266779 WHI7E — CITY CLERK (�(����a .
PINK — FINANCE J. Devlin GITY OF SAINT PALTL Council a tj ~
CANARV — DEPARTMENT �
BLUE — MAYOR File NO.
� . ouncil Resolution
Presented By
Referred To Committee: Date
Out of Committee By Date
WHIItEAS, The Legislature of the State of Mi.nnesota passed a law under
Chapter No. 338 during the 1g73 Session which in paxt requires the City to seek
bids for insurance covera,ges, and
WHII2EAS, The City Labor Ne�otiator has requested rates for Life Insurance
Coverages for use in negotiating the 1976 contracts of employment, and
WHII2EAS, The request for bids in no way obligates the City to provide life
insurance coverage, now therefore be it
RESOLVID, That the Council of the City of Saint Paul hereby authorize and
direct William E. Peter, Purchasing Agent of the City of Saint Pau1, to request bids
for life insurance in accordance with the specifications, a copy of which is attached
hereto and incorporated herein by reference, and in accordance and together with
standard city form specifications used 'by the Purchasing Department.
COUNCILMEIV Requested by Department of:
Yeas Nays
Christensen
��@C Hunt [n Favor
Levine
��°`` d Against BY
Sylvester
Tedesco
President �f HOZZa
FE� 1 � 1976 Form Approved by City tto n y
Adopted by C . Date �
Certi ' Pass d ouncil retary BY
By
Appr e by Mayor: ate 197 Approv y Ma o �i n to C uncil
By By
a�,a�ts�t�t► FE 2 i �9�
i'�a�'`�r7�
3 ��
� CITY OF SAINT PAUL
HEALTfi AND WELFARE PROGRAM
S PEC IFICAT I ONS
I. GENERAL PROVISIONS
The City of Saint Paul and Independent School District l�o. 625 of the City of
Saint Paul are desirous of receivin� bids for insurance covering the lives of
certain city employees and Independent School District No. 625 employees as
provided hereinafter.
Gthere the term "City" is used, it shall apply to the Independent School District
No. 625 of the City of Saint Pa.ul._as well; and where rePerence is made to the
Council of the City of Saint Pa,ul, it shall apply also to the Board of Education
oP the City of Saint Paul.
The City will evaluate all proposals received on the same basis. If your pro-
posal is to receive consideration, it raust conform to the speci�'ications herein
outlined.
The City reserves the right to re�ect any and all proposals or bids.
Specimen copies of the Group Master Contract to be issued to the City of Saint
Paul shall be furnished with the proposal.
The City of Saint Paul, in considering the proposals submitted and in making an
award oP the proposal, shall take into consideration such factors as the initial
cost, service capa.bilities, character, Pinancial position; reputation with respect
to such carriers, and any other factors which the City may deem appropriate in
arriving at an award to a particular carrier. .
II. COIYTINUATION AND CANCEF,LATION
(1) The present City Group Insurance Agreements run for the calendar year and
it is coratemplated that an award of this c�ntract wi11 be coordinated with the
present insurance program. This contract shall be issued for an initial term of
the partial year, beginning the date of the award (approximately March 1, 1976)
and continuin� through December 31, 1976. Unless discontinued by the City it
shall be reneWed automatically on the first day of January, 1977, and each suc-
cessive year thereafter during its continuance for successive terms of one year
each and without evidence of insurability. The insurer may cancel this contract
for nor-payment oP premium but only after a thirty-day grace period has expired.
(2) Any requests for prer�ium change shall be made in writing to the City prior
to November lst to be considered for the next following yearly term. Such re-
quests shall be addressed to the Mayor and City Council and delivered to the
City Clerk.
(3) This contract may be cancelled by the City by thirty days written notice
delivered to the insurer.
���Fi ��
III. TER�IIriATION OF IIQDIVIDiJAL INSURANCE � � ,
(1} Insurance for the insured employee shall aatomaticalZy terminate at the end
of the contract r�onth for which his premium was last paid and accepted by the com-
pa.ny, in the event:
{a) the group contrac� is Iapsed or discontinued, or
(b) the required premium payments cease to be made on the
account of the insured employee, or
(c} the insured employee terminates his e�nploy.nent with �he
employer, or
(d} the insured employee attains age 65, or
(e) the insur2d employee enters active duty in the military
or naval service, or
(f) the insured employee is temporarily laid-off, granted sick
leave without pay, or granted a written leave of absence,
provided, however, insurance not terminated for other cause
stated in (a) through (e) above, may be continued for not �
exceeding twelve (12) months by payment of the required
payments for such insurance directly to the insurance com-
pa;.ny, on or beiore �he respective due dates.
(2) This life insurance will continue for an early retiree which is defined as
an employee who terminates his service with the City and is receiving a pension
�'rom one of the City pension plans unless a cause listed from (a) through (e)
above occurs which shall terminate said insurance. -
(3) An insured person whose insurance hereunder ceases for any reason sha11 be
eligible aga.in for insurance hereunder upon being reinstated to active employr,,ent
by the City, provided the employee meets all other eligibility require�ents.
N. II,IGIBIL ITY
(1) The Council oi the City of Saint Fa,ul shall have the sole authority for
determining eligibility for the employees insured hereander in a Manner that pre-
cludes individual selection.
(2) T!-ie effective date of the e:�ployee's insurance who is appointed or transfer-
red to the group insured hereunder shall be the iirst day of the month following
such transfer or appointment.
V. CER`I'IFICAiES FOR II�iTRF.�D PERSOV.S
The cornpany will issue to the policyholder for delivery to each insured person
certificates setting 7orth a statement as to the a.�nou:�t of a.nsurance and the
beneficiary designation.
VI. INSURING AGREF�IENTS
(a) Amount of Insurance
The amount of insurance shall be the amount desi�ated for each employee on
the list attached hereto.
���r���
(b} " Fa,;,�ment of Benefits
The compa.ny will pay, immediately upon receipt of due proof oY death to the
Beneficiary hereunder the amount of insurance set forth on the list hereto
attached.
(c) Accidenta7. Death, Dismemberment and Loss of Sight Benefits
FOR LOSS Or
Life . . . . . . . . . . . . . . . . . . . . . . . . . .Principal Sum
Bo�h Hands, or Both Feet, or Sight of Both Eyes. . . . .Principal Sum
One Hand and One Foot. . . . . . . . . . . . . . . . . .Principa.l Sum
One Foot and Si�ht of One Eye. . . . . . . . . . . . . .Principal Sum
One Ha.nd and Sight of One Eye. . . . . . . . . . . . . .Principal Sum
Sight of One Eye . . . . . . . . . . . . . .One half of Principal Sum
One Hand or One Foot . . . . . . . . . . . ,One half of Principal Sum
Loss of hands or feet means complete severence through, above the wrist or ankle
joints. Loss of sight means entire and irrecoverable loss of sight. .
The Principal Sum shall equal the amount of life insurance in force.
Limitations. (applicable to Accidental Death and Dismemberment.)
Benefits shall not be payable if death or other loss results from war, declared
or undeclared, or any related act; travel or flight in any or on any species of
military aircraft; or participation as a pa,ssenger or otherwise in any military,
aviation, or aeronautical operation; pa,rticipation in or attempt to commit an
assualt or felony; suicide or attempt at suicide while sane or insane, or result-
ing directly or indirectly fram any physicai or mental infirmity, illness or
disease; poisoning or bacterial infection, ather than infection occurring simul-
taneously with and in consequence of an accidental cut or wound.
Total Disability.
If, while under age 65 and before cessation of premi�n payments for insurance,
the employee becomes totally disabled, and if such disability continues after
cessation of premiuzn payments, the employee's group Iife insurance shall remain
in force, without payment of premiums, during the con�inuance of such total dis-
ability for a period of twelve (12) months.
Total and Per!nanent Disability.
If, while under age 65 and insured hereunder either by payment of premiums or
by operation of section above, written prooP is received by the company that
the employee has become totally and presumably permanently disabled as defined
herein, the employee's group life insurance shall remain in force, without pay-
ment of premiums, during the period of such continuous total disability.
� . �: �.'�''�';��
�
.VII-A,. BEI,�W IS A LIST OF THE CO�IPI,ETE MEMBERSHTP OF THE PROFESSIOPtAL EMPLOYEES
ASSOCIATIQN UNIT I. (PEA I)
AN�V'tJAI, AMOU:VT OF
NA?`'fE BIRTH DA'i'E SALAP,Y TiaSURANCE
Abrahamson, No-rma 11-30-13 16,�+93 11,000
Ackermann, Anthony 12-26-37 17,�+!+7 12,000
Adcock, �Iadeline 10-10-23 29,370 2�+,000
A�mess, Timothy 7- 6-�+7 18,159 13,000
Aichinger, Clifton 11- 1-4g 15,202 10,000
Akenson, Robert 11-22-19 20,700 15,000
Al1en, Charles J. 1-16-51 13,589 8,000
Anderson, Audrey K. 10-11-35 16,493 11,000
Anderson, Barbara 7- g-46 13,�+28 8,000
Anderson, Lee 2-19-40 15,202 10,000
Anderson, Roger 3-13-�+9 14,g07 9,000
Anderson-Laid, Cheryl 9- �+-48 15,�5�+ 10,000
Angell, Carroll E. 12-18-34 17,971 12,000
A rnold, Kathleen 5-13-5� 14,235 9,000
Aschittino, John 12- 2-�+�+ 11,627 6,000
Atchison, Elisabetn 7- 6-25 16�681 11�000
Atkinson, David 5-13-49 13,5�9 8,Q00
Ba.iley, Beatrice 8-12-20 21,977 lb 000
Ba.umgartner, Jean 6-25-�9 1�+,073 9,pOp
Baumgartner, Ronald 11- 3-36 21,�93 16,000
Beerm�n, Elmer 3-26-17 15,619 10,000
Bell, Howard K. 2-14-49 12,864 7,000 �
Bell, Richard 10- 9-k0 13,5�9 8,Q00
Bellus, Ja*�es J. 8-21-�+6 19,598 1�+,000
Bijjani, Alice 7-23-46 17,��47 12,000
Bilek, L3urence 2- 6-34 17,�+�+7 12,040
Brady, Shirley 5-2�+-26 18,�+82 13,000
Brewer, Daniel S. 4-21-�+6 13,872 8,000
Broughton, Robert D. 6- 9-5fl 15,202 10,000
Brown, Barbara D. 1-14-27 . 18,�+82 13,000
Buehrer, Doris 7-15-27 11,103 6,000
Bullert, Bernie 4-20-46 19,02Q 14,000
Bunnell, Marvin 6-23-�+7 17,864 12,000
Buol, Harvey 3-17-18 15,9o1 10,000
Burr, Thomas 6-26-46 19,020 14,000
Butz, william 8- 7-23 23,886 18,000 .
Canlas, Edmund 2- 8-40 13,589 8,000
Carroll, William b-18-�+9 16,681 11,000
Christiansen, Ronald 8-25-26 17,�47 12,000
Christison, Margaret 5-20-24 18,�+b9 13,OQ0
Ciag.*ie, Raymond 3-3�-2'+ 17,��+7 12,000
Clark, Marjorie 11-19-2I 16,0�9 11,000
Coh�n, Jane 2- 3-50 1�+,235 g,OCO
Conley, Earl 11-16-1g 19,571 1�+,000
Connelly, John 8- 8-23 25,270 20,000
Conner, Nanette 5-30-47 14,073 9,000
Cran, Thomas 10- 6-38 13,589 8,004
Crumb, Christine 3-22-52 12,971 7,0�0
Crump, xarry 12-20-37 15,780 10.,000
Day, Jeraldine 8- 3-39 13,872 8,000
DeVine, Judith 6-Z�+-45 15,054 1�,000
Divirgilia, Louis 9-2�+-43 1�+,36g 9,000
Dodge, Ronald 6-29-�+7 18,�59 1.3,000
Dolan, Eileen 5-29-2�+ 16,493 11,000
. FEA I(Continued) '
� f��`�'�9
APINt.tAL AMOiJNT OF
NA:'�fE BIRTH DATE SALARY INSiJRANCE
Doyle, P�Iargaret 8-16-18 16,493 11,000
Do�le, riary C. 2- 6-31 15,619 10,00Q
Drobac, Alice 2- 2-2�+ 16,�93 11,000
Dunn, Theodora b-25-19 16,493 11,000
Dzugan, Kenneth 8-24-�+2 23,563 18,000
Eaton, Louis �+-1�+-23 20,1�+9 15,000
Egan, Robert 5-18-39 18,159 13,000
Eg;um, Mich�,el J. 10- 3-48 19,020 Z�+,000
Eichinger, John 5-17-26 20,149 15,000
Eizenhoefer, Claude 9- 3-27 22,555 17,000
Elden, John A. 11-2�+-51 11,708 6,000
Emmet, Caroline 5-21-5� 13,105 8,000
Emory, Alan �+-18-48 15,901 I.0,000
Englund, JoAnne 7- 3-30 20,713 15,000
Erickson, Gary 1- .9-�+7 20,552 15,000
Esboldt, Jerome 3-31-�+7 1�+,073 g,000
Ethier, Patricia 3-3�-23 12,151 7,000
E�rens, Richard 1- 3-22 20,149 15,000
Fandrey, Norma 8- 9-52 12,286 7,000
Far�er, David 6-12-1+8 1�F,235 9,000
Finn, Lucille 7-28-20 � 17,�87 12,000
Fleming, Helen 10-1�+-26 11,627 6,000
Fletcher, Readus 1-2b-50 12,g71 7,000
Ford, Kenneth 1-1�+-�+0 21,�+06 16,000 �
Foreman, John 7- 4-22 18,159 13,004
Fra.ncis, James 12-26=18 17,�+�+7 12,000
Frankus, Georgia 11-27-29 15,619 10,000
Gag, James 4- 8-1+7 19,020 14,000
Galt, Francis 2-28-46 1�+,073 9,000
Gal;rani, Mary 3-30-15 19,020 1�+,000
. Gonje, Donald 8- 5-49 14,1+90 9,000
Garcia, Ba.rbara 10- 5-�t3 12,864 7,000
Getsug, Doris 10-18-16 18,482 13,000
Gilbertson, Scott 12-22-48 20,552 15 000
Goldstein, Jules 4-30-�+7 1�+,907 g,000
Goski, Roger 5-19-42 17,003 12,0�
Goswitz, Thomas 1-26-1�6 14,759 9,��
Graham, Celine 3-20-�+7 15,901 10,000
Grathwol, I'hilip 10- 3-10 23,886 18,000
. Greene, Edith 10-21-19 12,151 7,000
Grochala, St�phen 12-2�+-50 13,105 8,000
Grotr.e, Randal 12- 2-47 20,552 15,000
Grupp, Roger 2-11-46 13,�+28 �8,000
Gryskiewicz, Clarice 3-25-�8 12,804 7,000
Guith, Ronald 9-22-18 17,�+�+7 12,000
Gunther, William 11-14-�+5 17,326 12,000
HaLl, Clint 1-31-2b 16,681 11,000
hanson, Alvi.n 1�-10-�+4 13,872 $,000
Hardginski, Jean 3-17-�+7 15,202 l0,OQ0
Harkness, Ward 2-19-35 17,4�+7 12,000
Harley, Kristine 9-20-50 12,380 7,000
Harwood, John � 12- 9-40 19,020 1�+,000
ftaselberger, Laurene 3-22-17 19,571 1�+,000
Hawkins, Richard 5- 3-21 23,88b 18,000
� ���'�'79
PF.,A I(Continued)
AP�L AMOUNT OF
NA?+� BIRTH DATE SAI,aRY IiVSTIEi�Ir'CE
Hedba.ck, biagel 9-23-17 16,04g 11,000
Hedman, Richard 3-19-46 21,493 16,000
Heldt, Norbert 5-22-21 21,3�5 16,000
Helfeld, Dorothy �+-28-27 13,105 8,000
Hemming, Richard 12-18-38 16,533 1I,000
Herrick, Lawrence 9-34-33 18,159 13,000
Hjerpe, Roger 6-26-23 20,1�+9 15,000
Hofiman, Virginia 6-10-17 16,493 11,OOQ
Huebscher, Ra1ph 10-27-10 17,�87 12,000
Hurtley, Walter 12-23-14 28,�+96 23,000
Jackson, Henry 7-28-�+2 24,719 19,000
Jacob, Rosamond 5-20-28 12,8b4 7,000
Janda, Francis 2- 3-31 20,108 15,000
Jeffrey, Laura 3-11-15 19,571 1�+,OOQ
Johnson, Gary 8-11-47 19,020 1�+,400
Johnson, Gwen 2-11-18 13,038 8,G00
Johnson, Lynette 11-29-51 12,380 7,000
Johnson, Margaret 8-11-�+8 12,864 7,000
Johnson, Shirley 8-16-28 11,627 6,000
Jones, Ronald � 1-23-3�+ 17,326 12,000
Jung, Laurence 8-10-3j 14,490 9,OQ0
Kalkbrenner, John 5-25-1$ 21,305 16,Ofl0
Karl, Tnor�as ' b- 8-�+3 16,5�b 11,000 �
Kessler, Robert 11-15-�+5 14,369 9,000
Koke, Roxanne 9-29-�+4 11,627 b,000
Kosel, Karen 1- 8-50 12,286 7,000
Kram�n, Donald 9- 6-30 1�+,907 9,000
Kretzschmar, Gene 2- 7-�+7 18,159 13,OOfl
Kuhfeld, Thomas 1�-19-45 22,555 17,000
Kujala, Darrell 1-17-�+8 15,202 10,00o
Lentz, John 10-20-45 15,202 10,000
Lewis, Brent �+-24-42 17,326 12,000
I,indberg, Claudia 11-21-�+9 14,269 9,000
Loskota, David 7-11+-�+7 20,552 15,000 �
Lueth, Larry 9-25-�+7 20,552 15,��
Lufkin, Jane 5-21-38 11,627 6,000
Lundgren, Gregory 6- 7-47 1�+,7j9 9,OU4
Lyman, Mary 12- 1-49 12,864 7,000
Maguirz, Mary �+- 2-51 12,86�+ 7,000
Maxssek, S�ephen 6- 5-32 17,g'?1 12,000
M�1vey, Pdaureen 3-1�+-4c� 17,85!+ 12,Ofl0
P+�cCar;,hy, James 10- 2-36 18,159 13,Od0
'�cCarty, Lir.da 12-23=%+7 12,286 7,000
McCausland, William 10-13-35 17,971 12,000
PdcConnor, Edward �+- 7-2a 1�+,907 9,000
MeFadden, Bernice 3-11-26 14„a07 9,000
McGou�,.n, Catherine 2- 8-47 1�+,073 9,000
Mc�Iillan, John 2-23-35 18,697 13,000
McMonigal, Elizabeth �0-26-25 17,635 12,000
McNeally, Donna 5-26-�+4 15,901 10,000
McPaxtlin, Robert 5- 5-49 18,159 13,000
Meissner, Edith 5- 7-�+7 15,05�+ io,000
Meick, Neill 8-30-�+6 15,054 10,000
Merriam, Austin 2-28-24 17,�+47 12,000
. `� ��``d �y
��
PEA I(Continued)
ANNUAL AMOUNT OF
NAME BIRTH DATE SALARY INS URANCE
Merwin, Patricia 5-3�-5�. 13,�+28 8,000
Meyer, Thomas 8-22-48 15,901 10,000
Meyers, t�iichael R. 10-26-51 12,285 7,000
Mickelson, Arnold 8-11-15 21,305 16,000
Mil3er, Donald 5-20-34 17,971 12,000
Moe, Tracy 2- 8-�+4 1g,020 14,000
Mohr, Karl 5-17-�+2 16,533 11,000
Moynagh, Pat 4- 5-34 17,487 12,000
Mueller, Joseph 8-19-�+7 18,159 13,Q�0
Mu�].aney, C. Leo 11- 6-15 18,469 13,000
Murray, Josephine 10- �-16 16,�+93 11,000 �
Muska, Florine A. S-1I-21 15,202 10,000
Newcomb, Kenneth 3-12-17 18,469 13,000
0'Brien, Mary Lee 6-25-�+4 17,340 12,000
Odegaard, Dean 2-1�+-38 15,135 10,000
0'Keefe, John �+- 8-18 20,149 15,000
0'Reefe, Mary 6-21-48 1�,073 9,000
0'Leary, James 11- 8-39 17,4�+7 12,aoo
Olsen, Edward 14-21-47 11,708 6,000
Qlson, Rosemary 7-20-2�+ 16,�+93 11,000
Otte, Dorothy 2-17-18 16,493 11,000
Overlie, Rolf 1-16-1+2 17,�+47 12,000
Pearson, I,eon 8-11-46 22,555 17,000 �
, Pechmann, Gary 12-15-40 17,�+47 12,000
Pelissier, James 3-1�+-44 1�+,759 9,000
Pezinez, Terry 7-12-47 18,15g 13,000
Perrizo, Bruce 10-1�+-41 17,003 I2,000
Pesek, William 6-28-45 17,326 12,000
Peterson, Edward 6-14-23 18,68�+ 13,000
Peterson, Vernon 11- 3-26 20,149 15,000
Peterson, William 8-28-�+0 17,003 12,000
Portoghese, Christine . 8-26-37 12,286 7,000
Power, Diane 3-17-�+8 13,428 8,000
Puchreiter, Roger 8-27-�+2 19,020 14,000
Quinn, Penelope 6- 1-�+1 15,619 10,000
Ranieri, Eugene 10-31-�+6 19,221 1�+,000
Ram�eiler, Beno 8- 6-11 23,980 18 OQO
Reidell, Mark 11-29-49 1�+,073 9,000
Richards, Darrel2 6- 4-32 18,159 13,�
Robbins, Emma 7-1�+-16 22,622 17,Q00
Robbi:�s, Ortha 10-30-25 22,622 17,000
Robert, i�arcia 10-30-�+�+ 15,202 10,000
Roy, Steven 1- 1-45 17,4�+7 12,004
Rupert, Richard 11-26-�+6 17,4�+7 12,000
$yan, Roger �+- 1-35 23,213 I$,000
Salo, Annette 9- 7-44 11,627 6,000
5ande, GarY 1- 8-39 18,15g 13,004
Schuller, Anne 3-1�+-52 12,286 7,000
Senn, Mark 1-za 49 i7,326 12,000
Shelton, James 5- 8-�t6 14,�+90 9,000
Shetka, Allen 8- 2-46 22,555 17,000
Shoholm, Jacqui 11-26-49 � 14,235 9��
Shomion, Lawrence 9- 8-�+7 16,681 11,000
Sieber, Beatrice 1- 3-26 15,619 10,000
r:.������� �
PEA I(Continued)
ANNUAL AMOUNT OF
NAME BIRTH DATE SALARY INSUF�ANCE
Sigety, Donald 10- 3-48 12,286 7,000
Smrcka, Jerry 11- 7-47 19,020 14,OC4
Snyder, James 6-25-�+1 17,971 12,000
Sobania, Donald 8-2�+-4b 22,555 17,000
Soderholm, Larry 9- 6-�+�+ 17,864 12,000
Sorenson, Carolyn 8- 6-�1 12,864 7,000
Stachowiak, Kathy 1-25-�+5 19,�10 1�+,000
Stahnke, James 8- 7-39 20,1�+9 15,000
Stavn, Vir�inia 5-16-1+1 l�+,073 9,000
Stemig, George 3-26-39 18,159 13,000
Streed, Karl 4-21-50 17,32b 12,000
Streich, Henry �+-24-1�+ 20,149 15,000
Steinkraus, Odney 10- 7-22 12,971 7 000
Strohkirch, Tom 3-2�+-43 17,�+47 12,000
Su.7.livan, Catherine 5- 8-16 14,907 9,Opp
Sundbye, Delores 5-23-3� 15,054 10,000
Swanson, Nora 12-18-23 15,619 lo,000
Terrell, WinnieYred 11- 7-2�+ 15,619 10,000
Tourtelotte, Brian 1+-19-50 14,490 9,000
Tregilas, Kathleen 3-19-32 11,708 6,000
Tuckner, Irene 11- 4-�+0 12,286 7,OOQ
Vogel, Lir.da 11-20-47 15,767 10,000
Wagner, Elaine 3- 8-39 17,635 12,000
Walsh, Robert 7-17-�+2 19,59a 14,000
Warn, Edward 9-16-46 21,1+93 16,000
Watson, Martha 11-21-51 13,589 8,000
Weinke, Kenneth 4- 1-25 15,61g 10,000
Wengler, Janice 10-22-�1 31,7Q8 6,000
White, Peter 2- 1-47 15,202 10,000
Wicklund, John 8- 5-�+2 19,020 14,000
Williaros, Carole 3-15-�1 z3,�+28 8,000
Wirgate, Laura 3- 3-36 16,049 1.1.,000
W1rka, John 12-21-44 22,555 17,000
Wittgenstein, Bev 10-10-�+8 12,864 7,000
Wittgenstein, Vic 10-21-43 15,135 10,000
Wolfe, Lynn 12- 2-50 I1,70$ 6,000
Yannarelly, Harold 4-29-23 18,469 13,OC(3
Zaudke, Ronald 6-21-�+6 15,202 10,000
TOTAL �2,868,000
CONTINUED ON PlEXT PAGE
�Cr�F���� �
VII-B. BEL(�I IS A LIST OF THE COMPLETE MEMBERSHIP OF TF� PROFESSIONAL EMFLOYEES
' ASSOCIATION ITNIT II. (SUPERVISORY) (PEA II)
ANNUAL AMQUNT OF
�'"� BIRTH DATE SALARY IP�SURANCE
Bell, Earlyn R. 12-30-15 20,2�+3 15,000
Bell, Walter A. 10-30-21 17,877 12,000
Blue, Sam 7- 3-26 25,�+04 20,000
Bredahl, Roy E. 9-16-33 28,496 23,000
Burkholder, Lloyd A. 1-16-28 24,718 19,000
Carc�edi, Josepn 2-20-27 22,72g 17,000
Chermak, Robert J. 2+- 1-1�+ 23,9'79 18 OQO
Clarke, philip J. 3- 9-11 17,903 12,000
Cody, Marion L. 6-12-16 20,2�+3 15,000
Cox, Dr. Pa.ul ,T. 10-1�+-21 27,689 22,000
Davis, John W. 9-16-36 20,807 15,000
Denbleyker, HaroZd 9- 5-23 22,742 17,000
Desch, Paul F. 5- .b-24 1$,563 13,000
Donovan, James W. 9- 8-24 35,875 30,000
Dvorak, Richard 10- 5-3b 22,071 17,000
Eberhardt, Ed 7- 8-18 28,�+9b 23,000
Eggen, J. Archer 5- !+�-15 35,875 30,000
Eggum, Tnomas J. 12- 7-44 23,979 18,OQ0
Erickson, Glenn A. 3-14-28 33,85$ 28,OQ0
Ernster, Donald E. 11- 2-29 23,q79 18,000
Fletcher, John A. 5- 7-19 21,39$ 16,000
Foreman, Joan R. 11-1b-35 19,5�3 14,000 �
Franklin, Peter 10-16-38 23,038 i8,000
Friedman, Charles 7-16-24 22,662 17,000
Glaeve, Reynold 6-22-17 21,412 16,000
Gravesen, Jens A. �+- 6-17 25,40�+ 2Q,000
Grieder, Roy E. 2- 8-21 28,b96 23,000
Hancock, Donald 9- 9-�28 2�+,718 19,000
Hauwillers �oseph 7-30-36 24,678 19,000
Holmgren, Harold 5-30-26 20,2�+3 15,000
Horrisberger, Robert 11-11-22 23,320 18,000
Isberg, Guranar 2-22-32 25,673 20,000
Isfeld, Joyce 7-21-27 18,5b3 13,000
Jacobsen, Verne ?- 1-35 28,496 23,000
Kercheval, Craig 11-20-�+6 21,}+65 16,000
Koenig, Joseph �+-1b-37 27,689 22,000
Lang, Robert 10-10-27 32,286 27,000 _
Lewis, Donald 4-25-18 26,8g6 21,00�
McGinley, Miles 10-30-28 20,645 15,opo
McGuire, Charlea q- 5-36 2I,�+65 16,000
Ma�nir.g, Richard 1-19-27 23,321 18,OQ0
Meuwissen, William 6-17-21 28,496 23,000
Mogren, Thomas 1-10-31 30,176 25,Oa0
Mohror, Roger 1- 6-39 26,896 21,000
Murphy, Mary Ann 10-18-�+2 21,�+65 16,000
Niles, John L. 3-3�-32 15,981 10,000
Norstrem, Gary R. 1-26-36 16,895 11,000
Nygaard, Donald E. 11-10-3b 26,896 21,000
Olinger, August 7-15-30 26,896 21,000
Ol,son, Albert 1-31-3�+ 20,645 15,000
Olson, Eva 10-23-12 18,563 I.3,000
patton, William 8-25-39 30,176 25,000
. �������
�t.
PEA II(Continued)
ANNUAL AMOUNT OF
NAME BIRTH DATE SALARY IZ�SURANCE
Peter, William 8-30-20 25,18g 20,000
Peterson, Robert 9- 2-30 31,95� 26,0�0
Poor, John 11-1C-41 1g,678 14,000
Prill, Gerald 5-31-3b 26,439 21,OQ0
Rabens, Fred 3-17-27 20,807 15,000
Roettger, Robert 1-25-38 25,�+17 20,000
Schnarr, Richard 9-23-19 33,85$ 28,000
Schonberger, G. Kent 1-2I-21 31,950 26,000
Schwartz, James F. 7-15-31 23,979 18,000
Simonson, Marlon 6- 7-29 23,320 18,000
S�nn, Kenneth �+-27-25 20,807 15,000
Sonnsn, Mary }1�+-�+4 17,541 12,000
Staffenson,. Frank 6-20-33 23,32� 18,000
Stanton, Donald 12- 1-19 24,�22 19,000
Steenberg, Gerald 12-12-36 22,500 17,000
Stirzl, Mary 3-19-2g 14,6g1 9,000
Thomas, Hartley 6-28-28 20,807 15,000
Thompson, Claudins 3- 5-27 28,49b 23,000
Thorpe, Richard 12-17-32 22,6�2 17,000
Thron, Diana 5- 7-45 30,781 25,000
Timm, William 5-19-32 23,32� 18,o0Q
Tio, Ed,mund 11-16-26 20,807 15,000
Trudeau, Robert 2-23-27 28,�+� 23,000 �
Tu�te, Donald 3- 7-36 20,807 15,000
Vann, Mrs. Timothy 7-17-17 2�+,221 19,000
Werthauser, Arthur 7-12-3b 25,�+17 20,000
Westerberg, Charles 9-29-�+2 19,570 I.�+,000
Wheeler, Richard 12-14-22 33,858 28,000
Williams, William 11-11-29 20,2�+3 15,000
Wolcyn, P4ary �,ynn 2-2b-�+9 1�+,368 9,000
TOTAL 1,521,000
�
CONTIIQITED OPT FOLLOWING PAGE
� . ;� ��"�"�9
VII-C. TI� FOLLOWING IS A COMPLETE LIST OF TI� CLASSIFIED OR UNGZASSIFIED, CO�T-
' • FIDENTIAL QR NON-CONFIDENTIAL SUPERVZSORY EMPLOYEES WITH NO BARGAL*iING
UNIT AFFILIATION.
ANNUAL AMOUNT OF
NAME BIRTH DATE SALARY IA]SURANCE
Ball, Virginia 12-18-15 2�+,719 19,000
B1ancY!ard, Marvin 2-26-19 17,600 12,000
Companion, Martin 8-20-22 30,042 25,000
Conroy, Stephen 1-27-28 3�+,854 29,000
Dun�ord, Daniel �+-15-35 3k,85!+ 29,004
Friedman, John 6- 8-32 3�,899 25,040
Gleason, Thomas 10-29-26 33,859 28,000
Green, Leland 6-13-3� 21,493 16,000
Grimes, Russell �+- 3-39 19,�55 14,000
Heinen, Edwaxd 12- 5-20 30,015 25,000
Hughes, Thomas 8-25-42 25,297 20,000
Huset, Elmer 9_29_2p 3�+�262 2g�p�p
Kelley, Thomas 5- 4-26 38,322 33,�
Lombardi, James g-23-36 21,493 16,000
Mattson, Roger 11- 2-28 34,854 2g,o00
Mix, Rose 6- 5-31 21,7�+8 16,000
Piram, Robert 6-21-39 3�+,85�+ 29�000
Pye, Robert 6-28-27 29,155 2�+,000
Regnier, Pierre 6-27-�+3 35,822 30,000
Rountry, Eleanor 1-20-15 23,213 18,000
Rowan, Richard 12- 5-21 34,854 2g,000
Schroeder, Richard 5- 8-16 27,635 22,000
Spaid, Donald 10-28-32 3�,85� 29,000
Sullivan, Terry 3-22-39 26,5�+7 21,000
Villaume, Frank 11-29-45 1g,020 14,000
Vizard, Edward 8-28_34 2p,473 15,000
Wrig.ht, Bernard 1-29-19 27,690 22,000
TO`TAL 618 000
��
CONTINUED ON FOLLOWING PAGE
�������
t`
VII-D. THE FOLLOWING IS A COMPLETE LIST OF THE NSF�ERSHIP OF THE CITY ATTORNEYS
- PROFESSIONAL ASSOCIATION.
ANNUAL AMOUNT 0�
NAME BIRTf�f DATE SALARY INSURANCE
Byrne, Philip 12-16-38 31,897 26,000
Ficker, Daniel 5-21-37 27,797 22,C00
Flynn, Pa,ulette 1-31-�9 17,447 12,000
Lewis, Jacques 9- 7-49 15,202 10,000
Mabley, Daniel . 12-26-1+8 1b,681 11,004
McCloskey, Pa.ul 8-13-�+� 27,797 22 000
. �
McLaughlin, John 10-13-27 22,555 17,004
Martin, John 12- 3-�+8 15,901 10,000
Nelson, Arthur 10-27-22 24,558 19,000
Mord, Beryl 10-12-48 18,15� _ 13,4��
Segal, Jerome 7-2�+-36 31,588 26,000
Sipkins, Tr�o�nas 9-19-�+7 z7,326 12,�00
Stearns, Thomas �+-17-19 30,700 25,000
TOTAL 225,000
COAITI��tJED ON FOLL�'4dING PAGE
• .. f`����F��
VIL'i-A. Pt`2�^,PdI'i?" QUOTATIOIJS
PZease complete the foll.owing;
(A) PROFESSIONAL EMPLOYEES ASSOCIATIO;V tTNIT I. (PEA I)
?iate per �1,000 �ncludir,g Acciden�al Death ar.3 Disrr:emoe:r„ent ar.d kaive-r
of premium:
Per ,�;onth-�
It �s unders�ood that tr,e bids for this proposed �?roup oP insured
persons sha11 not af�ect the rates o� the other groups liste3, nor wiil
the insuring or not insuring of Lhe other gro+�ps affect the rate of `'�is
group.
* �e:�iums w�ll be paid monthly based on the amour.t of insurance in Torce.
IX-A. RETEN'I'ION PP,E'�ItJP�I ESTINIATES
Flease co-�plete the following:
(A� PROFES S IONAL EMPLOYEES AS S OC TA TION UIdIT I. (PEA I)
YF:A R 1 YEA R 2 YEA R 3
Gross Pre;�iuo.s 30,000 30,000 30,000
Clairt:s Fa.id None 34,000 None
Itemized Expenses:
Commissions
Claim Expense
Ta_xes
A dministration
Records and Billing
Other Expense
Company Profit
Incurre3 but Unpa,id Claim Reserve
Net Profit
Al1 retention exhibits shall be figured with tne exarnple of "Claims
Paid and Gross Premiur,:s" inserted above. A11 items not guaranteed re-
fundable upon expirations of claim period should be er.tered in '�OtPser
Expense".
Retention exhibits are for reference on1y, contract will be awa.rded
on basis oi initial cost.
• � � w�{
. . . f•;.�4� ��Y �
VIII-B. P�idIL��i QUOTATIOT�S
Ple�.se coTplete the following;
(A) PROFESSIQNAL EMPI,OYEES ASSOCIATION UNIT II. (SUPERVISORY) {pEA II)
Rate per �1,000 including Accidental Leath and Disr_ember�:,�nt ar.3 ��aiv?r
oi prenium:
Per :-+.ont:�-�
It �s understood that the bids for this propcsed group of' insured
persons shall not af�ect the rates of �he other grou�s lis;e�., nor ���?
�he insuring or not insuring oi the o�Y:er groups a�fect tne ra�e o�' �^is
group.
* Pre�niums will be paid monthly based on the arrot�rt of insurance in =�rce.
�B. RETEnJ'I'IOiV P.�E_'�tIUM ESTIN;ATES
Flease c�mplete the following:
(A� PROFESSIONAL EMPLOYEES ASSOCIATION UNIT II. (SUPERVISORY) (PEA II) �
�'EA R 1 YEA R 2 '_s.A R 3
Gross Pre:�iums 18,000 18,000 18,000
Claims Pa,id None 20,000 None
It2mized Expenses:
Commissions
Claim Expense
Taxes
Administration
Records and Billing
Other Exper.se
Company Prafit
Incurred but Unpa.id Claim Reserve
Net Profi�
All retention exhibits shall be figured with the example of "Claims
Paid and Gross Premiums" inserted above. Al1 items not guara:�teed re-
fundable upon expiratzons of claim period should be er.tered ir. "OtY:er
Expense".
Retentian exhibits are for reference only, contract will oe awarded
on basis of initial cost.
, - ���`�"��9
VIIi-C. PREMILTf A,UOTATIOP�
Ple�.se complete the following:
(A) CLASSIFIID APTD UNCI,ASSIFIED, CONFIDEPITIAL AND NON-CONFIDENTIAL SUPERVISING
EMPLOYEES WITH NO BARGAINING UNIT AFFILIATION.
Rate �aer �1,000 including Accidental Death an3 Disrre:rberr�2nt ar_3 wai�e-r
of pre�ium:
Per �tonth*
It �s unders�ood that the bids ior t::is proposed �roup of insured
persons sha11 not af?ect the rates of the other groups listed, r�or wiil
�he insuring or not insuring of the otl;er groups aflect t�ne rate of t�:is
group.
* Preniums will be paid monthly basec3 on the arrour.t o° insurance in f:�r�2,
IX-C. RETEPJ'i'ION PREMIUIv! ESTII'�ATES
rlease complete the following:
(A� CZASSIFIED A1�ID UNCI,ASSIFIED, CONFIDENTIAL AI�ID NON-CONFIDENTIAL SUP'ERVISING
EMPLOYEES WITH NO �ARGAINING UI�TIT AFFILIATION.
YEA R 1 ��A R 2 YEA R 3
Gross Premiun:s 7,000 � 7,000 7�ppp
Claims Paid None 10.000 None
Itemized Expenses:
Co�missions
Claim Expense
Taxes
Administration
Records and Billing
Other Expense
Company Profit
Incurre3 but Unpaid Claim Reserve
Net Profit
All retention exhibits shall be figured witr the exar�ple of "Claims
Paid and Gross Premiums" inserted above. Al1 iteTs not guaranteed re-
funda.ble upon expirations of claim period should be entered in "Other
Expense".
Retention exhibits are for reference orL1.f, contract will oe awarded
on basis of initial cost.
� ,� ������9
V I I I-D. P�rdli�?�; QLTOTA T IOP�
F�l�a�e coTplete the following:
(A) CITY ATTORIVEYS PROFESSIOi�1AL ASSOCIF,TION.
�a�e ger �I,000 inclu3ing Accidental Death and Dism.emberment ar.3 waiver
of premium:
Per ,•1�r,th�
It -s understood that the bids for this proposed group of insured
persons sha11 not af�ect the rates of the other groups liste3, nor wili
�he insuring or not insuring of �he other groups affect the rate of ��:i�
group.
* Pre*�iums will be paid monthl;� based on the amount of insurance in `_'�r�e.
IX-D. RElr NTION PRE;•1IUA�! ESTIh�ATES
Please complete the following:
(A� CITY ATTORNEYS PROFESSIONAL ASSOCIATION. •
YEA R 1 YEA R 2 YEA R 3
Gross Premiun:s 2,1+00 2,400 2,400
Claims Paid None 10,000 None
Itemized Expenses:
Commissior_s
Claim Expense
Taxes
Administration
Records and Billing
Other Expense
Company Profit
Incurred but Unpaid Claim Reserve
Net Profit
Al1 retention exhibits shall be fi�ured with the exarnpl� of "Claims
Pa.id and Gross Fn'emiums" inserted above. All items not guaranteed re-
fundable upon expirations of claim period should be entered in '�Other
Expense".
Retention exhibits are for reference only, contract will be awa.r3ed
on basis of initial cost.
�
. . �����.,�9
'X. 9,UESTIfltTNA I�E
(1) Are Deficits carried forward to be recouped from future year's surpluses?
If not, please explain how they will be financed.
(2) In the event of contract cancella�ion, either or. or off the anniversary
date, will you refund the entire excess, if any, or yaur Incurred Claim
: Reserve(Open but unrecorded) over the actual Claims Fa.id after the can-
cellation date? While determining your final liability after cancella-
tion(either on or off the anniversary date�, will you make �an additional
Retention or service charge? If so, what would be the approximate amount
of this charge?
(3) Will it be necessary for you to maintain any Premium Stabilization or Claim
Fluctuation Reserves? If so, please advi.se (a) the amount of reserve, (b)
how you �ri.11 establish the reserve, (c) the interest rate which you wi12 �
credit to the reserve, and (d) whether and at what time this reserve will
be refunded to Saint Pa.ul in the event of contract cancellation.
(�� At the end oi each contract year, will you provide a. complete accountin� of
. a11 premium dollars paid to you durin� the year in the form of Claims Pa.id
and Retention? Will all Paid Premium for the year in excess of Incurred
Claims and Retention be refunded to Se.int Paul at the time of this account-
ing? If not, please explain.
,f
�
�
i
�
f
df' �(- �E �(' 9E * �E dE -
. . � � � . � � � OJYJ.� �1�. 1Z�w 1 7 f.7 �� . .
• . . . . . . . . , �
' .. . . . . � � � /�5.����V � � .
- �XPLA�TATION OF AD�IN�STR�T E QRUERS,
RESOLUTIC?�.'�iS ATJD QR�I�T FS
Da,te:aa�uary 28, 1976 I,i
,
Tp: THOMAS J.� KELZ..EY, CTTY .A:DMIN�STRA�OR
k'R t d�b�n C. De�rlin, Persoariel OfPi.ce '
R�: Rstes for life: i.usnraace cvvexage li
�
.
A.C�'ION REQUESTED: '
8eqnest to direct Nilliaa E. Peter, Parc�asi�g Ag t, to se�nre �i�ts for
' liPe iias�r�nce per specifications. '
i
�
i
i
; ,
FUR�rJSE A�TD RAT�ONAI�� k'OR TI�IS ACT�t?N: I,
T0 p�o�ride rstes for lif e i.neurance coverage !br. e �ity �e6otist�atir � u�e
in s�egotist38g the lg(6 eantxsets of eerPlo�ent• ;
� il�i�+W�l /.��.."'�`'�' ,� • .
.
�
_
�
�
AT TAC HM.�NTS; �
� �
Prol�
sed C�ci1 8�sol�tion ta acexoarpli�h the . � '
• a
Al.'P�t QYAi,� . I :
�
c�mas J. Kelle t rnxx��stratpr �
Y, Y �
�
!,
I