HomeMy WebLinkAbout1973-01-26 - Resolution No. 73-09r •
RESOLUTION NO. 73-9
AUTHORIZATION FOR COVERAGE UNDER FEDERAL
SOCIAL SECURITY ACT
• RESOLUTION M. 73-7
(To Accompany Application and Agreement)
wmms, a division of the b Ift Ab/ONONO co' with
Retirement System)
respect to eligible employees of the TGWU 142" MBWtY V106W WAY14
(Public Agency
hereinafter referred to as "Public Agency", who are members of and in positions covered
by said retirement system, has been conducted in accordance with Federal and State Lowe
and State regulations for the purposes of coverage under the insurance system established
by the Federal Social Security Act and a deemed retirement system, hereinafter referred
to as Group B XWOROW& /mil ]` ft igrWOSW MBMPW has been established
Retirement System
thereby an provided in Section 218(d)(6) of the Federal Social Security Act, composed
of positions of members of such retirement system who desire coverage under the said
Insurance system; and
WMMS, the Public Agency desires to file an application with the State and
to enter into an agreement with the State to extend coverage under the said insurance
system on behalf of the Public Agency to services performed by individuals as
employees of the Public Agency as members of a coverage group, as defined in Section
218(d)(4) of the Federal Social Security Act, of the said Group H VOINNI
(Retirement
IAMB SWWNUW 0.66 and
T
% ERUS, official form "Application and Agreement Ret. SS 39V containing
the terms and conditions under which the State will effect such inclusion has been
examined by this body:
WW, THE WORE, BE IT RESOLVED, That said Application and Agreement on said
official form be executed on behalf of the Public Agency and submitted to the State
to provide coverage under the California State Social Security Agreement of March 90
19510 of all services performed by individuals as employees of the Public Agency as
members of a coverage group (as defined in Section 218(d)(4) of the Social Security Act)
PMS SSD 33D 1/72
of the said Group B R except the following:
etirement System
1. All services excluded from coverage under the agreement by Section 218 of
the Social Security Act; and
2. Services excluded by option of the Applicant as indicated in Resolution Bo. $
i
adopted at a meeting of the ft"4 of 928 1 the 00 day
of AVEW6 19-.V :
*AU OW"We in
AW aUes w 4sam of ePlp Uve IssIGINUM pWM4W
I
I
Effective date of coverage of services under said agreement to be: 11IMM 1 ,
19 _; and
BE IT FURTHER RESOLVED, That Sauk Q. skeft ,
Eeme
4" ftMW"
_ lootlbs Ionia
Title ofFosition Addreee of Public Agency
be and he is hereby authorized and directed to execute said Application and Agreement
on behalf of and as Authorized Agent of the Public Agency and to forward same to the
State for acceptance and further action; and
BE IT FURTHER RESOLVED, That authority hereafter to act as Authorized Agent,
and so to conduct all negotiations, conclude all arrangements, submit all reports,
and sign all agreements and instruments which may be necessary to carry out the
letter and intent of the aforesaid application and agreement, in conformity with all
applicable Federal and State laws, rules and regulations, is vested in the position
of
of Position
-2-
PERS SSD 333) 1/72
RESOLUTION CER=CATIOT
PERM SSD 33C Rev.5 (9/67)
I, _7;0�d,v E 41N rh ew.% , C3er*/Secretary of the
Taft Am" OwAft W~ ,State of California, do hereby certify
the foregoing to be a full, true, and correct copy of Resolution No. 73-Y adopted by
the of Diyeaf " of
Ansu k'Ntt
the 20ft fit 00=1V WSW 92Xbftft at the regspee4al meeting held on
the _day of S'=�""=i�---, 19_P , as the same appears of record in my
office.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the Seal of said
A"'a& at my office this ;t day of
C erk secretary
ATTACH
22009 (As amended by Chapter 1993, Statutes of 1957)
"Public Agency" means the state, any city, county, city and county, district,
municipal or public corporation or any instrumentality thereof, and boards and committees
established under Chapter 10 of Division 6 of the Agricultural Code, Chapter 754 of
Statutes of 1933, as amended, or Chapter 307 of the Statutes of 1935, as amended, the
employees of which constitute one or more coverage groups, or retirement system coverage
groups.
Section 218(d)(4):
For the purposes of subsection (c) of this section, the following employees sball be
deemed to be a separate coverage group:
(A) all employees in positions which were covered by the same retirement system
on the date the agreement etas made applicable to such system (other than
employees to whose services the agreement already applied on such date);
(H) all employees in positions which became covered by such system at any time
after such date, and
(C) all employees in positions which were covered by such system at any time
before such date and to whose services the insurance system established by
this title has :;ot bem extended before such date because the positions
were covered by such retirement system - including employees to whose
services the agreement was not applicable on such date because such services
were excluded V=suant to subsection
The follosvfing services are mandatorily excluded:
(a) service performed in a policeman's or firemen's position, covered by a
retirement system at the time coverage is extended to the Public Agency;
(b) service performed by an individual who is employed to relieve him from
unemployment,
(c) serviro per°orTei in a hospital., home, or other institution by a patient
or in^ to w':areof;
(d) covered trues �sta'ion service (as defined in Section 210(k) of the Social
Beew ity Act, as amended);
(e) service cedaf y student)
rom employment by any provision of Section210(s
which is exlud
the Social Security Act, other than paragraph 7 of such section or service
the rem neration ror which is excluded from wages by paragraph (2) of
Section 209(h);
(f) service performed by an individual as an employee on a temporary basis in
case of fire, storm, snow, earthquake, or similar emergency.
(g) Services performed by election officials or election workers for each calendar
quarter in which the remuneration paid for such service is less then 00.
PERS Ban 30 (]1/68) -5-