18

PROPERTY 243,372 81,245 81,245 33.38% 243,372 100.00% 81,245 81,245 33.38% 243,372 100.00% 81,245 81,245 33.38% 243,372 100.00%

GEN LIABILITY 774,800 167,308 167,308 21.59% 752,525 97.13% 167,308 167,308 21.59% 752,452 97.12% 183,963 183,963 23.74% 745,574 96.23%

AUTO LIABILITY 68,650 3,950 3,950 5.75% 66,309 96.59% 3,950 3,950 5.75% 66,175 96.39% 3,950 3,950 5.75% 64,033 93.27%

WORKER'S COMP 1,107,261 707,274 707,274 63.88% 1,106,486 99.93% 707,274 707,274 63.88% 1,106,155 99.90% 698,571 698,571 63.09% 1,101,971 99.52%

TOTAL ALL LINES 2,194,083 959,777 959,777 43.74% 2,168,693 98.84% 959,777 959,777 43.74% 2,168,154 98.82% 967,729 967,729 44.11% 2,154,950 98.22%



50 49 38


28-Feb-19 31-Jan-19 27-Feb-18

PROPERTY 230,000 344,086 344,086 149.60% 230,000 100.00% 344,086 344,086 149.60% 230,000 100.00% 344,086 344,086 149.60% 230,000 100.00%

GEN LIABILITY 680,000 767,354 767,354 112.85% 654,349 96.23% 557,354 557,354 81.96% 652,716 95.99% 249,932 249,932 36.75% 621,402 91.38%

AUTO LIABILITY 91,000 307,746 307,246 337.63% 84,880 93.27% 307,580 307,580 338.00% 84,565 92.93% 203,580 203,580 223.71% 80,353 88.30%

WORKER'S COMP 1,157,000 1,669,562 1,669,562 144.30% 1,151,473 99.52% 1,669,562 1,669,562 144.30% 1,150,786 99.46% 1,722,013 1,722,013 148.83% 1,138,780 98.43%

TOTAL ALL LINES 2,158,000 3,088,748 3,088,248 143.11% 2,120,703 98.27% 2,878,583 2,878,583 133.39% 2,118,067 98.15% 2,519,612 2,519,612 116.76% 2,070,535 95.95%

NET PAYOUT % $2,266,032


38 37 26


28-Feb-19 31-Jan-19 27-Feb-18

PROPERTY 197,238 382,307 382,307 193.83% 197,238 100.00% 382,307 382,307 193.83% 197,238 100.00% 382,307 382,307 193.83% 197,238 100.00%

GEN LIABILITY 641,774 21,114 21,114 3.29% 586,470 91.38% 21,114 21,114 3.29% 582,583 90.78% 35,823 35,823 5.58% 524,025 81.65%

AUTO LIABILITY 103,684 19,249 19,249 18.57% 91,554 88.30% 19,249 19,249 18.57% 90,999 87.77% 20,749 20,749 20.01% 81,828 78.92%

WORKER'S COMP 1,226,749 1,127,676 1,127,676 91.92% 1,207,430 98.43% 1,127,164 1,127,164 91.88% 1,205,531 98.27% 1,004,114 1,004,114 81.85% 1,162,905 94.80%

TOTAL ALL LINES 2,169,445 1,550,347 1,550,347 71.46% 2,082,691 96.00% 1,549,835 1,549,835 71.44% 2,076,352 95.71% 1,442,993 1,442,993 66.51% 1,965,997 90.62%

NET PAYOUT % $1,348,600

MONTH

TARGETED

62.16%


Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

105.01%


Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

42.92%


Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

20

2010 2011 2012 2013 YEARS






110 109 98


28-Feb-19 31-Jan-19 27-Feb-18

PROPERTY 196,392 83,686 83,686 42.61% 196,392 100.00% 83,686 83,686 42.61% 196,392 100.00% 83,686 83,686 42.61% 196,392 100.00%

GEN LIABILITY 813,038 377,107 377,107 46.38% 784,558 96.50% 377,107 377,107 46.38% 784,558 96.50% 375,597 375,597 46.20% 784,558 96.50%

AUTO LIABILITY 57,553 9,579 9,579 16.64% 55,790 96.94% 9,579 9,579 16.64% 55,790 96.94% 9,579 9,579 16.64% 55,790 96.94%

WORKER'S COMP 1,044,196 1,354,043 1,354,043 129.67% 1,044,196 100.00% 1,354,043 1,354,043 129.67% 1,044,196 100.00% 1,351,453 1,351,453 129.43% 1,044,196 100.00%

TOTAL ALL LINES 2,111,178 1,824,415 1,824,415 86.42% 2,080,936 98.57% 1,824,415 1,824,415 86.42% 2,080,936 98.57% 1,820,315 1,820,315 86.22% 2,080,936 98.57%

NET PAYOUT % $1,821,825


98 97 86


28-Feb-19 31-Jan-19 27-Feb-18

PROPERTY 234,258 211,641 211,641 90.35% 234,258 100.00% 211,641 211,641 90.35% 234,258 100.00% 211,641 211,641 90.35% 234,258 100.00%

GEN LIABILITY 969,800 752,617 752,617 77.61% 935,829 96.50% 752,617 752,617 77.61% 935,829 96.50% 756,186 756,186 77.97% 935,829 96.50%

AUTO LIABILITY 68,650 126,796 126,796 184.70% 66,547 96.94% 126,796 126,796 184.70% 66,547 96.94% 126,796 126,796 184.70% 66,547 96.94%

WORKER'S COMP 1,260,640 1,727,052 1,727,052 137.00% 1,260,640 100.00% 1,727,052 1,727,052 137.00% 1,260,640 100.00% 1,728,900 1,728,900 137.14% 1,260,640 100.00%

TOTAL ALL LINES 2,533,348 2,818,107 2,818,107 111.24% 2,497,275 98.58% 2,818,107 2,818,107 111.24% 2,497,275 98.58% 2,823,523 2,823,523 111.45% 2,497,275 98.58%

NET PAYOUT % $2,786,493


86 85 74


28-Feb-19 31-Jan-19 27-Feb-18

PROPERTY 239,354 57,908 57,908 24.19% 239,354 100.00% 57,908 57,908 24.19% 239,354 100.00% 57,908 57,908 24.19% 239,354 100.00%

GEN LIABILITY 969,800 481,712 481,712 49.67% 935,829 96.50% 481,712 481,712 49.67% 935,829 96.50% 599,298 599,298 61.80% 935,829 96.50%

AUTO LIABILITY 68,650 352,688 352,688 513.75% 66,547 96.94% 352,688 352,688 513.75% 66,547 96.94% 352,688 352,688 513.75% 66,547 96.94%

WORKER'S COMP 1,292,157 1,196,926 1,196,926 92.63% 1,292,157 100.00% 1,196,926 1,196,926 92.63% 1,292,157 100.00% 1,178,628 1,178,628 91.21% 1,292,157 100.00%

TOTAL ALL LINES 2,569,961 2,089,234 2,089,234 81.29% 2,533,888 98.60% 2,089,234 2,089,234 81.29% 2,533,888 98.60% 2,188,521 2,188,521 85.16% 2,533,888 98.60%

NET PAYOUT % $2,032,047


74 73 62


28-Feb-19 31-Jan-19 27-Feb-18

PROPERTY 243,372 149,379 149,379 61.38% 243,372 100.00% 149,379 149,379 61.38% 243,372 100.00% 149,379 149,379 61.38% 243,372 100.00%

GEN LIABILITY 969,800 20,525 20,525 2.12% 935,829 96.50% 20,525 20,525 2.12% 935,829 96.50% 29,558 29,558 3.05% 941,919 97.13%

AUTO LIABILITY 68,650 22,598 22,598 32.92% 66,547 96.94% 22,598 22,598 32.92% 66,547 96.94% 22,598 22,598 32.92% 66,309 96.59%

WORKER'S COMP 1,292,157 1,429,927 1,429,927 110.66% 1,292,157 100.00% 1,429,927 1,429,927 110.66% 1,292,157 100.00% 1,317,742 1,317,742 101.98% 1,291,253 99.93%

TOTAL ALL LINES 2,573,979 1,622,430 1,622,430 63.03% 2,537,906 98.60% 1,622,430 1,622,430 63.03% 2,537,906 98.60% 1,519,277 1,519,277 59.02% 2,542,854 98.79%

NET PAYOUT % $1,538,842

Last Month

Unlimited

Incurred

MONTH

TARGETED

Last Year

Limited

Incurred

Current

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Limited

Incurred

MONTH

TARGETED


Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

86.29%

Unlimited

Incurred

109.99%


Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

79.07%


Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

Unlimited

Incurred

Limited

Incurred

MONTH

TARGETED

59.78%

21


BILLS LIST

Resolution No. 36-19 MARCH 2019

WHEREAS, the Treasurer has certified that funding is available to pay the following bills:

BE IT RESOLVED that the Gloucester County Insurance Commission’s hereby authorizes the Commission Treasurer to

issue warrants in payment of the following claims; and

FURTHER, that this authorization shall be made a permanent part of the records of the Commission.

FUND YEAR 2019

CheckNumber VendorName Comment InvoiceAmount

000986 000986 INSERVCO INSURANCE SERVICES CLAIMS ADMIN FEE 3/19 6,983.34

6,983.34

000987 000987 PERMA RISK MANAGEMENT SERVICES EXECUTIVE DIRECTOR FEE 3/19 12,323.66

12,323.66

000988 000988 HARDENBERGH INSURANCE GROUP UNDERWRITING FEE 3/19 5,148.00

5,148.00

000989 000989 THE ACTUARIAL ADVANTAGE ACTUARIAL SERVICES 3/19 705.50

705.50

000990 000990 BROWN & CONNERY, LLP LEGAL SERVICE 3.4.19 161.00

161.00

000991 000991 GRACE MARMERO LLP LEGAL SERVICES 3.15.19 3,030.00

3,030.00

000992 000992 VIOLA YEAGER MEDICAL, PRESCRIP REIMBURSEMENTS 3/19 387.92

387.92

000993 000993 JUNE ATKINSON MEDICAL, PRESCRIP REIMBURSEMENTS 3/19 387.92

387.92

000994 000994 NJ ADVANCE MEDIA ACCT#1159386 - MTG - 3.15.19 11.68

11.68

000995 000995 HARDENBERGH INSURANCE GROUP RMC FEE 3/19 23,452.00

23,452.00

Total Payments FY 2019 52,591.02

TOTAL PAYMENTS ALL FUND YEARS $52,591.02

22

_____________________________________

Chairperson

Attest:

____________________________________ Dated:______________________________

I hereby certify the availability of sufficient unencumbered funds in the proper accounts to fully pay the above claims.

____________________________________

Treasurer

23

GLOUCESTER COUNTY INSURANCE COMMISSION HEALTH INSURANCE FUND

BILLS LIST

Resolution No. 37-19 MARCH 2019

WHEREAS, the Treasurer has certified that funding is available to pay the following bills.

BE IT RESOLVED that the Gloucester County Insurance Commission Health Insurance Fund’s hereby authorizes the

Commission Treasurer to issue warrants in payment of the following claims; and


FUND YEAR 2019


W0319 W0319 CONNER STRONG & BUCKELEW CSB CONSULTING FEE 03/19 530.50

W0319 CONNER STRONG & BUCKELEW PERMA CONSULTING FEE 03/19 2,820.00

3,350.50


TOTAL PAYMENTS ALL FUND YEARS $ 3,350.50

_____________________________________

Chairperson

Attest:

____________________________________ Dated:______________________________


____________________________________

Treasurer

24


BILLS LIST

Resolution No. 38-19 APRIL 2019

WHEREAS, the Treasurer has certified that funding is available to pay the following bills:

BE IT RESOLVED that the Gloucester County Insurance Commission’s hereby authorizes the Commission Treasurer to

issue warrants in payment of the following claims; and


FUND YEAR 2019


000996 000996 INSERVCO INSURANCE SERVICES CLAIMS ADMIN FEE 4/19 6,983.33

6,983.33

000997 000997 PERMA RISK MANAGEMENT

SERVICES

EXECUTIVE DIRECTOR 4/19 12,323.66

12,323.66

000998 000998 HARDENBERGH INSURANCE GROUP UNDERWRITING FEE 4/19 5,148.00

5,148.00

000999 000999 THE ACTUARIAL ADVANTAGE ACTUARIAL SERVICES 4/19 705.50

705.50

001000 001000 COURIER-POST ACCT#254698 - ADV - 3/19 42.24

42.24

001001 001001 BROWN & CONNERY, LLP LEGAL SERVICES 3.28.19 1,295.19

001001 BROWN & CONNERY, LLP LEGAL SERVICES 4.1.19 357.50

1,652.69

001002 001002 GRACE MARMERO LLP LEGAL SERVICES 4.15.19 2,100.00

2,100.00

001003 001003 VIOLA YEAGER MEDICAL, PRESCRIP REIMBURSEMENTS 4/19 387.92

387.92

001004 001004 JUNE ATKINSON MEDICAL, PRESCRIP REIMBURSEMENTS 4/19 387.92

387.92

001005 001005 NJ ADVANCE MEDIA ACCT#1159386 - ADV - 3/19 63.67

63.67

001006 001006 TIMOTHY SHEEHAN REIMBURSEMENT - MILLENNIUM SEMINAR 4/19 299.00

299.00

001007 001007 HARDENBERGH INSURANCE GROUP RMC FEE 4/19 23,452.00

23,452.00


25

TOTAL PAYMENTS ALL FUND YEARS $53,545.93

_____________________________________

Chairperson

Attest: ____________________________________ Dated: ______________________________


____________________________________

Treasurer

26

GLOUCESTER COUNTY INSURANCE COMMISSION HEALTH INSURANCE FUND

BILLS LIST

Resolution No. 39-19 APRIL 2019

WHEREAS, the Treasurer has certified that funding is available to pay the following bills.

BE IT RESOLVED that the Gloucester County Insurance Commission Health Insurance Fund’s hereby authorizes the

Commission Treasurer to issue warrants in payment of the following claims; and


FUND YEAR 2019


W0419 W0419 CONNER STRONG & BUCKELEW CSB CONSULTING FEE 04/19 530.50

W0419 CONNER STRONG & BUCKELEW PERMA CONSULTING FEE 04/19 2,820.00

3,350.50


TOTAL PAYMENTS ALL FUND YEARS $ 3,350.50

_____________________________________

Chairperson

Attest:

____________________________________ Dated:______________________________


____________________________________

Treasurer

27

SUMMARY O F CASH AND INVESTMENT INSTRUMENTS

GLO UCESTER CO UNTY INSURANCE CO MMISSIO N

ALL FUND YEARS CO MBINED

CURRENT MO NTH February

CURRENT FUND YEAR 2019

Description:GCIC Deposit

Acct

GCIC WC

Claims

GCIC Liability

Claim

ID Number:

Maturity (Yrs)

Purchase Yield:

TO TAL for All

Accts & instruments

O pening Cash & Investment Balance $4,466,366.44 4,382,503.57 51,690.06 32,172.81

O pening Interest Accrual Balance $0.00 - - -

1 Interest Accrued and/or Interest Cost $0.00 $0.00 $0.00 $0.00

2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00

3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00

4 Accretion $0.00 $0.00 $0.00 $0.00

5 Interest Paid - Cash Instr.s $0.00 $0.00 $0.00 $0.00

6 Interest Paid - Term Instr.s $0.00 $0.00 $0.00 $0.00

7 Realized Gain (Loss) $0.00 $0.00 $0.00 $0.00

8 Net Investment Income $0.00 $0.00 $0.00 $0.00

9 Deposits - Purchases $42,268.89 $0.00 $25,625.62 $16,643.27

10 (Withdrawals - Sales) -$1,862,736.26 -$1,794,171.11 -$48,449.14 -$20,116.01

Ending Cash & Investment Balance $2,645,899.07 $2,588,332.46 $28,866.54 $28,700.07

Ending Interest Accrual Balance $0.00 $0.00 $0.00 $0.00

Plus Outstanding Checks $1,752,596.92 $1,749,184.72 $3,278.45 $133.75

(Less Deposits in Transit) $0.00 $0.00 $0.00 $0.00

Balance per Bank $4,398,495.99 $4,337,517.18 $32,144.99 $28,833.82

28

GLO UCESTER CO UNTY INSURANCE CO MMISSIO N

SUMMARY O F CASH TRANSACTIO NS - ALL FUND YEARS CO MBINED

Current Fund Year: 2019

Month Ending: February

Property Liability Auto Worker's Comp NJ CEL Admin TO TAL

OPEN BALANCE 280,947.27 3,462,510.28 72,680.15 1,353,049.24 (161,101.26) (541,718.48) 4,466,367.19

RECEIPTS

Assessments 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Refunds 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Invest Pymnts 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Subtotal Invest 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Other * 0.00 0.00 0.00 0.00 81,267.14 0.00 81,267.14

TOTAL 0.00 0.00 0.00 0.00 81,267.14 0.00 81,267.14

EXPENSES

Claims Transfers 0.00 13,084.47 7,031.54 48,449.14 0.00 0.00 68,565.15

Expenses 0.00 0.00 0.00 0.00 1,694,005.17 57,897.05 1,751,902.22

Other * 0.00 0.00 0.00 0.00 81,267.14 0.00 81,267.14

TOTAL 0.00 13,084.47 7,031.54 48,449.14 1,775,272.31 57,897.05 1,901,734.51

END BALANCE 280,947.27 3,449,425.81 65,648.61 1,304,600.10 (1,855,106.43) (599,615.53) 2,645,899.82

29

RESOLUTION 40-19


AUTHORIZING DISCLOSURE OF LIABILITY CLAIMS CHECK REGISTER

WHEREAS, the GLOUCESTER COUNTY INSURANCE COMMISSION (hereinafter

"GCIC") is duly constituted as an Insurance Commission pursuant to N.J.S.A. 40A:10-6 et

seq.; and

WHEREAS, the GCIC is subject to the requirements of the Open Public Meetings Act,

N.J.S.A. 10:4-6 et seq.; and

WHEREAS, the Open Public Meetings Act requires all meetings of public bodies be open to

the public; and

WHEREAS, the Open Public Meetings Act further provides a public body may

permissibly exclude the public from a portion of a meeting at which the public body

discusses items per the Open Public Meetings Act at N.J.S.A. 10:4-12.b.(1) thru (9) recognized

as requiring confidentiality, and

WHEREAS, it is necessary and appropriate for the GCIC to discuss certain matters in a

meeting not open to the public consistent with N.J.S.A. 10:4-12.b.(7); and

WHEREAS, the GCIC is a public agency which must comply with the Open Public Records

Act (OPRA) N.J.S.A. 47: 1A-1 to -13; and

WHEREAS, the GCIC must comply with OPRA and reported New Jersey Case Law

interpreting same; and

WHEREAS, the GCIC did hold a closed session from which the public was excluded on April

25, 2019 at which time certain items were discussed as were referenced in a separate resolution

authorizing said closed session and it being determined certain liability & property claim

payment information can be made public at this time; and

NOW THEREFORE BE IT RESOLVED by the Commissioners of said Gloucester

County Insurance Commission pursuant to both the Open Public Meetings Act and the

Open Public Records Act as follows:

The attached financial transaction logs generated by third party administrator Inservco

Insurances Inc. for the periods 2/1/19 to 2/28/19 and 3/1/19 to 3/31/19, and related to all

non-workers compensation payments are hereby approved for distribution to the listed

claimants and for disclosure to the general public

ADOPTED by THE GLOUCESTER COUNTY INSURANCE COMMISSION at a

properly noticed meeting held on April 25, 2019.

30

ADOPTED:

______________________________________________

TIMOTHY SHEEHAN, CHAIRMAN

ATTEST:

_________________________________________________

MICHAEL BURKE, VICE CHAIRMAN

36


SAFETY DIRECTOR’S REPORT

TO: Fund Commissioners FROM: J.A. Montgomery Risk Control, Safety Director DATE: April 15, 2019

GCIC SERVICE TEAM

February - April 2019

RISK CONTROL ACTIVITIES

MEETINGS ATTENDED / TRAINING / LOSS CONTROL VISITS CONDUCTED

February 28: Attended the GCIC meeting in Woodbury.

March 12: Attended the GCIC Claims Committee via conference call.

March 19: Attended a Client meeting to discuss EAP with GCIC Risk Management via conference call.

April 9: Attended the GCIC Claims Committee meeting via conference call.

April 9: One session of Landscape Safety training was conducted for GCIC.

UPCOMING MEETINGS / TRAINING / LOSS CONTROL VISITS PLANNED

April 25: Plan to attend the GCIC meeting in Woodbury.

CEL MEDIA LIBRARY USAGE No Videos have been utilized in 2019.

Paul Shives,

Vice President

Public Sector Director

[email protected]

Office: 732-736-5213

Glenn Prince,

Associate Public Sector Director

[email protected]

Office: 856-552-4744

Cell: 609-238-3949

Natalie Dougherty,

Senior Administrative

Coordinator

[email protected]

Office: 856-552-4738

mailto:[email protected]



37

SAFETY DIRECTOR BULLETINS

Playground Inspection Best Practices – April 10.

41

From: Glenn Prince, Public Sector Associate Director

To: New Jersey Counties Excess Liability Joint Insurance Fund Commissioners Date: January 14, 2019 Subject: BRIT Safety Grant Program

Commissioners, The New Jersey Counties Excess Liability Joint Insurance Fund is pleased to announce the availability of safety program funding through the BRIT Safety Grant Program. Member Counties may receive reimbursement for up to 50% of the cost of a “non-typical” safety item or service to assist in controlling the frequency and severity of general liability claims. Program Overview:

The BRIT Safety Grant Program is a cost sharing program where counties can receive reimbursement for up to 50% of the cost of a safety item or service.

The total amount of Grant funding available to members of the New Jersey Counties Excess Liability Joint Insurance Fund for this policy period is $45,000.00

The safety item or service cannot be “typical”. For example; training on bloodborne pathogens, back injury prevention and other regulatory issues should already be part of a members overall safety program. Items such as patient lifting boards for EMS or police liability training are specialized and are examples of items that may qualify.

Safety Grant funding requests for 2019 must be submitted to Glenn Prince [email protected] no later than September 30, 2019.

We are seeking to establish a BRIT Safety Grant Committee to review all BRIT Safety Grant submissions. The proposed BRIT Safety Grant Committee shall consist of one member from each member County.

If approved, the funding will be paid only after the approved items or services have been purchased and proof of payment has been received.

Please feel free to contact me with any questions. Glenn Prince Public Sector Associate Director JA Montgomery Risk Control 856- 552-4744 office


Post Office Box 8000 · 8000 Sagemore Drive, Suite 8101 · Marlton, New Jersey 08053

856.489.9100 · 856.489.9101 Fax · www.hig.net

42

TO: Commissioners of the Gloucester County Insurance Commission (GCIC)

CC: Joseph Hrubash, GCIC Executive Director FROM: Christopher Powell and Public Entity Team DATE: 4/25/19 RE: Risk Management / Underwriting Services Director’s Report ____________________________________________________________________________________

I. Risk Management Services

A. Rowan College at Gloucester County and Cumberland County College

Our office has provided the claims experience and underwriting data to the Commission’s

actuary and NJCEL underwriting manager. In addition, we are reviewing all contracts

between the College and vendors.

II. Underwriting Services Director

A. Ancillary Coverages

The following coverages for members could not be placed through the GCIC/NJCELJIF for its

master programs at this time and it has been determined the following bond/policies need to be

renewed.

Member Coverage Carrier Exp.

Date

Expiring

Premium

Renewal

Premium

County Freeholder’s

Business Travel

Accidental Death

& Dismemberment

Mutual of Omaha 6/1/19 $2,550

three-year

policy

premium

billed $850

annually

$2,550

three-year

policy

premium

billed $850

annually

Improvement

Authority

Dream Park

Package (Property

and General

Liability), Care

Custody and

Control and

Umbrella Policy

Great American

Insurance

Company

5/21/19 $100,987 Estimated

Renewal

Premium:

$116,070

County Bond – Warden

Caldwell

CNA 7/1/19 $122.50 $122.50

Post Office Box 8000 · 8000 Sagemore Drive, Suite 8101 · Marlton, New Jersey 08053

856.489.9100 · 856.489.9101 Fax · www.hig.net

43

The premium increase on the Dream Park package policy is due to three years of negative claims

experience. The current marketplace is extremely limited.

All other terms and conditions are per expiring for all other policies.

Action Requested: Motion to authorize the Underwriting Services Director to renew the above

policies.

The following renewals are in process. We request authority to renew the policies contingent

upon the premium not increasing more than 10% and no significant reduction in the terms and

conditions. If there is, we will seek direction from the member and then advise the Commissioners

accordingly.

Member Coverage Carrier Exp. Date Expiring

Premium

County Parks and

Recreation Accident

Policy

National Union Fire Insurance

Company

5/17/19 $1,165

County Summer Camp

Sports General

Liability Policy

AIG Serviced through NSM

Insurance Group

5/21/19 $602

Action Requested: Motion to authorize the Underwriting Services Director to renew the above policy

contingent upon the renewal premium not increasing more than 10% and no

significant reduction in the terms and conditions.

44

RESOLUTION 41-19


AUTHORIZING A CLOSED SESSION TO DISCUSS

PAYMENT AUTHORIZATION REQUESTS (PARS) & SETTLEMENT (SARS)

RELATED TO PENDING OR ANTICIPATED LITIGATION

WHEREAS, the GLOUCESTER COUNTY INSURANCE COMMISSION (hereinafter “GCIC”)

is duly constituted as an Insurance Commission pursuant to N.J.S.A. 40A:10-6 et seq.; and

WHEREAS, the GCIC is subject to the requirements of the Open Public Meetings Act, N.J.S.A.

10:4-6 et seq.; and

WHEREAS, the Open Public Meetings Act requires all meetings of public bodies be open to the

public; and

WHEREAS, the Open Public Meetings Act further provides a public body may permissibly

exclude the public from a portion of a meeting at which the public body discusses items per the

Open Public Meetings Act at N.J.S.A. 10:4-12.b.(1) thru (9) recognized as requiring confidentiality;

and

WHEREAS, it is necessary and appropriate for the GCIC to discuss certain matters in a meeting

not open to the public consistent with N.J.S.A. 10:4-12.b.(7); and

NOW THEREFORE BE IT RESOLVED by the Commissioners of said Gloucester County

Insurance Commission pursuant to the Open Public Meetings Act as follows:

The GCIC shall hold a closed session from which the public shall be excluded on April 25, 2019.

The general nature of the items to be discussed at said closed session shall include the following:

the appropriateness of payment of statutorily required workers’ compensation benefits, settlement

authority if any or continuing defense of pending or anticipated litigation, discussion of litigation

strategy, position the GCIC will take in said litigation, strengths and weaknesses of GCIC’s position

in said litigation.

The specific litigation is identified by the claim number assigned by Inservco in its capacity as the

third-party claims administrator, name of the claimant, date of loss, workers’ compensation petition

number and/or court assigned docket number which is set forth in the attached list which list is also

appended to the GCIC monthly meeting agenda for April 25, 2019 which agenda has been timely

posted per the Open Public Meetings Act.

45

The minutes of said closed session shall be made available for disclosure to the public consistent

with N.J.S.A. 10:4-13 when the items which are the subject of the closed session discussions are

resolved and the reasons for confidentiality as to both the GCIC and the claimant no longer exist.

ADOPTED by THE GLOUCESTER COUNTY INSURANCE COMMISSION at a properly

noticed meeting held on April 25, 2019.

ADOPTED:

______________________________________________

TIMOTHY SHEEHAN, CHAIRMAN

ATTEST:

_________________________________________________

MICHAEL BURKE, VICE CHAIRMAN

46

GCIC PARS - Worker Compensation & Liability CLOSED SESSION

4/25/19

Claim # Claimant Type of Claim PAR/SAR C.P or DO #3530000253 Heather Hills Worker Compensation SAR 2012-22169

3530001013 Heather Hills Worker Compensation PAR 2014-10595

3530001230 Betty Beverly-Davis Worker Compensation SAR 2017-242

3530002033 Joseph Cella Property SAR

3530002050 Eagle Home Medical Corp Property SAR

3530002092 Chelsea Lippincott Auto Liability SAR

3530002077 Lionel Maldonado Auto Liability SAR

3530002125 Vesuvio Ristorante Auto Liability SAR

47

APPENDIX I

1

February 28, 2019 Gloucester County Insurance Commission OPEN Minutes


OPEN MINUTES

MEETING – February 28, 2019

2 South Broad Street

Woodbury, NJ 9:30 AM

Meeting called to order by Timothy Sheehan, Chairman. Open Public Meetings notice read

into record.

ROLL CALL OF COMMISSIONERS:

Tim Sheehan, Chairman Present

Michael Burke, Vice Chairman Present

Tamarisk Jones Present

Karen Christina (Alternate) Present

FUND PROFESSIONALS PRESENT:

Executive Director PERMA Risk Management Services

Joseph Hrubash

Claims Service Inservco Insurance Services, Inc.

Nancy Fowlkes

Amy Zeiders

Yvonne Frey

Consolidated Services Group, Inc.

Jennifer Goldstein

Conner Strong & Buckelew

Michelle Leighton

CEL Underwriting Manager Conner Strong & Buckelew

Underwriting Services Director/RMC Hardenbergh Insurance Group

Christina Violetti

Bonnie Ridolfino

Danielle Colaianni

Attorney Grace Marmero & Associates

Al Marmero, Esq.

Treasurer

Safety Director J.A. Montgomery Risk Control

Glenn Prince

2


ALSO PRESENT:

Leigh VanOyen, Gloucester County

Michael Bileci, Esq., Capehart Scatchard

Tom Campo, Esq., Gloucester County

Jonathan Czarnecki, J.A. Montgomery Risk Control

Cathy Dodd, PERMA Risk Management Services

APPROVAL OF MINUTES: Open Minutes and Closed Minutes of January 24, 2019

MOTION TO APPROVE THE OPEN MINUTES OF JANUARY 24, 2019

Motion: Commissioner Burke

Second: Commissioner Jones

Vote: Unanimous

MOTION TO APPROVE THE CLOSED MINUTES OF JANUARY 24,

2019



Vote: Unanimous

CORRESPONDENCE: Executive Director referred to a copy of a memo from PERMA which

was included in the agenda. Executive Director advised PERMA and Conner Strong and

Buckelew had a cyber incident that temporarily impacted access to the e-mail system. Executive

Director advised none of the data in the system was compromised.

COMMITTEE REPORTS:

SAFETY COMMITTEE: Ms. VanOyen reported the Safety Committee last met on February 5,

2019 and was well attended. Ms. VanOyen advised the Wellness Grant was discussed and was

increased to $1,000. Ms. VanOyen indicated many of the departments were interested in

participating in the grant program and advised Ms. Violetti would send out reminders. Ms.

VanOyen reported the Committee agreed to invite a guest department supervisor to the

Committee meetings to discuss their claims and also to provide a better understanding of how

important safety is. Ms. VanOyen also reported they discussed the Fast Track Training offered by

J.A. Montgomery. Ms. VanOyen advised the Fast Track Training was a series of regulatory

PEOSH classes presented in one session. Ms. VanOyen indicated she continues to mention the

BRIT Training System at the meetings and encourages its utilization. Ms. VanOyen advised the

next meeting was scheduled for June 4th and asked if anyone had any questions.

CLAIMS COMMITTEE: Mr. Sheehan advised the Claims Committee met on February 12,

2019 and reviewed the PARS sand SARS that would be presented during closed session.

Ms. Leighton reminded the Commission that the 2019 Excess Insurance and Ancillary Coverage

Policies would again be available electronically through the Conner Strong & Buckelew “Egnyte

3


Connect Website”. Ms. Leighton advised she wanted to take a minute to also remind everyone of

the importance of prompt claim reporting. Ms. Leighton referred to a copy of the 2019 Claim

Reporting Procedures which were included in the Appendix section of the agenda. Ms. Leighton

expressed the importance of reporting any claims on the ancillary line of coverages as the majority

of coverages were written on a claims made and reported forms. Ms. Leighton indicated cyber

claims should be reported the same day. Ms. Leighton also referred to a copy of the “Zurich

Environmental Emergency Response” pamphlet included in the agenda and reviewed the key

benefits. After a brief discussion on cyber claims, Mr. Sheehan suggested this topic again be on

the agenda at the Best Practices Workshop, such as lessons learned from an actual event.

EXECUTIVE DIRECTOR REPORT: Executive Director advised he had three action items in

his report.

RFP FOR COMMISSION ATTORNEY: Executive Director reported the Commission

Attorney’s Contract expired effective May 3, 2019. Executive Director advised the Fund would

advertise and issue the RFP in March. After a brief discussion it was agreed the Commission

Attorney’s contract would expire on December 31, 2019 to coincide with the other professional

contracts.

MOTION TO AUTHORIZE THE FUND OFFICE TO

ISSUE AND ADVERTISE AN RFP FOR THE

COMMISSION ATTORNEY POSITION



Vote Unanimous

2019 PRIMA CONFERENCE: Executive Director reported the PRIMA Conference would take

place this year in Orlando, Florida on June 9-12. Executive Director referred to Resolution 29-19,

Authorizing Advanced Travel Expenses for Authorized Official Travel which was included in the

agenda. Executive Director advised the amount of the expense was not to exceed $3,000.

Executive Director advised if any Commissioners were interested in attending the Conference

they should contact the Fund Office.

MOTION TO APPROVE RESOLUTION 29-19

AUTHORIZING ADVANCE TRAVEL EXPENSES

FOR AUTHORIZED OFFICIAL TRAVEL

Motion: Commissioner Jones

Second: Commissioner Burke

Roll Call Vote 2 Ayes, 1 Abstained

WORKERS’ COMPENSATION SEMINAR: Executive Director reported the Fund Office

received a request from Chairman Sheehan to attend the seminar on Current Issues in New

Jersey Workers’ Compensation on April 11th. Executive Director advised the seminar would be

moderated by John H. Geaney, Esq. of Capehart Scatchard and information was included in the

4


agenda. Executive Director noted the cost of the seminar was $299 and if any Commissioner

was interested in attending the Conference they should contact the Fund Office. Executive

Director indicated John H. Geaney was an expert in NJ Workers Compensation.

MOTION TO APPROVE AN EXPENDITURE OF

$299 FOR THE WORKERS COMPENSATION

SEMINAR



Roll Call Vote Unanimous

NJ EXCESS COUNTIES INSURANCE FUND (NJCE): Executive Director reported the

NJCE was scheduled to hold their Reorganization Meeting this afternoon. Executive Director

advised he expected the PERMA contract to be approved at the meeting and if so that would

allow us to start working with Origami on the new RIMIS system.

CERTIFICATE OF INSURANCE REPORT: Executive Director advised the January

Certificate of Insurance Report was not available and would appear in the next agenda.

GCIC PROPERTY AND CASUALTY FINANCIAL FAST TRACK: Executive Director

advised the December Property & Casualty Financial Fast Track was included in the agenda.

Executive Director reported the Commission had a surplus of $2,692,646 as of December 31,

2018. Executive Director advised that $2,539,720 on line 10 of the report “Investment in Joint

Venture was the GCIC’s share of the NJCE equity. Executive Director noted the cash amount was

$4,754,495 and dividends were issued in the amount of $2,692,646.

NJCE PROPERTY AND CASUALTY FINANCIAL FAST TRACK: Executive Director

reported the agenda included the December Financial Fast Track for the NJCE. As of December

31, 2018, the NJCE had a surplus of $14,919,348. Executive Director noted the cash amount was

$27,803,733.

HEALTH BENEFITS FINANCIAL FAST TRACK: Executive Director reported the agenda

included the December Health Benefits Financial Fast Track. As of December 31, 2018 there was

a surplus of $220,270. Executive Director asked if anyone had any questions on the Financial

Fast Tracks.

CLAIMS TRACKING REPORTS: Executive Director reported the agenda included the claim

monitoring reports as of December 31, 2018.

2019 PROPERTY& CASUALTY ASSESSMENTS: Executive Director reported in

accordance with the Commission’s By Law’s the Property & Casualty Assessment Bills were e-

mailed to the member entities on February 11, 2019. Executive Director advised the assessment

bills included the NJCE dividend credit along with GCIC dividend credit. Executive Director

noted the first installment was due on March 15th and future due dates were May 15th and October

15th.

5


2019 EXCESS INSURANCE AND ANCILLARY COVERAGE POLICIES: Executive

Director advised the NJCE renewal policies would again be available electronically through the

Conner Strong and Buckelew “Egnyte Connect Website” for authorized users as Ms. Leighton

mentioned earlier. Executive Director noted if anyone had any difficulty in accessing the site they

should contact the Fund Office.

2019 MEETING SCHEDULE: Executive Director reported the Commission was not scheduled

to meet in March and the next meeting was scheduled for April 25, 2019.

Executive Director advised that concluded his report unless anyone had questions.

Executive Director reported the Employee Benefits monthly report for January was included in

Appendix III section of the agenda. Executive Director noted the year to date activity was 21

items.

Executive Director's Report Made Part of Minutes.

TREASURER REPORT: Chairman Sheehan advised the January Bill Lists were included in

the agenda and requested motions for approval.


FEBRUARY PROPERTY & CASUALTY BILL LIST





FEBRUARY HEALTH INSURANCE FUND BILL

LIST




Chairman Sheehan pointed out the monthly Treasurer’s reports showing the cash transactions and

investments were included in the agenda.

CLAIMS REPORT:

Chairman Sheehan presented Resolution 32-19 Inservco Liability Check Register for the period of

1/1/19 through 1/31/19.

MOTION TO APPROVE RESOLUTION 32-19 LIABILITY CHECK

REGISTER FOR THE PERIOD OF 1/1/19 THROUGH 1/31/19

6




Vote: Unanimous

MANAGED CARE PROVIDER: Ms. Goldstein reviewed the Client Bill Review Summary

Report for the month of January which was included in the agenda. Ms. Goldstein advised for the

month of January there were 32 bills with charges of $42,775.28 and the recommended allowance

was

$23,405.77 and the net reductions were $16,765.38 with an overall savings of 39%. Ms. Goldstein

advised that concluded her report unless anyone had any questions.

NJCE SAFETY DIRECTOR:

REPORT: Mr. Prince reviewed the January – February Risk Control Activity Report which

was included in the agenda. Mr. Prince advised the agenda also included two Safety Director

Bulletins, “ADA Accessible Websites” and “Injury Recording Summary Logs”. Mr. Prince

referred to a copy of the Matrix in the agenda and noted this was helpful to determine when a

report should be made to PEOSH when an employee was injured. Mr. Prince advised last month

he spoke about the BRIT Safety Grant and the reimbursement for the County. Mr. Prince stated

he received all of the information and after his calculations it appeared there was tax paid for the

order, however the County was tax exempt. Mr. Prince advised there was a difference of $1,190

and recommended the County contact the vendor for a reimbursement. Mr. Prince reported the

County should receive a reimbursement in the amount of $11,209.00 under the BRIT Safety

Grant. Mr. Sheehan thanked Mr. Prince and advised Mr. Burke was going to work on the tax

issue. Mr. Prince advised that concluded his report unless there were any questions.

RISK MANAGEMENT/UNDERWRITING SERVICES DIRECTOR:

REPORT: Ms. Violetti reported a copy of the December 4, 2018 Safety and Accident Review

Committee approved meeting minutes were included in the agenda.

Ms. Violetti advised effective July 1, 2019 Cumberland County College would be dissolved and

would merge with Rowan College at Gloucester County to form Rowan College of South Jersey.

Ms. Violetti noted a new governing body would be established, Rowan College of South Jersey.

This would be one entity with two locations, Gloucester County and Cumberland County. Ms.

Violetti advised the Board would be appointed by both of the County Freeholders with Gloucester

County having the majority. Ms. Violetti reported her office was gathering all of the information

and she would make a presentation to the Commissioners once all of the information was

collected.

Ms. Violetti advised the service team at Hardenbergh Insurance Group was growing. Ms. Violetti

reported Fran Eddis would be the claims account manager who will service the claim needs of the

Commission and its members. Ms. Violetti would remain as the account manager. Ms. Violetti

introduced Danielle Colaianni, of her office and noted she was the Public Entity Supervisor and

would provide support to the entire staff. Mr. Henry would continue to assist with the safety

efforts of the Commission and Chris Powell and Bonnie Ridolfino would provide oversight and

7


guidance for the Insurance Commission. Mr. Sheehan noted Ms. Eddis did a great job while Ms.

Violetti was out on maternity leave and the transition was going well.

.

Ms. Violetti advised this month there was one policy that could not be placed through the

GCIC/NJCELJIF and requested a motion to renew the policy noted below.

Member Coverage Carrier Exp. Date Expiring Premium

Renewal Premium

County Bond – Scirrotto CNA 4/2/19 $70.00 $70.00

MOTION TO AUTHORIZE THE UNDERWRITING SERVICES

DIRECTOR TO RENEW THE POLICY AS LISTED



Roll Call Vote: Unanimous

Ms. Violetti advised the following renewal was in process and had been finalized. Ms. Violetti

reported the coverage was moved from AIG to Berkley Life and Health Insurance Company

through Bob McCloskey Insurance based upon a reduction in cost, enhanced claims services and

similar terms and conditions.

Member Coverage Carrier Change

Exp. Date Expiring Premium

County Volunteer Accident Berkley Life and

Health Insurance

Company

3/1/19 $2,345

Ms. Violetti advised that concluded her report unless there were any questions.

ATTORNEY: Mr. Marmero advised he did not have anything for open session.

OLD BUSINESS: None

NEW BUSINESS: None

PUBLIC COMMENT:

MOTION TO OPEN MEETING TO PUBLIC

Moved: Commissioner Burke


Vote: Unanimous

8


Seeing no members of the public wishing to speak Chairman Sheehan asked for a motion to

close the public comment portion of the meeting.

MOTION TO CLOSE THE MEETING TO THE PUBLIC

Moved: Commissioner Jones


Vote: Unanimous

CLOSED SESSION: Chairman Sheehan read and requested a motion to approve Resolution 33-

19 authorizing a Closed Session to discuss PARS & SARS relating to pending or anticipated

litigation as listed.



Vote: Unanimous

MOTION TO GO INTO CLOSED SESSION



Vote: Unanimous

MOTION TO RETURN TO OPEN SESSION



Vote: Unanimous

Chairman Sheehan requested Mr. Marmero to make the motions approving the PARS.

MOTION TO AUTHORIZE AN INCREASE IN AUTHORITY FOR

CLAIM #3530001313 FROM $40,625.00 TO $80,025 AN INCREASE OF

$39,400


CLAIM #3530002088 FROM $15,000 TO $39,792.43 AN INCREASE OF

$24,163.07


CLAIM #3530001495 FROM $15,000 TO $225,000 AN INCREASE OF

$210,000




9


MOTION TO ADJOURN:



Vote: Unanimous

MEETING ADJOURNED: 10:17 AM

Minutes prepared by: Cathy Dodd, Assisting Secretary

1

March 19, 2019 Gloucester County Insurance Commission OPEN Minutes


OPEN MINUTES

MEETING – Wednesday, March 19, 2019

2 South Broad Street,

Woodbury, NJ 9:30 AM

Meeting called to order by Timothy Sheehan, Chairman. Open Public Meetings notice read

into record.

ROLL CALL OF COMMISSIONERS:

Timothy Sheehan, Chairman Present

Michael Burke, Vice Chairman Present

Tamarisk Jones Present

Karen Christina (Alternate) Present

FUND PROFESSIONALS PRESENT:

Executive Director PERMA Risk Management Services

Claims Service Inservco Insurance Services, Inc.

Veronica George (via teleconference)

Amy Zeiders (via teleconference)

Yvonne Frey (via teleconference)

Conner Strong & Buckelew

Michelle Leighton (via teleconference)

Christine Baroudi (via teleconference)

Underwriting Services Director/RMC Hardenbergh Insurance Group

Christina Violetti (via teleconference)

Attorney Grace Marmero & Associates

Doug Long Esq. (via teleconference)

Treasurer

Safety Director J.A. Montgomery Risk Control

ALSO PRESENT:

Patrick Madden, Madden & Madden, P.A. (via teleconference)

Cathy Dodd, PERMA Risk Management Services (via teleconference)

2


CLOSED SESSION: Mr. Sheehan read and requested a motion to approve Resolution 34-19

authorizing a Closed Session to discuss PARS & SARS relating to pending or anticipated

litigation as listed.




MOTION TO GO INTO CLOSED SESSION




MOTION TO RETURN TO OPEN SESSION

Motion: Chairman Sheehan



Mr. Sheehan asked the Commission Attorney to read the motion.


CLAIM #3530002053 FROM $18,406.60 TO $46,903.00 AN INCREASE OF

$28,496.40


CLAIM #3530002081 FROM $15,000 TO $67,100 AN INCREASE OF

$52,150.




OLD BUSINESS: None

NEW BUSINESS: None

PUBLIC COMMENT:

MOTION TO OPEN MEETING TO THE PUBLIC




3


Seeing no members of the public wishing to speak Chairman asked for a motion to close the

public comment portion of the meeting.

MOTION TO CLOSE THE MEETING TO THE PUBLIC



Roll Call Vote : Unanimous

MOTION TO ADJOURN:




MEETING ADJOURNED: 9:45 AM

Minutes prepared by: Cathy Dodd, Assisting Secretary

APPENDIX II

Certificate of Insurance Report

From 1/1/2019 To 2/1/2019


Certificate of Insurance Monthly Report

03/28/2019

1 of 1

Holder (H)/ Insured Name (I)

Holder / Insured Address

Description of Operations

Issue Date/ Cert ID

Coverage

H - Advantage Therapy Centers I - Rowan College at Gloucester County

Attn: Cheryl Kobithen, The Orchards, 1998 Route 70 East Cherry Hill, NJ 08003

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance with respect to PTA program

1/3/2019 #2086368

GL AU EX WC OTH

H - CareOne Management, LLC I - Rowan College at Gloucester County

Attn: Robert Clark, PT, DPS, GCS, 173 Bridge Plaza North Fort Lee, NJ 07024

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance with respect to PTA program

1/3/2019 #2086369

GL AU EX WC OTH

H - Gloucester County Special I - County of Gloucester

Services School District 870 Bankbridge Rd. Sewell, NJ 08080

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 RE: Gloucester County Federal Medals Ceremony in conjunction with the Gloucester County Board of Chosen Freeholders, Date of Ceremony is Wednesday, April 10, 2019 at Bankbridge Regional School.

1/7/2019 #2087871

GL AU EX WC OTH

H - Shady Lane Nursing Home I - Rowan College at Gloucester County

256 County House Rd Clarksboro, NJ 08020

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance with respect to Adult Center for Transition Coverage externships for ACT students placed at Shady Lane Nursing Home for job sampling, volunteer internship, and/or supported employment.

1/9/2019 #2089201

GL AU EX WC OTH

H - Rowan University I - Rowan College at Gloucester County

201 Mullica Hill Road Glassboro, NJ 08028

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Company A: Property Policy #: GLOC20193-10; Policy Term: 01/01/19 - 01/01/20; Policy Limits: $100,000 Real & PP Company F: Property Policy #: ERP980616207; Policy Term: 01/01/19 - 01/01/20; Policy Limits: $110,000,000 Company E: POL/EPL/SDLL Policy #: 064850348; Policy Term: 01/01/19 - 01/01/20; Policy Limits: $15,000,000 The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to an event held at Rowans University's, Chamberlain Students Center, called the SURE Summit. March 21, 2019, 8:45am - 2:00pm.

1/16/2019 #2091044

GL AU EX WC OTH

H - State of NJ & The NJ Educational I - Rowan College at Gloucester County

Facility Authority 103 College Rd E Ste 200 Princeton, NJ 08540

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Company A: Property Policy #: GLOC20193-10; Policy Term: 01/01/19 - 01/01/20; Policy Limits: $100,000 Real & PP Company F: Property Policy #: ERP980616207;

1/16/2019 #2091045

GL AU EX WC OTH

Appendix II COI Report Page 001

From 1/1/2019 To 2/1/2019



03/28/2019

1 of 1

Policy Term: 01/01/19 - 01/01/20; Policy Limits: $110,000,000 Company E: POL/EPL/SDLL Policy #: 064850348; Policy Term: 01/01/19 - 01/01/20; Policy Limits: $15,000,000 The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to an event held at Rowans Universitys, Chamberlain Students Center, called the SURE Summit. March 21, 2019, 8:45am - 2:00pm.

H - Virtua Health, Inc. I - Rowan College at Gloucester County

1200 Howard Blvd. Mt. Laurel, NJ 08054

Evidence of insurance. All operations usual to County Governmental Entity as respects to Continuing Education Coverage externships for Central Service Technician students placed at Virtua Health Systems for field experience

1/16/2019 #2091077

GL EX OTH

H - Saint Mary Medical Center, Attn I - Rowan College at Gloucester County

Maria Dotta, DPT 1201 Langhorne-Newtown Road Langhorne, PA 19047

Company E: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 COMPANY B: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:NJCE20193-10; POLICY LIMITS: $250,000 COMPANY C: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:PK1019019; POLICY LIMITS: $450,000 Evidence of insurance with respects to clinical affiliation with Certificate Holder to provide clinical placement for Physical Therapy Assistant student

1/16/2019 #2091078

GL AU EX WC OTH

H - Saint Mary Rehabilitation I - Rowan College at Gloucester County

Hospital, Attn Valerie Owens 1208 Langhorne-Newtown Road Langhorne, PA 19047

Company E: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 COMPANY B: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:NJCE20193-10; POLICY LIMITS: $250,000 COMPANY C: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:PK1019019; POLICY LIMITS: $450,000 Evidence of insurance with respects to clinical affiliation with Certificate Holder to provide clinical placement for Physical Therapy Assistant student

1/16/2019 #2091079

GL AU EX WC OTH

H - Select Physical Therapy I - Rowan College at Gloucester County

Holdings, Inc., Attn: Karah Brownawell and Donna Waller, 4714 Gettysburg Road Mechanicsburg, PA 17055

Company E: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 COMPANY B: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:NJCE20193-10; POLICY LIMITS: $250,000 COMPANY C: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:PK1019019; POLICY LIMITS: $450,000 Evidence of Insurance. All operations usual to County Governmental Entity as respects to RCGC staff and students per the PTA clinical site agreement. Rowan College at Gloucester County has a $5,000 SIR on GL/Professional.

1/16/2019 #2091080

GL AU EX WC OTH

H - State of NJ & The NJ Educational I - County of Gloucester

Facility Authority 103 College Rd E Ste 200 Princeton, NJ 08540

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to an event held at Rowans Universitys, Chamberlain Students Center, called the SURE Summit. March 21, 2019, 8:45am - 2:00pm.

1/29/2019 #2103686

GL AU EX WC OTH


From 1/1/2019 To 2/1/2019



03/28/2019

1 of 1

H - Washington Township Board of I - Rowan College at Gloucester County

Education 206 E. Holly Avenue Sewell, NJ 08080

Evidence of insurance as respects use of athletic fields at Washington Township High School by RC@GC athletic teams, January 25th to March 10th.

2/1/2019 #2105421

GL EX OTH

H - Rowan College at Gloucester I - County of Gloucester

County 1400 Tanyard Road Sewell, NJ 08080

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of insurance as respects the Spring Festival at Red Bank Battlefield Park, 100 Hessian Avenue, National Park, NJ on April 14, 2019.

2/1/2019 #2105422

GL AU EX WC OTH

H - Holly Lookabaugh-Deur, PT, DSc, I - Rowan College at Gloucester County

GCS, CEEAA Regional Director GenerationCare Ivy Rehab Network 1311 Mamaroneck Road, Suite 104 White Plains, NY 10605

Company E: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 COMPANY B: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:NJCE20193-10; POLICY LIMITS: $250,000 COMPANY C: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:PK1019019; POLICY LIMITS: $450,000 Evidence of insurance. All operations usual to County Government Entity as respects to RCGC staff and students per the clinical site agreement. Rowan College at Gloucester County has a $5,000 SIR on GL/Professional Excess GL/Professional Limits: Professional-$10,000,000 Each Medical Incident GL-$10,000,000 Each Claim: Policy Aggregate-$20,000,000.

2/1/2019 #2105423

GL AU EX WC OTH

Total # of Holders: 14


From 2/1/2019 To 3/1/2019



03/04/2019

1 of 1




Issue Date/ Cert ID

Coverage

H - Washington Township Board of I - Rowan College at Gloucester County

Education 206 E. Holly Avenue Sewell, NJ 08080

Evidence of insurance as respects use of athletic fields at Washington Township High School by RC@GC athletic teams, January 25th to March 10th.

2/1/2019 #2105421

GL EX OTH



Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of insurance as respects the Spring Festival at Red Bank Battlefield Park, 100 Hessian Avenue, National Park, NJ on April 14, 2019.

2/1/2019 #2105422

GL AU EX WC OTH

H - Holly Lookabaugh-Deur, PT, DSc, I - Rowan College at Gloucester County

GCS, CEEAA Regional Director GenerationCare Ivy Rehab Network 1311 Mamaroneck Road, Suite 104 White Plains, NY 10605

Company E: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 COMPANY B: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:NJCE20193-10; POLICY LIMITS: $250,000 COMPANY C: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:PK1019019; POLICY LIMITS: $450,000 Evidence of insurance. All operations usual to County Government Entity as respects to RCGC staff and students per the clinical site agreement. Rowan College at Gloucester County has a $5,000 SIR on GL/Professional Excess GL/Professional Limits: Professional-$10,000,000 Each Medical Incident GL-$10,000,000 Each Claim: Policy Aggregate-$20,000,000.

2/1/2019 #2105423

GL AU EX WC OTH

H - Department of Health and Human I - Rowan College at Gloucester County

Services, Department of Senior Services, 115 Budd Blvd West Deptford, NJ 08096

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance with respects Adult Center for Transition Coverage externships for ACT students placed at Department of Health and Human Services, Department of Senior Services for job sampling, volunteer internship, and/or supported employment.

2/13/2019 #2109321

GL AU EX WC OTH

H - Gloucester County Health I - Rowan College at Gloucester County

Department 204 East Holly Ave. Sewell, NJ 08080

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance with respects to Adult Center for Transition Coverage externships for ACT students placed at Gloucester County Health Department for job sampling, volunteer internship, and/or supported employment.

2/13/2019 #2109322

GL AU EX WC OTH

H - Homeword Bound Pet Adoption I - Rowan College at Gloucester County

Center P.O. Box 475 125 County House Rd Blackwood, NJ 08012

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance with respects to Adult Center for Transition Coverage externships for ACT students placed at Homeward Bound Pet Adoption Center for job sampling, volunteer internship, and/or supported employment.

2/13/2019 #2109323

GL AU EX WC OTH


From 2/1/2019 To 3/1/2019



03/04/2019

1 of 1

H - Natalie Battista, Administrator I - Rowan College at Gloucester County

Avista Healthcare, 3025 Chapel Avenue, West Cherry Hill, NJ 08002

Company E: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 COMPANY B: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:NJCE20193-10; POLICY LIMITS: $250,000 COMPANY C: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:PK1019019; POLICY LIMITS: $450,000 Evidence of Insurance with respects to Nursing Program; RCGC staff and students per the clinical site agreement.

2/13/2019 #2109324

GL AU EX WC OTH

H - NJ Department of Motor Vehicles I - County of Gloucester

215 Crown Point Road Thorofare, NJ 08086

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance.

2/13/2019 #2109343

GL AU EX WC OTH

H - Angelic Hospice & Palliative I - Gloucester County Improvement Authority

Care 802 Tilton Road, Suite 100 Northfield, NJ 08225

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance.

2/21/2019 #2113387

GL AU EX WC OTH

H - Gloucester County Special I - County of Gloucester

Services School District Gloucester County Institute of Technology, 1360 Tanyard Road Sewell, NJ 08080

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Company A: Property Policy #: BURCO2019-12; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $100,000 Real & PP Company E: Property Policy #: ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $110,000,000 Evidence of Insurance with respect to The Gloucester County Department of Health will be hosting the 19th Annual Womens Health Summit @ GCIT on Saturday, September 28, 2019. Set-up for this event will take place on Friday, September 27, 2019. Requesting COI for both dates. Some 250 -300 participants will be on site to take part in health & wellness trainings, obtain educational materials, receive exhibitor products and overviews, receive health screenings, etc

2/21/2019 #2113388

GL AU EX WC OTH

H - Progressive Insurance Atlantic I - County of Gloucester

City Boat Show c/o NMMA 231 S. La Salle St., Ste. 2050 Chicago, IL 60604

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 NMMA, The Atlantic City Boat Show, and Atlantic City Convention are an Additional Insured on the above referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to the NMMA - Progressive Insurance Atlantic City Boat Show, Event Dates: 02/23/2019 - 03/05/2019 Including move in and move out

2/21/2019 #2113591

GL AU EX WC OTH

H - NJ Transit I - County of Gloucester

One Penn Plaza East Newark, NJ 07105

Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies and Loss Payee on the Property Policy if required by written contract as respects the DTS Vehicle Fleet and the FY 2019 Section 5310 leased

2/22/2019 #2113723

GL AU EX OTH


From 2/1/2019 To 3/1/2019



03/04/2019

1 of 1

vehicle award. VEH# DESCRIPTION NJT # VIN NUMBER DTS#05 2017 CARVAN 16-1946 2C7WDGB0HR856469 DTS#28 2006 FORD WAGON COUNTY 2FMZA51666BA22849 DTS#47 2011 GOSHEN BUS COUNTY 5WEASAAM8BH354310 DTS#48 2011 FORD SENATOR E-350 COUNTY 1FDEE3FSXBDA63552 DTS#49 2011 FORD E-450 COUNTY 1FDFE4FSXBDA63593 DTS#50 2011 SENATOR E-450 COUNTY 1FDFE4FS8BDA63592 DTS#51 2016 FORD E-450 16-1797 1FDFE4FS7GDC56808 DTS#52 2016 FORD E450 Elkhart 16-1841 1FDFE4FS8GDC56798 DTS#53 2017 FORD E-450 16-1903 1FDFE4FS6HDC61936 DTS#54 2017 FORD E-450 16-1904 1FDFE4FS2HDC65952 DTS#55 2017 FORD E-450 16-1905 1FDFE4FS8HDC61937 DTS#56 2017 FORD E-450 16-1906 1FDFE4FS4HDC65953 DTS#57 2017 FORD E-450 16-1907 1FDFE4FS6HDC65954 DTS#58 2018 FORD E-450 16-2004 1FDFE4FS8JDC36266 DTS#59 2018 FORD E-450 16-2005 1FDFE4FS8JDC36252 DTS#80 2013 STARTRANS SEN II 16-1474 1FDFE4FS1DDA51058 DTS#81 2013 STARTRANS 16-1475 1FDFE4FS3DDA51045 DTS#82 2013 STARTRANS SEN II 16-1476 1FDFE4FS5DDA51046 DTS#83 2013 STARTRANS SEN II 16-1477 1FDFE4FS7DDA51047 DTS#84 2013 STARTRANS SEN II 16-1478 1FDFE4FS9DDA51048 DTS#85 2013 STARTRANS SEN II 16-1479 1FDFE4FS3DDA51059 DTS#86 2013 STARTRANS SEN II 16-1480 1FDFE4FSXDDA51060 DTS#87 2013 STARTRANS SEN II 16-1481 1FDFE4FS1DDA51061 DTS#88 2013 STARTRANS SEN II 16-1482 1FDFE4FS5DDA62872

H - New Jersey Department of I - County of Gloucester

Military and Veterans Affairs and its Employees P.O. Box 340 Trenton, NJ 08625

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of insurance as respects the National Guard Armory located at North Evergreen Avenue in Woodbury, NJ use for an emergency evacuation - 72 hour holding.

2/22/2019 #2113724

GL EX WC OTH

H - Macerich ATTN: Risk Management I - County of Gloucester

401 Wilshire Blvd, 7th Floor Santa Monica, CA 90401

Macerich Deptford LLC, Deptford Mall Associates L.L.C., Macerich HHF Centers LLC, Heitman M-Rich Investor II, LLC, Macerich Deptford GP Corp., Macerich PPR Corp., Macerich TWC II Corp., The Westcor Company II Limited Partnership, Macerich TWC II LLC, The Macerich Partnership L.P., The Macerich Company, and all owned, managed, controlled, non-controlled and subsidiary companies, corporations, entities, joint ventures, lenders, ground lessors, LLC's, partnerships and all their constituent partners and members are Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract.

2/22/2019 #2113726

GL EX OTH


From 2/1/2019 To 3/1/2019



03/04/2019

1 of 1

H - Gloucester County I - County of Gloucester

Vocational-Technical School District 1360 Tanyard Road Sewell, NJ 08080

Evidence of insurance as respects the Gloucester County Parks and Recreation's summer theater rehearsals to be held at Gloucester County Vocational-Technical School.

2/22/2019 #2113727

GL EX OTH

H - Kingsway Regional School I - County of Gloucester

District 213 Kings Highway Swedesboro, NJ 08085

Evidence of insurance as respects the Gloucester County Parks and Recreation's summer theater rehearsals and productions to be held at Kingsway Middle School.

2/22/2019 #2113728

GL EX OTH



Evidence of insurance as respects the Gloucester County Parks and Recreation's summer theater productions to be held at Rowan College at Gloucester County's fine arts center.

2/22/2019 #2113729

GL EX OTH

H - Timothy Duer, PT, MS, CSCS, SCS I - Rowan College at Gloucester County

Nemours DuPont Pediatrics Manager, Thearpy Services 1280 Almonesson Road Deptford, NJ 08096

Company E: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 COMPANY B: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:NJCE20193-10; POLICY LIMITS: $250,000 COMPANY C: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:PK1019019; POLICY LIMITS: $450,000 Evidence of insurance. All operations usual to County Government Entity as respects to RC@GC staff and students per the clinical site agreement. Rowan College at Gloucester County has a $5,000 SIR on GL/Professional Excess GL/Professional Limits: Professional-$10,000,000 Each Medical Incident GL $10,000,000 Each Claim: Policy Aggregate-$20,000,000.

2/22/2019 #2113738

GL AU EX WC OTH

H - Nemours DuPont Pediatrics, I - Rowan College at Gloucester County

Timothy Duer, PT, MS, CSCS, SCS, Manager, Therapy Services, 1280 Almonesson Road Deptford, NJ 08096

Company E: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 COMPANY B: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:NJCE20193-10; POLICY LIMITS: $250,000 COMPANY C: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:PK1019019; POLICY LIMITS: $450,000 COMPANY F: POL/EPL/SDLL; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:064850348; POLICY LIMITS: $15,000,000 Evidence of Insurance with respect to NURSING/DMS/PTA/CCMA PROGRAMS. RCGC staff and students per the clinical site agreement

2/25/2019 #2115262

GL AU EX WC OTH

H - WAWA INC. I - Rowan College at Gloucester County

Attn: Talent Acquisition 260 W. Baltimore Pike Media , PA 19063

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance with respect to Adult Center for Transition Coverage externships for ACT students placed at WAWA INC. for job sampling, volunteer internship, and/or supported employment.

2/25/2019 #2115263

GL AU EX WC OTH


From 2/1/2019 To 3/1/2019



03/04/2019

1 of 1

H - Tender Touch Rehab Services I - Rowan College at Gloucester County

Attn: Kaya Reich, Intern Coordinator 685 River Avenue Lakewood, NJ 08701

Company E: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 COMPANY B: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:NJCE20193-10; POLICY LIMITS: $250,000 COMPANY C: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:PK1019019; POLICY LIMITS: $450,000 COMPANY F: POL/EPL/SDLL; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:064850348; POLICY LIMITS: $15,000,000 Evidence of Insurance with respect to PTA PROGRAM.

2/26/2019 #2116152

GL AU EX WC OTH

H - AtlantiCare Health System, Attn: I - Rowan College at Gloucester County

Donna Michael-Ziereis, Esq VP & General Counsel, Legal Dept, 2500 English Creek Ave, Bldg 500 Egg Harbor Township, NJ 08234

Company E: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 COMPANY B: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:NJCE20193-10; POLICY LIMITS: $250,000 COMPANY C: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:PK1019019; POLICY LIMITS: $450,000 COMPANY F: POL/EPL/SDLL; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:064850348; POLICY LIMITS: $15,000,000 Evidence of Insurance with respect to PTA programs. All operations usual to County Government Entity as respects to RCGC staff and students per the clinical site agreement.

2/28/2019 #2120071

GL AU EX WC OTH



From 3/1/2019 To 4/1/2019



04/02/2019

1 of 1




Issue Date/ Cert ID

Coverage

H - Kingsway Regional School I - County of Gloucester

District 213 Kings Highway Swedesboro, NJ 08085

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Kingsway Regional School District, Kingsway Regional Board of Education, Kingsway Regional Middle School, and Kingsway Regional High School are an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to the Gloucester County Parks and Recreation's summer theater rehearsals and productions to be held at Kingsway Middle School.

3/4/2019 #2123131

GL AU EX WC OTH

H - Macerich ATTN: Risk Management I - County of Gloucester

401 Wilshire Blvd, 7th Floor Santa Monica, CA 90401

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Company E: Property Policy #:ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $110,000,000 Macerich Deptford LLC, Deptford Mall Associates L.L.C., Macerich HHF Centers LLC, Heitman M-Rich Investor II, LLC, Macerich Deptford GP Corp., Macerich PPR Corp., Macerich TWC II Corp., The Westcor Company II Limited Partnership, Macerich TWC II LLC, The Macerich Partnership L.P., The Macerich Company, and all owned, managed, controlled, non-controlled and subsidiary companies, corporations, entities, joint ventures, lenders, ground lessors, LLC's, partnerships and all their constituent partners and members are Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract.

3/4/2019 #2123132

GL AU EX WC OTH

H - Deptford Township Board of I - Rowan College at Gloucester County

Education Athletics 2022 Good Intent Road Deptford, NJ 08096

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance with respect to use of the Deptford High School Outdoor Track for Rowan College at Gloucester County Mens and Womens Track Team practices, Monday-Friday, 3:30-5:45 pm, February 25-May 15, 2018 (or as soon as possible depending on the weather)

3/5/2019 #2123150

GL AU EX WC OTH

H - Gloucester County Improvement I - County of Gloucester

Authority Dream Park 400 Route 130 Logan Twp, NJ 08085

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Company A: Property Policy #: GLOC20193-10; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $100,000 Real & PP Company E: Property Policy #: ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $110,000,000 Company C: Auto Phys. Damage Policy #: GLOC20193-10; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $100,000 Ded Company E: Auto Phys. Damage Policy #: ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $15,000,000 Per Occ Company F: POL/EPL/SDLL Policy #: 064850348; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $15,000,000 Evidence of Insurance with respect to Rabbit Show being held by the Paw Prints 4-H Rabbit Club Of Gloucester County at the Dream Park, 400 Route 130, Logan Twp., N.J. 08085, Friday 9:00am thru Saturday 9:00 pm March 15 & 16, 2019

3/5/2019 #2123155

GL AU EX WC OTH


From 3/1/2019 To 4/1/2019



04/02/2019

1 of 1

H - Rowan University I - County of Gloucester


Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of insurance with respect to NJ Office of Homeland Security and Preparedness is conducting a House of Worships security training at Rowan Universality on 3/19/19. The training will bring awareness to those in leadership roles in religious faiths._

3/8/2019 #2123972

GL AU EX WC OTH

H - Dept. of Human Services Division I - County of Gloucester

of Family Development PO Box 716 6 Quakerbridge Plaza Trenton, NJ 08625

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to contract SH19008 Social Services for the Homeless Grant

3/8/2019 #2124164

GL AU EX WC OTH

H - Burlington County I - County of Gloucester

49 Rancocas Road Mount Holly, NJ 08060

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 RE: We will be sending staff (up to 10) to Burlington County Communications back-up center in Mt. Laurel on Wednesday, March 13, 2019 to accept 9-1-1 calls on behalf of Gloucester County while system maintenance is being performed.

3/12/2019 #2125522

GL AU EX WC OTH

H - Dept. of Children & Families, I - County of Gloucester

Southern Business Office -CN#702 4 Echelon Plaza 1st Floor, 201 Laurel Road Voorhees, NJ 08043

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Company E: Crime Policy #: 045820911; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $1M Less Member Ded The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to contract 19ANHS Human Services Planning Grant.

3/12/2019 #2126621

GL AU EX WC OTH

H - Daretown Fire Company I - Rowan College at Gloucester County

25 Woodstown Daretown Rd. Elmer, NJ 08318

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Company A: Property Policy #GLOC20193-10; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $100,000 Real & PP Company E: Property Policy #ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $110,000,000 Evidence of insurance with respect to using the college's facility, vehicles and equipment for an auto extrication class to the Daretown Fire Co.

3/13/2019 #2126932

GL AU EX WC OTH

H - ESI Equipment, Inc. I - Rowan College at Gloucester County

119 Keystone Drive Montgomeryville, PA 18936

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Company A: Property Policy #GLOC20193-10; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $100,000 Real & PP Company E: Property Policy #ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $110,000,000 Evidence of insurance with respect to equipment and manpower for auto extrication courses.

3/13/2019 #2126933

GL AU EX WC OTH

H - Protective Equipment Marketing I - Rowan College at Gloucester

1025 Lanbrecht Road Montgomeryville, PA 18936

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Company A: Property Policy

3/13/2019 #2126934

GL AU EX WC OTH


From 3/1/2019 To 4/1/2019



04/02/2019

1 of 1

County

#GLOC20193-10; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $100,000 Real & PP Company E: Property Policy #ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $110,000,000 Evidence of insurance with respect to equipment and manpower for auto extrication courses.

H - Rowan University I - County of Gloucester


Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of insurance Rowan University, the State of New Jersey and the New Jersey Educational Facilities Authority are included as Additional Insureds on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract with respect to NJ Office of Homeland Security and Preparedness is conducting a House of Worships security training at Rowan Universality on 3/19/19. The training will bring awareness to those in leadership roles in religious faiths

3/15/2019 #2130604

GL AU EX WC OTH

H - Washington Township Fire I - County of Gloucester

District 213 E Holly Ave, PO Box 635 Blackwood, NJ 08012

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Company A: Property Policy #: GLOC20193-10; Policy Term: 01/01/2019 - 01/01/2020; Policy Limit: $100,000 Real & PP Company E: Property Policy #: ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limit: $110,000,000 Evidence of Insurance with respect to Pipeline Training for County Responders on May 7, 2019

3/19/2019 #2132967

GL AU EX WC OTH

H - TD BANK I - Rowan College at Gloucester County

1200 Horizon Way Mt. Laurel, NJ 08054

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance with respects to TD Bank for Annual Scholarship Benefit being held on April 12, 2019

3/22/2019 #2135953

GL AU EX WC OTH

H - New Jersey Historical Commission I - Rowan College at Gloucester County

Department of State 33 West State Street Trenton, NJ 08608

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance with respect to the FY19 Local History Development Grant from the New Jersey Historical Commission.

3/27/2019 #2139964

GL AU EX WC OTH

H - PBF Energy I - Rowan College at Gloucester County

800 Billingsport Road Paulsboro, NJ 08066

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance with respect to students enrolled in PTE 102 for the spring semester are planning a field trip to Paulsboro Refining Company, owned by PBF Energy.

3/27/2019 #2139968

GL AU EX WC OTH

H - County of Camden I - Rowan College at Gloucester County

County Courthouse, 14th Floor 520 Market Street Camden, NJ 08102

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Evidence of Insurance with respect to a project agreement between the County of Camden and the County of Gloucester for a comprehensive research project on the genomics of

3/27/2019 #2139974

GL AU EX WC OTH


From 3/1/2019 To 4/1/2019



04/02/2019

1 of 1

opioid addiction, treatment and recovery

H - TD BANK I - Rowan College at Gloucester County

1200 Horizon Way Mt. Laurel, NJ 08054

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to TD Bank for Annual Scholarship Benefit being held on April 12, 2019 Liquor Liability is included, except when the Member Entity or its indemnities are in the business of selling or serving alcoholic beverages (including the giving, selling or serving of alcoholic beverages to the general public in connection with the catering operations for profit of the Member Entity).

3/29/2019 #2142769

GL AU EX WC OTH

H - Gloucester County Dept. of I - County of Gloucester

Health & Human Services 204 East Holly Avenue Sewell, NJ 08080

Company E: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 COMPANY B: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:NJCE20193-10; POLICY LIMITS: $250,000 COMPANY C: WC & Emp Liab; POLICY TERM: 01/01/2019 - 01/01/2020 POLICY #:PK1019019; POLICY LIMITS: $450,000 Evidence of Insurance with respect to the ARCH Grant

3/29/2019 #2142770

GL AU EX WC OTH

H - South Harrison Township Clean I - County of Gloucester

Communities Coordinator Celeste Keens 664 Harrisonville Rd Mullica Hill, NJ 08062

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Company E: POL/EPL/SDLL Policy #: 064850348; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $15,000,000 Company C: Auto Phys. Damage Policy #: PK1019019; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $100,000 Ded Company F: Auto Phys. Damage Policy #: ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $15,000,000 Per Occ Company A: Property Policy #: GLOC20193-10; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $100,000 Real & PP Company F: Property Policy #: ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $110,000,000 The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to All 4-H participation in Equine Science 4-H Club Community Cleanup being held April 27, 2019 from 9:00am-2:00pm @ S Harrison Twp Building 664 Harrisonville Rd, Mullica Hill, NJ 08062

3/29/2019 #2142777

GL AU EX WC OTH

H - South Harrison Township I - County of Gloucester

Clean Communities Coordinator Attn: Celeste Keens 664 Harrisonville Rd Mullica Hill, NJ 08062

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Company E: POL/EPL/SDLL Policy #: 064850348; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $15,000,000 Company C: Auto Phys. Damage Policy #: PK1019019; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $100,000 Ded Company F: Auto Phys. Damage Policy #: ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $15,000,000 Per Occ Company A: Property Policy #: GLOC20193-10; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $100,000 Real & PP Company F: Property Policy #: ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $110,000,000 The Certificate

3/29/2019 #2142784

GL AU EX WC OTH


From 3/1/2019 To 4/1/2019



04/02/2019

1 of 1

Holder and GCIA/CCP, 109 Budd Blvd, Woodbury NJ 08096 are an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to All 4-H participation in Equine Science 4-H Club Community Cleanup being held April 27, 2019 from 9:00am-2:00pm @ S Harrison Twp Building 664 Harrisonville Rd, Mullica Hill, NJ 08062

H - Gloucester County 4-H Fair Assn. I - County of Gloucester

PO Box 149 Clayton, NJ 08312

Company D: XS Worker Compensation Statutory x $1,000,000 XS Employers Liability $5,000,000 x $1,000,000 Policy Term 1/1/19 to 1/1/20 Policy # SP4056379 Company E: POL/EPL/SDLL Policy #: 064850348; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $15,000,000 Company C: Auto Phys. Damage Policy #: PK1019019; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $100,000 Ded Company F: Auto Phys. Damage Policy #: ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $15,000,000 Per Occ Company A: Property Policy #: GLOC20193-10; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $100,000 Real & PP Company F: Property Policy #: ERP980616207; Policy Term: 01/01/2019 - 01/01/2020; Policy Limits: $110,000,000 Evidence of Insurance with respect to Boots & Spurs 4-H Horse Club Annual Yard Sale/ Tack Swap April 27, 2019 to be held at the Gloucester County 4-H Fairgrounds 275 Bridgeton Pike, Mullica Hill, NJ

3/29/2019 #2142792

GL AU EX WC OTH



APPENDIX III

Employment Benefit Client Activity Report

CLIENT ACTIVITY REPORT

FEBRUARY 2019

GCHIC - Gloucester County Health Insurance Commiss

This is your monthly BeneService Advocacy Activity Report providing de-identified details regarding calls, emails or other inquiries received and acted upon by Conner Strong & Buckelew. Note that the data is de-identified to protect the confidentiality of the individual participant pursuant to HIPAA. Furthermore, this reflects cases and inquiries under activity. Some cases are closed immediately while other, depending on their complexity, may take additional time to bring to closure. Conner Strong & Buckelew manages all activity and ensures all cases are acted upon, followed up

and brought to closure in as timely a basis as possible.

Appendix III Client Activity Report Page 001

SUBJECT (FEBRUARY) # of IssuesCOBRA 3Enrollment Change 7General Benefit/Plan Inquiry 1Life Event 3New Hire 4Onsite Visit 1Open Enrollment 1Qualified Life Event 3Total for Subject 23

GCHIC - Gloucester County Health Insurance CommissBrown, Tammy Page 2 of 6

CLIENT ACTIVITY REPORTFrom: 2/1/2019 To: 2/28/2019



SUBJECT (YTD) # of IssuesClaim Processing/Inquiry 1COBRA 4Enrollment 1Enrollment Change 8General Benefit/Plan Inquiry 5Life Event 6New Hire 7Onsite Visit 1Open Enrollment 7Qualified Life Event 3Termination 1Total for Subject 44

CALL SOURCE (FEBRUARY) # of IssuesDependent 1Employee 1Employer 19Plan Administrator 2Total for Call Source 23





CALL SOURCE (YTD) # of IssuesDependent 1Employee 5Employer 36Plan Administrator 2Total for Call Source 44

CLOSED TIME (FEBRUARY) # of Days %Same Day 22 96%1-5 Days 1 4%Total for Time Range 23 100%





CLOSED TIME (YTD) # of Days %Same Day 43 98%1-5 Days 1 2%Total for Time Range 44 100%

DETAIL (YTD) From: 1/1/2019 To: 2/28/2019

Received Call Source Subject Status Closed Time

1/3/2019 Employer General Benefit/Plan Inquiry Closed Same Day

1/3/2019 Employee COBRA Closed Same Day

1/3/2019 Employee General Benefit/Plan Inquiry Closed Same Day

1/8/2019 Employer Enrollment Change Closed Same Day

1/8/2019 Employer Life Event Closed Same Day

1/9/2019 Employer Open Enrollment Closed Same Day

1/9/2019 Employee General Benefit/Plan Inquiry Closed Same Day


1/10/2019 Employer New Hire Closed Same Day



1/15/2019 Employer Termination Closed Same Day




1/16/2019 Employee Open Enrollment Closed Same Day

1/23/2019 Employer Claim Processing/Inquiry Closed Same Day

1/28/2019 Employer General Benefit/Plan Inquiry Closed Same Day



1/31/2019 Employer Enrollment Closed Same Day





DETAIL (YTD) From: 1/1/2019 To: 2/28/2019

Received Call Source Subject Status Closed Time


2/14/2019 Employee General Benefit/Plan Inquiry Closed 1-5 Days

2/15/2019 Employer Onsite Visit Closed Same Day




2/20/2019 Employer Qualified Life Event Closed Same Day











2/26/2019 Plan Administrator COBRA Closed Same Day

2/26/2019 Plan Administrator COBRA Closed Same Day




2/28/2019 Dependent COBRA Closed Same Day





gloucester county insurance commission agenda and …€¦ · 25-04-2019 · gloucester county...

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