FY2015-03 Borough Employee Insurance Coverage AK Electrical Health and Welfare FundALASKA ELECTRICAL HEALTH & WELFARE FUND
SPECIAL AGREEMENT
Providing for the Coverage of
Certain Non -bargaining Unit Personnel
To: Joint Board of Trustees OPY
Alaska Electrical Health & Welfare Fund
2600 Denali Suite 200
Anchorage, AK 99503
EMPLOYER'S REQUEST TO PARTICIPATE
1. The undersigned Employer, Kodiak Island Borough hereinafter referred to as "Employer",
is a party to a collective bargaining agreement with IBEW Local Union 1547 and intends to
be a party to such subsequent and future agreements thereafter as negotiated and agreed by
the parties thereto.
2. Said collective bargaining agreement provides for the making of contributions to the AIaska
Electrical Health & Welfare Fund (hereinafter referred to as the "Fund") for the purpose of
providing bargaining unit employees with health & welfare coverage.
3. The Employer now requests that the Trustees permit it to make contributions to the Fund for
the following non -bargaining unit personnel, which personnel are defined as follows:
corporate officers or members engaged full-time in the affairs of the
corporation or limited liability company.
sole proprietors and partners engaged full-time in the affairs
of the company or partnership; and
all employees not represented by IBEW Local 1547 or by any other labor
organization, regardless of the nature or type of work being performed.
(hereinafter collectively referred to as "Personnel" or individually referred
to as "Covered Individual")
AEHWF Special Agreement 1 11113
The Employer agrees to make contributions for all such personnel in the above categories
beginning the month of June, 2014, and continuing each month during the terms of the
aforesaid collective bargaining agreement and each subsequent collective bargaining
agreement;, in accordance with the alternatives selected below: (initial one)
A. ALL Personnel (including full-time, part-time, seasonal,
temporary)
X B. FULL-TIME Personnel only (120 or more compensable hours in
a month, including seasonal and temporary personnel)
4. The contribution rate for plan 551 601 701 801 901 shall be S 1,712.00 per month per
Covered Individual, or such other rate as may be fixed from time to time by the Board of
Trustees. The Trustees shall notify the Employer in writing of such change.
Contributions are due for each month a Covered Individual covered by this agreement has
compensable hours.
This Special Agreement shall supersede any prior Special Agreement the Employer had with
respect to the Fund. It shall continue to be in full force and effect during the interim period
between an expired collective bargaining agreement and a negotiated subsequent bargaining
agreement.
The Employer agrees that it is solely responsible for the making of contributions to the Fund.
Contributions shall not be accepted from a Covered Individual.
5. This Special Agreement shall be terminated upon the complete and apparently permanent
termination of the collective bargaining agreement or apparently permanent failure to enter a
new collective bargaining agreement between the Employer and IBEW Local Union 1547 as
certified by the Employer and IBEW Local Union 1547 to the Trustees or may be terminated
upon the mutual agreement of the Employer and Trustees as permitted by the Employment
Retirement Income Security Act of 1974, (ERISA) as amended, and other applicable laws
and regulations.
Should this Special Agreement be terminated by mutual consent, the Employer understands
that the Trustees reserve the right to refuse approval to any subsequent proposal for a
Special Agreement by the Employer at a later time since the intent of this Special Agreement
is that it be effective during the Employer's entire span of business activity within the
electrical industry.
In the event the Employer is not engaged in business activity within the electrical industry as
aforementioned, the Fund shall immediately cancel this Special Agreement and shall mail or
deliver a written notice of such cancellation to the Employer thirty (30) days in advance of
the Employer's termination from the Fund.
AEHwF Special Agreement 2 11113
6. The details of the health & welfare program will be determined by the Trustees. The
undersigned acknowledges receipt of a copy of the Trust Agreement creating the Alaska
Electrical Health & Welfare Fund and agrees to be bound by said Trust Agreement and all
amendments hereto or hereafter and administrative policies adopted by the Trustees. The
undersigned does further agree to accept, as its representatives, the Employer Trustees who
serve on the Board of Trustees and their successors.
7. Contributions will be paid to the Fund by the Employer by the 15th day of the month
following the month for which the contributions are earned or by such other due date as may
be established by the Trustees. The Trustees will furnish transmittal forms for use by the
Employer in making the contributions.
The Employer acknowledges that the Fund is intended to be qualified under Section 501
(c)(9) of the Internal Revenue Code and agrees to promptly take any action, including but not
limited to making additional contributions or terminating this agreement or providing any
payroll records, data, reports, documents or other materials or information reasonably
required by the Trustees to ensure the Fund's continued qualification.
9. This special Agreement constitutes the entire agreement between the parties with respect to
the subject matter hereof and supercedes al other prior or contemporaneous agreements, oral
or written, between the parties not included herein. No modifications, amendments,
deletions or alterations of this'Special Agreement shall be effective unless in writing and
signed by all of the parties hereto or such representatives of the parties as have been duly
authorized to make such change. This Special Agreement and the respective rights and
obligations of the parties shall be construed and interpreted in accordance with the laws of
the State of Alaska to the extent not preempted by ERISA.
Submitted this 19th day of June _, 20 14
Name and address of Employer: Kodiak Island Borough
710 Millo
Kodiak AK 99615
By: KIB Manaer
9
Authorized Representative Title of Authorized Representative
ATT S%
Nova Mei. a:ier, MM Borough Clerk
sme- 3orot,
Kodiak I -1
AEHWC Special Agreement
11/13
Employer is a:
)( Borough (print names of CEO and secretary)
Charles E. Cassidy Jr. Nova Javier MMC
Borough Manager Borough Clerk
Sole Proprietorship (print names of owner and spouse)
Partnership (print names of partners)
APPROVAL OF SPECIAL AGREEMENT
The Board of Trustees of the Alaska Electrical Health & Welfare Fund has approved this Special
Agreement, effective (-1-1 ` at their 5- 30 --YY , meeting.
Cnitl=ca MCD vf& G7mo.(L- 6-aS-1Y
Dated this 1 5 '-"day of 3`u �,1( , 20 1 IY .
Joint Board of Trustees
Alaska Electrical Health & Welfare Fund
By: //A
Co -Chairman
By:/
Co -C i an
AEHWF Special Agreement 4 11113
Kodiak Island Borough
Attn: Charles E. Cassidy Jr
710 Mill Bay Road
Kodiak, AK 99615
Re: Alaska Electrical Health and Welfare Fund
Signed Special Agreements
Dear Mr. Cassidy:
Your company's Health and Welfare Special Agreements was approved and signed at the
May 30, 2014 Trustee meeting of the Alaska Electrical Health. and Welfare Fund.
Enclosed is a copy of the signed agreement for your records.
Should you have any questions, please contact nye at (907) 276-1246, extension 262.
Thank you.
Sincerely,
Kim Stephens .
Contributions Supervisor
Enclosure: Agreements.
cc: Mike Hodsdon, "Trustee
Larry Bell, 'Trustee
Greg Stokes, Administrator