AGENDA PACKET - Trico-JIF
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Transcript of AGENDA PACKET - Trico-JIF
AGENDA PACKET
Monday, September 25, 2017 at 5:00 PM
Gloucester County Library 389 Wolfert Station Rd
Mullica Hill, NJ
WWW.TRICOJIF.ORG
GLOUCESTER, SALEM, CUMBERLAND COUNTIES MUNICIPAL JOINT INSURANCE FUND (TRICOJIF)
Gloucester County Library 389 Wolfert Station Rd
Mullica Hill, NJ September 25, 2017 – 5:00 PM
AGENDA
I. Meeting called to order by Chairman
II. Flag Salute
III. Statement of Compliance with Open Public Meetings Act A. Notice of this meeting was given by:
1. Sending sufficient notice herewith to the South Jersey News, Woodbury, New Jersey and the Courier Post, Cherry Hill, NJ
2. Filing advance written notice of this meeting with the Clerks/ Administrators of all member municipalities of the TRICOJIF; and
3. Posting notice on the public bulletin boards of all member municipalities of the TRICOJIF.
IV. Roll Call A. Fund Commissioners B. Fund Professionals C. Risk Management Consultants D. Move up Alternates (if necessary) – Motion – All in Favor
V. Approval of Minutes A. The quorum for the July 24, 2017 Executive Claims Committee Meeting was not met. B. Motion to adopt the July 24, 2017 - Executive Committee Meeting Minutes – Motion – All in Favor……………………………………………………..Pages 1-15
VI. Executive Claims Committee Meeting Report – September 25, 2017…..……….….…Verbal
VII. Executive Director’s Report……………………………….…………..….….…… Pages 16- 68 A. Lost Time Accident Frequency Report……………………………….…...Pages 19-22 B. Certificates of Insurance………………………….………….…...…..……Pages 23-27 C. 2016 Safety Incentive Program Awards…………………………………..…....Page 28 D. 2017 Optional Safety Budget…………………………………………….…..…Page 29 E. 2017 Wellness Incentive………………………………………………….….…Page 30 F. EPL Hotline – Authorized Contact List…………………………………..…....Page 31 G. EPL/Cyber Risk Management Budget ……………………………………..….Page 32 H. Employment Practices Liability Compliance ………………………......…Pages 33-34 I. Financial Fast Track …………………………………………………..…..Pages 35-36 J. Regulatory Filing Checklists………………………………… ……..…….Pages 37-38 K. Capehart & Scatchard Updates……………………………...… ..……..…Pages 39-61 L. Statutory Bond Status……………………………………..……...…….…Pages 62-63 M. Skateboard Park Approval Status………………..………..………..………….Page 64 N. Renewing Members………………………………………………...….……….Page 65 O. Quarterly Attendance……………………………………..…………………….Page 66 P. Elected Officials Training – Save the Date……………………………………..Page 67 Q. MEL Cyber Risk Management Program R. Qual-Lynx Memo………………………………………………….……………Page 68 S. Website T. New Member Activity
VIII. Solicitor’s Report
September 2017 Page 2 IX. Safety Director’s Report
A. Activity Report …………….……………………………………......…..…Pages 69-75 B. MSI Bulletin: Crossing Guard Safety……………………………...………Pages 76-77 C. MSI Bulletin: Ticks……………………………………………………..…Pages 78-79 D. MSI Bulletin: Firefighters Fit for Duty………………………………..…..Pages 80-81 E. MSI Bulletin: Preventing Heat Illness……………………………………..Pages 82-83 F. 2018 MSI Class Request Announcement…………………………………..Pages 84-101
X. Claims Administrator’s Report A. Lessons Learned from Losses –Sept 2017……………………..….............…...Page 102
XI. Wellness Director Report A. Monthly Activity Report……………………………………………..………Pages 103-104 B. Corner Connection ……………………………………......……..……....…..Pages 105-112 C. Exercise of the Month: ………….…………………………..……..….....…Page 113 D. Summer Safe Workout…………………………………………….…………Page 114 E. How to get your team to use their vacation time……….……………………..Pages 115-117
XII. Managed Care Report A. Summary Report …………………………………………….….…...........….Page 118 B. Average Number of Days to Report a Claim…………………………...……..Page 119 C. Transitional Duty Summary Report…………………………………...…...…Page 120 D. PPO Savings & Penetration Reports ………………………..………..…..…..Pages 121-123 E. Paid Provider by Specialty…………………………………..…………..........Page 124 F. Top 5 Provider by Specialty…………………………………..………....…....Page 125 G. Nurse Case Management Report…………………..………………………….Page 126
XIII. Treasurer’s Report as of August 31, 2017…………………….……….............Pages 127- 187 A. Fund Status B. Investment Portfolio Report C. Loss Run Payment Register – Motion – Roll Call D. Disbursements E. Ratification of August Bill List – Motion – Roll Call…………………......…Page 186 F. Approval of September Bill List – Motion – Roll Call…………………...…..Page 187
XIV. Committee Reports A. Finance Committee Meeting Minutes – August 4, 2017……………………..Pages 188-209
1. MEL Fiduciary Disclosure………………………………………………..….Page 210 B. Safety Committee Meeting Minutes – August 24, 3017……………………………Handout
1. Resolution Amending Resolution 2017-03 and Authorizing an Amendment to the 2017 Right to Know Contract Between the TRICOOJIF and J.A. Montgomery – Motion – Roll Call……………………..........…..Pages 211-212
C. EPL/POL Claims Review Committee Meeting – September 25, 2017………..……Verbal
XV. MEL/E-JIF/RCF Reports A. MEL Meeting Report – September 6, 2017 ………………………..…………....Handout
1. MEL Bulletin: Hurricane Self –Deploy ………………………….…….Page 213 2. Hurricane Disaster Response ………………………………..…….Pages 214-217 3. MEL Bulletin: Optional Excess Land Use Coverage…………..…Pages 218-220 4. MEL Bulletin: POL/EPL Policy Form Change………………...….……Page 221
B. RCF Meeting Report – September 6, 2017…………………………..……..Pages 222-224 C. EJIF Meeting Report – September 6, 2017…………………… ..........….…Pages 225-226
September 2017 Page 3 XVI. Miscellaneous Business
The next meeting will be held on Monday, October 27, 2017 at 5:00 PM at the Gloucester County Library, Mullica Hill, NJ
XVII. Public Comment A. Motion to Open Meeting to Public Comment – Motion - All in Favor B. Motion to Close Meeting to Public Comment – Motion – All in Favor
XVIII. Closed Session – Resolution 2017 ___________A request shall be made to go into Closed Session to discuss matters affecting the protection of safety and property of the public and to discuss pending or anticipated litigation and/or contract negotiations -Motion - All in Favor A. Special Executive Committee Meeting Report
1. Report on Claims over $10,000 (PARs) reviewed B. Professionals’ Reports
1. Claims Administrator’s Report 2. Executive Director’s Report 3. Safety Director’s Report 4. Solicitor’s Report
C. Reopen Public Portion of Meeting – Motion – All in Favor
XIX. Approval of Claims Payments - Motion – Roll Call
XX. Authorization to Abandon Subrogation (if necessary) - Motion – Roll Call
XXI. Motion to Adjourn Meeting Motion – All in Favor
TRICO Executive Committee Meeting Minutes June 26, 2017 Page 3
Alternate Fund Commissioners
Chair Campbell entertained a motion to move Commissioner Bagby up to serve on the Executive Committee in the absence of Commissioner Sweeney.
Motion by Mr. Law, seconded by Ms. Hall, to move Commissioner Bagby up to serve on the Executive Committee in the absence of Commissioner Sweeney. All in favor. Motion carried.
APPROVAL OF THE MINUTES – Executive Committee Meeting
Chair Campbell presented the meeting minutes of the June 26, 2017 Executive Committee meeting for approval.
Chair Campbell asked members for their questions at this time. No questions were entertained.
Chair Campbell entertained a motion to approve the minutes of the June 26, 2017 Executive Committee meeting.
Motion by Mr. Law, seconded by Ms. Hall, to approve the minutes of the June 26, 2017 Executive Committee meeting. All in Favor. Motion carried.
APPROVAL OF THE MINUTES – Executive Claims Review Committee Meeting
Chair Campbell presented the meeting minutes of the June 26, 2017 Executive Claims Review Committee Meeting for approval.
Chair Campbell asked members for their questions at this time. No questions were entertained.
Chair Campbell entertained a motion for approval of the Executive Claims Review Committee meeting minutes.
Motion by Mr. Law, seconded by Ms. Hall, to approve the meeting minutes of the June 26, 2017 Executive Claims Review Committee Meeting. All in Favor. Motion carried.
APPROVAL OF THE MINUTES – Executive Claims Review Committee Closed Session
Chair Campbell presented the Executive Claims Review Committee Closed Session meeting minutes of June 26, 2017 for approval.
Chair Campbell asked members for their questions at this time. No questions were entertained.
Chair Campbell entertained a motion for approval of the Executive Claims Review Committee Closed Session meeting minutes.
Motion by Mr. Law, seconded by Ms. Hall, to approve the Executive Claims Review Committee Closed Session meeting minutes of June 26, 2017 as presented.
The Executive Claims Review Committee Closed Session minutes of the June 26, 2017 shall not be released to the public until the reason(s) for their remaining closed is no longer applicable, the Fund Solicitor has had the opportunity to review them, and their release has been approved by the Executive Committee. All in Favor. Motion carried.
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TRICO Executive Committee Meeting Minutes June 26, 2017 Page 4 The Executive Claims Review Committee Closed Session Meeting Minutes from the June 26, 2017 meeting were collected.
EXECUTIVE CLAIMS REVIEW COMMITTEE MEETING REPORT – June 24, 2017
Chair Campbell reported that an Executive Claims Committee Meeting was held on Monday, June 24, 2017 at the Gloucester County Library, Mullica Hill, New Jersey.
The Committee reviewed ten (10) claims. Of the claims reviewed, there were seven (7) Workers’ Compensation, two (2) General Liability and one (1) Property PARs recommended for approval of settlement or continuing defense.
The claims will be presented for approval later in the meeting.
There were no matter(s) presented for Abandonment of Subrogation.
Questions will be addressed during Closed Session if necessary.
EXECUTIVE DIRECTOR’S REPORT
Mr. Miola reviewed the Executive Director’s Report found in the agenda packet with the membership. He highlighted the following items.
Lost Time Accident Frequency Report– Mr. Miola stated that the Lost Time Accident Frequency Summary and Statewide Recap for May, 2017 are included in his report.
Certificates of Insurance - Mr. Miola asked that the Certificates of Insurance issued for the month of June, 2017 are included in the agenda packet and be included as part of the minutes of today’s meeting.
2016 Safety Incentive Program Awards – Mr. Miola asked that all members review available balances for this program. He noted that the deadline to claim or encumber these funds is November 1, 2017. All encumbered funds must be claimed by February 1, 2018.
2017 Optional Safety Budget - Mr. Miola asked that all members review available balances for this program. He noted that the deadline to claim or encumber these funds is November 1, 2017. All encumbered funds must be claimed by February 1, 2018.
2017 Wellness Incentive Program Allowance – Mr. Miola stated that a report detailing the available balance for each member for the 2016 Wellness Incentive Program was included in the agenda packet. He stated that the deadline for claiming or encumbering the funds is November 1, 2017. All encumbered funds must be claimed by February 1, 2018.
Employment Practices Liability Helpline – Authorized Contact List– Mr. Miola stated that QBE has implemented an EPL Helpline for member to use. Those authorized to use the helpline must be appointed by Resolution of the Governing Body. He noted that Municipal Solicitors cannot be appointed as Helpline Contacts. He asked the members to review the list in his report and advise as to any changes. EPL/Cyber Risk Management Budget – Mr. Miola stated that the JIF has budgeted $540 for each member to help offset employment practice and cyber security related expenses. This budget can be a valuable resource to members in addressing these areas of exposure.
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TRICO Executive Committee Meeting Minutes June 26, 2017 Page 5 Employment Practices Liability Compliance – Mr. Miola stated that a compliance report regarding the Employment Practices Liability Coverage was included in his report. He asked the members to review the report carefully to make sure it is accurate. If there are any issues, he told the members to contact PERMA immediately. Financial Fast Track – Mr. Miola reported that the Financial Fast Track report was included in his report. The JIF’s surplus position as of May 31, 2017 was $20,116,874. Regulatory Filing Checklists - – Mr. Miola noted that there were two regulatory filing checklists in his report and they provide an outline of required reporting to the Departments of Banking and Insurance and Community Affairs on an annual and monthly basis. Capehart & Scatchard Updates – Mr. Miola noted that the Capehart & Scatchard updates are in the agenda packet and provide valuable information regarding WC, ADA and FMLA issues. Statutory Bond Status – Mr. Miola reminded members to review the latest listing of the Statutory Bonds issued by the MEL for JIF members. These are issued to the individual, NOT the position. Members should review this list as some changes might have occurred at municipal reorganization meetings requiring new bonds to be issued. Skateboard Park Approval Status– Mr. Miola stated that a report listing the current status of all approved skateboard parks or those under construction is included in his report. He noted that any member with a park currently under construction or in the review process should review the spreadsheet to be sure that it accurately depicts the status of the town’s facility. He also noted that all members considering construction of a skateboard park should contact his office prior to moving forward.
Renewing Members– Mr. Miola stated that renewal letters were emailed on June 5, 2017 to the thirteen (13) towns whose membership in the JIF is up for renewal on January 1, 2018. Those members Deptford Township, East Greenwich Township, Fairfield Township, Glassboro Borough, Greenwich Township, Harrison Township, Mannington Township, Mantua Township, Monroe Township, Quinton Township, South Harrison Township, Swedesboro Borough and Woolwich Township. He stated that included in the email were the Resolution for Renewal of Membership, a Certification required under the Local Public Contracts Law and an Agreement to renew Membership. He asked those member towns to please put the Resolution on the governing body’s agenda and return to his office by August 18, 2017. Member Visitations– Mr. Miola stated that a representative from his office has been contacting those members up for renewal this year to schedule an appointment with the Fund Commissioner, Risk Management Consultant and Representatives of the governing body. These appointments are an opportunity to discuss the member’s participation in the JIF and the many programs that are available. He noted that his office has received Agreements and Resolutions from Deptford Township, Greenwich Township, Harrison Township, Monroe Township and South Harrison Township. Technology Risk Assessments– Mr. Miola stated that the Technology Risk Assessments conducted by Pivot Point Security have been completed. He noted that the individual member reports were mailed to the Municipal Clerk, with an electronic copy of the report emailed to the Fund Commissioners and Risk
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TRICO Executive Committee Meeting Minutes June 26, 2017 Page 6 Management Consultants. He noted that it is anticipated that training and policies and procedures to address the greatest areas will need to be developed. Website (www.tricojif.org) – Mr. Miola noted that the JIF has a website that contains very useful information for the members:
· Directories o Fund Commissioners o Claims and Safety Contracts o Fund Professionals
· Coverage o Bulletins o Certificates of Insurance/ID Card Requests o Sample Indemnification Language
· Safety o Bulletins o Training Links
New Member Activity – Mr. Miola stated his office extended an offer of membership to the Franklin Township Fire Districts on June 22, 2017. His office also presented a JIF Concept presentation to West Deptford on July 19, 2017. Loss Ratio Reports – Mr. Miola stated that JIF/MEL/EPL Loss Ratio Reports valued as of June 30, 2017 were distributed to the Fund Commissioners and Risk Management Consultants at the meeting.
Mr. Miola asked if there were any questions at this time. There were none.
SOLICITOR’S REPORT
Executive Claims Committee Meeting Mr. DeWeese highlighted the following items from the Claims Review Committee Meeting:
Assignment of New Cases Mr. DeWeese reported three (3) new cases have been assigned since the last meeting.
New Cases Scola vs. Township of Washington
Broughton vs. City of Vineland
Feliciano vs. City of Vineland
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TRICO Executive Committee Meeting Minutes June 26, 2017 Page 7 Closed Cases
Mr. DeWeese reported that there were no case(s) closed since the last meeting in which no payments were made to the Plaintiffs.
Revised Litigation Management Guidelines – Mr. DeWeese stated that the revised version of the Litigation Management Guidelines was included in the agenda packet for the members to review. He noted that copies were sent to the Executive Committee members and he did not receive any questions or comments. He noted that there were two (2) resolutions that would need to be adopted. Resolution 2017-27 – Adopting the Revised Litigation Management Guidelines Motion by Mr. Law, seconded by Mr. Razze, to adopt the revised Litigation Management Guidelines as presented.
ROLL CALL Yeas: Sue Miller, Clayton Borough Doris Hall, Logan Township John Washington, Penns Grove Borough Mike Razze, Pitman Borough Brad Campbell, Chair, Shiloh Borough Carl Bagby, Swedesboro Borough Bob Law, Secretary, Woodbury City
Nays: None
Abstain: None
All in favor. Motion carried by unanimous vote.
Resolution 2017-28 – Revising the Procedures for Assigned Defense Counsel’s Authorized Delegation of Litigation Tasks Motion by Mr. Law, seconded by Ms. Hall, to adopt the revised Procedures for Assigned Defense Counsel’s Authorized Delegation of Litigation Tasks as presented.
ROLL CALL Yeas: Sue Miller, Clayton Borough Doris Hall, Logan Township John Washington, Penns Grove Borough Mike Razze, Pitman Borough Brad Campbell, Chair, Shiloh Borough Carl Bagby, Swedesboro Borough Bob Law, Secretary, Woodbury City
Nays: None
Abstain: None
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TRICO Executive Committee Meeting Minutes June 26, 2017 Page 8
All in favor. Motion carried by unanimous vote.
General Liability Files
Mr. DeWeese stated that the TRICO JIF has 32 active General Liability files.
Subrogation Files
Mr. DeWeese stated that the TRICO JIF has 46 Subrogation files.
Mr. DeWeese asked if there were any questions at this time. No questions were entertained.
SAFETY DIRECTOR’S REPORT
Mr. Garish stated that the Safety Director's Report is self-explanatory. He highlighted the following items:
MEL Video Library – He noted that there is a new email address: [email protected] and a new phone number: 856-552-4900.
Safety Director’s Bulletins – He noted that there were two (2) bulletin(s); Stationary Work Zones and Ladder Safety issued since the last meeting.
MSI Training Programs – He noted that the upcoming MSI training programs for July, August and September were included in the agenda packet. He noted that monthly reminders are being sent out via email. He asked the members to contact his office if they are not receiving the emails.
Mr. Garrish asked if there were any questions at this time. No questions were entertained.
CLAIMS ADMINISTRATOR’S REPORT
Lessons Learned from Losses – July
Mr. Roselli provided the members with the Lessons Learned from Losses which was included in the agenda packet. Mr. Roselli stated that the Lessons from Losses for this month is on the Supervisor’s Incident Report. He stated that the purpose of the Supervisor’s Incident Report is to identify root causes of claims and prevent future occurrences. He stated that the Supervisor’s Incident Report is most often thought of as it relates to Workers Compensation claims but it is also used to investigate Property, Automobile and General Liability claims as well. He noted that when an accident occurs these steps should be taken:
· Render any necessary medical assistance · Take steps to secure the area · Notify law enforcement if a motor vehicle or crime is involved · Take photos and preserve equipment involved in the accident · Use the incident report form as a guide to identify ways to prevent future occurrences · Prepare the report in sufficient detail so that the basic facts can be documented and corrective
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TRICO Executive Committee Meeting Minutes June 26, 2017 Page 9 Mr. Roselli asked if there were any questions at this time. No questions were entertained.
WELLNESS DIRECTOR’S REPORT
Ms. Schiffer noted that her report is detailed in the agenda packet. She highlighted the following:
· Logan Township started an 8-week combination challenge Weight Loss/Maintenance and Fitness. They will have bi-weekly weigh ins and names will be entered towards a grand prize based on performance.
· Vineland is doing a Stair Survivor Challenge. · Logan Township started ab 8-week combination Weight Loss/Maintenance and Fitness
challenge. Bi-weekly weigh ins will be held. Names are entered towards a grand prize based on performance.
· Fall Health Fairs are being discussed in Carneys Point, Swedesboro, Vineland and Washington Township.
· Regional Training: A Wellness Coordinator Workshop is scheduled for September 20, 2017 at 10am at the Gloucester County Library, Mullica Hill, NJ. She reminded the members to make sure that there is Point Person to attend.
· Wellness Connection Newsletter for July, 2017 was included in the agenda packet as well as being posted to the JIF website.
Ms. Schiffer asked if there were any questions at this time. No questions were entertained.
MANAGED HEALTH CARE REPORT
Lost Time v. Medical Only Cases Ms. Beatty presented the TRICO JIF Lost Time v. Medical Only Cases (Intake Report).
June YTD Lost Time 3 34
Medical Only 24 105
Report Only 14 59
Total Intakes(New Claims) 41 198
Report Only % of Total 34.1% 29.8%
Medical Only/Lost Time Ratio 89:11 76:24
Average Days to Report 2.0 3.1
Transitional Duty Report
Ms. Beatty presented the Transitional Duty Report for 2017.
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TRICO Executive Committee Meeting Minutes June 26, 2017 Page 10
Transitional Duty Summary Report YTD Transitional Duty Days Available 1,727
Transitional Duty Days Worked 765
% of Transitional Duty Days Worked 44.3%
Transitional Duty Days Not Accommodated 962
% of Transitional Duty Days Not Accommodated 55.7%
PPO Penetration Report:
Ms. Beatty presented the monthly PPO Penetration Report for June, 2017.
PPO Penetration Rate June Bill Count 367
Original Provider Charges $209,259
Re-priced Bill Amount $81,921
Savings $127,337
% of Savings 60.9%
PPO Penetration Rate Bill Count Percentage 95.1%
PPO Penetration Rate Provider Charge Percentage 97.0%
EPO Penetration Rate Bill Count Percentage 95.2%
EPO Penetration Rate Provider Charge Percentage 97.6%
Ms. Beatty asked if there were any questions. No comments or questions were entertained.
TREASURER’S REPORT
Mr. Tontarski provided an overview of Mr. Tontarski’s report for June 30, 2017.
Investment Interest
Mr. Tontarski reported interest received or accrued for the current month totaled $28,830.46. This generated an average annual yield of 1.16%. After including an unrealized net loss of $39,666.50 in the asset portfolio, the yield is adjusted to -.44% for this period. The total overview of the asset portfolio for the Fund shows an overall unrealized loss of $310,237.00 as it relates to market value of $25,755,860.00 vs. the amount invested. The current market value, including accrued income is valued at $25,830,196.75.
Our asset portfolio with Wilmington Trust consists of nine (9) obligations with maturities greater than two years and three (3) obligations with maturities between one and two years.
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TRICO Executive Committee Meeting Minutes June 26, 2017 Page 11
Mr. Tontarski asked if there were any questions at this time. No questions were entertained.
Receipt Activity for the Period
Mr. Tontarski reported on the total subrogation, reimbursement, & receipts.
June Subrogation Receipts $21,362.30 Overpayment Reimbursements $.00 TRICO JIF vs. Killen $307.42
A.E.L.C.F. Member Participant Balances: Woodbury City $20,308.00
Washington Twp $75,608.00 Pittsgrove Township $31,247.00 Stow Creek Township $760.00
Claim Activity for the Period Claim activity for the month for claims paid by the Fund and claims payable by the Fund at month end are in the amount of $436,278.39. The claims detail for the 571 checks is included in his report.
Cash Activity for the Period
Mr. Tontarski stated that during the reporting period, the Fund’s “Cash Position” changed from an opening balance of $29,988,035.58 to a closing balance of $29,436,260.20 showing a decrease in the Fund of $551,775.38.
Loss Run Payment Register
Chair Campbell entertained a motion to approve the June Loss Run Payment Register as presented.
Motion by Mr. Law, seconded by Ms. Hall, to approve the June Loss Run Payment Register as presented.
ROLL CALL Yeas: Sue Miller, Clayton Borough Doris Hall, Logan Township John Washington, Penns Grove Borough Mike Razze, Pitman Borough Brad Campbell, Chair, Shiloh Borough Carl Bagby, Swedesboro Borough Bob Law, Secretary, Woodbury City
Nays: None
Abstain: None
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TRICO Executive Committee Meeting Minutes June 26, 2017 Page 12
All in favor. Motion carried by unanimous vote.
Amended Bill List – July, 2017
Mr. Tontarski presented the amended July 2017 Bill List for the members’ consideration in the amount of $1,104,500.65.
Chair Campbell entertained a motion to approve the amended July 2017 Bill List in the amount of $1,104,500.65.
Motion by Mr. Law, seconded by Ms. Hall, to approve the amended July 2017 Bill List in the amount of $1,104,500.65 as presented.
ROLL CALL Yeas: Sue Miller, Clayton Borough
Doris Hall, Logan Township John Washington, Penns Grove Borough Mike Razze, Pitman Borough Brad Campbell, Chair, Shiloh Borough Carl Bagby, Swedesboro Borough Bob Law, Secretary, Woodbury City
Nays: None
Abstain: None
All in favor. Motion carried by unanimous vote.
RMC Bill List – July, 2017
Mr. Tontarski presented the July 2017 RMC Bill List for the members’ consideration in the amount of $261,915.00.
Chair Campbell entertained a motion to approve the July 2017 RMC Bill List in the amount of $261,915.00.
Motion by Ms. Hall, seconded by Mr. Law, to approve the July 2017 RMC Bill List in the amount of $261,915.00 as presented.
ROLL CALL Yeas: Sue Miller, Clayton Borough
Doris Hall, Logan Township John Washington, Penns Grove Borough Mike Razze, Pitman Borough Brad Campbell, Chair, Shiloh Borough Carl Bagby, Swedesboro Borough Bob Law, Secretary, Woodbury City
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TRICO Executive Committee Meeting Minutes June 26, 2017 Page 13
Nays: None
Abstain: None
All in favor. Motion carried by unanimous vote.
2nd Installment JIF Assessments
Mr. Tontarski stated that the 2nd installment of the assessments are due August 15, 2017, however, there is a 30 day grace period.
COMMITTEE REPORTS
Nothing to report. MEL/E-JIF/RCF Reports
Nothing to report.
MISCELLANEOUS BUSINESS
Next Meeting
Chair Campbell noted the next meeting of the TRICO JIF will be held on Monday, September 25, 2017 at 5:00 PM at the Gloucester County Library, Mullica Hill, NJ.
Fund Vendor Payments – August, 2017
Motion by Mr. Law, seconded by Ms. Hall, to authorize the Fund Treasurer to process and pay Fund Vendors in August, 2017.
ROLL CALL Yeas: Sue Miller, Clayton Borough Doris Hall, Logan Township John Washington, Penns Grove Borough Mike Razze, Pitman Borough Brad Campbell, Chair, Shiloh Borough Carl Bagby, Swedesboro Borough Bob Law, Secretary, Woodbury City
Nays: None
Abstain: None
All in favor. Motion carried by unanimous vote.
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TRICO Executive Committee Meeting Minutes June 26, 2017 Page 14 PUBLIC COMMENT
Open Public Comment
Chair Campbell entertained a motion to open the meeting to the public.
Motion by Mr. Law, seconded by Mr. Razze, to open the meeting to the public. All in favor. Motion carried.
Close Public Comment
Hearing no comments from the public, Chair Campbell entertained a motion to close the meeting to the public.
Motion by Mr. Law, seconded by Mr. Razze, to close the meeting to the public. All in favor. Motion carried.
EXECUTIVE SESSION MEETING
A Closed Session of the TRICO JIF was not held.
APPROVE CLAIMS PAYMENTS
Mr. Roselli of Qual-Lynx presented the following Payment Authorization Requests (PARs) during the Executive Claims Committee Meeting held on July 24, 2017.
Workers’ Compensation
General Liability Property
2017104343 1235319 2017097497
2017102283 1176953
001251970
001253586
2017089731
2017102672
2017092079
Chair Campbell asked members for their questions at this time. No questions were entertained.
Chair Campbell entertained a motion to approve the PARs as presented in their entirety during the Executive Claims Review Committee Meeting.
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TRICO Executive Committee Meeting Minutes June 26, 2017 Page 15 Motion by Mr. Law, seconded by Ms. Hall, to Approve Payment Authority on the Claims as presented during the Executive Claims Committee Meeting.
ROLL CALL Yeas: Sue Miller, Clayton Borough
Doris Hall, Logan Township John Washington, Penns Grove Borough Mike Razze, Pitman Borough Brad Campbell, Chair, Shiloh Borough Carl Bagby, Swedesboro Borough Bob Law, Secretary, Woodbury City
Nays: None
Abstain: None
All in favor. Motion carried by unanimous vote.
APPROVE ABANDONING SUBROGATION
There were no claims presented for Abandoning Subrogation.
MOTION TO ADJOURN
There being no further business, Chair Campbell entertained a Motion to Adjourn the July 27, 2017 Executive Committee Meeting.
Motion by Mr. Law, seconded by Ms. Hall, to adjourn the July 27, 2017 meeting of the TRICO JIF.
The meeting was adjourned at 4.29 PM.
Brenda Smith, Recording Secretary for
BOB LAW, FUND SECRETARY
15
To: Fund Commissioners
From: Paul J. Miola, CPCU, ARM, Executive Director
Date: September 25, 2017
Re: Executive Director’s Report
**************************************************************************************
A. Lost Time Accident Frequency Report (pgs. 19-22) The June and July 2017 Lost Time Accident Frequency Summary and the Statewide Recap for June and July 2017 are attached for your review.
B. Certificates of Insurance (pgs. 23-27) Summaries of the Certificates of Insurance issued through July/August 2017 are attached for your review.
C. 2016 Safety Incentive Program (pg. 28) A letter from our office describing how to collect your 2016 Safety Incentive Awards money was emailed on or about February 21, 2017. A report detailing the available balances for each member is attached for your review. If you have any questions on how to collect your 2017 Optional Safety Budget allowance, please contact our office Please note that the deadline to claim or encumber these funds is November 1, 2017. All encumbered funds must be claimed by February 1, 2018.
D. 2017 Optional Safety Budget (pg. 29) A letter from our office describing how to collect your 2017 Optional Safety Budget allowance was e-mailed on or about January 25, 2017. A report detailing the available balances for each member is attached for your review. If you have any questions on how to collect your 2017 Optional Safety Budget allowance, please contact our office. Please note that the deadline to claim or encumber these funds is November 1, 2017. All encumbered funds must be claimed by February 1, 2018.
E. 2017 Wellness Incentive (pg. 30) A report detailing the available balance for each member for the 2017 Wellness Incentive Program is attached for your review. Instructions on claiming these funds were e-mailed to all members on or about January 30, 2017. If you have any questions on how to utilize your 2017 Wellness Incentive Program funding, please contact Debby Schiffer, Wellness Director, or our office. Please note that the deadline for claiming or encumbering these funds is November 1, 2017. All encumbered funds must be claimed by February 1, 2018.
F. EPL Helpline – Authorized Contact List (pg. 31)
With the placement of the member’s EPL/POL coverage in the commercial insurance market, the insurance company QBE has implemented an EPL Helpline for the member’s use. Those authorized to access this service must be appointed by Resolution of the Governing Body. Please note that Municipal Solicitors can not be appointed as Helpline Contacts. There is no restriction on the number of calls or amount of time that members can contact this service. Members can appoint two representatives to use this service. Enclosed, please find the most recent list of authorized contacts for the EPL Helpline. These are the only representatives 16
Executive Director’s Report Page 2
authorized to access this service. All members are asked to review this list and respond to the e-mail request as soon as possible. Please contact the Executive Director’s Office with any questions.
G. EPL/Cyber Risk Management Budget (pg. 32)
The JIF has budgeted $540 for each member to help offset employment practice and cyber security related expenses. This budget can be a valuable resource to members in addressing these areas of exposure. If you need additional information regarding this program, please contact our office.
H. Employment Practices Liability Compliance (pgs. 33-34)
A compliance status report regarding the Employment Practices Liability Coverage is attached for your review. Each member should review this report carefully to insure its accuracy. If you believe the report to be inaccurate regarding your town, please contact PERMA directly
I. Financial Fast Track (pgs. 35-36)
The Financial Fast Track Report as of June 30 and July 31, 2017 are attached for your review. The report is generated by PERMA and provides a “snapshot” of the JIF’s financial status. The JIF’s surplus position as of June 30, 2017 was $20,127,473 and the JIF’s surplus position as of July 31, 2017 was $20,222,498.
J. Regulatory Filing Checklists (pgs. 37-38) Enclosed please find two regulatory filing checklists that we provide each month as part of our due diligence reporting on behalf of the JIF. These checklists provide an outline of required reporting to the Departments of Banking and Insurance and Community Affairs on an annual and a monthly basis, and the status of the items outlined.
K. Capehart & Scatchard Updates (pgs.39-61) John Geaney, Esq. of the law firm of Capehart & Scatchard periodically provides updates on court cases dealing with workers’ compensation, ADA and FMLA issues. Copies of his latest updates are included for your information.
L. Statutory Bond Status (pgs. 62-63)
Attached for your review is the latest listing of Statutory Bonds issued by the MEL for JIF members. This list should be reviewed for accuracy. Any questions on the status of an application or a listed bond should be directed to Cate Kiernan at PERMA. Cate can be reached at 201-518-7031
M. Skateboard Park Approval Status (pg. 64)
Enclosed, please find a spreadsheet depicting the current status of all approved skateboard parks or those currently under construction by a member municipality. The MEL has established a process, outlined in MEL Coverage Bulletin 2017-09, which must be followed by all members who wish to construct a skateboard park and have the TRICO JIF and MEL provide said facility with coverage. Any member with a park currently under construction or in the review process should review the enclosed spreadsheet to be sure that it accurately depicts the status of your facility. All members considering construction of a skateboard park should contact the Executive Director’s office prior to moving forward.
N. Renewing Members (pg. 65) As of September 18th, 2017 we have received Agreements and Resolutions from all renewing members. 17
Executive Director’s Report Page 3
O. Quarterly Attendance (pg. 66) A report detailing attendance records through the second quarter of the 2017 Fund Year is attached for your review.
P. Elected Officials Training – Save the Date (pg. 67) Again, this year, the Fund will be sponsoring Elected Officials training. The MEL will reduce each member’s 2018 MEL Assessment by $250 for each municipal elected official who attends one of the training sessions by March 31, 2018. This credit will also be extended to the member’s CEO (i.e. Municipal Manager or Administrator) this year. The total credit is limited to 25% of a member’s 2018 MEL Assessment. A Save the Date was emailed out to all Clerks, Fund Commissioners, and RMC’s on or about September 7, 2017. Invitations/RSVP’s for the sessions will be e-mailed to all Municipal Clerks and Fund Commissioners in late October. The trainings have been scheduled on the following dates:
December 7, 2017 - Merighi’s Savoy Inn, Vineland
January 30, 2018 - Nicolosi’s Catering, West Deptford February 7, 2018 - Merighi’s Savoy Inn, Vineland
March 28, 2018 - O’Connor’s American Bar & Grille, Eastampton Q. MEL Cyber Risk Management
The MEL is in the process of developing a Cyber Risk Management Program that will be rolled out to all members later this fall. The program will incorporate employee training, the adoption and implementation of cyber related policies and procedures, and other software and hardware related compliance programs. Members who come into compliance with the program will have a reduced deductible for cyber related claims. Additional details on the program will be forthcoming. If you have any questions, please contact the Executive Director’s office.
R. Qual-Lynx Memo (pg. 68)
A memorandum from Ann Noble, President and CEO of Qual-Lynx, in regards to her resignation as President of Qual Lynx and the new management team, is attached for your information.
S. WEBSITE (WWW.TRICOJIF.ORG)
The JIF has a website that contains useful information for our members: • Directories
• Fund Commissioners • Claims and Safety Contacts • Fund Professionals
• Coverage • Bulletins • Certificates of Insurance/ID Card Requests • Sample Indemnification Language
• Safety • Bulletins • Training Links
And much, much more. Why not take a moment and explore our website! T. New Member Activity
The Executive Director has received an application for admission from West Deptford for membership effective January 1, 2018.
18
June 30, 2017
2017 2016 2015 TOTAL
LOST TIME LOST TIME LOST TIME RATE *
FUND FREQUENCY FREQUENCY FREQUENCY 2017 - 2015
MONMOUTH 2.90 1.76 2.21 2.14
SUBURBAN ESSEX 2.39 1.67 2.15 2.01
PROF MUN MGMT 2.16 2.08 3.81 2.77
TRI-COUNTY 2.06 2.37 2.05 2.18
OCEAN 1.88 2.21 2.24 2.16
SOUTH BERGEN 1.72 2.28 2.76 2.37
CENTRAL 1.50 1.70 1.95 1.78
SUBURBAN MUNICIPAL 1.48 2.13 2.19 2.03
NJ PUBLIC HOUSING 1.48 1.91 2.01 1.87
CAMDEN 1.38 1.35 2.55 1.74
ATLANTIC 1.34 3.07 2.67 2.52
BERGEN 1.18 1.56 2.27 1.78
MORRIS 1.15 1.87 2.00 1.78
N.J.U.A. 1.10 3.10 2.60 2.49
BURLINGTON 0.87 1.93 1.85 1.68
AVERAGE 1.64 2.07 2.35 2.09
* NOTE : lost days may include claims with reserves - where claimant may not yet have had lost time
2017 LOST TIME ACCIDENT FREQUENCY ALL JIFs
20
Ju ly 31, 2017
2017 2016 2015 TOTAL
LOST TIME LOST TIME LOST TIME RATE *
FUND FREQUENCY FREQUENCY FREQUENCY 2017 - 2015
MONMOUTH 3.03 1.76 2.19 2.18
SUBURBAN ESSEX 2.34 1.67 2.15 2.01
PROF MUN MGMT 1.85 2.08 3.81 2.69
OCEAN 1.81 2.21 2.24 2.13
N.J.U.A. 1.79 3.15 2.60 2.63
TRI-COUNTY 1.77 2.37 2.05 2.10
NJ PUBLIC HOUSING 1.65 1.91 2.01 1.90
SOUTH BERGEN 1.57 2.28 2.76 2.32
ATLANTIC 1.54 3.09 2.67 2.53
CAMDEN 1.48 1.35 2.55 1.75
CENTRAL 1.44 1.70 1.95 1.76
SUBURBAN MUNICIPAL 1.39 2.13 2.19 2.00
BERGEN 1.16 1.56 2.27 1.76
MORRIS 1.10 1.89 2.00 1.75
BURLINGTON 0.83 1.93 1.85 1.65
AVERAGE 1.65 2.07 2.35 2.08
* NOTE : lost days may include claims with reserves - where claimant may not yet have had lost time
2017 LOST TIME ACCIDENT FREQUENCY ALL JIFs
22
Gloucester, Salem, Cumberland Counties Municipal Joint Insurance Fund Monday, July 24, 2017 Certificate Of Insurance Monthly Report From 6/22/2017 To 7/21/2017 Holder Description of Issue Holder (H) / Insured Name (I) Holder / Insured Address Code Operations Date Coverage TRICO JIF H- Township of Fairfield 230 Fairfield Road Fairfield, NJ 07004 23597 Evidence of insurance as respects to Statutory Bond Coverage for 7/20/2017 BOND I- Fairfield Township Route 553-Box 240 Fairton, NJ 08302 Neil Young, CFO/Treasurer, effective 06/08/2017.
H- Township of Pilesgrove 1180 Route 40 Pilesgrove, NJ 08098 24518 Evidence of insurance as respects to Statutory Bond coverage for 7/18/2017 BOND I- Township of Pilesgrove 1180 Route 40 Pilesgrove Township, NJ 08098 Marie Stout - Treasurer/CFO, effective 04/01/2017.
H- Township of Washington 523 Egg Harbor Road, PO Box 1106 Turnersville, NJ 24545 Evidence of insurance as respects to Statutory Bond coverage for 7/18/2017 BOND 08012 Ashley Morrone - Treasurer/Tax Collector, effective 01/01/2017. I- Township of Washington (T) 523 Egg Harbor Road P.O. Box 1106 Turnersville, NJ 08012
H- Burlington County Board of Chosen Freeholders Attn: Insurance & Risk Management Division 49 24619 Evidence of insurance as respects to mantua Township Fire 6/22/2017 GL EX WC Rancocas Road PO Box 6000 Mt. Holly, NJ 08060-6000 Districts utilization of grounds/ facilities
H- Vineland Board of Education 652 Plum Street Vineland, NJ 08360 25390 Certificate Holder is amended to be included as “additional 6/23/2017 Gl EX I- City of Vineland 640 E. Wood St. PO Box 1508 Vineland, NJ 08362-1508 insured” the person(s) or organization(s) as shown in the description section of this certificate of insurance for General Liability & Excess Liability pursuant to the terms, conditions, limitations, and exclusions of the JIF Casualty Insurance Policy (but only with respect to liability caused in whole or in part by the acts or omissions of the named insured) as respects the 4th of July Fireworks
H- Diocese of Camden and St Clare of Assisi Parish 140 Broad Street Swedesboro, NJ 08085 25573 Certificate Holder and the Dioceses of Camden, all Dioceses 6/28/2017 Gl EX entities, employees & volunteers are amended to be included as I- Borough of Swedesboro 1500 Kings Highway Swedesboro, NJ 08085 “additional insured” the person(s) or organization(s) as shown in the description section of this certificate of insurance for General Liability & Excess Liability pursuant to the terms, conditions, limitations, and exclusions of the JIF Casualty Insurance Policy (but only with respect to liability caused in whole or in part by the acts or omissions of the named insured) use of premises at 1225 Kings Hwy for parking during Dancing
H- MS Tournament PO Box 592 Maple Shade, NJ 08052 25664 Evidence of insurance with respects to the Washington Township 6/28/2017 GL EX AU WC I- Township of Washington (T) 523 Egg Harbor Road P.O. Box 1106 Turnersville, NJ Parks and Recreation Baseball Team participating in a 08012 tournament.
23
H- Apollo Auto Sales 573 Delsea Drive Sewell, NJ 08080 25665 Evidence of insurance with respects to the Township of 6/28/2017 GL EX AU WC I- Township of Washington (T) 523 Egg Harbor Road P.O. Box 1106 Turnersville, NJ Washington using Apollo Auto Sales’ vehicle for the 4th of July 08012 parade.
H- Washington Township Board of Education 206 E. Holly Ave Sewell, NJ 08080 25666 Evidence of insurance with respects to the Township of 6/28/2017 GL EX AU WC I- Township of Washington (T) 523 Egg Harbor Road P.O. Box 1106 Turnersville, NJ Washington using the High School facilities for the 4th of July 08012 parade and fireworks.
H- Vineland Board of Education 625 Plum Street Vineland, NJ 08360 25711 Certificate Holder is amended to be included as “additional 7/5/2017 GL EX WC I- City of Vineland 640 E. Wood St. PO Box 1508 Vineland, NJ 08362-1508 insured” the person(s) or organization(s) as shown in the description section of this certificate of insurance for General Liability & Excess Liability pursuant to the terms, conditions, limitations, and exclusions of the JIF Casualty Insurance Policy (but only with respect to liability caused in whole or in part by the acts or omissions of the named insured) as respects to a fireworks display for Vineland National Night Out to be held 8/1/2017 at the Vineland High School Complex, Chestnut Ave. & Brewster Rd., Vineland, NJ. H- Rowan University The Office of Conference & Event Services Chamberlain25713 Rowan University, The State of New Jersey, and the New Jersey 7/5/2017 GL EX AU WC Student Center Room 205 201 Mullica Hill Rd Educational Facilities Authority is amended to be included as Glassboro, NJ 08028 “additional insured” the person(s) or organization(s) as shown in I- Borough of Pitman 110 South Broadway Pitman, NJ 08071-2237 the description section of this certificate of insurance for General Liability & Excess Liability pursuant to the terms, conditions, limitations, and exclusions of the JIF Casualty Insurance Policy (but only with respect to liability caused in whole or in part by the acts or omissions of the named insured) as respects Pitman Recreation Field Hockey Clinic being held on 07/10/2017 - 07/14/2017 at Rowan University West Campus Field 1.
H- Township of Franklin Board of Education 3228 Coles Mills Road Franklinville, NJ 08322 25734 Certificate Holder is amended to be included as “additional 7/10/2017 GL EX AU WC I- Township of Franklin 1571 Delsea Drive Franklinville, NJ 08322 insured” the person(s) or organization(s) as shown in the description section of this certificate of insurance for General Liability & Excess Liability pursuant to the terms, conditions, limitations, and exclusions of the JIF Casualty Insurance Policy (but only with respect to liability caused in whole or in part by the acts or omissions of the named insured) as respects Community Day Event. H- Locust Grove 1 Locust Grove Blvd. Deptford, NJ 08096 25752 Evidence of insurance as respects to the Locust Grove BBQ. 7/12/2017 GL EX AU PR PD I- Township of Deptford 1011 Cooper Street Deptford, NJ 08096 H- Ford Motor Credit Co., LLC 1 American Road Dearborn, MI 48126 25753 Certificate Holder is amended to be included as “additional 7/12/2017 GL EX AU PR PD I- Borough of Penns Grove West Main & East State Streets Penns Grove, NJ insured” the person(s) or organization(s) as shown in the 08069 description section of this certificate of insurance for General Liability & Excess Liability & as “Loss Payee" ATIMA, for Property pursuant to the terms, conditions, limitations, and exclusions of the JIF Casualty and Property Insurance Policies (but only with respect to liability caused in whole or in part by the acts or omissions of the named insured) with respects to the lease of a 2017 Ford Police Interceptor Utility w/ Equipment,
H- Locust Grove 1 Locust Grove Blvd. Deptford, NJ 08096 25754 Evidence of insurance as respects to the Locust Grove BBQ on 7/12/2017 GL EX AU PR PD I- Township of Deptford 1011 Cooper Street Deptford, NJ 08096 7/15/17.
24
H- RCL Solar PO Box 647 Friesburg Road Alloway, NJ 08001 25772 Evidence of Insurance regarding the installation of Solar Panels at 7/13/2017 GL EX WC PR I- Upper Pittsgrove Township 431 Route 77 Elmer, NJ 08318 Monroe Fire Company valued at $40,000.
H- Elsinboro Township School District 631 Salem Fort Elfsborg Rd Salem, NJ 08079 25781 Evidence of Insurance as respects the Elsinboro Fire Companies 7/14/2017 GL EX AU PR PD I- Township of Elsinboro 619 Salem - Ft. Elfsburg Rd. Salem, NJ 08079 use of the school.
H- Holladays Used Auto Parts 242 Salem-Hancocks Bridge Road Salem, NJ 08079 25794 Certificate Holder is amended to be included as “additional 7/17/2017 GL EX AU WC insured” the person(s) or organization(s) as shown in the I- Township of Lower Alloways Creek 501 Locust Island Road, P O Box 157 Hancocks Bridge, description section of this certificate of insurance for General NJ 08038 Liability & Excess Liability pursuant to the terms, conditions, limitations, and exclusions of the JIF Casualty Insurance Policy (but only with respect to liability caused in whole or in part by the acts or omissions of the named insured) as respects National Night Out, Tuesday August 1st, 2017, 6:30-10:00pm in the Municipal Building.
H- County of Gloucester 2 South Broad Street Woodbury, NJ 08096 25795 Evidence of Insurance as respects to Aura Volunteer Fire Co. 7/18/2017 GL EX WC I- Elk Township 680 Whig Lane Monroeville, NJ 08343 Coin Drop on 11/24/17 and 12/23/17 at the location of Buck Road (CR553) and Whig Lane (CR610).
H- SealMaster 6853 Ruppsville Road Allentown, PA 18106 25811 Certificate Holder is amended to be included as “additional 7/21/2017 GL EX AU PR PD I- Clayton Borough 125 North Delsea Drive Clayton, NJ 08312 insured” the person(s) or organization(s) as shown in the description section of this certificate of insurance for General Liability & Excess Liability pursuant to the terms, conditions, limitations, and exclusions of the JIF Casualty Insurance Policy (but only with respect to liability caused in whole or in part by the acts or omissions of the named insured) as respects to rented equipment. Minimum limits@ $55,000 per any one item on a replacement cost basis for "All Risk" cause of loss.
Total # of Holders = 20
25
From 7/22/2017 To 8/21/2017
TRICO Municipal JIF Certificate of Insurance Monthly Report
08/22/2017
1 of 1
Holder (H)/ Insured Name (I)
Holder / Insured Address
Description of Operations
Issue Date/ Cert ID
Coverage
H - Gloucester County Improvement I - Township of Washington
Authority/CP 109 Budd Blvd. West Deptford, NJ 08096
Evidence of Insurance with respects to Washington Township's Parks and Recreation Program participating in "Clean Up Days", done on various days throughout the policy period.
7/25/2017 #1735151
GL EX
H - Evidence of Insurance I - Township of Quinton
Evidence of Insurance. 7/26/2017 #1735492
GL AU EX WC OTH
H - Rutgers Office of Continuing I - City of Vineland
Professional Education NJ Agricult Expt Station Rutgers The State Univ of NJ 102 Ryders Lane New Brunswick, NJ 08901
Evidence of Insurance. 7/26/2017 #1735555
GL AU EX WC OTH
H - South Jersey I - Borough of Paulsboro
United Football League
Evidence of insurance as respects to Paulsboro Midget Football Leagues' participation in the 2017 Football Season.
7/27/2017 #1736787
GL AU EX WC
H - Salem County Board of Chosen I - Township of Pilesgrove
Freeholders; Salem County Department of Health and Human Services 110 Fifth Street Salem, NJ 08079
Evidence of coverage as it relates to the contract with the County for the Pilesgrove/Woodstown Municipal Alliance.
7/31/2017 #1739518
GL AU EX WC OTH
H - Rowan College at Gloucester I - City of Woodbury
County 1400 Tanyard Rd. Sewell, NJ 08080
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 use of premises by the Woodbury City Police Department for training purposes on 12/14/17 from 7:00am to 4:00pm.
8/1/2017 #1740322
GL EX
H - Gloucester County I - Borough of Westville
Board of Chosen Freeholders 2 South Broad, 3rd Floor Deptford, NJ 08096
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 use of a 2007 Lifeline Amublance Vin# 94932 valued at $175,000 during August &
8/7/2017 #1742029
GL AU EX WC OTH
26
From 7/22/2017 To 8/21/2017
TRICO Municipal JIF Certificate of Insurance Monthly Report
08/22/2017
1 of 1
September 2017.
H - Interstate Aerials LLC I - City of Vineland
313 Borelli Boulevard Paulsboro, NJ 08066
RE: Rental of High Reach Platform Evidence of Insurance as respects a rental of a high reach platform from Interstate Aerials on 8/11/2017.
8/11/2017 #1742612
GL AU EX WC OTH
H - Delaware Park Casino I - Township of Harrison
777 Delaware Park Blvd Wilmington, DE 19804
RE: Active Adults bus trip Evidence of Insurance as respects to the Active Adult Bus Trip on 9/7/2017.
8/11/2017 #1742775
GL AU EX
H - Deptford Township I - Borough of Paulsboro
1011 Cooper Street Deptford, NJ 08096
RE: Registration Activities 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 Registration Activities held on certificate holders premises.
8/21/2017 #1744359
GL AU EX WC
Total # of Holders: 10
27
Member Opening Jan Feb March April May June July August Sept. October Nov. Dec. Paid Total Ending Encum.
Municipality Balance 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2018 Expenses Balance Funds
Alloway 1,755.00 0.00 1,755.00
Carneys Point 2,925.00 2,925.00 2,925.00 0.00
Clayton 2,925.00 2,925.00 2,925.00 0.00
Deptford 4,225.00 4,225.00 4,225.00 0.00
East Greenwich 2,925.00 2,925.00 2,925.00 0.00
Elk 2,275.00 0.00 2,275.00
Elsinboro 1,755.00 1,755.00 1,755.00 0.00
Fairfield 2,275.00 0.00 2,275.00
Franklin 3,575.00 3,575.00 3,575.00 0.00
Glassboro 4,225.00 4,225.00 4,225.00 0.00
Greenwich 2,925.00 2,925.00 2,925.00 0.00
Harrison 2,925.00 2,925.00 2,925.00 0.00
Logan 2,925.00 0.00 2,925.00
Lower Alloways Creek 2,925.00 1,517.61 1,517.61 1,407.39
Mannington 1,755.00 1,755.00 1,755.00 0.00
Mantua 3,575.00 3,575.00 3,575.00 0.00
Monroe 4,225.00 4,225.00 4,225.00 0.00
Oldmans 1,755.00 1,755.00 1,755.00 0.00
Paulsboro 2,925.00 2,925.00 2,925.00 0.00
Penns Grove 3,575.00 0.00 3,575.00
Pennsville 3,575.00 3,575.00 3,575.00 0.00
Pilesgrove 1,755.00 0.00 1,755.00
Pitman 3,575.00 0.00 3,575.00
Quinton Twp. 1,755.00 0.00 1,755.00
Shiloh 1,755.00 0.00 1,755.00
South Harrison 1,755.00 0.00 1,755.00
Swedesboro 2,275.00 2,275.00 2,275.00 0.00
Upper Pittsgrove 1,755.00 1,755.00 1,755.00 0.00
Vineland 4,225.00 4,225.00 4,225.00 0.00
Washington 4,225.00 4,225.00 4,225.00 0.00
Wenonah 2,275.00 2,275.00 2,275.00 0.00
Westville 2,925.00 0.00 2,925.00
Woodbury 3,575.00 3,575.00 3,575.00 0.00
Woodbury Hghts. 2,925.00 2,925.00 2,925.00 0.00
Woodstown 2,275.00 0.00 2,275.00
Woolwich 2,925.00 0.00 2,925.00
Total By Line 101,920.00 0.00 0.00 47,840.00 11,180.00 4,225.00 0.00 4,225.00 0.00 1,517.61 0.00 0.00 0.00 0.00 68,987.61 32,932.39 0.00
Must be claimed by November 1, 2017. All Encumbered Funds must be claimed by February 1, 2018
Gloucester, Salem, Cumberland Counties Municipal Joint Insurance Fund
2016 Safety Incentive Program Awards
28
2017 Optional Safety Budget
Member Opening Jan Feb March April May June July August Sept. Oct. Nov. Dec. Paid Total YTD Ending Encum.
Municipality Balance 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2018 Expenses Balance Funds
Alloway 750.00 0.00 750.00
Carney's Point 2,500.00 0.00 2,500.00
Clayton 2,500.00 881.20 832.00 1,713.20 786.80
Deptford 4,500.00 0.00 4,500.00
East Greenwich 2,500.00 0.00 2,500.00
Elk Township 1,500.00 244.36 244.36 1,255.64
Elsinboro 750.00 0.00 750.00
Fairfield 1,500.00 0.00 1,500.00
Franklin 3,500.00 1,037.14 1,037.14 2,462.86
Glassboro 4,500.00 0.00 4,500.00
Greenwich 3,500.00 0.00 3,500.00
Harrison 2,500.00 0.00 2,500.00
Logan 2,500.00 0.00 2,500.00
Lowers Alloways Creek 2,500.00 556.94 767.98 450.00 1,774.92 725.08
Mannington 750.00 0.00 750.00
Mantua 3,500.00 0.00 3,500.00
Monroe 4,500.00 0.00 4,500.00
Oldmans 750.00 0.00 750.00
Paulsboro 3,500.00 0.00 3,500.00
Penns Grove 3,500.00 0.00 3,500.00
Pennsville 3,500.00 3,376.68 3,376.68 123.32
Pilesgrove 750.00 0.00 750.00
Pitman 3,500.00 0.00 3,500.00
Quinton 750.00 0.00 750.00
Shiloh 750.00 0.00 750.00
South Harrison 750.00 0.00 750.00
Swedesboro 1,500.00 0.00 1,500.00
Upper Pittsgrove 750.00 0.00 750.00
Vineland City 2,500.00 2,500.00 2,500.00 0.00
Washington Township 4,500.00 4,500.00 4,500.00 0.00
Wenonah 1,500.00 0.00 1,500.00
Westville 2,500.00 0.00 2,500.00
Woodbury City 3,500.00 0.00 3,500.00
Woodbury Heights 2,500.00 2,500.00 2,500.00 0.00 02/28/17
Woodstown 1,500.00 0.00 1,500.00
Woolwich 1,500.00 0.00 1,500.00
Total By Line $84,250.00 $0.00 $0.00 $0.00 $3,376.68 $1,594.08 $1,893.54 $3,332.00 $4,950.00 $2,500.00 $0.00 $0.00 $0.00 $0.00 $17,646.30 $66,603.70
Gloucester, Salem, Cumberland Counties Municipal Joint Insurance Fund
Must be encumbered by November 1, 2017 and claimed by February 1, 2018
TRICOJIF Updated as of 9/18/2017
29
2017 Wellness Incentive Program
Member Opening Jan Feb March April May June July August Sept. Oct. Nov. Dec. Paid Total YTD Ending Encum.
Municipality Balance 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2018 Expenses Balance Funds
Alloway 500.00 0.00 500.00
Carney's Point 1,000.00 0.00 1,000.00
Clayton 1,000.00 0.00 1,000.00
Deptford 1,500.00 0.00 1,500.00
East Greenwich 1,000.00 0.00 1,000.00
Elk Township 750.00 0.00 750.00
Elsinboro 500.00 0.00 500.00 03/03/17
Fairfield 750.00 0.00 750.00
Franklin 1,250.00 1,200.00 1,200.00 50.00
Glassboro 1,500.00 0.00 1,500.00
Greenwich 1,000.00 0.00 1,000.00
Harrison 1,000.00 625.49 625.49 374.51
Logan 1,000.00 0.00 1,000.00
Lowers Alloways Creek 1,000.00 419.40 419.40 580.60
Mannington 500.00 0.00 500.00
Mantua 1,250.00 0.00 1,250.00
Monroe 1,500.00 0.00 1,500.00
Oldmans 500.00 0.00 500.00
Paulsboro 1,000.00 0.00 1,000.00
Penns Grove 1,250.00 0.00 1,250.00
Pennsville 1,250.00 259.98 259.98 990.02
Pilesgrove 500.00 0.00 500.00
Pitman 1,250.00 0.00 1,250.00
Quinton 500.00 0.00 500.00 03/02/17
Shiloh 500.00 0.00 500.00
South Harrison 500.00 0.00 500.00
Swedesboro 750.00 100.00 100.00 650.00
Upper Pittsgrove 500.00 0.00 500.00
Vineland City 1,500.00 0.00 1,500.00
Washington Township 1,500.00 0.00 1,500.00
Wenonah 750.00 352.43 352.43 397.57
Westville 1,000.00 0.00 1,000.00
Woodbury City 1,250.00 0.00 1,250.00
Woodbury Heights 1,000.00 0.00 1,000.00
Woodstown 750.00 0.00 750.00
Woolwich 1,000.00 0.00 1,000.00
Total By Line $34,250.00 $0.00 $1,559.98 $0.00 $0.00 $0.00 $0.00 $977.92 $0.00 $419.40 $0.00 $0.00 $0.00 $0.00 $2,957.30 $31,292.70
Gloucester, Salem, Cumberland Counties Municipal Joint Insurance Fund
Must be claimed or encumbered by November 1, 2017 and claimed by February 1, 2018
TRICOJIF Updated as of 9/18/2017
30
EPL Helpline Checklist
Authorized Contact Person(s)
Gloucester, Salem, Cumberland Counties Municipal Joint Insurance Fund P.O. Box 490, Marlton, New Jersey 08053 · P:856-446-9100 · F:856-446-9149 · www.tricojif.org
Date of Last Revision: 09/18/17
C:\Users\kkristie\Documents\TRICO\Exec Dir\EPL Helpline.doc
TOWN AUTHORIZED CONTACT PERSON ADDITIONAL CONTACT PERSON
Alloway Township Charlet Cheeseman, Clerk Ed McKelvey, Mayor Carneys Point Township Marie Stout, Clerk Joseph Racite, Mayor Clayton Borough Sue Miller, Administrator Donna Nestore, CFO Deptford Township Dina Zawadski, Clerk N/A East Greenwich Township Stephen Bottiglieri Dale Archer, Mayor Elk Township Deborah Pine, Clerk Stephen Consodine, CFO Elsinboro Township Doug Hogate N/A Fairfield Township Ben Byrd, Sr. N/A Franklin Township Barbara Freijomil N/A Glassboro Borough Debra Fourre Russell Clark Greenwich Township John Godfrey George W. Shivery, Jr., Mayor Harrison Township Mark Gravinese, Administrator Dennis Chambers, Deputy Administrator Logan Township Linda Oswald, Clerk Lyman Barnes, Administrator Lower Alloways Creek Township
Ronald Campbell, Sr. Kevin Clour, FC
Mannington Township Esther Mitchell, Clerk John Emel, Mayor Mantua Township Jennica Bileci N/A Monroe Township Kevin Heydel, BA Christine Scola Oldmans Township Melinda Taylor, Clerk N/A Paulsboro Borough Lorraine Boyer Vernon Marino, Police Chief Penns Grove Borough Steve Labb, CFO Sharon Williams, Clerk Pennsville Township Rich Barnhart, Mayor Jack Lynch, Mgr. Pilesgrove Township Maureen Abdill Kevin Eachus Pitman Borough Judith O’Donnell, Municipal Clerk Michael Razze, Councilman Quinton Township Marty Uzdanovics, Clerk Pauline Rader, Deputy Clerk Shiloh Borough Ronald Campbell, Sr, Clerk Dallus Bruso, Council President South Harrison Township Nancy Kearns, Clerk Celeste Keen, Deputy Clerk Swedesboro Borough Tanya Goodwin, Clerk Thomas W. Fromm, Mayor Upper Pittsgrove Township Linda Buzby, Clerk Krissy DeFrehn, Deputy Clerk Vineland City Rosalia Gonzalez, Pers. Dir. Robert Dickenson, FC Washington Township Robert Smith N/A Wenonah Borough John Dominy, Council Pres. Karen Sweeney, Treasurer Westville Borough Christine A. Helder N/A Woodbury City Robert Law D. Scott Carew, Administrator Woodbury Heights Borough Robbie Conley, Mayor Janet Pizzi, Clerk Woodstown Borough Cynthia Dalessio, Clerk Deb Tierno Woolwich Township Jane DiBella, Administrator Alan Schwager, Mayor
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Member Opening Jan Feb March April May June July August September October November December Paid in Total YTD Ending
Municipality Balance 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2018 Expenses Balance
Alloway 540.00 0.00 540.00
Carneys Point 540.00 0.00 540.00
Clayton 540.00 0.00 540.00
Deptford 540.00 0.00 540.00
East Greenwich 540.00 0.00 540.00
Elk 540.00 0.00 540.00
Elsinboro 540.00 0.00 540.00
Fairfield 540.00 0.00 540.00
Franklin 540.00 0.00 540.00
Glassboro 540.00 0.00 540.00
Greenwich 540.00 0.00 540.00
Harrison 540.00 0.00 540.00
Logan 540.00 0.00 540.00
Lower Alloways Creek 540.00 0.00 540.00
Mannington 540.00 0.00 540.00
Mantua 540.00 0.00 540.00
Monroe 540.00 0.00 540.00
Oldmans 540.00 0.00 540.00
Paulsboro 540.00 0.00 540.00
Penns Grove 540.00 0.00 540.00
Pennsville 540.00 0.00 540.00
Pilesgrove 540.00 234.00 234.00 306.00
Pitman 540.00 0.00 540.00
Quinton 540.00 0.00 540.00
Shiloh 540.00 0.00 540.00
South Harrison 540.00 0.00 540.00
Swedesboro 540.00 0.00 540.00
Upper Pitts. 540.00 0.00 540.00
Vineland 540.00 0.00 540.00
Washington 540.00 0.00 540.00
Wenonah 540.00 0.00 540.00
Westville 540.00 0.00 540.00
Woodbury (City) 540.00 0.00 540.00
Woodbury Hgts 540.00 0.00 540.00
Woodstown 540.00 0.00 540.00
Woolwich 540.00 0.00 540.00
Total By Line 19,440.00 0.00 0.00 234.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 234.00 19,206.00
Gloucester, Salem, Cumberland Counties Municipal Joint Insurance Fund
2017 EPL/Cyber Risk Management Budget
Must be used by December 31, 2017
JIF EPL Attorney Hotline - 1998 TRICOJIF Updated as of 9/18/201732
MUNICIPAL EXCESS LIABILITY JOINT INSURANCE FUND
EMPLOYMENT PRACTICES COMPLIANCE STATUS - Trico JIF
Data Valued As of : September 5, 2017
Total Participating Members 36
Complaint 36
Percent Compliant 100.00%
01/01/17 2017
Compliant EPL POLCo-Insurance
Member Name * Deductible Deductible 01/01/17ALLOWAY Yes 20,000$ -$ 20,000$ 0%CARNEY'S POINT Yes 20,000$ -$ 20,000$ 0%CLAYTON Yes 20,000$ -$ 20,000$ 20% of 1st 250KDEPTFORD Yes 7,500$ -$ 7,500$ 20% of 1st 100KEAST GREENWICH Yes 20,000$ -$ 20,000$ 20% of 1st 250KELK Yes 20,000$ -$ 20,000$ 20% of 1st 250KELSINBORO Yes 20,000$ -$ 20,000$ 20% of 1st 250KFAIRFIELD TOWNSHIP T Yes 20,000$ -$ 20,000$ 20% of 1st 250KFRANKLIN TOWNSHIP T Yes 20,000$ -$ 20,000$ 20% of 1st 250KGLASSBORO Yes 20,000$ -$ 20,000$ 20% of 1st 250KGREENWICH Yes 20,000$ -$ 20,000$ 20% of 1st 250KHARRISON Yes 20,000$ -$ 20,000$ 20% of 1st 250KLOGAN Yes 20,000$ -$ 20,000$ 20% of 1st 250KLOWER ALLOWAYS CREEK Yes 20,000$ -$ 20,000$ 20% of 1st 100KMANNINGTON TOWNSHIP Yes 20,000$ -$ 20,000$ 20% of 1st 250KMANTUA Yes 20,000$ -$ 20,000$ 20% of 1st 250KMONROE Yes 20,000$ $75,000 deductible on Police Claims 20,000$ 20% of 1st 250KOLDMANS Yes 2,500$ -$ 2,500$ 0%PAULSBORO Yes 20,000$ -$ 20,000$ 20% of 1st 250KPENNS GROVE Yes 2,500$ -$ 2,500$ 0%PENNSVILLE Yes 5,000$ -$ 15,000$ 0%PILESGROVE Yes 20,000$ -$ 20,000$ 20% of 1st 250KPITMAN Yes 20,000$ -$ 20,000$ 20% of 1st 250KQUINTON Yes 20,000$ -$ 20,000$ 20% of 1st 250KSHILOH Yes 2,500$ -$ 2,500$ 0%SOUTH HARRISON Yes 20,000$ -$ 20,000$ 20% of 1st 250KSWEDESBORO BORO Yes 2,500$ -$ 2,500$ 0%UPPER PITTSGROVE Yes 20,000$ -$ 20,000$ 20% of 1st 250KVINELAND Yes 50,000$ -$ 50,000$ 20% of 1st 250KWASHINGTON TOWNSHIP T Yes 20,000$ $75,000 Deductible for Police Claims 20,000$ 20% of 1st 250KWENONAH Yes 2,500$ -$ 2,500$ 0%WESTVILLE Yes 5,000$ -$ 5,000$ 0%WOODBURY Yes 20,000$ -$ 20,000$ 0%WOODBURY HEIGHTS Yes 2,500$ -$ 2,500$ 0%WOODSTOWN Yes 20,000$ -$ 20,000$ 0%WOOLWICH Yes 20,000$ -$ 20,000$ 0%
* Member does NOT participate in EPL coverage
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AS OF June 30, 2017
THIS YTD PRIOR FUNDMONTH CHANGE YEAR END BALANCE
1. UNDERWRITING INCOME 1,148,070 6,880,816 197,964,218 204,845,0332. CLAIM EXPENSES
Paid Claims 414,316 2,248,278 78,561,765 80,809,942 Case Reserves 12,707 1,132,587 5,060,503 6,193,190 IBNR 126,700 (960,250) 3,764,283 2,804,033 Recoveries - - - -
TOTAL CLAIMS 553,723 2,420,614 87,386,551 89,807,1653. EXPENSES
Excess Premiums 374,457 2,263,168 51,044,239 53,307,408Administrative 198,455 1,080,384 36,201,482 37,281,866
TOTAL EXPENSES 572,912 3,343,552 87,245,721 90,589,2734. UNDERWRITING PROFIT (1-2-3) 21,435 1,116,649 23,331,946 24,448,5955. INVESTMENT INCOME (10,836) 176,173 8,265,230 8,441,4046. DIVIDEND INCOME 0 0 757,986 757,986
7. STATUTORY PROFIT (4+5+6) 10,599 1,292,822 32,355,162 33,647,985
8. DIVIDEND 0 0 13,520,512 13,520,512
9. STATUTORY SURPLUS (7-8) 10,599 1,292,822 18,834,650 20,127,473
SURPLUS (DEFICITS) BY FUND YEARClosed (3,729) 66,024 10,543,188 10,609,212MEL JIF Retro (178) 1,806 0 1,806
(37,051) (19,118) 3,186,349 3,167,232(7,010) (42,945) 3,056,819 3,013,875
227,666 361,135 1,656,754 2,017,889310,467 630,462 391,539 1,022,001
(479,566) 295,458 295,458
TOTAL SURPLUS (DEFICITS) 10,599 1,292,822 18,834,650 20,127,473
TOTAL CASH 29,436,230
CLAIM ANALYSIS BY FUND YEAR
TOTAL CLOSED YEAR CLAIMS (101) (101) 66,699,547 66,699,446
FUND YEAR 2013Paid Claims 85,729 201,341 3,623,227 3,824,568Case Reserves (94,326) (149,766) 756,476 606,710IBNR 44,265 (19,478) 83,106 63,628Recoveries 0 0 0 0
TOTAL FY 2013 CLAIMS 35,668 32,097 4,462,809 4,494,906
FUND YEAR 2014Paid Claims 105,677 328,981 3,302,066 3,631,046Case Reserves (146,739) (8,986) 877,796 868,809IBNR 46,623 (253,433) 371,406 117,973Recoveries 0 0 0 0
TOTAL FY 2014 CLAIMS 5,561 66,561 4,551,267 4,617,829
FUND YEAR 2015Paid Claims 16,293 238,573 3,214,983 3,453,556Case Reserves (10,584) (309,619) 1,613,293 1,303,675IBNR (234,711) (268,370) 677,651 409,281Recoveries 0 0 0 0
TOTAL FY 2015 CLAIMS (229,003) (339,416) 5,505,927 5,166,511
FUND YEAR 2016Paid Claims 25,660 710,083 1,721,943 2,432,025Case Reserves 3,727 (97,841) 1,812,938 1,715,097IBNR (341,386) (1,212,241) 2,632,120 1,419,879Recoveries 0 0 0 0
TOTAL FY 2016 CLAIMS (311,999) (599,999) 6,167,000 5,567,001
FUND YEAR 2017Paid Claims 180,958 769,301 769,301Case Reserves 260,731 1,698,900 1,698,900IBNR 611,909 793,272 793,272Recoveries 0 0 0
TOTAL FY 2017 CLAIMS 1,053,598 3,261,472 3,261,472
COMBINED TOTAL CLAIMS 553,723 2,420,614 87,386,551 89,807,165
2017
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.
Per Executive Director, professional fees other than RMC Fees reflect paid amounts.
TRI-COUNTY MUNICIPAL FUNDFINANCIAL FAST TRACK REPORT
2013201420152016
7/25/2017 FFTTRI_06
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AS OF July 31, 2017
THIS YTD PRIOR FUND
MONTH CHANGE YEAR END BALANCE
1. UNDERWRITING INCOME 1,162,146 8,042,962 197,964,218 206,007,1802. CLAIM EXPENSES
Paid Claims 384,306 2,632,584 78,561,765 81,864,585
Case Reserves (232,805) 899,782 5,060,503 5,353,676
IBNR 392,079 (568,171) 3,764,283 3,132,484
Recoveries ‐ ‐ ‐ ‐
TOTAL CLAIMS 543,580 2,964,195 87,386,551 90,350,7453. EXPENSES
Excess Premiums 373,066 2,636,235 51,044,239 53,680,474
Administrative 212,340 1,292,724 36,201,482 37,494,206
TOTAL EXPENSES 585,406 3,928,959 87,245,721 91,174,680
4. UNDERWRITING PROFIT (1‐2‐3) 33,160 1,149,809 23,331,946 24,481,755
5. INVESTMENT INCOME 61,866 238,040 8,265,230 8,503,270
6. DIVIDEND INCOME 0 0 757,986 757,986
7. STATUTORY PROFIT (4+5+6) 95,026 1,387,848 32,355,162 33,743,010
8. DIVIDEND 0 0 13,520,512 13,520,512
9. STATUTORY SURPLUS (7‐8) 95,026 1,387,848 18,834,650 20,222,498
SURPLUS (DEFICITS) BY FUND YEARClosed 29,947 76,854 13,729,537 13,806,391
MEL JIF Retro 1,039 2,845 0 2,845
8,221 (34,723) 3,056,819 3,022,096
7,751 368,885 1,656,754 2,025,639
8,837 639,299 391,539 1,030,83939,230 334,688 334,688
TOTAL SURPLUS (DEFICITS) 95,026 1,387,848 18,834,650 20,222,498
TOTAL CASH 28,932,585
CLAIM ANALYSIS BY FUND YEAR
TOTAL CLOSED YEAR CLAIMS 0 31,996 71,162,356 71,194,351
FUND YEAR 2014
Paid Claims (4,063) 324,917 3,302,066 3,626,983
Case Reserves (64,263) (73,250) 877,796 804,546
IBNR 68,327 (185,106) 371,406 186,300
Recoveries 0 0 0 0
TOTAL FY 2014 CLAIMS 0 66,562 4,551,267 4,617,829
FUND YEAR 2015
Paid Claims 35,156 273,729 3,214,983 3,488,712
Case Reserves (10,556) (320,175) 1,613,293 1,293,119
IBNR (24,600) (292,970) 677,651 384,681
Recoveries 0 0 0 0
TOTAL FY 2015 CLAIMS 0 (339,416) 5,505,927 5,166,511
FUND YEAR 2016
Paid Claims 34,060 744,143 1,721,943 2,466,086
Case Reserves (13,296) (111,136) 1,812,938 1,701,801
IBNR (20,765) (1,233,006) 2,632,120 1,399,114
Recoveries 0 0 0 0
TOTAL FY 2016 CLAIMS (0) (599,999) 6,167,000 5,567,001
FUND YEAR 2017
Paid Claims 319,153 1,088,454 1,088,454
Case Reserves (144,690) 1,554,210 1,554,210
IBNR 369,117 1,162,389 1,162,389
Recoveries 0 0 0
TOTAL FY 2017 CLAIMS 543,580 3,805,052 3,805,052
COMBINED TOTAL CLAIMS 543,580 2,964,195 87,386,551 90,350,745
2017
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.
Per Executive Director, professional fees other than RMC Fees reflect paid amounts.
TRI-COUNTY MUNICIPAL FUNDFINANCIAL FAST TRACK REPORT
2014
2015
2016
9/14/2017 FFTTRI_07
36
C:\Users\kkristie\Documents\TRICO\Exec Dir\Reg Filing Month.doc
Gloucester, Salem, Cumberland Counties Municipal Joint Insurance Fund
Monthly Regulatory Filing Check List
Fund Year 2017 for the Month of August
ITEM FILING STATUS Meeting Minutes 9/26/17 Bylaws Amendments N/A Risk Management Program Changes N/A New Member Filings N/A Supplemental Assessments/Contributions N/A Budget Amendments (transfers, etc.) N/A Surplus Distribution (refunds/dividends) N/A Changes/Amendments/Additions to Service Providers N/A Executive Committee Changes N/A
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C:\Users\kkristie\Documents\TRICO\Exec Dir\REg Filing Yrly.doc Date of last revision: 09/18/17
Gloucester, Salem, Cumberland Counties Municipal Joint Insurance Fund Annual Regulatory Filing Check List
Year: January 1, 2017 – December 31, 2017
ITEM FILING STATUS Ethics Filings (Notification to FG’s and Prof’s) 4/18/17 Renewal Resolutions and Indemnity & Trust Agreements 1/26/17 Budget and Actuarial Certification/Opinion Letter 12/22/16 Annual Assessments/Contributions 12/22/16 Supplemental Assessments/Contributions N/A Risk Management Program 1/25/17 Annual Certified Audit 6/6/17 List of Fund Commissioners & Executive Committee 1/25/17 Identity of Administrator 1/25/17 Identity of Treasurer 1/25/17 Excess Insurance /Group Purchase Insurance/Reinsurance Policies MEL Withdrawals N/A Exhibit A - Certification of JIF Fund Professionals 1/25/17 Exhibit B - Certification of JIF Data Forms N/A Exhibit D - New Member Filings N/A New Service Providers 1/25/17 Annual Reorganization Resolutions, including Cash Management Plan 1/25/17
Professionals Contract Gen Ins Fidelity E&O Surety Actuary – Actuarial Advantage X 7/9/18 N/A 7/16/18 N/A Administrative Consultant PERMA
X 12/10/17 N/A 12/10/17 N/A
Administrator - AJG X 10/1/17 JIF 9/1/17
N/A
Attorney (including Subro.) - DeWeese
X 9/1/17 N/A 9/1/17 N/A
Asset Manager – Wilmington Trust
X 9/30/17 5/1/16 10/1/17 N/A
Auditor - Bowman X 8/1/17 N/A 8/1/17 N/A Claims Administrator Qual-Lynx X 7/1/18 5/1/16 10/1/18 12/31/15 Managed Care - QualCare X 7/1/18 N/A 10/1/18 N/A Database Management - Exigis X 3/31/18 NA 3/31/18 NA Payroll Auditor - Bowman X 8/1/18 N/A 8/1/18 N/A Property Appraiser - Assetworks X 9/27/17 N/A 9/27/17 N/A Safety Director – JA Montgomery X 12/10/17 N/A 12/10/17 N/A Underwriting Manager- Conner Strong
12/10/17 N/A 12/10/17 N/A
Website – Joyce Media X NA NA NA NA Wellness Director - Schiffer X N/A N/A N/A N/A Treasurer - Tontarski X N/A 5/1/16 N/A JIF Recording Secretary - Smith X N/A N/A N/A N/A
38
Member ID Fund ID Member Name Applicant Title Effective Date
345 TRICO ALLOWAY Dawn M. Allen Tax Collector / Utilities Collector 02/01/13345 TRICO ALLOWAY Marie Stout Treasurer 01/01/16346 TRICO CARNEY'S POINT Linda S. Jones Treasurer 01/01/07346 TRICO CARNEY'S POINT Marie Stout Tax Collector 01/01/17347 TRICO CLAYTON Donna M. Nestore Tax Collector / Treasurer 01/01/08463 TRICO DEPTFORD Diane Kusmanick Tax Collector 01/01/13463 TRICO DEPTFORD Kimberly Bastien Treasurer 10/22/12463 TRICO DEPTFORD Nina R. Lamb Library Treasurer 01/01/09348 TRICO EAST GREENWICH Susan M. Costill Treasurer 01/01/07348 TRICO EAST GREENWICH Gail Capasso Tax Collector 01/01/07348 TRICO EAST GREENWICH Christine Monaco Utilities Clerk 05/24/16349 TRICO ELK Susan E. Defrancesco Tax Collector 12/13/07349 TRICO ELK Stephen P. Considine Treasurer 01/01/09645 TRICO ELSINBORO Joanne M. Eddy Tax Collector 12/31/14350 TRICO FAIRFIELD TOWNSHIP Neil Young Treasurer (CFO) 06/08/17350 TRICO FAIRFIELD TOWNSHIP Carla Smith Tax Collector 01/01/12528 TRICO FRANKLIN TOWNSHIP Charles Owens Treasurer (CFO) 06/22/16528 TRICO FRANKLIN TOWNSHIP Karen Shover Library Treasurer 01/01/14528 TRICO FRANKLIN TOWNSHIP Elizabeth Ruhl Tax Collector 01/01/17351 TRICO GLASSBORO Rosemary A. Turner Tax Collector 01/01/08351 TRICO GLASSBORO Karyn Paccione CFO 07/01/11352 TRICO GREENWICH Merrie Schmidt Treasurer 01/01/07352 TRICO GREENWICH Suzanne D. Pierce Tax Collector 03/02/15353 TRICO HARRISON Yvonne Bullock Treasurer (CFO) 01/01/07353 TRICO HARRISON Dawn Michelle Allen Tax Collector / Utility Collector 09/10/07355 TRICO LOGAN Rosanne Pyle Tax Collector 01/01/11640 TRICO LOWER ALLOWAYS CREEK Dawn M. Allen Tax Collector 01/01/10640 TRICO LOWER ALLOWAYS CREEK Kevin S. Clour Treasurer 01/01/11603 TRICO MANNINGTON TOWNSHIP Lynne H. Stiles Tax Collector 01/01/09603 TRICO MANNINGTON TOWNSHIP Linda S. Jones Treasurer 01/01/11356 TRICO MANTUA Alice M. Kellmyer Tax Collector 01/01/09356 TRICO MANTUA Gayle L. Tschopp Treasurer 01/01/09357 TRICO MONROE Joanna Potopchuk Tax Collector 08/01/15357 TRICO MONROE Karyn Paccione CFO 09/08/14480 TRICO OLDMANS James R. Hackett Treasurer (CFO) / Water Collector 01/01/07480 TRICO OLDMANS Anne Deeck Tax Collector 09/09/15358 TRICO PAULSBORO Lorraine Boyer Treasurer (CFO) 04/08/15358 TRICO PAULSBORO Georjean Widener Tax Collector 08/01/14358 TRICO PAULSBORO Rita M. Costenbader Utility Collector 01/01/07359 TRICO PENNS GROVE Elizabeth A. Ruhl Tax Collector 01/01/15360 TRICO PENNSVILLE John F. Willadsen Treasurer (CFO) 01/01/10360 TRICO PENNSVILLE Lauren E. Schoonmaker Tax Collector 01/01/10361 TRICO PILESGROVE Marie Stout Treasurer/CFO 04/01/17361 TRICO PILESGROVE Kimberly Fleetwood Treasurer 01/01/07361 TRICO PILESGROVE Donna L. Denham Tax Collector 06/09/09362 TRICO PITMAN Margaret Ware Library Treasurer 03/07/14362 TRICO PITMAN Beth A. Walls Tax Collector 01/01/07362 TRICO PITMAN Stephen P. Considine Treasurer (CFO) 01/01/07464 TRICO QUINTON Diane L. S. Bowman Treasurer 01/01/07464 TRICO QUINTON Dawn Michelle Mitchell Tax Collector 06/02/08529 TRICO SHILOH Ronald L. Campbell Sr. Treasurer 01/01/07529 TRICO SHILOH Elizabeth Wallender Tax Collector 01/01/07364 TRICO SOUTH HARRISON Victoria Holmstrom Tax Collector 08/26/13365 TRICO SWEDESBORO BORO Lois M. Elder Treasurer 01/01/11365 TRICO SWEDESBORO BORO Kimberly Fleetwood Tax Collector 03/07/11366 TRICO UPPER PITTSGROVE Susan E. DeFrancesco Tax Collector / Treasurer 01/01/07374 TRICO WASHINGTON TOWNSHIP Ashley Morrone Treasurer/Tax Collector 01/01/07374 TRICO WASHINGTON TOWNSHIP Robin D. Sarlo Tax Collector 06/10/15374 TRICO WASHINGTON TOWNSHIP James D'Auria Treasurer 07/28/14367 TRICO WENONAH Karen Sweeney Treasurer 07/01/07367 TRICO WENONAH Beth A. Walls Tax Collector 09/29/14368 TRICO WESTVILLE Christine A. Helder Tax Collector 01/01/07368 TRICO WESTVILLE Fritz H. Sims Jr. Treasurer (Westville Fire District No. 1) 04/14/09368 TRICO WESTVILLE Ryan Giles Treasurer 04/05/17381 TRICO WOODBURY Robert Law Municipal Treasurer (CFO) 01/01/07381 TRICO WOODBURY Lorraine Roberts Tax / Utility Collector 01/01/07381 TRICO WOODBURY Cheryl Slack Library Treasurer 01/01/07369 TRICO WOODBURY HEIGHTS Victoria Holmstrom Treasurer / Tax Collector 01/06/12370 TRICO WOODSTOWN Elaine H. Urion Tax Collector 01/01/09370 TRICO WOODSTOWN James R. Hackett Treasurer (CFO) 01/01/10371 TRICO WOOLWICH Kim Jaworski Tax Collector 10/27/11371 TRICO WOOLWICH William Pine Treasurer 01/01/11
MEL STATUTORY BONDS as of Aug. 1, 2017
62
Member ID Fund ID Member Name Applicant Title Effective
Date
345 TRICO ALLOWAY Dawn M. Allen Tax Collector / Utilities Collector 02/01/13345 TRICO ALLOWAY Marie Stout Treasurer 01/01/16346 TRICO CARNEY'S POINT Linda S. Jones Treasurer 01/01/07346 TRICO CARNEY'S POINT Marie Stout Tax Collector 01/01/17347 TRICO CLAYTON Donna M. Nestore Tax Collector / Treasurer 01/01/08463 TRICO DEPTFORD Diane L. S. Bowman Tax Collector 01/01/13463 TRICO DEPTFORD Kimberly Bastien Treasurer 10/22/12463 TRICO DEPTFORD Nina R. Lamb Library Treasurer 01/01/09348 TRICO EAST GREENWICH Susan M. Costill Treasurer 01/01/07348 TRICO EAST GREENWICH Gail Capasso Tax Collector 01/01/07348 TRICO EAST GREENWICH Christine Monaco Utilities Clerk 05/24/16349 TRICO ELK Susan E. Defrancesco Tax Collector 12/13/07349 TRICO ELK Stephen P. Considine Treasurer 01/01/09645 TRICO ELSINBORO Joanne M. Eddy Tax Collector 12/31/14350 TRICO FAIRFIELD TOWNSHIP Neil Young Treasurer (CFO) 06/08/17350 TRICO FAIRFIELD TOWNSHIP Carla Smith Tax Collector 01/01/12528 TRICO FRANKLIN TOWNSHIP Charles Owens Treasurer (CFO) 06/22/16528 TRICO FRANKLIN TOWNSHIP Karen Shover Library Treasurer 01/01/14528 TRICO FRANKLIN TOWNSHIP Elizabeth Ruhl Tax Collector 01/01/17351 TRICO GLASSBORO Rosemary A. Turner Tax Collector 01/01/08351 TRICO GLASSBORO Karyn Paccione CFO 07/01/11352 TRICO GREENWICH Merrie Schmidt Treasurer 01/01/07352 TRICO GREENWICH Suzanne D. Pierce Tax Collector 03/02/15353 TRICO HARRISON Yvonne Bullock Treasurer (CFO) 01/01/07353 TRICO HARRISON Dawn Michelle Allen Tax Collector / Utility Collector 09/10/07355 TRICO LOGAN Rosanne Pyle Tax Collector 01/01/11640 TRICO LOWER ALLOWAYS CREEK Dawn M. Allen Tax Collector 01/01/10640 TRICO LOWER ALLOWAYS CREEK Kevin S. Clour Treasurer 01/01/11603 TRICO MANNINGTON TOWNSHIP Lynne H. Stiles Tax Collector 01/01/09603 TRICO MANNINGTON TOWNSHIP Linda S. Jones Treasurer 01/01/11356 TRICO MANTUA Alice M. Kellmyer Tax Collector 01/01/09356 TRICO MANTUA Gayle L. Tschopp Treasurer 01/01/09357 TRICO MONROE Joanna Potopchuk Tax Collector 08/01/15357 TRICO MONROE Karyn Paccione CFO 09/08/14480 TRICO OLDMANS James R. Hackett Treasurer (CFO) / Water Collector 01/01/07480 TRICO OLDMANS Anne Deeck Tax Collector 09/09/15358 TRICO PAULSBORO Lorraine Boyer Treasurer (CFO) 04/08/15358 TRICO PAULSBORO Georjean Widener Tax Collector 08/01/14358 TRICO PAULSBORO Rita M. Costenbader Utility Collector 01/01/07359 TRICO PENNS GROVE Elizabeth A. Ruhl Tax Collector 01/01/15360 TRICO PENNSVILLE John F. Willadsen Treasurer (CFO) 01/01/10360 TRICO PENNSVILLE Lauren E. Schoonmaker Tax Collector 01/01/10361 TRICO PILESGROVE Marie Stout Treasurer/CFO 04/01/17361 TRICO PILESGROVE Kimberly Fleetwood Treasurer 01/01/07361 TRICO PILESGROVE Donna L. Denham Tax Collector 06/09/09362 TRICO PITMAN Margaret Ware Library Treasurer 03/07/14362 TRICO PITMAN Beth A. Walls Tax Collector 01/01/07362 TRICO PITMAN Stephen P. Considine Treasurer (CFO) 01/01/07464 TRICO QUINTON Diane L. S. Bowman Treasurer 01/01/07464 TRICO QUINTON Dawn Michelle Mitchell Tax Collector 06/02/08529 TRICO SHILOH Ronald L. Campbell Sr. Treasurer 01/01/07529 TRICO SHILOH Elizabeth Wallender Tax Collector 01/01/07364 TRICO SOUTH HARRISON Victoria Holmstrom Tax Collector 08/26/13365 TRICO SWEDESBORO BORO Lois M. Elder Treasurer 01/01/11365 TRICO SWEDESBORO BORO Kimberly Fleetwood Tax Collector 03/07/11366 TRICO UPPER PITTSGROVE Susan E. DeFrancesco Tax Collector / Treasurer 01/01/07374 TRICO WASHINGTON TOWNSHIP Robin D. Sarlo Tax Collector 06/10/15374 TRICO WASHINGTON TOWNSHIP James D'Auria Treasurer 07/28/14367 TRICO WENONAH Karen Sweeney Treasurer 07/01/07367 TRICO WENONAH Beth A. Walls Tax Collector 09/29/14368 TRICO WESTVILLE Nicole O'Hara Tax Collector 08/01/17368 TRICO WESTVILLE Fritz H. Sims Jr. Treasurer (Westville Fire District No. 1) 04/14/09368 TRICO WESTVILLE Ryan Giles Treasurer 04/05/17381 TRICO WOODBURY Robert Law Municipal Treasurer (CFO) 01/01/07381 TRICO WOODBURY Theresa Mulvenna Tax / Utility Collector 08/01/17381 TRICO WOODBURY Cheryl Slack Library Treasurer 01/01/07369 TRICO WOODBURY HEIGHTS Victoria Holmstrom Treasurer / Tax Collector 01/06/12370 TRICO WOODSTOWN Elaine H. Urion Tax Collector 01/01/09370 TRICO WOODSTOWN James R. Hackett Treasurer (CFO) 01/01/10371 TRICO WOOLWICH Kim Jaworski Tax Collector 10/27/11371 TRICO WOOLWICH William Pine Treasurer 01/01/11
MEL STATUTORY BONDS as of 9/5/17
63
Member
Municipality
AllowayCarney's Pt.
Clayton ApprovedDeptford
E. GreenwichElk
ElsinboroFairfieldFranklin
GlassboroGreenwichHarrisonLogan Removed Skateboard park removed as of 11/17/09
Lower Alloways CreekMannington
MantuaMonroe Approved
OldmansPaulsboro
Penns GrovePennsville ApprovedPilesgrove
PitmanQuintonShiloh
S. HarrisonSwedesboroU. Pittsgrove
VinelandWashington Twp Removed Skateboard park removed as of 12/31/2014
WenonahWestville
Woodbury Inquiry Active Letter explaining program sent to RMC on 2/22/05. Per MEL Underwriter - Not a Skatepark - No Approval Required.Woodbury Heights
WoodstownWoolwich
36
Gloucester, Salem, Cumberland Counties Municipal Joint Insurance Fund
Skateboard Park Approval Status
Stage Status Notes
Last Update: 9/8/2017
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C:\Users\kkristie\Documents\TRICO\Exec Dir\RENEWAL CHECK LIST - 2018.doc
TRICOJIF 2018 Renewal (13)
MUNICIPALITY RENEWAL / CONTRACT/
AGREEMENT RECEIVED
Alloway n/a Carneys Point n/a Clayton Borough n/a Deptford Township 07/17/2017 East Greenwich Twp 07/31/2017 Elk Township n/a Elsinboro Township n/a Fairfield Township 09/11/2017 Franklin Township n/a Glassboro Borough 08/10/2017 Greenwich Township 06/23/2017 Harrison Township 06/23/2017 Logan Township n/a Lower Alloways Creek n/a Mannington Township 08/14/2017 Mantua Township 08/07/2017 Monroe Township 07/12/2017 Oldmans Township n/a Paulsboro Borough n/a Penns Grove Borough n/a Pennsville Borough n/a Pilesgrove Township n/a Pitman Borough n/a Pittsgrove Township n/a Quinton Township 09/08/2017 Shiloh Borough n/a South Harrison Twp 06/27/2017 Swedesboro Borough 08/01/2017 Upper Pittsgrove Twp. n/a Vineland City n/a Washington Twp n/a Wenonah Borough n/a Westville Borough n/a Woodbury City n/a Woodbury Heights n/a Woodstown Borough n/a Woolwich Township 08/11/2017
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Municipality Name Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17
# FC
Attended
#ALT
Attended # Meetings
% FC
Attended
%ALT
Attended
Combined
Attendance
(Mtg Occurred=Y) Y Y Y Y Y Y Y 7
Alloway Reilly/McKelvey N/A FC FC FC FC N/A FC 5 0 7 71% 0% 71%Carneys Point Brown/Pelura FC FC FC FC FC FC FC 7 0 7 100% 0% 100%Clayton Miller/Vondran N/A FC FC FC FC FC FC 6 0 7 86% 0% 86%Deptford Banks/Zawadski N/A FC FC FC FC FC N/A 5 0 7 71% 0% 71%East Greenwich McCaffery/Rossett FC FC FC FC FC FC ALT 6 1 7 86% 14% 100%Elk King-Sammons/Pine FC ALT FC FC FC FC FC 6 1 7 86% 14% 100%Elsinboro Hogate/Elk FC FC FC FC FC FC N/A 6 0 7 86% 0% 86%Fairfield Dunn/Surrency N/A N/A N/A N/A N/A N/A N/A 0 0 7 0% 0% 0%Franklin Freijomil/Tyciak N/A FC FC FC FC FC N/A 5 0 7 71% 0% 71%Glassboro Fourre/Paccione FC FC N/A FC ALT N/A ALT 3 2 7 43% 29% 71%Greenwich Rink/Giovannitt FC FC FC FC FC FC FC 7 0 7 100% 0% 100%Harrison Gravinese/Chambers N/A FC FC FC FC FC FC 6 0 7 86% 0% 86%Logan Hall, D./Jackson FC FC FC FC N/A N/A FC 5 0 7 71% 0% 71%Lower Alloways Ck Clour/Campbell FC FC FC FC FC N/A FC 6 0 7 86% 0% 86%Mannington Spina/Mitchell N/A N/A N/A N/A N/A N/A N/A 0 0 7 0% 0% 0%Mantua Bileci/LeVine FC N/A FC FC FC FC FC 6 0 7 86% 0% 86%Monroe Heydel/McLaughlin FC FC FC FC FC FC FC 7 0 7 100% 0% 100%Oldmans Moore/Bradford FC FC FC FC FC N/A N/A 5 0 7 71% 0% 71%Paulsboro Jacabucci/Giampola FC FC N/A FC FC FC FC 6 0 7 86% 0% 86%Penns Grove Washington/Burl FC FC FC FC FC FC FC 7 0 7 100% 0% 100%Pennsville Raine/Krough N/A N/A FC N/A FC FC N/A 3 0 7 43% 0% 43%Pilesgrove Abdill/Bonowski FC FC FC FC FC FC FC 7 0 7 100% 0% 100%Pitman Razze/O'Donnell FC FC N/A FC FC ALT FC 5 1 7 71% 14% 86%Quinton Sperry/Uzdanovics N/A FC FC FC FC FC ALT 5 1 7 71% 14% 86%Shiloh Campbell/Newkirk FC FC FC FC FC FC FC 7 0 7 100% 0% 100%South Harrison Diaz/Howard FC FC FC FC FC FC FC 7 0 7 100% 0% 100%Swedesboro Bagby/Fromm FC N/A N/A FC FC FC FC 5 0 7 71% 0% 71%Upper Pittsgrove Seery/Zeck ALT ALT FC FC FC FC FC 5 2 7 71% 29% 100%Vineland Dickenson/Sotomayor FC FC N/A ALT N/A ALT N/A 2 2 7 29% 29% 57%Washington D'Auria/Riiff FC FC N/A N/A ALT FC FC 4 1 7 57% 14% 71%Wenonah Sweeney/Schools FC FC FC FC FC ALT ALT 5 2 7 71% 29% 100%Westville Bittner/Helder FC FC N/A N/A N/A N/A FC 3 0 7 43% 0% 43%Woodbury Law/Theokas FC FC FC FC FC FC FC 7 0 7 100% 0% 100%Woodbury Heights Yerka/Gambale N/A FC FC FC N/A N/A N/A 3 0 7 43% 0% 43%Woodstown Hall, J/Hiles FC FC FC FC FC FC FC 7 0 7 100% 0% 100%Woolwich DiBella/Bertino N/A FC FC FC ALT FC FC 5 1 7 71% 14% 86%
36 25 31 27 31 30 27 27 36 36 36 36 36 184 14 252 73% 6% 79%69% 86% 75% 86% 83% 75% 75% 100% 100% 100% 100% 100%
N/A No representation for this municipalityFC Fund Commissioner in attendanceALT Alt. Fund Commissioner in attendance
F:\DATA\Risk\EXCEL\TRICO\2017\[ATTEND TRICO17.xlsx]Mtg Attendance
2017 TRICO Meeting Attendance
Last Update 9/11/201766
C:\Users\kkristie\Documents\TRICO\Exec Dir\Elected Officials- Save the Date.doc
Attention: Fund Commissioners & Municipal Clerks
Please share this information with your Elected Officials
Elected Officials Liability Seminar
Thursday, December 7, 2017 – Merighi’s Savoy Inn, Vineland Tuesday, January 30, 2018 – Nicolosi’s Caterers, West Deptford
Wednesday, February 7, 2018 – Merighi’s Savoy Inn, Vineland Wednesday, March 28, 2018 – O’Connor’s, Eastampton
Registration 5:30 PM Dinner 6:00 PM
This is an opportunity to qualify for the $250 credit
per Elected Official/Municipal Manager towards your municipality’s 2018 MEL Assessment.*
*Subject to cap set by the MEL
SAVE THE DATE
67
J. A. Montgomery Risk Control
GLOUCESTER, SALEM, CUMBERLAND COUNTIES MUNICIPAL JOINT INSURANCE FUND
SAFETY DIRECTOR’S REPORT TO: Municipal Fund Commissioners, Safety Coordinators and Risk Managers FROM: Robert Garish, Senior Risk Control Consultant DATE: September 6, 2017 Service Team:
Keith Hummel Associate Public Sector Director
[email protected] Office: 856-552-6862 Fax: 856-552-6863
Mailing Address: 231 Main Street
P. O. Box 2017, Toms River New Jersey 08754
Toll Free: 877-398-3046
Howard Spencer Senior Risk Consultant
[email protected] Office: 856-552-4754 Cell: 856-905-3508
Robert Holwitt Senior Risk Consultant
[email protected] Office: 856-552-4624 Cell: 856-628-5705
Danielle Sanders Administrative Assistant
[email protected] Office: 856-552-6898 Fax: 856-552-6899
Robert Garish Senior Risk Consultant
[email protected] Office: 856-552-4650 Cell: 609-947-9719
AUGUST ACTIVITIES
LOSS CONTROL SERVICES
· Township of Carneys Point – Conducted a Loss Control Survey on August 15 · Township of East Greenwich Police Dept. – Conducted a Loss Control Survey on August 17 · Township of Elk – Conducted a Loss Control Survey on August 28 · Township of Fairfield – Conducted a Loss Control Survey on August 22 · Township of Logan – Conducted a Loss control Survey on August 3 · Township of Logan – Conducted a Loss Control Survey on August 17 · Township of Monroe – Conducted a Loss Control Survey on August 14 · Borough of Penns Grove Police Dept. – Conducted a Loss Control Survey on August 22 · Township of Pennsville – Conducted a Loss Control Survey on August 1 · Borough of Pitman Police Dept. – Conducted a Loss Control Survey on August 22 · Township of South Harrison – Conducted a Loss Control Survey on August 2 · Borough od Swedesboro – Conducted a Loss Control Survey on August 23 · City of Woodbury – Conducted a Loss Control Survey on August 30 · City of Woodbury Police Dept. – Conducted a Loss Control Survey on August 28 · Borough of Woodbury Heights – Conducted a Loss Control Survey on August 2 · Township of Woolwich – Conducted a Loss Control Survey on August 11
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JIF MEETINGS ATTENDED · Executive Safety Committee Meeting – August 24
MEL MEDIA LIBRARY The following members used the MEL Media Library during August. Please note the new e-mail address: [email protected] and telephone number: 856-552-4900. To either view the full video catalog or rent videos, use the above website or NJMEL.org.
Municipality # of Videos
Borough of Paulsboro 5 Borough of Westville 1 MEL MEDIA CATALOG To view the entire updated MEL Media Catalog with 100 new DVD titles go to NJMEL.org, click on the Video button at the top of the page, then choose ‘Order Conventional Videos’. NEW SAFETY DIRECTOR’S BULLETINS AND NOTICES Regional training announcements and Bulletins are distributed by e-mail to Fund Commissioners, Safety Coordinators and Risk Consultants. Please access the TRICO JIF (http://www.tricojif.org/) to verify Fund Commissioners, Safety Coordinators and Risk Managers contact information is correct. If you find a discrepancy, please let us know. If applicable, a copy or copies of Safety Director’s Bulletins are attached. The following Safety Director Bulletins and alerts were distributed by e-mail during August. If you are not receiving updates or would like to add other names to the distribution list, please let us know. Ø TRICO JIF - Regional Training - Career Survival for First Line Police Supervisors on
September 13 – August 4 Ø TRICO JIF - MSI Bulletin - Resources for School Crossing Guard Safety Programs – August 7 Ø TRICO JIF - MSI Bulletin - Ticks & Tick-borne Diseases – August 10 Ø TRICO JIF - You're Invited: Police Chief AD-HOC Committee Meeting – August 14 Ø TRICO JIF - Regional Training REMINDER - Career Survival for First Line Police Supervisors on
September 13 – August 22 Ø TRICO JIF - Did You Know? – MSI Training Schedule, September 2017 – August 24 Ø TRICO JIF - Regional Training REMINDER- Wellness Coordinator Training – August 25 Ø TRICO JIF - MSI Bulletin - Firefighter Fitness for Duty and Medical Evaluations – August 28 Ø TRICO JIF - You're Invited: Police Chief AD-HOC Committee Meeting – August 28
UPCOMING EVENTS · Police Ad Hoc Committee Meeting – September 12 · Regional Training - Career Survival for First Line Police Supervisors – September 13 · Regional Training – Wellness Coordinator Training – September 20 · Claims Committee Meeting – September 25 · Executive Committee Meeting – September 25
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MSI TRAINING PROGRAMS The opportunity to request to host 2018 MSI classes has been extended until September 29, 2017. There are more than 50 different instructor-led courses being offered for 2018, designed to meet the training needs of most public employees. The 2018 MSI Class Request Announcement with Request Form can be found on the MEL website at NJMEL.org, then by clicking on the MSI logo. Please send your 2018 course hosting requests before September 29th. NOTE: We need to keep our list of MSI Training Administrators up-to-date. If there are any changes, deletions or you need to add a new Training Administrator, please advise ([email protected]). Listed below are upcoming MSI training programs scheduled for September, October and November of 2017. Enrollment is required for all MSI classes. MSI classes are subject to cancellation or rescheduling at any time. Members are reminded to log on to the www.njmel.org website, then click on the MSI logo to access the Learning Management System where you can enroll your employees and verify classes. Enrolling your staff ensures you will be notified of any schedule changes. If you need assistance using the MSI Learning Management System, please call the MSI helpline at 866-661-5120.
DATE LOCATION TOPIC TIME 9/11/17 Borough of Glassboro #1 Hearing Conservation 12:00 - 1:00 pm 9/11/17 Borough of Glassboro #1 Fire Safety 1:15 - 2:15 pm
9/12/17 Township of Voorhees
#1 Fire Safety 9:00 - 10:00 am
9/12/17 Township of Voorhees
#1 Fire Extinguisher 10:15 - 11:15 am 9/13/17 Township of Florence CDL-Drivers Safety Regulations 8:30 - 10:30 am 9/13/17 Township of Florence Hearing Conservation 10:45 - 11:45 am 9/14/17 Township of Delran Leaf Collection Safety 8:00 - 10:00 am 9/14/17 Township of Delran Back Safety/Material Handling 10:15 - 11:15 am
9/15/17 Township of Cherry Hill
#4 LOTO 8:30 - 10:30 am
9/15/17 Township of Cherry Hill
#4 Shop & Tool Safety 10:45 - 11:45 am
9/15/17 Township of Cherry Hill
#4 HazCom w/GHS 12:30 - 2:00 pm 9/18/17 Township of Westampton LOTO 8:30 - 10:30 am 9/18/17 Township of Upper CDL-Drivers Safety Regulations 8:30 - 10:30 am 9/18/17 Township of Upper Driving Safety Awareness 10:45 - 12:15 pm
9/18/17 Township of Upper CDL-Supervisors Reasonable
Suspicion 1:00 - 3:00 pm
9/19/17 Township of Voorhees
#1 Driving Safety Awareness 9:00 - 10:30 am
9/19/17 Township of Voorhees
#1 HazCom w/GHS 10:45 - 12:15 pm 9/19/17 City of Ocean City #1 Flagger/Work Zone 8:30 - 12:30 pm
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DATE LOCATION TOPIC TIME 9/20/17 Evesham Township MUA Jetter/Vacuum Safety 8:30 - 10:30 am
9/20/17 Evesham Township MUA CDL-Supervisors Reasonable
Suspicion 10:45 - 12:45 pm 9/20/17 City of Millville #1 Hazard ID/Job-Site Observation 8:30 - 10:30 am 9/20/17 City of Millville #1 Accident Investigation 10:45 - 12:45 pm 9/20/17 City of Millville #1 Toolbox Talks 1:30 - 3:00 pm
9/21/17 Township of Winslow Seasonal (Autumn/Winter) PW
Operations 8:30 - 11:30 am
9/21/17 Township of Pennsville
#1 HazMat Awareness w/HazCom
GHS 8:30 - 11:30 am
9/21/17 Township of Pennsville
#1 BBP 11:45 - 12:45 pm
9/22/17 Township of Carneys
Point #2 Fast Track to Safety 8:30 - 2:30 pm w/lunch brk 9/25/17 Borough of Glassboro #1 Leaf Collection Safety 8:00 - 10:00 am
9/26/17 Borough of Clementon
#3 Leaf Collection 8:30 - 10:30 am
9/26/17 Borough of Clementon
#3 Snow Plow/Snow Removal 10:45 - 12:45 pm
9/26/17 Borough of Clementon
#3 BBP 1:30 - 2:30 pm 9/26/17 Borough of Avalon #4 Fall Protection Awareness 8:30 - 10:30 am 9/26/17 Borough of Avalon #4 Ladder Safety/Walking Surfaces 10:45 - 12:45 pm 9/26/17 Borough of Avalon #4 Confined Space Awareness 1:30 - 2:30 pm 9/27/17 Lower Township MUA Fall Protection Awareness 8:30 - 10:30 am 9/27/17 Lower Township MUA Hearing Conservation 10:45 - 11:45 am
9/28/17 Township of Pemberton Seasonal (Autumm/Winter) PW
Operations 8:30 - 11:30 am 9/28/17 Township of Pemberton Hearing Conservation 12:30 - 1:30 pm 10/2/17 Borough of Magnolia Back Safety/Material Handling 10:00 - 11:00 am 10/2/17 Borough of Magnolia BBP 11:15 - 12:15 pm
10/3/17 Township of Winslow HazMat Awareness w/HazCom
GHS 8:30 - 11:30 am 10/3/17 City of Brigantine #3 Flagger/Work Zone 8:30 - 12:30 pm 10/4/17 Lower Township MUA CMVO 8:30 - 12:30 pm 10/4/17 Township of Middle #3 Fast Track to Safety 8:30 - 2:30 pm w/lunch brk 10/5/17 Borough of Avalon #4 PPE 8:30 - 10:30 am 10/5/17 Borough of Avalon #4 Hearing Conservation 10:45 - 11:45 am 10/5/17 Borough of Avalon #4 Fire Extinguisher 12:30 - 1:30 pm 10/5/17 Borough of Avalon #4 Shop & Tool Safety 1:45 - 2:45 pm 10/6/17 Township of Delran Hoists, Cranes, Rigging Safety 8:00 - 10:00 am 10/6/17 Township of Willingboro Ladder Safety/Walking Surfaces 8:30 - 10:30 am 10/6/17 Township of Willingboro Shop & Tool Safety 10:45 - 11:45 am
10/10/17 Borough of Clementon
#3 PPE 8:30 - 10:30 am 10/10/17 Borough of Clementon Hearing Conservation 10:45 - 11:45 am
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DATE LOCATION TOPIC TIME #3
10/10/17 Borough of Clementon
#3 Asbestos, Lead, Silica Regulatory
Overview 12:00 - 1:00 pm 10/11/17 City of Margate #4 Flagger/Work Zone 8:30 - 12:30 pm
10/12/17 City of Wildwood #3 Hazard ID: Making Your
Observation Count 8:30 - 10:30 am 10/12/17 City of Wildwood #3 Accident Investigation 10:45 - 12:45 pm 10/12/17 City of Wildwood #3 Tool Box Talks Essentials 1:30 - 3:00 pm
10/13/17 Township of Tabernacle
#1 BBP 8:30 - 9:30 am
10/13/17 Township of Tabernacle
#1 Hearing Conservation 9:45 - 10:45 am 10/17/17 Township of Westampton Fast Track to Safety 8:30 - 2:30 pm w/lunch brk
10/17/17 City of Ocean City #1 Employee Conduct/Violence
Prevention 8:30 - 10:00 am 10/17/17 City of Ocean City #1 Office Safety 10:15 - 12:15 pm
10/18/17 Township of Burlington
#3 Hearing Conservation 8:00 - 9:00 am
10/18/17 Township of Burlington
#3 Shop & Tool Safety 9:15 - 10:15 am 10/18/17 City of Millville #1 Leaf Collection 8:30 - 10:30 am 10/18/17 City of Millville #1 Snow Plow/Snow Removal 10:45 - 12:45 pm 10/18/17 City of Millville #1 BBP 1:30 - 2:30 pm 10/19/17 Township of Winslow Fall Protection Awareness 8:00 - 10:00 am 10/19/17 Township of Winslow CDL-Driver Safety Regulations 10:15 - 12:15 pm 10/20/17 Township of Evesham #4 Snow Plow/Snow Removal 8:30 - 10:30 am 10/23/17 Township of Hamilton #3 LOTO 8:30 - 10:30 am 10/23/17 Township of Hamilton #3 Shop & Tool Safety 10:45 - 11:45 am 10/23/17 Township of Hamilton #3 HazCom w/GHS 12:45 - 2:15 pm
10/24/17 Township of East
Greenwich #2 Snow Plow/Snow Removal-
Evening 7:00 - 9:00 pm 10/24/17 Borough of Avalon #4 Heavy Equipment Safety 8:30 - 11:30 am 10/24/17 Borough of Avalon #4 Snow Plow/Snow Removal 12:00 - 2:00 pm
10/25/17 City of Burlington #2 Seasonal (Autumn/Winter) PW
Operations 8:30 - 12:30 pm 10/25/17 Township of Galloway DDC-6 8:30 - 3:00 pm w/lunch brk
10/26/17 Township of Florence HazMat Awareness w/HazCom
GHS 8:30 - 11:30 am 10/27/17 Township of Mantua Leaf Collection Safety 12:30 - 2:30 pm 11/1/17 Township of Washington Fire Safety 8:30 - 9:30 am 11/1/17 Township of Washington Fire Extinguisher 9:45 - 10:45 am 11/1/17 Township of Washington Confined Space Awareness 11:00 - 12:00 pm 11/1/17 Township of Washington BBP 12:30 - 1:30 pm 11/2/17 City of Margate #4 PPE 8:30 - 10:30 am 11/2/17 City of Margate #4 Shop & Tool Safety 10:45 - 11:45 am 11/2/17 Township of Pennsville HazMat Awareness w/HazCom 8:30 - 11:30 am
73
DATE LOCATION TOPIC TIME #1 GHS
11/2/17 Township of Pennsville
#1 BBP 11:45 - 12:45 pm 11/3/17 City of Sea Isle City #2 LOTO 8:30 - 10:30 am
11/14/17 Borough of Clementon
#3 Fast Track to Safety 8:30 - 2:30 pm w/lunch brk
11/15/17 Township of Burlington
#3 CDL-Drivers Safety Regulations 8:00 - 10:00 am 11/15/17 City of Burlington #2 PPE 11:00 - 1:00 pm
11/28/17 Township of Elsinboro HazMat Awareness w/HazCom
GHS-Evening 6:30 - 10:30 pm 11/29/17 Township of Mantua Snow Plow/Snow Removal 12:30 - 2:30 pm
74
CEU's for Certified Publics Works ManagersMSI Course CEU's/Cat. MSI Course CEU's/Cat.Accident Investigation 2 / M Hazardous Materials Awareness w/ HazCom & GHS 3 / TAdvanced Safety Leadership 10 / M Hazard Identification - Making Your Observations Count 1 /T,MAsbestos, Lead & Silica Industrial Health Overview 1 /T,G Hearing Conservation 1 /T,GBack Safety / Material Handling 1 / T Heavy Equipment Safety 1 / G - 2 / TBloodborne Pathogens Training 1 / G Hoists, Cranes and Rigging 2 / T Bloodborne Pathogens Train- the- Trainer 1 / T Housing Authority Safety Awareness 3 / TBOE Safety Awareness 3 / T Jetter Safety 2 / T CDL – Supervisors Reasonable Suspicion 2 / M Landscape Safety 2 / T CDL - Drivers' Safety Regulations 2 / G Leaf Collection Safety Awareness 2 / TCoaching the Maintenance Vehicle Operator 2 /T,M Lockout Tagout 2 / TConfined Space Entry – Permit Required 3.5 / T Personal Protective Equipment (PPE) 2 / TConfined Space Awareness 1 /T,G Playground Safety 2 / TDriving Safety Awareness 1.5 / T Sanitation and Recycling Safety 2 / TEmployee Conduct and Violence in the Work Place 1.5 / E Safety Committee Best Practices 1.5 / MExcavation Trenching & Shoring 2 /T,M Safety Coordinator's Skills Training 3 / M,GFall Protection Awareness 2 /T,M Shop and Tool Safety 1 / TFast Track to Safety 4 / T Seasonal Public Works Operations 3 / TFire Extinguisher 1 / T Snow Plow Safety 2 / TFire Safety .5/ T - .5/ G Special Events Management 2 / MFlagger / Workzone Safety 2 /T,M Toolbox Talk Essentials 1 / MHazCom with Globally Harmonized System 1 /T,G
CEU's for Registered Municipal ClerksMSI Course CEU's/Cat. MSI Course CEU's/Cat.Asbestos, Lead & Silica Industrial Health Overview 1 / P Hazard Identification - Making your Observations Count 2 / PBloodborne Pathogens Training 1 / P Safety Committee Best Practices 1.5/ PEmployee Conduct and Violence in the Work Place 1.5 / E Safety Coordinator's Skills Training 6/P
Special Event Management 2 / P
TCH's For Water/ WastewaterMSI Course TCH's/Cat. MSI Course TCH's/Cat.Accident Investigation 1.5 / S Hazardous Materials Awareness w/ HazCom & GHS 3 / SAdvanced Safety Leadership 10 / S Heavy Equipment Safety 3 / SAsbestos, Lead & Silica Industrial Health Overview 1 / S Housing Authority Safety Awareness 3 / SBack Safety / Material Handling 1 / S Hazard Identification - Making your Observations Count 1.5 / SBloodborne Pathogens Training 1 / S Hearing Conservation 1 / SBloodborne Pathogens Train- the- Trainer 2.5 / S Hoists, Cranes and Rigging 2 / SBOE Safety Awareness 3 / S Jetter Safety 2 / SCDL – Supervisors Reasonable Suspicion 1.5 / S Ladder Safety/Walking Working Surfaces 2 / SCDL - Drivers' Safety Regulations 2 / S Landscape Safety 2 / SConfined Space Awareness 1 /S Leaf Collection Safety Awareness 2 / SConfined Space Entry - Permit Required 3.5 / S Lockout Tagout 2 / SDefensive Driving-6-Hour 5.5 / S Shop and Tool Safety 1 / SDriving Safety Awareness 1.5 / S Office Safety 2 / SExcavation Trenching & Shoring 4 / S Personal Protective Equipment (PPE) 2 / SFall Protection Awareness 2 / S Safety Committee Best Practices 1.5 / SFast Track to Safety 5 / S Safety Coordinator's Skills Training 5 / SFire Extinguisher 1 / S Seasonal Public Works Operations 3 / SFire Safety 1 / S Snow Plow Safety 2 / SFlagger / Workzone Safety 2 / S Special Event Management 2 / SHazCom with Globally Harmonized System 1.5/ S Toolbox Talk Essentials 1 / S
CEU's for Tax Collectors CEU's for County/Municipal Finance OfficersMSI Course CEU's/Cat. MSI Course CEU's/Cat.Employee Conduct and Violence in the Work Place 1.5 / E Employee Conduct and Violence in the Work Place 1.5 / E
CEU's for Certified Recycling Professionals CEU's for Qualified Purchasing AgentsMSI Course CEU's/Cat. MSI Course CEU's/Cat.Fire Extinguisher Safety 1 Employee Conduct and Violence in the Work Place 1.5 / EHazard Recognition- Making your Observations Count 2Heavy Equipment 3Sanitation and Recycling Safety 2
***CategoryE- EthicsT- TechnicalG- GovernmentalS- SafetyP- Professional DevelopmentM- Management 75
August2017
Resources for School Crossing Guard Safety Programs
For police departments and crossing guards across New Jersey, August marks the start of the new school year. While children hurry to squeeze in more vacation, traffic safety officers hurry to inspect school zones and train crossing guards. The position of School Crossing Guard continues to be one of the most dangerous occupations in local government. Over the last decade, the accident rate for crossing guards has increased 65%. The Safety Director would like to remind our members of the available risk control resources to prepare for the coming school year.
MEL WEBSITE www.njmel.org A good place to start is by visiting the MEL homepage. Under the SAFETY drop-down menu, chose CROSSING GUARDS. Each year should begin with a review of the town’s Crossing Guard policies and procedures, and a survey of guard posts for visual obstructions and glare. The MEL has developed two checklists to assist towns in their evaluations. They can be found on the bottom of the page, titled Annual Crossing Guard Program Review. August is a good time to ramp up community awareness programs to safeguard the school crossing guard and the children they protect. Two videos are available for presentations to parent groups or other community gatherings:
Pedestrian Safety – a 20-minute video discussing strategies a community can use to protect pedestrians
School Zone Safety – an 11-minute video focusing on establishing effective controls in school zones Also available on the page is a pamphlet titled, Community Safety Leadership Guide for Crossing Guards which offers guidance on establishing a Citizens Public Safety Advisory Committee, traffic calming strategies, physical qualifications for crossing guards and a sample press release. Crossing guard training is the third activity that occurs during the month of August. Training for each school crossing guard should consist of at least two hours of annual classroom instruction and should include information on traffic control methods and the duties and responsibilities of adult school crossing guards. The MEL offers a model lesson plan to assist training officers. Select the Annual Crossing Guard Training Plan link on the page. Informal training, or coaching, should occur during the year. Refer to the Crossing Guard Job Site Observation form which lists the best practices and common hazards to consider when making observations. It is a straight forward tool to document the police department’s coaching efforts. Experienced guards should be observed at least once during each term. Less experienced guards, or posts with complex traffic situations, should be observed several times. The Job Site Observation form is posted on the MEL website.
At the bottom of the page, you will also find a quick link to the many resources available at the Rutgers Crossing Guard Project.
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Key Points to Emphasize During Training and Job Site Observations:
Do: The acceptable technique for guards to use in stopping traffic is the “gap” method which requires
waiting for an adequate spacing [gap] between a line of cars. This method is safer because it allows the guard more time to enter the roadway and initiate a stop of traffic.
Proceed cautiously into the crosswalk as you alert motorists to stop. The guard should attempt to make eye contact with the approaching driver. This eye contact is important because it re-enforces the guard’s intention to the driver and helps assure that the guard has been seen by the driver. A driver not paying attention to the surroundings will usually not make this eye contact, thus alerting the guard that the driver may not be prepared to stop.
Be alert. Don’t assume a vehicle will stop just because you’re holding a STOP sign. Watch out for passing or turning vehicles.
Be aware that larger vehicles require longer distances to stop safely. Give vehicles more time to stop during wet and icy conditions.
Hold up your STOP sign until you and the children have cleared the crosswalk. Use hand signals for motorists and verbal signals for children.
Don’t: Direct traffic (Unless specifically trained to do so) Override a traffic signal
N.J. Safe Routes to School & Crossing Guards www.njcrossingguards.org
Rutgers University along with the New Jersey Department of Transportation and Division of Highway Traffic Safety with funding from the MEL developed a comprehensive risk control plan and a list of resources to protect children and school crossing guards.
The Rutgers University’s Bloustein School of Planning and Public Policy and Civic Eye Collaborative created the training video, Crosswalk Heroes, to teach best practices and techniques for crossing children. The video can be shown during training sessions by selecting the blue VIDEOS tab from the above website.
Under the LAWS AND GUIDANCE tab are links to the Manual on Uniform Traffic Control Devices (MUTCD), N.J. PEOSHA Department of Health standards, the “Stop and Stay Stopped” Law, and N.J.S.A. Titles 39 and 40A statutes pertaining to crossing guards and school zones.
Requirements in the MUTCD and N.J.S.A. 40A:9-154.3 require guards to wear ANSI 107-2004 (or later) Class 2 or 3 high visibility apparel, a badge, and an identifying uniform and hat. They must use a retroreflective STOP paddle. Whistles are also considered a best practice to gain the attention of children at noisy intersections. Along with whistles, towns are also encouraged to consider high visibility gloves and even traction cleats as slips and falls are the leading type of injury to crossing guards.
Under the TOOLS tab you can find a sample job description with medical examination recommendations, a model policy and the Crossing Guard Training Manual.
Police departments must take a leadership role in addressing pedestrian safety. Consistent enforcement of traffic and pedestrian safety laws can reduce accidents. Communities should have a reputation for strictly enforcing traffic laws such as speeding as well as distracted and impaired driving.
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August2017
Ticks & Tick-borne Diseases
2017 is proving to be a very bad year for tick-bites. And we should have seen it coming!
It started two years ago in 2015 with an unusually large abundance of acorns here in New Jersey and the whole Northeast. Oak trees go through a boom-and-bust cycle with acorn production. The reason for ‘mast years’ or years when an immense amount of tree-nuts are produced, is largely unknown.
Trees in an area synchronize their mast years. One theory suggests with so many acorns falling, it is impossible for all to be consumed. Therefore, leftover acorns are able to take up roots and propagate. During non-mast years, animals that feed on acorns such as birds, mice, and squirrels decline. But the population of mice and other rodents boom following a mast year, as it did in 2016. The increase in host animals then leads to a boom in their parasites, the lowly tick. The tick has a two-year life cycle. The bigger concern is not the adult ticks which died off in the spring 2017, but the newly formed nymph ticks that acquired the Lyme disease pathogen when they feasted on mouse blood as larvae during the Fall of 2016 and are now looking for new hosts in 2017. Rising temperatures and relatively mild winters allow adult and nymph ticks to be more active year-round.
The three most common ticks in New Jersey are the dog tick, the deer tick and the lone star tick. The three species can range in size from a poppy seed as a nymph, to about ¼ inch as an adult. Ticks in the State can carry a variety of diseases. While Lyme disease is the most prevalent tick-borne disease, according to the State Department of Health (http://www.state.nj.us/health/cd/documents/tick%20brochure%202017%20final.pdf) there are several other tick-borne diseases that are present in New Jersey:
The black-legged deer tick can carry Lyme disease, anaplasmosis, babesiosis, and Powassan disease.
The American dog tick can transmit Rocky Mountain spotted fever and tularemia.
The lone star tick can transmit ehrlichiosis, tularemia and STARI.
Lyme disease bacteria are carried by the white-footed mouse. Ticks acquire them by feeding on mouse blood and can then transmit the bacteria to other animals and humans. Like many Northeast states, New Jersey has a higher rate of the disease than national rate.
If Lyme is detected early, the disease can be treated successfully with antibiotics. If left untreated, it can lead to serious heart and nervous system problems. Other long-term effects include chronic headaches or stomach problems, memory loss, stiffness of joints and speech impairment. Early symptoms of Lyme disease include:
A bullseye shaped rash at the site of the bite that appears about a week later.
Severe headaches and neck stiffness.
Joint and nerve pain.
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PREVENTION STRATEGIES FOR EMPLOYERS & EMPLOYEES
Employers
Decrease tick population around your facilities such as public works buildings, lift stations, and recreational buildings by removing leaf litter and mowing, or even removing, grass and brush from around buildings.
Use an exterminating service to control rodents.
Discourage deer and other animal activity in proximity of facilities (ex. - do not feed wildlife).
Encourage workers to wear long sleeves and long pants when assigning work in areas likely to hold ticks. Consider making lockers available for employees to store spare clothes. Don’t forget summer employees.
Consider making insecticide wipes available.
Consider provided workers with protective clothing pre-treated with permethrin. Professionally pre-treated clothing may offer more effective and longer protection than over-the-counter products.
Offer employee training and morning reminders when applicable. Links have been provided at the end of the Bulletin for handouts.
Employees
Educate yourself on tick behavior and identification. Avoid areas where ticks are more likely. Use the middle of trails or work from mowed areas when possible.
Wear light-colored clothing. This make ticks easy to spot before they find a place to bite you. This includes long-sleeved shirts and long pants. Tuck pant legs into shoes or sock, and shirt tails into pants.
o For employees who may wear short pants, consider having a spare pair of long pants in your locker or vehicle.
o At home, put clothes in the dryer on HIGH heat for 10 - 15 minutes to kill ticks, then launder. Ticks are very sensitive to dryness. Washing, even in hot water, will not kill them reliably.
Use insect repellant which contains 20 – 50 % DEET, picaridin, or IR 3535 on exposed skin and outer clothing. Spray the inside surfaces of pant legs also. Re-apply as directed by the product’s label.
Consider treating clothing with Permethrin. This can remain effective through several washings.
Showering at the end of the day to wash off residual insecticide and unattached ticks, and to check yourself for attached ticks. Use a mirror if needed. It takes more than 24 hours for a tick to infect you with the above diseases.
If you do find a tick, remove it properly. o Using fine-tipped tweezers, grasp the tick firmly as close to your skin as possible. o With a steady motion, pull the tick from your skin. Do not jerk; this may rip the tick in half.
Do not use petroleum jelly, hot matches, nail polish remover or similar products. o Wash the area with soap and warm water. o If possible, retain the tick for identification.
Employees should immediately report tick bites to their employer and follow instructions. Closely monitor your health for rash, fever, headache, joint or muscle pains, or swollen lymph nodes that may develop within 30 days of a tick bite.
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August 2017 Firefighter Fitness for Duty and Medical Evaluations
Fire service leaders are challenged by several different types and levels of medical evaluations. This Bulletin will address many frequently asked questions and seek to offer some guidance on the topic.
NJPEOSH NJAC 12:100-10.4 provides the minimum physical fitness standard for non-industrial firefighters in New Jersey. It reads:
(a) The employer shall assure that employees who are expected to do interior structural firefighting are physical capable of performing duties, which may be assigned to them during emergencies
1. Prior to appointment as a structural firefighter, all individuals shall have successfully passed a medical evaluation, which meets the Medical Evaluation Protocol required under the Respiratory Protection Standard, 29 CFR 1910.134. Failure to pass said examination shall exclude the individual from serving as a structural firefighter.
The employer is commonly the municipality or fire district, and NJPEOSH considers both career and volunteer firefighters as ‘employees’ under the regulation. In the regulation, NJPEOSH adopts 29 CFR 1910.134(e) which provides the rules for the Medical Evaluation Protocol under OSHA’s Respiratory Protection Standard. Major requirements of OSHA’s medical evaluation procedure include:
(e)(1) The employer shall provide a medical evaluation to determine the employee's ability to use a respirator, before the employee is fit tested or required to use the respirator in the workplace.
(e)(2)(ii) The medical evaluation shall obtain the information requested by the questionnaire in Sections 1 and 2, Part A of Appendix C.
(e)(3) The employer shall ensure that a follow-up medical examination is provided for an employee who gives a positive response to any question among questions 1 through 8 in Section 2, Part A of Appendix C or whose initial medical examination demonstrates the need for a follow-up medical examination. The follow-up medical examination shall include any medical tests, consultations, or diagnostic procedures that the physician or other licensed health care professional (PLHCP) deems necessary to make a final determination.
To summarize, OSHA requires employees who may wear a respirator to complete the questionnaire provided in Appendix C one time when first becoming an interior firefighter. A medical examination is only required for affirmative responses to certain answers on Section 2 of the questionnaire, or if the PLHCP determines a full examination or additional testing is warranted because of answers on any section of the questionnaire. When reviewing the questionnaire, it is important that the PLHCP be made fully aware of the physiological stresses placed upon the firefighter when wearing a SCBA when fighting a fire.
(e)(5)(i) The healthcare provider administering the medical questionnaire and examination must be provided with information on the type and weight of the respirator (SCBA), expected physical effort, protective clothing that will also be worn, and environmental conditions when the respirator will be worn. The healthcare provider must also be given a copy of the written respiratory protection program and the OSHA 1910.134 Standard.
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(e)(7) At a minimum, the employer shall provide additional medical evaluations that comply with the requirements of this section if: i) an employee reports medical signs or symptoms that are related to ability to use a respirator; (ii) the PLHCP, supervisor, or the respirator program administrator informs the employer that an employee needs to be reevaluated; (iii) Information from the respiratory protection program, including observations made during fit testing and program evaluation, indicates a need for employee reevaluation; or (iv) a change occurs in workplace conditions (e.g., physical work effort, protective clothing, temperature) that may result in a substantial increase in the physiological burden placed on an employee.
There is not a provision in the OSHA Respiratory Protection Standard for periodic medical re-evaluations. Once the initial questionnaire / medical evaluation is completed, it is incumbent upon the firefighter or fire officer to disclose one of the above conditions and initiate a fitness examination. Fire service leaders may consider requiring firefighters complete the questionnaire as part of their PEOSH-required annual respirator fit test. There are some options to consider:
Will the questionnaire be used strictly as a reminder for firefighters to report new or developing medical conditions? If so, leaders should also remind firefighters of how to disclose medical information in a confidential manner. Questionnaires should be considered confidential medical records.
Or, will the questionnaire be reviewed as a matter of policy each year by a PLHCP
The Safety Director asks fire service leaders to consider the following: OSHA writes minimum safety standards for industrial settings. The conditions an industrial worker
wears a respirator is significantly different than the conditions while fighting a fire.
The physiological stresses upon a firefighter wearing a SCBA fighting a fire are significantly different than the stresses experienced by an industrial wearer of a respirator.
Heart attacks and strokes are the most common cause of line of duty deaths of firefighters.
The Safety Director and the MEL join with the NFPA to encourage fire service and municipal leaders to require comprehensive annual medical evaluations of all firefighters who may perform interior structural firefighting. The MEL website (www.njmel.org) offers Guidelines for Firefighter Physical Examinations under the Safety Tab. The guide discusses the challenges when instituting annual medical examinations for the fire service, and offers actionable recommendations. The guide references NFPA Standard 1582: Standard on Comprehensive Occupations Medical Program for Fire Departments. While New Jersey is not an ‘OSHA State’, NFPA 1582 is a national consensus standard and should be considered when developing an occupational medical program for your firefighters.
A good starting point is A Gift from Captain Buscio program. It was founded by the wife of a Jersey City firefighter who died suddenly of a heart attack. The program offers confidential, comprehensive cardiovascular and pulmonary evaluations with no out-of-pocket cost to all firefighters and fire officers. Annual examinations are provided by board certified cardiologists and pulmonologists from Cardio Pulmonary Diagnostic, LLC (Newark, NJ) or Deborah Heart and Lung Center (Browns Mills, NJ). The program is accessed by individual firefighters, not the fire department, and results are only released to the firefighter. Examinations are focused on cardiovascular disease and not the full range of conditions recommended under NFPA 1582. However, the confidentiality and no-cost are easily offered benefits to initiate annual medical evaluations.
Firefighters are an important part of every community. Annual physical examinations and early detection of treatable conditions are the best way to make sure they are there when needed, fit and ready to protect lives and property in the community.
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July2017
Preventing Heat-Related Illnesses – A Team Approach
Working outdoors in high heat conditions can pose a number of hazards to workers. Even healthy adults can be affected. A coordinated team approach is the best strategy to protect workers from heat-related illnesses and injuries. Managers and Supervisors
Monitor the weather forecast and anticipated workload. Plan the most strenuous work for early in the day when temperatures are milder. Gradually acclimatize workers to higher temperatures. Keep a closer watch on new and seasonal employees. Older persons are also more susceptible to heat illnesses.
Talk to staff frequently about your commitment to protecting them from the dangers of over-exposure to heat and sun. Remind them of your specific expectations on especially hot and humid days. Have a program that integrates increasing levels of safeguards as the Heat Index reaches higher temperatures.
Provide additional provisions for water, ice, shade, and other safeguards. Rotate personnel in and out of jobs with the highest heat or sun exposures. Train workers on heat illnesses and first aid measures.
Investigate and evaluate new technologies such as cooling apparel, misters, and similar devices. Employees
Monitor the weather forecast. Know what to expect with regards to temperature and humidity.
Come to work prepared. Eat a lighter than normal breakfast. Consider fruit instead of heavy breakfast sandwiches. Limit coffee and substitute juice and water. Drink water every 15 minutes, even if you are not yet thirsty.
Dress wisely. Wear a hat and light-colored clothing of a breathable fabric, like cotton.
Pace yourself. Work at a steady pace. Breaks should include time out of heat and direct sunlight. Find shady locations or use vehicles with air conditioning.
Monitor yourself for signs of overexposure. Co-workers
Keep an eye on your teammates. Watch them for signs of overexposure. If you see something, say something to the worker or the supervisor. In extreme cases, you may have to call 9-1-1.
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Signs and Symptoms of Heat Illnesses
Sunburn should be avoided because it damages the skin. Although the discomfort is usually minor and healing often occurs in about a week, extensive or severe sunburn can lead to a systemic condition often referred to as sun poisoning which may require medical attention. Symptoms of sunburn are well known: the skin becomes red, painful, and hot after sun exposure. Possible blistering Treatment: Cool the skin with water or cold compresses. Do not use butter, vinegar or other home remedies. A topical analgesic may be used AFTER removing all the heat from the affected area. If blisters do form, do not break. Lightly cover them for comfort. Avoid repeated sun exposure. Heat cramps are the first signs of heat-related illnesses. Left untreated, they can lead to heat exhaustion or heat stroke. Muscular spasms occur from dehydration or when the body loses electrolytes during profuse sweating or when inadequate electrolytes are taken into the body. Proper acclimatization is an effective prevention strategy. Heat cramps usually begin in the arms, legs or abdomen. Treatment for heat cramps is to rest in a cool place, drink water or a sports drink, and stretch and gently rub the cramp. Do not massage the cramp. This can break blood vessels. Heat exhaustion is a warning sign and prompt actions can avert a medical emergency. Clammy skin; pale, cold, and sweaty Weakness or light-headiness. Fainting is possible. Fast but weak pulse Nausea or possible vomiting Treatment: Move the patient to a cool place. Lie down or sit in a semi-reclined position. Apply cool compresses, especially to head / neck, and then other parts of the body as possible. Sip water. Victims should recover after 10-15 minutes of treatment. Consider calling 9-1-1 if conditions persist. Heat stroke is serious medical emergency, and can be life-threatening if not recognized and treated quickly. Hot, red, and dry (or only moist) skin
Elevated body temperature (over 103 F) Fast but strong pulse Possible semi-consciousness or unconsciousness Treatment: call 9-1-1. The brain has lost its ability to regulate body temperature. The emergency care of heat stroke is to cool the body as quickly as possible. One of the best methods for cooling the body during a heat emergency is to wrap the patient in cool, wet sheets. Re-wet the sheets often. Do not give anything to drink. Visit the OSHA website (www.osha.gov) for additional resources. NIOSH is a second excellent resource (www.cdc.gov/niosh/). They have produced a Heat App and a Fast Fact card for employers and employees
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2018 MSI Course Catalog 1
Course Description Target Audience Accident Investigation
2 hours ‐ This course leads the student through the three step process of 1) collecting good information of the incident, 2) identifying the root cause and contributing factors and 3) creating an action plan to incorporate what was learned from the investigation. .
Recommended upon initial assignment This course is strongly recommended for persons involved with incident investigation and analysis, including supervisors, managers and safety coordinators, accident review committee members, and those in safety leadership roles. Continuing Educational Approvals: CPWM ‐ 2.0 Management CEU Credits Water/Wastewater ‐ 1. 5 Hrs. Safety TCH
Asbestos, Lead and Silica Industrial Health Overview REVISED to include OSHA’s new Silica rule.
1 hour ‐ This course is a primer on the regulations and restrictions for workers who perform tasks that could potentially expose them to asbestos, silica, or lead. Please note:, there are specific requirements for persons who perform housekeeping operations in areas that contain or presumed to contain asbestos. This class does not meet the OSHA Asbestos Awareness training requirement.
Recommended upon initial assignment and refresher training as needed for employees and supervisors who perform housekeeping or maintenance in areas which may have asbestos containing materials (ACM) or presumed asbestos containing materials (PACM), and products that may contain silica or lead.
Continuing Education Approvals: CPWM 1.0 Technical CEU Credits CPWM 1.0 Government CEU Credits RMC 1.0 Professional Development CEU Credits Water/Wastewater 1.0 Safety TCH
Back Safety / Material Handling Also available through MSI On‐line learning
1 hour ‐ This course reviews the structure of the spine and common back injury mechanisms. Students will be given the opportunity to discuss common manual labor tasks and best practices to minimize stress on the body.
Recommended upon initial assignment and refresher training as needed for employees and supervisors who are involved in manual material handling. Continuing Education Approvals: Water/Wastewater ‐ 1.0 Safety TCH CPWM ‐ 1.0 Technical CEU Credit
Bloodborne Pathogens Also available through MSI On‐line learning, and “Fast Track to Safety” days
1 hour ‐ This course reviews the requirements of OSHA’s Bloodborne Pathogen Standard and common applications to tasks performed by public employees.
Course requires follow up action by employers. Employers must explain safeguards specific to the individual work places to complete annual training.
Required upon initial assignment and annual retraining for those employees who come into contact with blood or bodily fluids. This typically includes staff that collects trash, clean restrooms, handles raw sewage, and must perform first aid as part of their job duties.
Continuing Education Approvals: CPWM ‐ 1.0 Government CEU Credits RMC ‐ 1.0 Professional Development Water/Wastewater ‐ 1.0 Safety TCH
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2018 MSI Course Catalog 2
Bloodborne Pathogens Administrator Training Limited Offering Please let us know if you would like to host
2 hours ‐ This course prepares the attendee to fulfill the role of the Bloodborne Pathogen Administrator for their organization. Course objectives are to discuss key elements of the OSHA Standard and the role of the local Program Administrator, including hazard determination, written policies, reporting potential exposures, and evaluating training programs.
Recommended upon initial assignment for employees and supervisors who desire to conduct annual retraining.
Continuing Education Approvals: CPWM ‐ 1.0 Technical CEU Credit CPWM ‐ 1.0 Management CEU Credit Water/Wastewater ‐ pending
CDL – Drivers’ Safety Regulations Members requesting this class are encouraged to invite their HR / Personnel representative to attend.
2 hours ‐ Drivers and mechanics of commercial motor vehicles face significant regulations which exceed those of drivers of passenger cars. The Federal Motor Carrier Safety Act requires employers to train Commercial Driver’s License holders on the regulations concerning drug and alcohol testing, driver and vehicle disqualification, and other safety issues. HR and Personnel representatives may benefit from this discussion This class will review the five types of drug and alcohol testing, medical qualification, and the effects of fatigue for drivers. Vehicle issues such as pre‐trip inspection, licensing, and safe operation will also be covered.
Required (49 CFR Part 40) upon initial assignment and periodic retraining for drivers who hold a Commercial Drivers License (CDL). Also, suggested for supervisors, Human Resource Officers, and truck mechanics. Continuing Education Approvals: CPWM ‐ 2.0 Government CEU Credits Water/Wastewater ‐ 2.0 Safety TCH
CDL – Supervisors’ Reasonable Suspicion This class is workbook based and requires a classroom with tables and chairs.
2 hours ‐ The Federal Motor Carrier Safety Act requires supervisors of Commercial Motor Vehicle drivers be trained on how to detect and approach a driver suspected of being under the influence of alcohol or controlled substances.
This class will review the requirements of the Federal regulations, indicators of this misuse in the workplace, how to approach a driver, and the documentation needed.
Regulatory (49 CFR Part 40) upon initial assignment and periodic retraining for immediate supervisors of drivers with Commercial drivers License (CDL).
Also, suggested for department heads and Human Resources / Personnel representatives
Continuing Education Approvals: (Initial Training) CPWM‐ 2.0 Management CEU Credits (Initial Training) Water/Wastewater 1.5 Safety TCH
Coaching the Emergency Vehicle Operator (CEVO) ‐ Police, Fire or EMS Please indicate whether you are requesting CEVO for police officers, firefighters, or ambulance drivers. This class is workbook based and requires a classroom with tables and chairs. **We ask that the host location provide TV and DVD player for the CEVO courses.
4 hours ‐ Driving an emergency vehicle, whether it’s a police car, fire truck or ambulance, is a dangerous activity. The CEVO programs are customized to each type of vehicle. The program addresses the unique hazards associated with emergency responses and the defensive measures to be used while operating these vehicles.
The hazards include the use of emergency warning lights and sirens, along with the reactions of other drivers to the warning devices. Proper procedures and measures are presented for dealing with the various situations and conditions encountered on the road.
Recommended upon initial assignment and retraining as needed for police, fire, and emergency medical personnel.
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2018 MSI Course Catalog 3
Coaching the Maintenance Vehicle Operator (CMVO) This class is workbook based and requires a classroom with tables and chairs. **We ask that the host location provide a TV and DVD player for this CMVO course.
4 hours ‐ This Coaching program is customized to address the unique hazards associated with larger maintenance vehicles, along with the safety considerations while operating these vehicles.
These specific hazards deal directly with the large size and weight of the vehicles, traveling at slow speeds, and frequent stopping, as well as the use of warning lights and the reactions of other drivers to the warning devices. Proper procedures and measures are presented for dealing with the various situations and conditions encountered on the road.
Recommended upon initial assignment and retraining as needed for personnel who operate large maintenance vehicles such sweepers, dump trucks, backhoes, and front‐end loaders. Continuing Education Approvals: CPWM ‐ 2.0 Technical CEU Credits CPWM ‐ 2.0 Management CEU Credits
Coaching the School Bus Driver This class is workbook based and requires a classroom with tables and chairs. **We ask that the host location provide a TV and DVD player for this course.
4 hours ‐ Coaching The School Bus Driver encourages drivers to analyze and discuss safe driving issues, capitalizing and building on their driving experience. The program specifically focuses on defensive driving techniques related to school bus drivers.
Recommended upon initial assignment and retraining as needed for personnel who drive school buses.
Confined Space Awareness Training
1 hour ‐ This class is intended for workers who either do not enter confined spaces or who may only enter a non‐permit confined space. Confined spaces have the potential to contain hazardous atmospheres or other life threatening conditions. The class defines a confined space and discusses the application of the definition to typical conditions found in public work places. Students will be made aware of the potential hazards of entering a confined space.
Required upon initial assignment and retraining as needed for personnel who are not authorized to enter confined spaces. This class is not intended to train workers who enter confined spaces as part of their job duties. Continuing Education Approvals: CPWM ‐ 1.0 Government CEU Credit CPWM ‐ 1.0 Technical CEU Credit Water/Wastewater ‐ 1.0 Safety TCH
Confined Space Entry with Equipment Demonstration in Classroom
4 hours ‐ This class is intended for workers who enter permit‐required and non‐permit confined spaces. A review of the OSHA standards that will have an impact on confined space entry. Discussion will include the definition of confined space, a thorough review of hazards and ways to identify and evaluate hazards, personal protective equipment, entry procedures and entry permits. Training includes an equipment demonstration. Host member must provide air monitoring equipment, ventilation equipment, harnesses & tripod. *Maximum class size is 15 students.
Required upon initial assignment and retraining as needed for personnel who enter non‐permit or permit‐required confined spaces. This class may not satisfy all the required training requirements of OSHA 1910.146. Additional performance and rescue operation evaluations may be required, depending on job duties of personnel who enter confined spaces. Continuing Education Approvals: CPWM ‐ 3.5 Technical CEU Water/Wastewater ‐ 3.5 Safety TCH
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2018 MSI Course Catalog 4
DDC‐6 Defensive Driving This class is workbook based and requires a classroom with tables and chairs. **We ask that the host location provide a TV and DVD player for this Defensive Driving course.
6 hours ‐ This course created by the NJ State Safety Council will review the hazards encountered on the road by drivers every day, including those created by road conditions, weather, traffic, and the actions of other drivers. Defensive driving training can greatly reduce the likelihood of your drivers being involved in a collision, by providing them with the knowledge needed to recognize hazardous conditions and take actions to avoid collisions. Successful completion of this course may entitle the driver to a discount on the base rate for their liability and collision coverage's on their personal auto insurance. *Strict maximum class size of 35 students.
Recommended upon initial assignment and retraining as needed for personnel who drive both municipal and their own vehicles to perform work tasks. Continuing Education Approvals: Water/Wastewater ‐ 5.5 Safety TCH
Driving Safety Awareness
1.5 hours ‐ This class is directed at employees who drive cars or light trucks on behalf of an employer. The tremendous loss potential of motor vehicle accidents is explained including property damage, auto liability and employee injury. Topics include hydroplaning, the effects of excessive speed, and inclement weather. Distracted driving, the effects of fatigue and alcohol on driver performance and the practice of defensive driving are discussed. Through class participation, the concept of reaction time and stopping distances are presented.
Recommended upon initial assignment and retraining as needed Continuing Education Approvals: CPWM ‐ 1.5 Technical CEU Credits Water/Wastewater ‐ 1.5 Safety TCH
Employee Conduct and Violence Prevention in the Workplace
1.5 hours ‐ This course describes basic employee conduct in the work place. It reviews what is and is not acceptable conduct in the workplace. It also addresses violence in the work place. Specifically, the four types of work place violence, how to recognize the warning signs, and presents coping strategies including de‐escalation methods.
Recommended upon initial assignment and retraining as needed The course is excellent training for those who deal with the public. Continuing Education Approvals: CPWM ‐ 1.5 Ethics CEU Credits RMC ‐ 1.5 Ethics CEU Credits CTC ‐ 1.5 Ethics CEU Credits CMFO/CCFO ‐ 1.5 Ethics CEU Credits QPA ‐ 1.5 Ethics CEU Credits
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2018 MSI Course Catalog 5
Excavation, Trenching and Shoring This class requires a classroom with tables and chairs.
4 hours ‐ The types and hazards of excavation and trenches will be reviewed. Topics include an employer assigned Competent Person, soil analysis and the types and characteristics of soil. Equipment and protective systems such as trench boxes and built‐in‐place shoring will be discussed. This standard applies to all open excavations made in the earth's surface, including trenches that create a hazard to near‐by workers.
Required upon initial assignment and retraining as needed for workers with the potential to enter excavations and trenches, including Building & Grounds, Public Works, or Water / Wastewater Utility staffs. Continuing Education Approvals: CPWM ‐ 2.0 Technical CEU Credits CPWM ‐ 2.0 Management CEU Credits Water/Wastewater‐ 4.0 Safety TCH
Fall Protection Awareness
2 hours ‐ This course discusses where fall protection is needed and presents the different options for safeguarding workers. The focus is on specific fall hazards in common operations and how employees should protect themselves from falls. The course emphasizes rules for working safely at heights and various types of fall protection systems.
Required upon initial assignment and retraining as needed for workers who are exposed to falls of 4 feet or more. This may include Public Works and Utilities (falls into pits). Continuing Education Approvals: Water/Wastewater ‐ 2.0. Safety TCH
Fast Track to Safety Limited Offering Please let us know if you would like to host. Host town must provide facility that holds a minimum of 75 attendees.
5 hours ‐ Fast Track to Safety is a full day session that includes five topics created to meet many of your regulatory training needs in one day. Sessions include refresher training in BBP, Hazard Communication / RTK, Fire Safety, PPE and Workplace Violence Awareness. Full day participation is required to receive certificate of completion.
Required annual retraining for Public Works, Recreation, or Utility workers who are potentially exposed to bodily fluids, chemicals, and have fire safety responsibilities Continuing Education Approvals: CPWM ‐ 4.0 Technical CEU Credits Water/Wastewater ‐ 5.0 Safety TCH
Fire Extinguisher Safety
1 hour ‐ Employers who designate employees fight small incipient fires must provide fire extinguisher training. Topics include matching the fire extinguishers to the 5 classes of fires, the limitations of fire extinguishers, and the proper use and inspection of extinguishers.
Required upon initial assignment and annual refresher for Public Works, Utility and others who have been designated by the employer to use an extinguisher. Continuing Education Approvals: CPWM – 1.0 Technical CEU Credits Water/Wastewater ‐ 1.0 Safety TCH
Fire Safety Also available through MSI On‐line learning, and “Fast Track to Safety” days
1 hour ‐ This class discusses the fire triangle as a visual representation of control measures to prevent fires. This class will also cover worker’s responses to fire and other workplace emergencies.
Employers will need to explain safeguards specific to the individual work places.
Required for all workers upon initial assignment and annual refresher Training must reflect only the duties and responsibilities of the employee.
Continuing Education Approvals: CPWM – 0.5 Technical & 0.5 Governmental CEU Credits Water/Wastewater ‐ 1.0 Safety TCH
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2018 MSI Course Catalog 6
Flagger and Work Zone Safety This class is workbook based and requires a classroom with tables and chairs.
4 hours ‐ Students will review the requirements of the Manual on Uniform Traffic Control Devices and discuss how the requirements impact work zones that occur on or near roadways. Various scenarios will be discussed along with the proper traffic control measures for each situation.
*Maximum class size is 25 students.
Required upon initial assignment and retraining as needed for workers who plan, set‐up, or work within roadway work zones. Continuing Education Approvals: CPWM ‐ 2.0 Technical & 2Management. CEU Credits Water/Wastewater ‐ 2.0 Safety TCH
Fleet Mechanic Safety Awareness for Supervisors NEW for 2018 Limited offerings Please let us know if you would like to host this program.
Half day program aimed at fleet supervisors and lead mechanics. Program will include broad understanding of types of injuries and illnesses sustained by mechanics in municipal garages and an outline of safety and environmental topics that need to be covered with all shop employees.
Watch for course announcements Continuing Education Approvals: To be determined
Forklift Operator Certification
Certification for host employees only
Up to 6 hours – This program is intended for trained and experienced forklift operators. This class is not an initial or remedial operator training program. A classroom session which reviews best practices for forklift operation will be followed by certification demonstration of skills.
Host location must provide forklift in good operating condition and space for challenge course. Certification will be for a single operator on a single vehicle. Maximum 10 students. Highly recommended that a supervisory representative also attend the Train‐ the Trainer program for subsequent refresher training.
Required for all workers upon initial assignment and 3‐year re‐certification. OSHA requires employers ensure that each operator is competent to operate a powered industrial truck, documented by training and evaluation by a qualified person. Continuing Education Approvals: CPWM ‐ 2.0 Technical CEU Credits Water/Wastewater ‐2.0 Safety TCH
Forklift Operator Evaluation Train‐the‐Trainer
3 hours ‐ Employers must provide evaluations for their forklift operators every 3 years. This class will prepare experienced and qualified forklift operators to conduct in‐house evaluations for their forklift operators. Attendees will be provided with course materials necessary to run a refresher class and certify skill performance.
Host location must provide forklift in good operating condition and space for challenge course. Visiting evaluators can not be certified on host’s vehicles.
Required upon initial assignment as an employer evaluator.
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2018 MSI Course Catalog 7
Hazard Communication / Globally Harmonized System (GHS) Also available through MSI On‐line learning, and “Fast Track to Safety” days
1.5 hours ‐ This course will meet the general training requirements for RTK, HazCom and GHS. Content includes understanding labels, using safety data sheets and basic chemical terminology. The rights and responsibilities of employees are also reviewed. Employers will need to explain safeguards specific to the individual work places.
Required upon initial assignment and retraining every second year for workers who work with chemicals as part of their work assignments. Continuing Education Approvals: CPWM ‐ 1.0 Technical CEU Credits CPWM ‐ 1.0 Governmental CEU Credits Water/Wastewater – 1.5 Safety TCH
HazMat Awareness with Hazard Communication / Globally Harmonized System (GHS)
3 hours ‐ This is a chemical safety course for employees who work with hazardous chemicals in their work place (HazCom), and may also discover or respond to chemical emergencies outside of their workplace (HazMat). This course reviews the definition of hazardous substances, the risks associated with them in the workplace and at an incident. Training will cover recognition and identification of hazardous substances in an emergency, the role of the first responder, & HazCom / GHS / Right to Know rules.
Required for all workers upon initial assignment and annual refresher for employees who can be reasonably expected to discover a chemical release and those who respond to chemical releases in a supporting role. This typically includes employees of Public Works, Utilities, Police, and EMS. Continuing Education Approvals: CPWM ‐ 3.0 Technical CEU Credits Water/Wastewater ‐ 3 Safety TCH
Hazard Identification ‐ Making Your Observations Count
2 hours ‐ Department supervisors have the responsibility of monitoring the actions of their employees and work places for hazards that may cause injury or harm. This program discusses the self‐evaluation process of work places for common hazards created by the building, machinery or processes, and employee activities. The class will also provide an overview of the workplace observation process, sample formats to record the observations and ways to document corrective actions.
Recommended upon initial assignment and retraining as needed for employees who conduct facility inspections or Job Site Observations for their department or agency Continuing Education Approvals: CPWM ‐ 1.0. Technical CEU Credits CPWM ‐ 1.0 Management CEU Credits Water/Wastewater ‐ 1.5 Safety TCH RMC ‐ 2.0 Professional Development CEU Credits
Hearing Conservation
1 hour ‐ The Hearing Protection Standard will be reviewed, along with specific examples of what constitutes excessive noise exposures. Various types of hearing protective devices will be discussed, along with the advantages and disadvantages of each.
Required for all workers upon initial assignment and annual refresher for employees who are part of the employer’s Hearing Conservation Program. Recommended for employees who are exposed to loud noises, but not in the Hearing Conservation Program. Continuing Education Approvals: CPWM ‐ 1.0 Government CEU Credits CPWM ‐ 1.0 Technical CEU Credit Water/Wastewater ‐ 1.0 Safety TCH
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2018 MSI Course Catalog 8
Heavy Equipment Safety
3 hours ‐ The operation of dump trucks, loaders, backhoes, bucket trucks and other specialized equipment is a hazardous exposure for municipalities and public authorities. This program will provide the attendees with the knowledge and skills needed to understand the safe and effective operation of specialized equipment in the workplace, the proper use of the equipment, vehicle capacities and limitations, and procedures for safe operation.
Recommended upon initial assignment and retraining as needed for employees who operate construction and maintenance vehicles. Continuing Education Approvals: CPWM ‐ 2.0 Technical CEU Credits CPWM ‐ 1.0 Governmental CEU Credits Water/Wastewater ‐ 3.0 Safety TCH
Hoists, Cranes and Rigging Limited Offering Please indicate if you would like to host this class. Dates and locations to be announced.
2 hours ‐ Moving heavy objects requires knowledge of hoisting and rigging. This session will cover DOT regulations on hoist equipment, sling types, and equipment inspection. Basic rigging techniques will be discussed with emphasis on operations such as moving pipe, moving road plates and lifting large or bulky equipment such as pumps or hydrants.
Required for all workers upon initial assignment and refresher training every 3 years for employees who use auto cranes, chain hoists, and similar lifting equipment. Continuing Education Approvals: CPWM ‐ 2.0 Technical CEU Credits Water/Wastewater ‐ 2.0 Safety TCH
Housing Authority Safety Awareness Training for Facility Maintenance Personnel
3 hours ‐ This class provides students with a discussion of the hazards and hazard control tactics associated with general housing maintenance, grounds keeping (from lawn maintenance to snow removal) and custodial tasks. The core class covers the fundamentals of Machinery, Tools and Equipment, Back Care and Safe Lifting, Slips and Falls, HazCom, Fire Safety and Blood Borne Pathogens. Additional classes may be needed for those whose work involves potential asbestos contact, electrical safety, Lock Out Tag Out and Confined Space Entry.
Required for all workers upon initial assignment and annual refresher for employees who are potentially exposed to blood or bodily fluids and hazardous chemicals and who play a role in the employer’s fire prevention, LOTO, or confined space programs. Continuing Education Approvals: CPWM ‐ 3.0 Technical CEU Credits Water/Wastewater ‐ 3.0 Safety TCH
Housing Authority Sensibility #1 ‐ Employee Conduct and Violence in the Workplace
1.5 hours ‐ This is the first of a three‐part series on workplace violence, conflict resolution and stress management. This course describes basic employee conduct in the work place. It reviews what is and is not acceptable conduct in the workplace regarding harassment and other civil rights issues. It also addresses violence in the work place. Specifically, the four types of work place violence, how to recognize the warning signs, and coping strategies including violence de‐escalation methods.
Recommended upon initial assignment and retraining as needed The course is excellent for those who deal with the public.
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2018 MSI Course Catalog 9
Housing Authority Sensibility #2 ‐ Conflict Resolution
2 hours ‐ In this course you will learn strategies for effectively resolving typical conflict situations you encounter on and off the job. Students will learn steps to de‐escalate and resolve conflict, as well as how to use skills such as assertiveness and listening effectively. This course is interactive and there are skill building exercises included.
Recommended upon initial assignment and retraining as needed The course is excellent for those who deal with the public.
Housing Authority Sensibility #3 ‐ Stress and Stress Management
1 hour ‐ This course presents an overview of the types of stress that we face at home and at work. This class gives advice on how to deal with stress in today's high speed world. This course is interactive and participants will have hands on experience in stress reduction techniques. *Maximum 35 Attendees
Recommended upon initial assignment and retraining as needed
Jetter / Vacuum Safety Awareness
2 hours ‐ The general hazards of working in and around wastewater and sewage will be reviewed. The hazards created by operating vacuum and jetting equipment will be discussed, as well as the safety considerations for each.
Employers will need to explain safeguards specific to their individual work places.
Recommended upon initial assignment and retraining as needed for employees who use vacuum or jetting equipment as part of their job duties.
Continuing Education Approvals: CPWM ‐ 2.0 Technical CEU Credits Water/Wastewater ‐ 2.0 Safety TCH
Ladder Safety / Walking & Working Surfaces
2 hours ‐ The objectives of the course are to familiarize participants with OSHA walking / working surface requirements. Requirements include how to safeguard openings and slip‐fall prevention from walking areas such as stairs and skylights. The course shows the various types of ladders and scaffolds, and how to use them safely.
Recommended upon initial assignment and retraining as needed for employees who use ladders and portable scaffolds Continuing Education Approvals: Water/Wastewater ‐ 2.0. Safety TCH
Landscape Safety
3 hours ‐ This course covers several of the most commonly used types of landscape equipment: mowers and tractors, chainsaws, chippers, stump grinders, and utility vehicles. The course objective is to present the safety considerations for landscape equipment, processes, and chemicals. Content may be adapted to particular needs of participants.
Recommended upon initial assignment and retraining as needed for employees who operate landscape equipment. This may include employees of Public Works, Building & Grounds, and Utilities.
Continuing Education Approvals: CPWM 2.0 Technical CEU Credits Water/Wastewater ‐ 2.0 Safety TCH
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2018 MSI Course Catalog 10
Leaf Collection Safety Awareness
2 hours ‐ A review of the hazards of collecting leaves, including working on roadways, noise, moving machinery, and muscle strains. The class covers various methods of leaf pick‐up, including leaf vacuums, claw attachments, and bagged leaf collections. Students will review safeguards for each method.
Recommended upon initial assignment and retraining as needed for employees who collect leaves on roadways. This may include employees of Public Works, and Building & Ground. Continuing Education Approvals: CPWM ‐ 2.0 Technical CEU Credits Wastewater ‐ 2.0 Safety TCH
Lock Out / Tag Out (Control of Hazardous Energy)
2 hours ‐ The OSHA standard and the need to identify various types of energy, as well as the need to develop shutdown and lockout procedures for each piece of equipment will be reviewed. Examples of safety measures and the various types of lockout devices will also be discussed. This class will also review the basics of electrical safety and the hazards associated with electrical and other energy sources. Employers will need to explain safeguards specific to their individual work places.
Required upon initial assignment and retraining as needed for workers who participate in the employer’s Lock Out / Tag Out Program Continuing Education Approvals: CPWM ‐ 2.0 Technical CEU Credits Water/Wastewater ‐ 2.0 Safety TCH
Office Safety Also available through MSI On‐line learning
2 hours ‐ This course will review the main hazards that are faced in the office setting such as electrical hazards, workstation ergonomics, slips/trips & falls, emergencies and hazard communication as it pertains to office environments.
Recommended upon initial assignment and retraining as needed for employees who work in office settings. Continuing Education Approvals: Water/Wastewater ‐ 2.0 Safety TCH
Personal Protective Equipment Also available through “Fast Track to Safety” days
2 hours ‐ The OSHA hazard assessment process to identify the hazards associated with each type job will be reviewed to identify the need for PPE, and determine the type of PPE needed. Various types of PPE will be discussed, and how to choose the most appropriate style for protection.
Recommended upon initial assignment and retraining as needed for supervisors and employees who use or specify PPE
Continuing Education Approvals: CPWM ‐ 2.0 Technical CEU Credits Water/Wastewater ‐ 2.0 Safety TCH
Playground Safety Inspections Also available through MSI On‐line learning
2 hours ‐ This class provides attendees with a survey of the playground environment, types of injuries, the nomenclature of the individual pieces of equipment and the application of the inspection criteria. Photos will illustrate the concerns or provide illustration of the criteria. Includes a brief description of the test kit tools and recommended action plan for compliance with NJ playground regulations.
Recommended upon initial assignment and retraining as needed for employees who inspect, maintain or repair public playgrounds. Continuing Education Approvals: CPWM ‐ 2.0 Technical CEU Credit
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2018 MSI Course Catalog 11
Safety Committee Best Practices
1.5 hours ‐ The foundation of an effective safety program is involvement of both management and employees in an effective safety committee. This program will present the steps to develop and run an effective safety committee. Topics will include: designing and planning your committee, choosing members for your committee, the role of the committee members, effective meeting strategies, and establishing goals and objectives for the safety committee.
Recommended upon initial assignment to a Safety Committee Continuing Education Approvals: CPWM ‐ 1.5 Management CEU Credits RMC – 1.5 Professional Development CEU Credits Water/Wastewater ‐ 1.5 Safety TCH
Safety Coordinators’ Skills Training Limited Offering This class requires a classroom with tables and chairs.
6 hours ‐ This is a nuts and bolts primer for new Safety Coordinators, or experienced coordinators who wish to refresh their skills. Topics include: 1) team building and holding effective meetings, 2) conducting Job Site Observations and facility inspections, 3) accessing the MSI and other training resources, and 4) coordinating an accident / injury investigation process. Attendees will leave with a strong understanding of the MEL / JIF system and how each entity’s safety program fits into the system.
Recommended upon initial assignment Continuing Education Approvals: CPWM ‐ 3.0 Management CEU CPWM ‐ 3.0 Government CEU Credits RMC ‐ 6.0 Professional Development CEU Credits Water/Wastewater‐ 5 Safety TCH
Sanitation and Recycling Safety
2 hours ‐ This course will discuss various topics relating to Sanitation Safety for solid waste and recyclable collection crews including the review of appropriate personal protective equipment, safe operating procedures, proper lifting techniques, proper driving techniques, rider positions, effective route layout and relevant provisions of the MUTCD pertaining to traffic safety.
Recommended upon initial assignment and retraining as needed for employees who collect solid waste (trash or recycling) on community streets. Continuing Education Approvals: CPWM ‐ 2.0 Technical CEU Credits
Schools: Chemical Lab Safety for Science Teachers
1 hour ‐ This program focuses on the exposures to both teachers and students from work in chemistry labs. Topics include a review of chemical safety, available emergency equipment such as showers, appropriate personal protective equipment, effective experiment planning and the vital importance of prudent chemical storage.
Required for all workers upon initial assignment and annual refresher for employees who are potentially exposed to blood or bodily fluids and hazardous chemicals and who play a role in the employer’s fire prevention, LOTO, or confined space programs.
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2018 MSI Course Catalog 12
Schools: Safety Awareness Training for School Custodians / Facilities Management
3 hours ‐ This class provides attendees with a discussion of the hazards and hazard control tactics associated with general school maintenance, grounds keeping (from lawn maintenance to snow removal) and custodial tasks. The core class covers the fundamentals of Machinery, Tools and Equipment, Back Care and Safe Lifting, Slips and Falls, HazCom, Fire Safety and Blood Borne Pathogens. Additional classes may be needed for those whose work involves potential asbestos contact, electrical safety, Lock Out Tag Out and Confined Space Entry.
Required for all workers upon initial assignment and annual refresher for employees who are potentially exposed to blood or bodily fluids and hazardous chemicals and who play a role in the employer’s fire prevention, LOTO, or confined space programs. Continuing Education Approvals: CPWM ‐ 3.0 Technical CEU Credits Water/Wastewater ‐ 3.0 Safety TCH
Seasonal (Autumn/Winter) Public Works Operations (Combined Leaf Collection and Snow Plow Safety)
3 hours ‐ This course will discuss various topics related to both leaf collection and snow plowing. They are combined in this single class to encourage participation by both employees and supervisors. Topics include fatigue, noise, and hazards of machinery. Main topics including the review of: safe operating procedures, ergonomic considerations, proper driving techniques, review of the various types of equipment, appropriate personal protective equipment, effective route layout and relevant provisions of the MUTCD pertaining to mobile work zones.
Recommended upon initial assignment and retraining as needed for employees who operate both leaf vacuums and snow plows. Continuing Education Approvals: CPWM ‐ 3.0 Technical CEU Credits Water/Wastewater ‐ 3.0 Safety TCH
Seasonal (Summer) Employee Orientation 4 hours ‐ This class is for seasonal/part‐time workers employed by municipalities. Also good for supervisors responsible for training seasonal/ part time workers. Class will cover the exposures that employees may encounter, including an overview of outdoor safety, youth employment rules, heat stress, PPE, HazCom, bloodborne pathogens and employment practices. The presentation will also include videos on the various topics.
Recommended upon initial assignment for new or returning seasonal employees.
Shop and Tool Safety
1 hour ‐ The OSHA standard relating to machine guarding will be reviewed. The emphasis of the class is on the safe use of common hand and power tools, ranging from chisels to circular saws to jack hammers.
Recommended upon initial assignment and retraining as needed for employees who use hand & power tools. Continuing Education Approvals: CPWM ‐ 1.0 Technical CEU Credit Water/Wastewater ‐ 1.0 Safety TCH
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2018 MSI Course Catalog 13
Snow Plow / Snow Removal Safety
2 hours ‐ The hazards of icy road surfaces, low visibility and objects being obstructed by snow can create a hazardous situation for the operators of snow plows. This program will review the hazards associated with the operation of snowplows, snow blowers and shoveling snow. Proper planning and safety measures are presented in this program.
Recommended upon initial assignment and retraining as needed for supervisors and employees who plow snow on city streets Continuing Education Approvals: CPWM ‐ 2.0 Technical CEU Credits Water/Wastewater ‐ 2.0 Safety TCH
Special Event Management
2 hours ‐ This presentation will focus on issues and exposures created by special events. Proper planning procedures will be reviewed, and many hazard and liability considerations will be discussed.
The goal of the program will be to allow the attendees to coordinate the planning process and preparations for special events.
Recommended upon initial assignment and retraining as needed for employees who plan special events. Continuing Education Approvals: CPWM ‐ 2.0 Management CEU Credits RMC ‐ 2.0 Professional Development CEU Credits Wastewater ‐ 2.0 Safety TCH
Toolbox Talk Essentials
1.5 hours ‐ For staff members who present tool box talks as part of their department safety training program.
Suggested for safety coordinators, supervisors, managers and those in safety leadership roles. Continuing Education Approvals: CPWM ‐ 1 Management CEU Credit Water/Wastewater ‐1.0 Safety TCH
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2018 MSI Course Catalog 14
MSI Online Courses
Online courses are also available. They can be completed on an individual employee basis or as department‐level group training. Unless noted in
the description, these self‐directed courses are about ½ hour in length and are complete with a short quiz at the conclusion.
To access the classes, users must log in to the MSI website at http://firstnetcampus.com/meljif/entities/mel/logon.htm
1. If you have taken MSI classes in the past, enter your username and password. If you do not know your username/password, check with your Training Administrator or call the MSI Helpline listed below. If you are new, click "I am a new user." Complete the fields and you will receive a confirmation email with your username and password.
2. Once logged in, click on "MSI On‐Line Training Courses." 3. Choose the course you would like to complete. Click enroll. 4. Choose "Click Here" to go to your authorized course list. 5. Click the program name to launch the course. Click Start to begin. 6. Upon completion of the course and questions you will navigate to the "Student Center" tab to print your Certificate of Completion. Learning
Transcripts are automatically updated in the MSI Learning Management System.
Note: Please see MSI website instructions for running online training in a group setting, have group participation recorded in transcripts, and receive certificates.
Course Title Course DescriptionAquatic Safety for Camp Counselors Part of Camp Counselor Suite
As a counselor you have a crucially important role in protecting kids during swim time this summer. This pool safety training contains footage of an actual drowning and explains how counselors can work together to make swim time safe all summer long.
Avoid Back Pain This course reviews the structure of the back and common mechanisms of injuries to the back. Course discusses common manual labor tasks and best practices to minimize stress on the body.
Bloodborne Pathogens This course reviews the requirements of the OSHA Bloodborne Pathogen Standard and common applications to tasks performed by public employees. To complete training employers will need to review the local exposure control plan and identify local contacts and specific steps to be taken to in the event of an exposure incident.
Bullying Prevent at Camp Part of Camp Counselor Suite
This course will teach you what bullying is, what the consequences could be, and how to identify, stop and prevent bullying.
Child Sexual Abuse Prevention at Camp Part of Camp Counselor Suite
This course will teach you how to identify red flags warning signs of abuse and methods to protect campers from peer‐to‐peer sexual abuse and adult‐to‐child sexual abuse.
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2018 MSI Course Catalog 15
Crossing Guard Training ‘Street Smart is Street Safe’ discusses the basic principles School Crossing Guards need to protect children and themselves. The program is designed to be a part of an initial training program as well as a refresher course for experienced crossing guards.
Crush Zone Training Too many accidents involve workers who are caught between moving and stationary objects and the results have been devastating. This course will raise awareness about some of the most common ‘Crush Zone’ hazards faced by public employees.
Cyber Security Cyber Crime now poses a constant and serious threat to the security of government, corporations and individuals. The highly sophisticated, deceptive methods of cyber criminals put our confidential information, finances, and very ability to function at risk. Following the five simple steps presented in this program will go a long way to protecting you and the organizations so essential to our safety, financial security, and way of life.
Driving – Emergencies & Natural Disasters In this course, host and cartoonist Bruce Blitz will depict a variety of potentially dangerous situations while offering insights that just might save your life when driving in an emergency or natural disaster
Driving – Urban Driving Join host Bruce Blitz as he “draws” you into an entertaining and educational look at driving in the urban environment. Topics include following distances and distracted driving.
Fire Safety This class discusses common control measures to prevent fires and worker’s responses to fire and other workplace emergencies. Employers will need to explain safeguards specific to the individual work places to fulfill training requirements.
Hazard Communication / Globally Harmonized System (GHS)
This course will meet the general training requirements for RTK, HazCom and GHS. Content includes understanding labels, using safety data sheets and basic chemical terminology. The rights and responsibilities of employees are also reviewed. Employers will need to explain safeguards specific to their individual work place.
New Employee Safety Orientation, Part 1 This program discusses our commitment to the health and safety of all employees and the public served by local government. The presentation details the core values of trust, care, knowledge and communication as well as the ‘no tolerance’ policy towards harassment and discrimination.
New Employee Safety Orientation, Part 2 This program continues the discussion in Part 1 about the health and safety of public employees. In this presentation, employees are introduced to safety guidelines for working around blood, chemicals, and machinery. The course also includes safety lessons on two of the most common injuries to municipal employees: strains to the back and slip‐trip & falls.
Office Safety This course will review the main hazards that are faced in the office setting such as electrical hazards, workstation set up and design, slips/trips & falls, emergencies and hazard communication as it pertains to office environments
Playground Safety for Camp Counselors Part of Camp Counselor Suite
This course will teach you how most playgrounds injuries occur and the strategies you can use to prevent them from happening at your camp.
Playground Safety Inspections for Public Works or Recreation Departments
This 10 minute course will show how to identify potential hazards and how to correct them, ensuring that playgrounds are safe for all children.
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2018 MSI Course Catalog 16
Safe Patient Lifting for Emergency Responders
This class will discuss body mechanics and other considerations for police, fire, and emergency medical responders when they lift and carry patients.
(The) Professional Lifeguard Part of Camp Counselor Suite
The Professional Lifeguard training helps guards understand their responsibilities and the practical application of their skills on the pool deck. Guards will understand the following key lifeguard attributes upon completion: rescue ready, positioned to protect, singularly focused, aggressively scanning and protecting everyone.
Trip and Transportation Safety Part of Camp Counselor Suite
This 10 minute training will help you plan and prepare for all off site adventures to make them memorable, safe and fun.
Questions? Contact the MSI Help Line (866) 661‐5120
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2018 MSI Class Request For January 1, 2018 – December 31, 2018
All requests to host classes MUST be received by August 31, 2017
(Requests received after August 31, 2017 will be put on a waitlist for scheduling upon availability)
Member Name: _____________________________________________________ (Name of Municipality, Authority, School District, County, etc)
Name of JIF: _____________________________________________________ (Joint Insurance Fund)
County: _____________________________________________________ Requestor’s Name: _____________________________________________________ Title: _____________________________________________________ Phone Number: (__________)_________________________________________ Fax Number: (__________)_________________________________________ E‐mail Address: _____________________________________________________
Class Name Desired Other considerations Number of Month (Day of week, time of day preference ‐ Attendees An attempt will be made to accommodate preferences as best we can)
__________________________ _________ ______________________________ ________ ___________________________ _________ ______________________________ ________ ___________________________ _________ ______________________________ ________ ___________________________ _________ _______________________________ ________ ___________________________ _________ ______________________________ ________ ___________________________ _________ ______________________________ ________ ___________________________ _________ ______________________________ ________ In requesting a class, your Municipality, Authority, School District, County, etc. will be considered the Host member. With that you are agreeing to:
Enroll 15+ participants at least 15 working days prior to the date of the class. You can enroll participants for any class as soon as the calendar is posted on the MSI Learning Management System.
Provide a training room to accommodate the class. Typically, the maximum class size is 50. We ask that the facility have a screen or blank wall suitable for projecting slides and a TV and VCR available for all Driver Safety classes. The class will appear on the MSI calendar and open enrollments will be accepted to supplement enrollments up to the maximum class size.
Fax all requests to 856‐552‐4741 and call to confirm receipt at 856‐552‐4740. 101
LESSONS LEARNED FROM LOSSES MONTHLY NEWSLETTER – September 2017
*Mitigation from FEMA can take the form of a
payment for preventative measures that ensure a
similar cause of loss and damage does not occur in
the future. If you have any damage at all, report it to
FEMA after you report it to us.
*A town had just discovered and reported damage to
a building one year after Superstorm Sandy hit the
area. This greatly increased the time it took to settle
that town’s claim. Appointing a “point” person can
ensure a quicker resolution to a town’s insurance and
FEMA claims.
HURRICANE PREPAREDNESS
o Make sure flood policies are in place on buildings that are in a flood zone. Discuss with RMC.
o Appoint someone to be the point person for a catastrophic event. This person should be the
person that acts to gather information about damages in the municipality and communicates
with insurance claims personnel and FEMA personnel.
o Take pictures of all damages to buildings, building contents and vehicles.
o Make sure the titles and keys to any damaged vehicles are kept in one place.
o Report the claim to our office as soon as possible.
o Report the claim to FEMA as soon as possible and understand FEMA “mitigation”.
o Keep all receipts and rental agreements.
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GLOUCESTER, SALEM AND CUMBERLAND COUNTIES MUNICIPAL JOINT INSURANCE FUND
WELLNESS DIRECTOR’S REPORT TO: Municipal Fund Commissioners, Safety Coordinators, and Risk Managers FROM: Debby Schiffer, JIF Wellness Director DATE: Sept 25, 2017 Gloucester County Library, Mullica Hill, NJ Contact Information: [email protected] 856-322-1220
SEPTEMBER ACTIVITIES & PLANNED EVENTS
Wellness Events or Planning Meetings
Held in August: September Scheduled To-date: Glassboro Washington Twp Vineland Lower Alloways Creek Carneys Point Swedesboro Clayton Quinton Woodbury Wenonah Woolwich Pitman Woolwich Washington Twp
Ideas Tabled or Planned Utilizing Wellness Funds or Free: · Purchasing of various books on wellness topics to start a Wellness “Library” for Employees · Having a bulletin board to post wellness newsletter, articles, recipes, motivational posters · Incentives for participating in a Smoking Cessation Program plus quitting for set time after cessation · Incentives for participation in a Fitness Program (6 week Boot Camp) · Water Bottles to promote drinking more water (even bottled water for Public Workers to have on-site) · Lunch boxes to promote healthy lunch options · Chair massages for Employee appreciation · Meditation workshops to help manage stress · Reimbursement for wellness services/products – Weight Watchers fee, exercise equipment, computer
reading glasses, Community 5/K race registration fee, etc. · Standing Desk/Active Sitting Discs · Healthy food options during lunch & learns, employee appreciation, meetings · Fresh Fruit for the departments (CSA free delivery to municipality) · Ergonomic assessment · “Awareness Challenges” offered one week a month, 4-week challenge, or quarterly
Scheduled and Special Events – Monroe – Walking Wednesday’s during month of Sept with weekly “Awareness Challenge” Wenonah –ShopRite RD presentation on hydration and 10 top food picks (August) Woolwich – Planning a “Wellness Wednesday”. Event may include the following:
· Interested participants can contribute to a Salad Bar Lunch · Drink Water Challenge - no caffeine or sugary beverages that day · Wear/Bring your sneakers for a 15 minute lunchtime walk · Intercom announcements every hour to "Get Up and Move"
September Wellness Connection Newsletter: Focus this month is on Healthy Aging: · Tips to age gracefully · Why it’s important to take your designated breaks and vacation · Ways to keep your lungs healthy and young
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· Fall fitness – what better time than now to get active · Sleep and Effects on Aging
Recipe: Salmon Rosti (a Swiss dish of grated potatoes formed into a small flat cake and fried.)
Exercise of the Month: Back to School means “new” beginnings. Importance of incorporating flexibility into your routine.
Fall Health Fairs being discussed: Washington Twp (Sept), Carneys Point (Oct), Vineland (Oct), Deptford is planning a Wellness WEEK (Oct), Swedesboro – Community focused (Nov), and Pitman (Nov) Regional Training: Wellness Coordinator Workshop scheduled for September 20th at 10am in the Gloucester County Library, Mullica Hill, NJ. Please be sure you have a Point Person that can attend.
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Debby Schiffer, Wellness Director for BURLCO & TRICO
August 2017
Enjoy the rest of your Summer!
Wellness Corner Connection
Take Advantage Of Summer Goodness Laughing lowers levels of stress hormones and strengthens the
immune system.
The benefits of exercise are more than just for weight manage-ment. Exercise also combats stress, promotes better sleep. and activates the im-
mune system.
Want to shape up your eating habits over the summer? With an abundance of fruits and vegetables, there is no time like the present.
Even though summertime cooks outs could bring some temptations that could hit your waistline, there are so many delicious and healthy variations you can bring to your traditional meals that will not only keep your pallet satisfied but also keep you from adding a notch on your belt. Maybe you’ve decided to cut back a little on the hot dogs, peel the fatty skin off your barbecued
chicken and limit mayo-laden macaroni and potato salads. Will this be enough to shape up your summertime eating habits? Cutting back on high-fat meats and mayo-drenched salads is a good place to start. But along with limiting cer-tain foods, it’s just as important to think about what to add to your meal plan. To make healthy eating habits stick, it’s better to think more about enjoying your food and less about what to avoid. Here are some ideas to whet your appetite that won’t expand your waistline.
Your body uses 300 muscles to balance itself while standing
still.
Research has shown that when people exercise by walking, they walk 30% longer if they walk to
music.
Drinking water before and after a spa treatment reduces soreness and helps to flush the body of toxins released from the
muscles.
Take advantage of the season Summer is prime time for the best fruits and vegetables.
• Try grilling vegetables, such as pearl onions, mush-rooms, zucchini and bell peppers. Most vegetables can be grilled by cutting them into bite size pieces and threading onto skewers. Grilled fruit kabobs are also a great summertime dessert!
• Buy fresh herbs (or maybe you grew your own!). They can bring out the flavor in food. If you have extra, chop them up, put them in an ice-cube tray and fill it with wa-ter. Once the herbs freeze, pop them out and put them in a plastic bag. Defrost by running them under hot wa-ter. Or if you froze mint, drop it into a glass of water to add some flavor!
• At your next barbecue, skip the chips and serve crunchy carrot sticks, bell pepper strips and broccoli with a low-fat dip.
• Head to the beach with a veggie-filled picnic lunch. In addition to turkey or roast beef on whole wheat bread, pack fruits and vegetables such as baby carrots, cherry tomatoes, grapes, plums blueberries and cherries.
• If you are going camping or hiking, unsweetened dried fruits, such as cranberries, raisins, apricots and figs, are easy to tote in your backpack and can provide quick “pick me up” energy.
• Avoid food dyes and excess sugar and make your own frozen fruit pops at home. Freeze 100 percent fruit juice in small paper cups (add diced-up fruit to the juice before freezing for extra fiber and nutrients). Insert wooden sticks when the juice is slushy enough to hold the stick upright. When the juice is frozen solid, peel the paper off and serve.
• Keep containers of fruits and vegetables washed and cut into bite-size pieces in the refrigerator. Have them as snacks instead of chips and cookies.
Make simple substitutions
• Breaking an unhealthy food habit doesn’t mean you have to make radical changes or follow compli-cated recipes.
• Exchange artery-clogging creamy sauces and dressings with mari-nades or dressings made with olive oil or canola oil (heart-healthy fats) and herbs.
• Instead of serving a classic potato salad with creamy mayo, try steam-ing new potatoes and drizzling them with olive oil, garlic powder and chopped chives.
• Look for chicken or turkey sau-sages to grill instead of pork. They taste delicious and often offer great savings on fat and calories.
• Use wholesome barley or quinoa for a grain-based salad instead of pasta or potatoes. Add lots of raw, cut-up veggies, such as red pep-pers, carrots, red onion and celery.
• Go for sorbets and fruits instead of heavy cakes if you crave dessert.
• Drink plenty of water in lieu of sports/energy drinks and sodas.
• Downsize what you put on your plate. Fill two-thirds of it with fruits, vegetables and grains, and one-third with poultry, fish or meat. Use a smaller plate and fill it up once.
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Page 2
Natural Remedies for Poison Ivy
Last month I shared some natural remedies to ward off those annoying mosqui-toes. This month I wanted to target another nuisance...poison ivy. Poison ivy rash occurs when the plant toxin, urushiol (one of the deadliest natural poisons on the planet) comes into contact with human skin. It is a condition characterized by swell-ing, blisters, pain and an amazing amount of itching. Besides intense itching and pain, the effects of rubbing up against this poisonous plant may also manifest as red bumps, intense sensations of burning and irritation,
as well as fever. If you have ever come into contact with this plant and developed a reaction as described, it can be pretty intense. I recall as a child seeing my sister get this irritant in her eyes! The symptoms can appear within a few hours or can take up to seven to tens day after the original contact with the plant.
Poison ivy rash can then spread rapidly during the first three days, especially when you scratch the affected area. And
while poison ivy is usually a mild condition, it can cause great suffering if left untreated.
Luckily, just as nature as cursed us with this annoying leaf, nature can also provide many natural remedies for poison ivy.
Here are a few that I discovered on Global Healing Center.com:
Baking Soda Baths & Pastes Found in most kitchens, common baking soda is a great natural remedy for the itchiness associated with a poison ivy rash. To help relieve itching, place 1/2 a cup of baking soda in a bath tub filled with warm water. You can also mix 3 teaspoons of baking soda with one teaspoon of water and mix until it forms a paste. Apply this paste to the infected area to relieve itching and irritation that’s associated with a poison ivy rash. Oatmeal Paste Cook a small amount of oatmeal and apply it directly to the skin as a paste. Make sure to cook it very thick so that the paste will stick to the skin. Some sources recommend putting the oatmeal on the skin while it is very warm, as the heat from the
oatmeal will eventually cool, leaving the skin dry and relieved. Make sure not to apply the oatmeal when it is too hot, as this can easily burn the skin. You may also try mixing in a teaspoon of baking soda, for an extra itch-relieving effect. Organic Apple Cider Vinegar Apply a teaspoon of organic apple cider vinegar directly to the infected skin. Apple Cider Vinegar has a toxin-pulling action that helps suck the poison out of the pores. You can also create a warm vinegar compress using a thin cotton towel. Reapply to the skin as needed.
Aloe Vera Gel An ancient curative remedy for the skin, aloe vera can be used directly on the infected area. You can buy a high-quality organic version at most health-food stores, or even better, buy a plant and use the gel from inner flesh of the leaves. External use of organic aloe vera juice may also help, but is not as effective as the gel. Organic Goldenseal Mix a small amount of powdered goldenseal root with a small amount of hot water. Rub this paste on the affected skin to help
reduce the chances of infection. For quickest results, try drinking goldenseal tea or taking a goldenseal supplement. This remedy can also help with poison oak. Himalayan Crystal Salt Remember, poison ivy is a condition that causes the skin to become wet and red. Salt is an excellent natural remedy, as it is drying for the skin, and will pull both the excess water and the poison from the body. Make a paste using (purified) water and Himalayan Salt. You can also take a warm salt bath. I’d recommend putting a cup of Himalayan Crystal Salt into the bath tub and soak in it for at least 20 minutes. Witch Hazel Dabbing a small amount of witch hazel tonic on the infected area offers both cleansing and itch-relief. Witch hazel can be found at most drugstores. Banana Peel It may sound strange, but many old-wives tales swear by the power of a banana peal for poison ivy. Simply rub the inside of a banana
peel on the affected area. This is possibly related to the cooling effect the banana peel has on the rash. Cucumber This green veggie is very cooling. Making a cucumber paste and applying it to the skin helps bring soothing relief to heated itching. For easy itch relief, slice a piece of a cucumber off and let it dry on the affected area.
Watermelon Rind
Similar to the cooling cucumber, watermelon is also cold on the skin and can help provide itch relief for the poison ivy rash..
Source: Group, Dr. Edward. (Feb 25, 2016). 10 Natural Remedies for Poison
Ivy. Global Healing Center Live Healthy.
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Page 3
What Drives Us To Eat?
How would you answer this question: “why do we eat?” The response may seem obvious—to obtain the energy we
need to support our everyday activities and to promote our survival. Yet many of the food choices we make today would
suggest another answer. Many of our choices now actually threaten our health and well being. Often the reason we eat
has nothing to do with hunger or sustenance but rather with taste.
Our daily food choices are influenced by our environment and social situations: our budget, sleep schedules, stress
levels and the amount of time we actually have to prepare and eat a meal. Our ancestors ate to have the energy to con-
tinue hunting and gathering food. Their level of expenditure typically exceeded their consumption. That is not the case
today. Advances in agriculture have provided the opportunity to grow massive quantities of food with far less effort than
before. PLUS many food items are now highly processed with a scientifically perfected combination of tasty ingredi-
ents and as well as chemicals. This fact is cause to make us angry that we have fallen victim to this “producing equa-
tion game” the food industry is playing with our well-being! They are creating and marketing (heavily) food and beverage
products that are engineered to be both desirable and inexpensive (Avena, 2015).
Overeating and obesity are on the rise in the U.S. as well as around the world. We are all aware of this and so many of us
are struggling on a daily basis to get to a healthier weight, most times to little or no avail. Why? When food is pro-
duced in such a way that the balance of salt, sugar and fat make the pleasurable aspect of it a powerful motivator of choice
and gluttony. This is why we so often eat past the point of satisfaction and eat highly palatable foods like cupcakes and
candy bars that aren’t filling. Unfortunately, our natural inclination to consume these types of foods conflict with the many
influences in our modern food environment—convenience, cost, social influences just to name a few.
Given these facts, are we doomed to forever fight the losing battle of weight gain and overeating? The answer is a
definite NO! There is one thing that you will need to do that is easier said than done. That is “mindful eating”.
Does this sound familiar?
You’ve been working at your computer for several hours on a
very time sensitive project. You’ve been holding off, waiting for
the delicious taste of _____(you fill in the blank here). Bag of
chips from the vending machine? Candy from a co-workers
candy jar? Donuts waiting in the employee lounge? You take
the first bite. Yummy!! Second bite...still yummy but a little less
so. Then your focus goes back to your computer. Before long
you look down and that snack is gone but you really don’t even
recall finishing it. Disappointment and discontent set in. You
might say “That’s gone but I’m still not satisfied. I’ll just get one
more. Now the internal critic voice pipes up saying “What are
you doing? One was enough. Aren’t you trying to lose
weight/eat better/stop grazing/etc.?”
Thus begins the struggle over the simple, biologically natural,
pleasurable act of eating.
How is it that food and eating have become such a common source of unhappiness? And why has it occurred in a country with an abundance of food? The fundamental reason for our imbalance with food and eating is that
we've forgotten how to be present as we eat. We eat mindlessly.
What is Mindfulness? It is deliberately paying attention, being fully aware of what is happening both inside and outside yourself—in your body, your heart and your mind—and outside yourself in terms of your environment (availability, finan-cial, social pressures). Mindfulness is awareness without criticism or judgment
(Bayes, 2009). This last phrase is very important because we do not want to compare ourselves to anyone or judge ourselves. We simply want to start “teaching ourselves” to be in tone with our thoughts and the sensations involved
in the act of eating.
Therefore, Mindful Eating means paying attention to the experience of eating and drinking. Paying attention to the colors, smells, textures, flavors, tempera-tures, and even the sounds (crunch!) of our food. Pay attention to the body, where in the body do you feel hungry? Is it in your stomach or head? What does
feeling half-full really feel like?
Without judgment or criticism, pay attention to when your mind gets pulled away from the act of eating. Watch for impulses that may arise after you’ve taken a few sips or bites...do your eyes go back to your computer, are you reaching for your phone, a book, turning on the TV, calling someone...you get the picture.
Are we setting ourselves up for mindless eating?
We’ll begin to notice how eating affects our mood and how our emotions like anxiety and stress influence our eating habits. By practicing mindful eating we will start to regain the sense of ease and freedom with eating that we had in
childhood. It is our natural birthright.
Old habits of eating and not paying attention are not easy to change. Don’t try to make drastic changes all at once. Lasting change takes time, and is built on many small changes. Start simple. Start with one of these suggestions.
MINDFUL EATING changes everything and gives you back control!
Pick your mindful eating homework:
(1) Try taking the first four sips of a cup of hot tea or coffee with
full attention.
(2) If you are reading and eating, try alternating these activities,
not doing both at once. Read a page, then put the book down
and eat a few bites, savoring the tastes, then read another
page, and so on.
(3) At family meals, you might ask everyone to eat in silence for
the first few minutes, thinking about the many people who
brought the food to your plates.
(4) Try eating one meal a week mindfully, alone and in silence.
Be creative. For example, could you eat lunch behind a closed
office door, or on a park bench or even alone in our car?
Resources:
Bays, J. (Feb 5, 2009). Mindful Eating. Psychology Today. Retrieved from https://www.psychologytoday.com/blog/mindful-eating/200902/mindful-eating
Avena, N (Jun 17, 2015). Why Do We Eat? Psychology Today. Retrieved from https://www.psychologytoday.com/blog/food-junkie/201506/why-do-we-eat
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Recipe
Corner Summer zucchini...yummy!! Here is a cheesy, Zucchini Rollatini that sounds delicious and is loaded with veggie-goodness. I haven’t tried this yet but I definitely
will. If you do, let me know if you enjoyed it. Grilling the zucchini is supposed to make it more pliable for rolling. Also helps to reduce the wateriness and mushi-
ness of the zucchini when baking it.
ZUCCHINI ROLLATINI
Ingredients:
Directions:
Recipe from: www.skinnytaste.com
• 2 large (14 oz each) zucchini, cut lengthwise into 12 (1/4-inch thick) slices
• 1/2 teaspoon kosher salt
• fresh black pepper, to taste
• 1 cup quick marinara sauce
• 1 large egg
• 2/3 cup part skim ricotta cheese
• 1/2 cup grated Pecorino Romano cheese, plus more for serving
• 1/4 cup chopped basil
• 1 garlic clove, minced
• 3/4 cup (3 oz) shredded mozzarella
1. Preheat the oven to 400F. Spread 1/4 cup marinara sauce on the bottom of a 13 x 9-inch baking dish.
2. Cut the zucchini lengthwise, into 1/4-inch thick slices until you have a total of 12 slices about the same size. It’s
easiest to do this with a mandolin.
3. Season both sides of the zucchini with 1/2 tsp salt and pepper, then grill on a grill pan over high heat to help dry out
the zucchini, until pliable and grill marks form, but not fully cooked, about 2 minutes on each side.
4. In a medium bowl, beat the egg then mix together with ricotta, Pecorino Romano, basil, garlic, 1/8 tsp salt and 1/8
tsp pepper.
5. Spread the ricotta mixture (about 1 1/2 tablespoons each) evenly onto each zucchini slice, spreading to cover.
6. Roll up slices and arrange them each seam side down in the prepared dish. Top each with 1 tbsp marinara sauce
and 1 tbsp mozzarella cheese and tightly cover with foil.
7. Bake 20 minutes, or until the cheese is hot and melted.
NU T R I T I O N I N F ORMA T I O N Yield: 3 servings, Serving Size: 4 rolls
• Amount Per Serving:
• Smart Points: 8
• Points +: 8
• Calories: 318
• Total Fat: 17.5g
• Saturated Fat: g
• Cholesterol: 113mg
• Sodium: 998mg
• Carbohydrates: 18.5g
• Fiber: 5g
• Sugar: 9g
• Protein: 21g
• 1 tsp olive oil
• 2 cloves garlic, smashed
• 28 oz can crushed tomatoes
• 1 small bay leaf
• 1 tsp oregano
• 2 tbsp chopped fresh basil
• salt and fresh pepper to taste
Ingredients:
Quick Marinara SauceQuick Marinara SauceQuick Marinara SauceQuick Marinara Sauce
1. In a medium pot, heat olive oil over medium heat.
2. Add garlic and saute until golden, being careful not to burn.
3. Add crushed tomatoes, salt, pepper, oregano, and bay leaf. Stir and reduce heat to low.
4. Cover and let simmer about 15 – 20 minutes.
5. Remove from heat and add fresh basil.
Directions:
NU T R I T I O N I N F ORMA T I O N Yield: 6 servings, Serving Size: 1/2 cup
• Amount Per Serving:
• Smart Points: 0
• Points +: 1
• Calories: 53
• Total Fat: 1g
• Saturated Fat: 0.1g
• Cholesterol: 0mg
• Sodium: 282mg
• Carbohydrates: 9.5g
• Fiber: 0.2g
• Sugar: 4.5g
Debby Schiffer, Targeting Wellness in the Workplace, Wellness Director for BURLCO & TRICO JIF
Home Office: 856-322-1220 Cell: 856-520-9908
Everyday you are writing your life’s story. Make it a story you are proud to tell. You
can only do that if you are mindful of the moments we are living.
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Debby Schiffer, Wellness Director for BURLCO & TRICO JIFs
September 2017
Fall into Wellness—
Change your Mindset!
Wellness Corner Connection
Healthy Aging
Month
The population of older adults in the U.S. is growing rap-idly; approximately 20% of Americans will be aged 65 years or older by 2030 (or 1 in 5 adults). (CDC) Depression is the most prevalent mental health problem among older adults. It often adversely affects the course and complicates the treatment of other chronic dis-eases. Staying physically active can help older adults maintain a healthy weight, remain strong and mobile and avoid depression. Helping older adults find programs to keep them physically active can also help with social and emotional support, both key components in mobility and longevity.
Topics for
September:
Resources: Healthy Aging
September is Healthy Aging Month: Reinvent Yourself
Think it’s too late to “reinvent” yourself? It’s never too late to start a new hobby, passion, or adventure. Learning something new
is a vital way of staying young! September is Healthy Aging Month, an annual health observance that reminds us of the positive
aspects of growing older that we can actually influence. Use this month to take stock in where you’ve been, what you really would
like to do without using your age as an excuse. Make a list that is based on heart-felt desires and thoughts, no-holds-barred!
Here’s some things that may seem trivial or obvious but are often ignored:
Don’t act your age. Think back to your best year so
far. Were you 25? 40? Picture yourself at that age
again and be it! Some may say this is denial or
irresponsible. But according to Healthy Aging, it’s
positive thinking and goes a long way toward feeling
better about yourself and your life!
Stand up straight! You can knock off the appearance of a
few extra years with this trick your mother kept trying to tell
you. Look at yourself in the mirror. Are you holding your
stomach in, have your shoulders back, chin up? Check out
how much better your neck looks! Fix your stance and
practice it every day, all day until it is natural. You will look
great and feel better. (Tip: Your waistline will look trimmer if
you follow this advice.)
How’s your smile? Research shows people who smile more
often are happier. Your teeth are just as important to your
good health as the rest of your body. Not only is it the first
thing people notice, but good oral health is a gateway to your
overall well-being. (Tip: Go to the dentist regularly and look
into teeth whitening. Nothing says old more than yellowing
teeth!)
Walk like a vibrant, healthy person. Analyze your
gait. Do you walk slowly because you have just
become lazy or, perhaps, have a fear of falling?
(Tip: Make a conscious effort to take big strides,
walk with your heel first, and wear comfortable
shoes more often especially to work.)
Be positive in your conversations and your actions
every day. When you catch yourself complaining, check
yourself right there and change the conversation to
something positive. (Tip: Sometimes you have to turn
off the local news.)
Lonely? Stop brooding and complaining about having no friends or family. Do something about it now. Right this minute. Pick up the phone, landline, or cell and make a call to do one or more of the following: Volunteer your time, take a class, invite someone to meet for lunch, brunch, dinner, or coffee. (Tip: Volunteer at the local public school to stay in touch with younger people and to keep current on trends, take a computer class or a tutorial session at your
cell phone store to keep up with technology, choose a new person every week for your dining out.)
Start walking not only for your health but to see the
neighbors. Have a dog? You’ll be amazed how the dog
can be a conversation starter. (Tip: If you don’t have
time for a dog, go to your local animal shelter and
volunteer. You will be thrilled by the puppy love!)
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Page 2
Give Yourself a Break
How many of you take your allocated breaks throughout the workday? For that matter, how many of you actually take your
lunch...not eating in front of your computer? What if you could re-energize, ease stress, and boost your willpower in just 10
minutes, would you do it? Studies have shown that just by taking a break, you can improve your overall well-being! A
rested mind is actually more likely to conform to healthy habits. If you struggle with weight or stress management, take
note...are you bypassing your breaks in order to get more done? This method may be backfiring in more ways than one.
Stop what you are doing, turn off your phone and make a conscious effort to make this happen. Here are a few ways to do
Go ahead and try it. Taking breaks is useful, not wasteful.
When you return to what you were doing, you’ll be more re-freshed and ready to dig in. Better focus and attention will lead to better results, too.
Estimate your own battery life. When you schedule your day, consider when your body and brain will need a reboot. Say you're working on a big project. Schedule a break for every 2 hours of focused attention. More frequent mini-breaks may be even better. Do you tend to get sleepy around 3pm? Plan to take a short walk around your building, step outside and takes a few deep breaths or do a few stretches...you’ll feel invigorated!
Cut the cord. Constantly checking email after you leave the office? How about when you’re on vacation? A recent survey revealed that 23% of Americans check email or voice mail while on vacation.
Letting work interrupt your personal time isn’t good for your emotional health or your personal relationships. Take time to separate from the office and relax. If you absolutely must check your emails while away because of your title, try to allocate a specific time during your day or week to do so...give yourself a set time to connect but then allow yourself the rest of time for you and your family!
Get away, often. It’s a fact: People who take vacations have lower stress, less risk of heart disease, a better outlook on life, and more motivation to achieve goals.
It doesn’t have to be 2 weeks in Europe, either. Just 24 hours away, and you’ll reap the benefits.
Even better, the biggest boost in happiness comes from plan-ning the vacation. You can feel the effects up to 8 weeks be-fore your trip. And when you’re done with that retreat, start planning the next one. Simply having something to look for-ward to can be rewarding.
Are you vacation deprived?
How many of you have allowed time off to either roll over
until the next year or worse yet, lose them? Why? Do you
feel you don’t deserve to take a vacation that no doubt you
worked hard to earn? Doesn’t your family and YOU deserve
some R&R to re-energize?
The top three reasons why survey respondents did not fully
use vacation days were as follows:
• They needed to schedule vacation time in advance (14%)
• They were too busy at work to get away (11%)
• They got money back for unused vacation days (10%)
Is getting that money back worth the negative effects you are
putting on your health (which could cost you those dollars plus
more in a few years due to the stress and burnout from NOT
taking vacation.) Do you get the picture?
Regarding being too busy or feeling you’ll only come back to an
avalanche of work that will take weeks to catch up on, I read an
article from the Harvard Business Review that had a few good
tips that might help you. Consider sharing these with your su-
pervisor when you plan your next vacation:
• Schedule an extra day or half day to catch up. Leave your
“back up” person covering for you while you go through
your emails and voice messages. Set your Out of Office
reply on for that time.
• If possible, work from home the first day back to assist with
overcoming jet lag or tackling mountains of laundry.
Vacations are a great way to increase your creativity and pro-
motes insight which may help with a new project upon your
return.
Managers reading this newsletter, please try and encourage
your team to use the time coming to them. If you do support it
but many are still not taking the time, find out why. This should
throw up a flag of concern because a well-rested employee is a
healthier employee who will be able to bring their best to the
workplace. In the end, everyone benefits!
Vacations are good for your people, for your team, and for
your organization. But somehow vacations have become
counter-cultural within our hyper-busy workplaces. As man-
ager or supervisor, you have a opportunity to reverse this
disturbing trend before it does real damage to your business
and your people.
NotNotNotNot what I had what I had what I had what I had
in mind! in mind! in mind! in mind! ☺
Resource: WebMD and Harvard Business Review
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The first step to getting anywhere is deciding you’re no longer willing to stay where you are.
Fall FitnessFall FitnessFall FitnessFall Fitness
Are you the type to put off making any “plans” to change until New Year’s Eve? Why wait until
December 31st to set your sights on getting fit and healthier? Fall is a perfect time to get
started and maybe create good habits now that will carry you through the holiday season.
With the changing of seasons comes a renewed time to rethink and restart. It can be a treat for
the senses with the crisp air, apple picking, pumpkin carving, gorgeous canopy of fall foliage
and the crunch of leaves underfoot as you explore some wonderful nature trails.
Walking, hiking, and cycling are all awesome activities for the fall and great ways to get and stay
in shape. Try kayaking or canoeing at a near by lake. It’s an excellent upper body and core
workout.
Maybe sign up to take a class at your community college. Learn to paint, or cook, or dance!
Think outside the box and whenever you can, just think OUTSIDE!!!!
Love Your Lungs!Love Your Lungs!Love Your Lungs!Love Your Lungs! We often talk about our “heart health” but often don’t consider the important role our lungs play in keeping us strong and well. It’s not until we experience problems breathing that we take notice. But the truth is, like the rest of our body, our lungs need daily care and attention.
Breathing feeds oxygen to every cell in the body. Without sufficient oxygen, people are more prone to health problems, including respiratory illnesses, chronic obstructive pulmonary disease and even heart disease.
But ordinary, everyday breathing isn't enough to keep the oxygen flowing through the body at peak levels, experts at Rush University Medical Center say. "Lungs at rest and during most daily activities are only at 50% of their capacity," says Jen-nifer M. Ryan, PT, MS, DPT, CCS, a certified specialist in cardiovascular and pulmonary physical therapy. "Like the rest of your body, lungs thrive on movement and activity."
Since regular day-to-day activity doesn't help you use your lungs to full capacity, you need to challenge the lungs with more intense activity. "And to help counteract the build-up of toxins and tar in the lungs caused by environmental pollut-ants, allergens, dust and cigarette smoke, you need to help your lungs cleanse themselves," Ryan explains. My newslet-ters are all about providing you with tips and ideas to improve your overall well-being. Here are some things to keep in mind for improving your lung health, one key component of healthy aging!
Diaphragmatic breathing. Among the many things you can do to keep your lungs functioning properly are some simple breathing techniques. Diaphragmatic breathing uses the awareness of the diaphragm muscle, which separates the organs in the abdomen from the lungs. Sit quietly for a few minutes and focus on pushing out your belly as you take in a deep breath, then pull in your belly as you exhale. Do this a few times throughout your day. It actually is a great way to release stress and lower your blood pressure.
Counting on your breath. You can also increase your lung capacity by increasing the length of your inhalations and exha-lations. Start by counting how long a natural breath takes. If it takes to the count of five to inhale it should take to the count of five to exhale. You’ll want them to be of equal length. Once you’ve discovered the count for your average breath, add one more count to each inhale and exhale until you can comfortably extend the length of time it takes to fill and empty your lungs. The point is to avoid straining or being uncomfortable.
Making room. Watch your posture. Since the lungs are soft structures, they only take up the room that you make for them. Make an effort to occasionally sit tall and reach overhead, to make more room for your lungs. A simple technique for giving your lungs even more room is leaning back slightly in a stable chair, lifting the chest and opening the front of your body as you breathe deeply.
Staying hydrated. Getting enough water is as important for the lungs as it is for the rest of the body. Staying well hydrated by taking in fluids (especially water) throughout the day helps keep the mucosal linings in the lungs thin which helps the lungs function better.
A laughing matter. Laughing is a great exercise to work the abdominal muscles and increase lung capacity. It also clears out your lungs by forcing enough stale air out that it allows fresh air to enter into more areas of the lung. Now that’s some-thing to laugh about!
Be active. It seems we always come back to this—physical activity if vital for every aspect of your health!! Regular moder-ately intense activity is great for the lungs, and when you increase your daily activity you get three things done at once: healthy lungs, a healthier heart and a better mood. Aim for at least 20 minutes of consistent, moderately intense move-
ment daily, like a brisk walk or bike ride, most days of the week. (Source: Rush University – HealthSmart)
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Debby Schiffer, Wellness Director for BURLCO & TRICO JIF Debby Schiffer, Wellness Director for BURLCO & TRICO JIF Debby Schiffer, Wellness Director for BURLCO & TRICO JIF Debby Schiffer, Wellness Director for BURLCO & TRICO JIF
EEEE----mail: [email protected] mail: [email protected] mail: [email protected] mail: [email protected]
Home Office: 856Home Office: 856Home Office: 856Home Office: 856----322322322322----1220 Cell: 8561220 Cell: 8561220 Cell: 8561220 Cell: 856----520520520520----9908990899089908
The key to the future in an aging society is not found in increasing just our life span; we need to increase our
health span at the same time. Quote by: Chuck Norris
Recipe
Corner
Preparation: 1. Combine salmon, onion, eggs and egg white, mustard, 2 tablespoons fresh dill (or 2 teaspoons dried), pepper and salt in a large bowl. Add potatoes and
stir to combine. 2. Preheat oven to 200°F. 3. Heat 1 tablespoon oil in a large nonstick skillet over medium heat until shimmering. Fill a 1-cup measure two-thirds full with the salmon mixture and
firmly pack it down. Unmold into the pan and pat to form a 3-inch cake. Repeat, making 3 more cakes. Cover and cook until browned on the bottom, 3 to 5 minutes. Gently turn over and cook, covered, until crispy on the other side, 3 to 5 minutes more. Transfer the cakes to a baking dish; keep warm in the oven. Wipe out the skillet and cook 4 more cakes with the remaining 1 tablespoon oil and the remaining salmon mixture.
4. Combine sour cream, capers, lemon juice and the remaining dill in a small bowl. Serve the salmon cakes with the dill sauce.
Salmon Rosti
Ingredients:
• 2 6- to 7-ounce cans boneless, skinless wild Alaskan salmon,
drained
• ½ cup finely chopped red onion
• 2 large eggs plus 1 large egg white, lightly beaten
• 1 tablespoon whole-grain mustard
• 3 tablespoons chopped fresh dill or 3 teaspoons dried, divided
• ½ teaspoon freshly ground pepper
• ¼ teaspoon salt
• 4 cups frozen hash-brown shredded potatoes
(about 12 ounces)
• 2 tablespoons extra-virgin olive oil, divided
• ⅓ cup reduced-fat sour cream
• 1 tablespoon capers, rinsed and chopped
• 1 teaspoon lemon juice
Too Little Sleep May Accelerate Aging
Regularly catching only a few hours of sleep can hinder metabolism and hormone production in a way that is similar to the
effects of aging and the early stages of diabetes. Chronic sleep loss may speed the onset or increase the severity of age-
related conditions such as type 2 diabetes, high blood pressure, obesity, and memory loss. The researchers showed that
just one week of sleep deprivation altered subject’s hormone levels and their capacity to metabolize carbohydrates. Peo-
ple who trade sleep for work or play may get used to it and feel less fatigued.
During sleep-deprivation, the researchers found, the men's blood sugar levels took 40% longer to drop following a high-
carbohydrate meal, compared with the sleep-recovery period. Their ability to secrete and respond to the hormone insulin,
which helps regulate blood sugar, dropped by 30%. These changes echo the effects of insulin resistance, a precursor to
type 2 diabetes. In addition, the sleep-deprived men had higher nighttime concentrations of the hormone cortisol, which
also helps regulate blood sugar, and lower levels of thyroid-stimulating hormone. These raised cortisol levels mimic levels
that are often seen in older people, and may be involved in age-related insulin resistance and memory loss.
Resource: mercola.com
Nutrition Information: Serving size: 2 rösti (salmon cakes) Per serving: 318 calories; 18 g fat(5 g sat); 2 g fiber; 19 g carbohydrates; 21 g protein; 23 mcg folate; 130 mg cholesterol; 1 g sugars; 0 g added sugars; 380 IU vitamin A; 10 mg vitamin C; 59 mg calcium; 2 mg iron; 569 mg sodium; 609 mg potassium Carbohydrate Servings: 1½ Exchanges: 1 starch, 2½ lean meat, 2 fat Recipe from www.eatingwell.com
Since the theme of this months newsletter has been “healthy aging”, I selected a recipe that is supposed to have brain-boosting effects. Adding omega-3-rich ingredients, such as oily fish, to your diet, as well as iron-rich foods such as beans, and water-rich foods such as leafy salad greens,
can support healthy cognitive function. Try this healthy salmon recipe for a brain-boosting, simple dinner.
Convenient frozen hash browns and flaked salmon come together for a twist on this traditional Swiss favorite. We love the creamy dill sauce, but a
dollop of ketchup is tasty too. Serve with: Steamed green beans tossed with sliced scallions, Dijon mustard and lemon juice.
112
Exercise of the Month
-September-
Back to school! This month marks a "beginning" for many people. If you have not been getting in as many workouts a week as you should, now is the time to pick up the intensity again. September's exercise of
the month features exercises for flexibility. Flexibility prevents injury to the muscles, and also enhances your workout, so make sure to perform flexibility exercises daily. Do not "bounce" while you are stretch-
ing, and hold the position for 30-45 seconds.
Exercise Description: Standing quad stretch Instructions: 1. Standing with a shoulder width stance and hang onto an object for support. 2. Bring one foot up and grab with your hand. 3. Pull your foot up until you feel a stretch on the front of your thigh. 4. Hold for the prescribed time and repeat with the other leg.
Exercise Description: Supine Hamstring Stretch Instructions: 1. Lie on back and place rope or towel over the foot. Other leg should re-main flat on floor at all times. 2. Slowly straighten knee until stretch is felt in back of thigh. 3. Hold for 20-30 seconds. Repeat as prescribed. 4. Remember to keep the low back straight to isolate stretch in hamstring.
Exercise Description: Chest (wall) Instructions: Place an outstretched arm against a wall or doorway and lean forward with that shoulder. You should feel a stretch in your chest when you lean forward. Hold for the recommended number of seconds. Repeat with the other arm.
Debby Schiffer, Targeting Wellness in the Workplace
JIF Wellness Director, Email: [email protected]
113
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September 9, 2017 To the Members of the Executive Board of the Salem, Cumberland, Gloucester Counties Municipal Joint Insurance Fund I have enclosed for your review and, in some cases consideration, documents of presentation relating to claims, transfers, and the financial condition of the Fund. The statements included in this report are prepared on a “modified cash basis” and relate to financial activity through the two month period ending August 31, 2017 for Closed Fund Years 1991 to 2012, and Fund Years 2013, 2014, 2015, 2016 and 2017. The reports, where required, are presented in a manner prescribed or permitted by the Department of Insurance and the Division of Local Government Services of the Department of Community Affairs. All statements contained in this report are subject to adjustment by annual audit. A summary of the contents of these statements is presented below. INVESTMENT INTEREST & INVESTMENTS: Interest received or accrued for the reporting period totaled $ 58,877.69. This generated an average annual yield of 1.11%. However, after including an unrealized net gain of $ 73,299.00 in the asset portfolio, the yield is adjusted to 2.50% for this period. The total overview of the asset portfolio for the fund shows an overall unrealized loss of $236,938.00 as it relates to current market value of $ 25,789,492.50 vs. the amount we have invested. The current market value, including accrued income is valued at $25,867,765.14. Our asset portfolio with Wilmington Trust and consists of 9 obligations with a maturity greater than two years, 3 obligations with maturities between one and two years. RECEIPT ACTIVITY FOR THE PERIOD Subrogation Receipts $ 33,106.55 YTD $ 130,184.91 (detailed in my report) Overpayment Reimbursements $ 1,056.00 Trico JIF vs. Killen $491.88 FY 2017 Premium Assessments $ 6,652,836.01 West Deptford App Fee $1,500.00 FY 2017 Appropriation Refund $ 32.33 RCF FY ’16 Claims Reimbursement $84,855.63
127
A.E.L.C.F. MEMBER PARTICIPANT BALANCES: Woodbury City $20,348.00 Washington Twp. $75,754.00 Pittsgrove Township $31,308.00 Stow Creek Twp. $ 762.00 LOSS RUN PAYMENT REGISTER FOR THE PERIOD: The enclosed report shows net claim activity during the reporting period for claims paid by the fund and claims payable by the Fund at period end in the amount of $ 623,994.18. The claims detail shows 822 claims payments issued. CASH ACTIVITY FOR THE PERIOD: The enclosed reconciliation report details that during the reporting period the Fund’s “Cash Position” changed from an opening balance of $ 29,436,260.20 to a closing balance of $ 34,103,494.53 showing an increase in the fund of $ 4,667,234.33. A detailed reconciliation of this change, including its affect on our banking instruments, is included in my report. BILL LIST FOR THE PERIOD: Vouchers to be submitted for your consideration at the scheduled meeting show on the accompanying bill list at the end of my report. The information contained in this cover report is a summary of key elements related to activity during the reporting period. Other detailed information is contained in the attached documents and, if desired, a more specific explanation on any question can be obtained by contacting me at 609-744-3597. Respectfully Submitted, Thomas J. Tontarski Treasurer
128
TRI- COUNTY MUNICIPAL JIF
ACCOUNT RECONCILIATION ACTIVITY REPORT
FY 2017
Year To Date
June July August Total
Opening Balance for the Period: 29,987,935.60 29,436,230.21 28,932,584.83RECEIPTS:
Interest Income ( Cash ) 38,411.32 35,274.55 43,718.87 244,183.07Premium Assessment Receipts 0.00 1,126,670.01 5,526,166.00 12,932,907.99Prior Yr. Premium Assessment Receipts 0.00 0.00 0.00 38.00Subrogation & Reimb. Receipts:
Fund Year 2017 1,436.55 500.00 5,533.67 7,470.22Fund Year 2016 8,500.00 3,152.64 10,844.06 80,291.49Fund Year 2015 653.00 1,045.00 97.87 2,721.87Fund Year 2014 10,256.00 12,510.36 60.00 39,085.82Fund Year 2013 467.75 0.00 467.75 3,306.50
Closed Fund Year 0.00 0.00 0.00 0.00Total Subrogation & Reimb.Receipts 21,313.30 17,208.00 17,003.35 132,875.90FY 2017 Appropriation Refunds 0.00 0.00 32.33 352.33FY 2016 Appropriation Refunds 0.00 0.00 0.00 1,602.48Late Payment Penalties 0.00 0.00 0.00 0.00RCF Clsed Yr. Claims Reimbursement 0.00 0.00 0.00 0.00RCF Claims Reimbursement 0.00 84,885.63 0.00 84,885.63Other 356.42 245.94 1,745.94 4,980.61TOTAL RECEIPTS: 60,081.04 1,264,284.13 5,588,666.49 13,401,826.01
DISBURSEMENTS: Net Claim Payments:
Fund Year 2017 182,394.43 319,653.02 156,329.72 1,246,719.89Fund Year 2016 34,159.77 37,213.10 28,386.22 841,976.96Fund Year 2015 16,994.79 36,152.04 12,744.42 289,097.23Fund Year 2014 115,932.86 8,446.90 24,611.92 388,555.08Fund Year 2013 86,196.54 0.00 0.00 204,179.57
Closed Fund Year 0.00 0.00 0.00 -1,172.50Total Net Claim Payments 435,678.39 401,465.06 222,072.28 2,969,356.23Exp.& Admin Bill List Payments:
Exp. & Cont. Charges FY 2018 0.00 0.00 0.00 0.00Exp. & Cont. Charges FY 2017 157,305.66 431,339.90 157,768.61 1,659,962.68
Property Fund Charges FY 2017 0.00 0.00 0.00 0.00E-JIF Premium FY 2017 0.00 195,984.61 0.00 391,969.24
M.E.L. Premium FY 2017 0.00 733,679.04 0.00 2,201,037.12POL/EPL Policy Premium FY 2017 0.00 1,105.00 0.00 1,192,573.00
Exp. & Cont. Charges FY 2016 18,800.00 4,225.00 37,834.00 177,660.23Property Fund Charges FY 2016 0.00 0.00 0.00 0.00
M.E.L. Premium FY 2016 0.00 0.00 0.00 0.00Exp. & Cont. Charges FY 2015 0.00 0.00 0.00 9,559.34Exp. & Cont. Charges FY 2014 0.00 0.00 0.00 0.00
Other 0.00 0.00 0.00 100.00Closed Fund Year 102.37 81.90 81.90 53,465.22
Total Bill List Payments 176,208.03 1,366,415.45 195,684.51 5,686,326.83Net Bank Services Fees 0.00 0.00 0.00 0.00Other 0.00 49.00 0.00 49.00TOTAL DISBURSEMENTS: 611,886.42 1,767,929.51 417,756.79 8,655,732.06
Closing Balance for the Period: 29,436,130.22 28,932,584.83 34,103,494.53
Account Net Cash Change During the Period:
Operating Account -462,638.88 -460,381.11 4,899,842.27 -2,298,418.98NJ Cash Management Account 0.00 0.00 0.00 0.00
Investment Account -49,500.00 -77,708.27 0.00 -3,146,161.92Asset Management Account -39,666.50 34,444.00 38,855.00 10,009,062.50
Claims Imprest Account 0.00 0.00 232,212.43 182,112.43Expense & Contingency Account 0.00 0.00 0.00 -500.08
Total Change in Account Net Cash: -551,805.38 -503,645.38 5,170,909.70 4,746,093.95
Proof: 0.00 0.00 0.00
129
TRI-COUNTY
MUNICIPAL JOINT INS. FUND
Subrogation/ Salvage Report
Calendar Year 2017
CLAIM/DATE CREDITED FILE COV. FUND AMOUNT RECEIVEDREC'D TO: NUMBER CLAIMANT NAME TYPE YEAR RECEIVED Y.T.D.
1/4 CLAYTON BOROUGH 1217846 BRNJAMIN GRASSO WC 2014 14,160.001/9 CLAYTON BOROUGH X99051 MICHAEL FOLEY WC 2014 30.001/9 GLASSBORO BOROUGH Z00084 STEPHEN CAVALLARO WC 2014 50.001/20 DEPTFORD TWP. X90569 RUDY RUIZ WC 2014 100.001/31 HARRISON TOWNSHIP X61743 HARRISON TOWNSHIP PR 2013 467.751/3 FRANKLIN TOWNSHIP 1256880 FRANKLIN TOWNSHIP PR 2016 500.00
TOTAL-JAN. 15,307.75TOTAL-YTD 15,307.75
2/1 GLASSBORO BOROUGH Z25478 MATTHEW TEYSSIER WC 2015 300.002/1 CLAYTON BOROUGH X99051 MICHAEL FOLEY WC 2014 60.002/1 GLASSBORO BOROUGH Z00084 STEPHEN CAVALLARO WC 2014 100.002/1 DEPTFORD TWP. X90569 RUDY RUIZ WC 2014 50.002/15 WOODBURY CITY WOODBURY CITY PR 2016 20,217.90
TOTAL-FEB. 20,727.90TOTAL-YTD 36,035.65
3/2 HARRISON TOWNSHIP X61743 HARRISON TOWNSHIP PR 2013 467.753/3 WOODBURY HEIGHTS X51440 JOSHUA MOLINE WC 2013 500.003/16 FRANKLIN TOWNSHIP Z01719 WARREN RIVELL WC 2014 487.273/20 PITMAN BOROUGH Z02346 CLINTON CARTER WC 2014 5.363/20 CLAYTON BOROUGH X99051 MICHAEL FOLEY WC 2014 30.003/20 GLASSBORO BOROUGH Z00084 STEPHEN CAVALLARO WC 2014 50.003/23 DEPTFORD TWP. Z49088 DEPTFORD TWP. PR 2016 350.003/23 PILESGROVE TWP. Z42763 PILESGROVE TWP. PR 2016 6,592.003/25 HARRISON TOWNSHIP X61743 HARRISON TOWNSHIP PR 2013 467.753/25 DEPTFORD TWP. Z49151 DEPTFORD TWP. PR 2016 5,874.18
TOTAL-MAR. 14,824.31TOTAL-YTD 50,859.96
4/5 GLASSBORO BOROUGH N/A GLASSBORO BOROUGH PR 2016 2,692.424/7 GLASSBORO BOROUGH Z45283 GLASSBORO BOROUGH PR 2016 1,743.554/13 WASHINGTON TWP. Z49383 WASHINGTON TWP. PR 2016 5,085.754/19 DEPTFORD TWP. Z49930 DEPTFORD TWP. PR 2016 4,242.854/24 HARRISON TOWNSHIP X61743 HARRISON TOWNSHIP PR 2013 467.75
TOTAL-APR. 14,232.32TOTAL-YTD 65,092.28
5/5 GLASSBORO BOROUGH Z00084 STEPHEN CAVALLARO WC 2014 50.005/5 DEPTFORD TWP. X90569 RUDY RUIZ WC 2014 467.335/5 CLAYTON BOROUGH X99051 MICHAEL FOLEY WC 2014 30.005/15 GLASSBORO BOROUGH Z50207 GLASSBORO BOROUGH PR 2016 8,676.655/17 GLASSBORO BOROUGH Z25478 MATTHEW TEYSSIER WC 2015 50.005/17 GLASSBORO BOROUGH Z25478 RICK WATT WC 2015 50.005/22 GLASSBORO BOROUGH Z25478 MATTHEW TEYSSIER WC 2015 50.005/22 GLASSBORO BOROUGH Z25478 RICK WATT WC 2015 50.005/22 GLASSBORO BOROUGH Z25478 MATTHEW TEYSSIER WC 2015 50.005/22 GLASSBORO BOROUGH Z25478 RICK WATT WC 2015 50.005/22 DEPTFORD TWP. Z49250 DEPTFORD TWP. PR 2016 1,100.00
TOTAL-MAY 10,623.98TOTAL-YTD 75,716.26
6/2 GLASSBORO BOROUGH Z00084 STEPHEN CAVALLARO WC 2014 50.006/2 CLAYTON BOROUGH X99051 MICHAEL FOLEY WC 2014 30.006/8 GLASSBORO BOROUGH 2017100683 GLASSBORO BOROUGH PR 2017 1,436.556/8 FRANKLIN TOWNSHIP Z20819 STEPHEN CASAMASSINA WC 2015 20.006/10 FRANKLIN TOWNSHIP Z17627 ANDREW MYERS WC 2015 49.006/10 FRANKLIN TOWNSHIP Z17627 ANDREW MYERS WC 2015 49.006/10 FRANKLIN TOWNSHIP Z17627 ANDREW MYERS WC 2015 169.006/10 FRANKLIN TOWNSHIP Z17627 ANDREW MYERS WC 2015 49.006/10 FRANKLIN TOWNSHIP Z17627 ANDREW MYERS WC 2015 24.006/10 FRANKLIN TOWNSHIP Z20819 STEPHEN CASAMASSINA WC 2015 169.006/10 FRANKLIN TOWNSHIP Z20819 STEPHEN CASAMASSINA WC 2015 49.006/10 FRANKLIN TOWNSHIP Z20819 STEPHEN CASAMASSINA WC 2015 24.006/14 HARRISON TOWNSHIP X61743 HARRISON TOWNSHIP PR 2013 467.756/14 MONROE TOWNSHIP Z33676 MARC STEVENS WC 2016 8,500.00
130
TRI-COUNTY
MUNICIPAL JOINT INS. FUND
Subrogation/ Salvage Report
Calendar Year 20176/20 GLASSBORO BOROUGH Z25478 RICK WATT WC 2015 100.006/21 GLASSBORO BOROUGH Z00084 STEPHEN CAVALLARO WC 2014 50.006/21 CLAYTON BOROUGH X99051 MICHAEL FOLEY WC 2014 30.006/21 DEPTFORD TWP. X97085 JOHN CRAIG WC 2014 7,148.726/21 DEPTFORD TWP. X97085 JOHN CRAIG WC 2014 2,851.286/21 PENNS GROVE BOROUGH X87704 ANTHONY MINGUEZ WC 2014 96.00
TOTAL-JUNE 21,362.30TOTAL-YTD 97,078.56
7/7 MONROE TOWNSHIP 2017099393 MONROE TOWNSHIP PR 2017 500.007/12 DEPTFORD TWP. X98609 ADAM ZIEGLER WC 2014 12,505.007/17 PITMAN BOROUGH Z02346 CLINTON CARTER WC 2014 5.367/25 PITMAN BOROUGH 2017088961 PITMAN BOROUGH PR 2016 3,152.64
TOTAL-JULY 16,163.00TOTAL-YTD 113,241.56
8/1 HARRISON TOWNSHIP 2017096068 HARRISON TOWNSHIP PR 2017 3,200.008/8 PITMAN BOROUGH 2017088961 PITMAN BOROUGH PR 2016 3,747.368/17 HARRISON TOWNSHIP X61743 HARRISON TOWNSHIP PR 2013 467.758/18 DEPTFORD TWP. 2017105388 DEPTFORD TWP. PR 2017 2,333.678/18 DEPTFORD TWP. 1263629 DEPTFORD TWP. PR 2016 7,096.708/24 GLASSBORO BOROUGH Z25478 RICK WATT WC 2015 97.87
TOTAL-AUG 16,943.35TOTAL-YTD 130,184.91
131
SUMMARY OF CASH AND INVESTMENT INSTRUMENTS
TRICOUNTY MUNICIPAL JOINT INSURANCE FUND
ALL FUND YEARS COMBINED
CURRENT MONTH August
CURRENT FUND YEAR 2017
Description: Instrument #1 Instr #2 Instr #3 Instr #4 Instr #5 Instr #6 Instr #7 Instr #8 Instr #9 Instr #10
ID Number: OPERATING ACCT. NJ CASH MGMNTINVEST ACCT. ASSET MGR. CLAIMS ACCT. EXPENSE ACCTOPERATING ACCT.CLAIMS ACCOUNTADMIN. EXPENSE 0
Maturity (Yrs) 0 0 0 0 0 0 0 0 0 0
Purchase Yield: 0 0 0 0 0 0 0 0 0 0
TOTAL for All
Accts & instruments
Opening Cash & Investment Balance $28,932,584.87 0 -2.98314E-10 3334.29 25750637.5 2.32831E-10 -1.58325E-10 3067305.17 100000 1000 10307.91
Opening Interest Accrual Balance $51,681.01 0 0 0 51681.01 0 0 0 0 0 0
1 Interest Accrued and/or Interest Cost $26,591.63 $0.00 $0.00 $0.00 $26,591.63 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
5 Interest Paid - Cash Instr.s $4,863.87 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,863.87 $0.00 $0.00 $0.00
6 Interest Paid - Term Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
7 Unrealized Gain (Loss) $38,855.00 $0.00 $0.00 $0.00 $38,855.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
8 Net Investment Income $70,310.50 $0.00 $0.00 $0.00 $65,446.63 $0.00 $0.00 $4,863.87 $0.00 $0.00 $0.00
9 Deposits - Purchases $6,194,916.84 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,544,947.62 $454,284.71 $195,684.51 $0.00
10 (Withdrawals - Sales) ($1,067,726.01) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($649,969.22) ($222,072.28) ($195,684.51) $0.00
Ending Cash & Investment Balance $34,103,494.57 $0.00 ($0.00) $3,334.29 $25,789,492.50 $0.00 ($0.00) $7,967,147.44 $332,212.43 $1,000.00 $10,307.91
Ending Interest Accrual Balance $78,272.64 $0.00 $0.00 $0.00 $78,272.64 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Plus Outstanding Checks $84,702.42 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $39,933.42 $44,769.00 $0.00
(Less Deposits in Transit) ($97.87) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($97.87) $0.00 $0.00 $0.00
Balance per Bank $34,188,099.12 $0.00 ($0.00) $3,334.29 $25,789,492.50 $0.00 ($0.00) $7,967,049.57 $372,145.85 $45,769.00 $10,307.91
Annualized Rate of Return This Month 2.68% 0.00% 0.00% 3.05% 0.00% 0.00% 1.06% 0.00% 0.00% 0.00%
132
Investment Income Allocation
Prop Liab Auto WC Ded POL/EPL EJIF Future Admin Total
2017 Opening Cash & Investment Balance 116,208.59 589,918.82 120,815.70 867,893.38 476,377.52 (548,758.03) (180,865.34) (337,136.04) 717,958.03 $1,822,412.63
Opening Interest Accrual Balance $271.56 $860.23 $171.20 $1,552.53 $698.85 ($0.17) ($0.06) $181.43 $1,070.68 $4,806.24
1 Interest Accrued and/or Interest Cost $102.99 $522.81 $107.07 $769.16 $422.18 $0.00 $0.00 $0.00 $636.28 $2,560.48
2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
5 Interest Paid - Cash Instr.s $18.84 $95.63 $19.58 $140.69 $77.22 $0.00 $0.00 $0.00 $116.38 $468.34
6 Interest Paid - Term Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
7 Unrealized Gain (Loss) $150.48 $763.91 $156.45 $1,123.87 $616.88 $0.00 $0.00 $0.00 $929.71 $3,741.30
8 Net Investment Income $272.31 $1,382.34 $283.10 $2,033.71 $1,116.28 $0.00 $0.00 $0.00 $1,682.37 $6,770.12
9 Interest Accrued - Net Change $102.99 $522.81 $107.07 $769.16 $422.18 $0.00 $0.00 $0.00 $636.28 $2,560.48
Ending Cash & Investment Balance $353,700.29 $1,039,151.59 $230,095.39 $1,994,217.02 $842,903.81 ($80,691.77) ($23,369.61) $1,052,142.09 $1,637,607.13 $7,045,755.94
Ending Interest Accrual Balance $374.55 $1,383.04 $278.27 $2,321.68 $1,121.03 ($0.17) ($0.06) $181.43 $1,706.96 $7,366.72
Prop Liab Auto WC Ded POL/EPL EJIF Future Admin Total
2016 Opening Cash & Investment Balance 8,270.98 1,228,818.86 170,277.20 1,638,416.56 951,184.32 2.00 0.57 (2,664.98) 354,635.22 $4,348,940.73
Opening Interest Accrual Balance $19.90 $2,101.03 $291.10 $2,836.04 $1,614.61 $0.00 $0.00 ($4.44) $471.91 $7,330.16
1 Interest Accrued and/or Interest Cost $7.33 $1,089.02 $150.91 $1,452.02 $842.97 $0.00 $0.00 $0.00 $314.29 $3,856.53
2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
5 Interest Paid - Cash Instr.s $1.34 $199.19 $27.60 $265.59 $154.19 $0.00 $0.00 $0.00 $57.49 $705.40
6 Interest Paid - Term Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
7 Unrealized Gain (Loss) $10.71 $1,591.25 $220.50 $2,121.65 $1,231.73 $0.00 $0.00 $0.00 $459.23 $5,635.07
8 Net Investment Income $19.38 $2,879.46 $399.01 $3,839.26 $2,228.88 $0.00 $0.00 $0.00 $831.01 $10,197.00
9 Interest Accrued - Net Change $7.33 $1,089.02 $150.91 $1,452.02 $842.97 $0.00 $0.00 $0.00 $314.29 $3,856.53
Ending Cash & Investment Balance $18,007.09 $1,228,659.30 $170,525.30 $1,615,487.58 $952,570.23 $2.00 $0.57 ($2,664.98) $317,317.94 $4,299,905.03
Ending Interest Accrual Balance $27.23 $3,190.04 $442.00 $4,288.06 $2,457.59 $0.01 $0.00 ($4.44) $786.20 $11,186.69
133
Prop Liab Auto WC Ded POL/EPL EJIF Future Admin Total
2015 Opening Cash & Investment Balance 122,518.66 1,170,551.92 172,909.14 777,353.14 1,019,325.20 3,796.16 66.42 218,979.38 254,919.58 $3,740,419.60
Opening Interest Accrual Balance $208.34 $1,992.67 $293.98 $1,389.38 $1,731.00 $9.57 $0.06 $372.38 $430.34 $6,427.70
1 Interest Accrued and/or Interest Cost $108.58 $1,037.38 $153.24 $688.92 $903.36 $3.36 $0.06 $194.07 $225.92 $3,314.88
2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
5 Interest Paid - Cash Instr.s $19.86 $189.75 $28.03 $126.01 $165.23 $0.62 $0.01 $35.50 $41.32 $606.32
6 Interest Paid - Term Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
7 Unrealized Gain (Loss) $158.65 $1,515.79 $223.91 $1,006.63 $1,319.96 $4.92 $0.09 $283.57 $330.11 $4,843.62
8 Net Investment Income $287.09 $2,742.92 $405.17 $1,821.55 $2,388.56 $8.90 $0.16 $513.13 $597.35 $8,764.82
9 Interest Accrued - Net Change $108.58 $1,037.38 $153.24 $688.92 $903.36 $3.36 $0.06 $194.07 $225.92 $3,314.88
Ending Cash & Investment Balance $122,697.17 $1,170,722.46 $173,161.08 $767,374.22 $1,020,810.40 $3,801.69 $66.52 $219,298.44 $255,291.01 $3,733,222.99
Ending Interest Accrual Balance $316.92 $3,030.05 $447.22 $2,078.30 $2,634.36 $12.93 $0.12 $566.44 $656.25 $9,742.58
Prop Liab Auto WC Ded POL/EPL EJIF Future Admin Total
2014 Opening Cash & Investment Balance 74,113.72 866,009.02 85,746.77 1,878,177.58 687,714.44 (3,076.00) 0.76 185,112.74 232,253.34 $4,006,052.37
Opening Interest Accrual Balance $126.11 $1,525.22 $145.61 $3,216.14 $1,167.04 $0.00 $0.00 $314.78 $394.94 $6,889.85
1 Interest Accrued and/or Interest Cost $65.68 $767.49 $75.99 $1,664.50 $609.47 $0.00 $0.00 $164.05 $205.83 $3,553.02
2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
5 Interest Paid - Cash Instr.s $12.01 $140.38 $13.90 $304.45 $111.48 $0.00 $0.00 $30.01 $37.65 $649.88
6 Interest Paid - Term Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
7 Unrealized Gain (Loss) $95.97 $1,121.43 $111.04 $2,432.13 $890.55 $0.00 $0.00 $239.71 $300.75 $5,191.58
8 Net Investment Income $173.67 $2,029.30 $200.93 $4,401.08 $1,611.50 $0.00 $0.00 $433.77 $544.23 $9,394.48
9 Interest Accrued - Net Change $65.68 $767.49 $75.99 $1,664.50 $609.47 $0.00 $0.00 $164.05 $205.83 $3,553.02
Ending Cash & Investment Balance $74,221.71 $854,726.83 $81,211.21 $1,873,566.74 $688,716.47 ($3,076.00) $0.76 $185,382.46 $232,591.74 $3,987,341.92
Ending Interest Accrual Balance $191.80 $2,292.71 $221.60 $4,880.64 $1,776.52 $0.00 $0.00 $478.83 $600.77 $10,442.87
134
Prop Liab Auto WC Ded POL/EPL EJIF Future Admin Total
2013 Opening Cash & Investment Balance 3,156.10 649,652.20 87,595.94 1,612,853.82 1,113,330.33 (174.55) 2,637.74 215,669.58 154,134.13 $3,838,855.29
Opening Interest Accrual Balance $4.98 $1,169.30 $148.95 $2,747.20 $1,890.99 ($0.00) $4.49 $366.74 $262.07 $6,594.72
1 Interest Accrued and/or Interest Cost $2.80 $575.74 $77.63 $1,429.36 $986.67 $0.00 $2.34 $191.13 $136.60 $3,402.27
2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
5 Interest Paid - Cash Instr.s $0.51 $105.31 $14.20 $261.44 $180.47 $0.00 $0.43 $34.96 $24.99 $622.31
6 Interest Paid - Term Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
7 Unrealized Gain (Loss) $4.09 $841.26 $113.43 $2,088.55 $1,441.70 $0.00 $3.42 $279.28 $199.59 $4,971.31
8 Net Investment Income $7.40 $1,522.31 $205.26 $3,779.36 $2,608.84 $0.00 $6.18 $505.37 $361.18 $8,995.89
9 Interest Accrued - Net Change $2.80 $575.74 $77.63 $1,429.36 $986.67 $0.00 $2.34 $191.13 $136.60 $3,402.27
Ending Cash & Investment Balance $3,628.45 $650,598.77 $87,723.57 $1,615,203.81 $1,114,952.50 ($174.55) $2,641.58 $215,983.82 $154,358.71 $3,844,916.66
Ending Interest Accrual Balance $7.78 $1,745.04 $226.58 $4,176.56 $2,877.66 ($0.00) $6.82 $557.87 $398.67 $9,997.00
Prop Liab Auto WC Ded POL/EPL EJIF Future Admin Total
Closed Opening Cash & Investment Balance 0.00 0.00 0.00 1,176.32 0.00 0.00 0.00 0.00 10,668,591.10 $10,669,767.42
Opening Interest Accrual Balance $0.00 $0.00 $0.00 $2.01 $0.00 $0.00 $0.00 $0.00 $18,766.09 $18,768.10
1 Interest Accrued and/or Interest Cost $0.00 $0.00 $0.00 $1.04 $0.00 $0.00 $0.00 $0.00 $9,454.85 $9,455.89
2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
5 Interest Paid - Cash Instr.s $0.00 $0.00 $0.00 $0.19 $0.00 $0.00 $0.00 $0.00 $1,729.38 $1,729.58
6 Interest Paid - Term Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
7 Unrealized Gain (Loss) $0.00 $0.00 $0.00 $1.52 $0.00 $0.00 $0.00 $0.00 $13,815.18 $13,816.70
8 Net Investment Income $0.00 $0.00 $0.00 $2.76 $0.00 $0.00 $0.00 $0.00 $24,999.42 $25,002.17
9 Interest Accrued - Net Change $0.00 $0.00 $0.00 $1.04 $0.00 $0.00 $0.00 $0.00 $9,454.85 $9,455.89
Ending Cash & Investment Balance $0.00 $0.00 $0.00 $1,178.03 $0.00 $0.00 $0.00 $0.00 $10,684,299.71 $10,685,477.74
Ending Interest Accrual Balance $0.00 $0.00 $0.00 $3.05 $0.00 $0.00 $0.00 $0.00 $28,220.94 $28,223.99
135
2017-08-0100003359400000 CDB1430257 0001 0001927580 000160970 00001000 120880-000 H
AccountNumber 120880-000
As of July 31, 2017
Rodney SquareNorth
1100 North Market Street
Wilmington DE 19890-0001
S t a t em e n t o f A c c o u n t
WILMINGTONTRUST, NA
AS INVESTMENTAGENTUNDERAGREEMENT
DATED 3/6/17 FORGLOUSTER,SALEM
CUMBERLANDCOUNTIESMUNICIPAL
JOINT INSURANCEFUND
If you have questions regarding this statement, please
contact the appropriate individual(s) noted below. You
may also write to the address appearing above.
Account Administrator: SUSAN T. O'NEAL 302-636-6448
PortfolioManager: ZIA E. QASIM 302-651-8413
1430257 02 T 4546 000160970 0001N
THOMAS J. TONTARSKI
10796 MALLARD POINT ROAD
CHESTERTOWN, MD 21620
136
2017-08-0100003359400000 CDB1430257 0001 0001927580 000160970 00001000 120880-000 H
AccountNumber 120880-000
As of July 31, 2017Im p o r t a n t I n f o r m a t i o n
The market value and estimated income information contained in this statement reflect marketquotations at the close of your statement period and may not reflect current values. This statementshould not be used to prepare tax documents. Information for tax reporting purposes will bereflected in your annual Wilmington Trust Tax Information Letter. Please contact your relationshipmanager if you have any questions.
The Securities and Exchange Commission (SEC) has amended a rule that will shorten the settlementcycle for securities transactions that include stocks, bonds, municipal securities, exchange-tradedfunds, certain mutual funds, and limited partnerships that trade on an exchange, from trade dateplus three (T+3) to trade date plus two (T+2) business days. On September 5, 2017, Wilmington Trustwill begin complying with the new rule. Please contact your Relationship Manager with any questions.
T a b l e o f C o n t e n t sPAGE
SUMMARY
Investment 1
Activity 2
DETAIL
Investment 3
Activity 6
continued
137
2017-08-0100003359400000 CDB1430257 0001 0001927580 000160969 00001000 120880-000 H
AccountNumber 120880-000
As of July 31, 2017
S u b j e c t A c c o u n t ( s )
ACCOUNT ACCOUNTNUMBER NAME
120880-000 TRICO JOINT INSURANCE FUND
138
2017-08-0100003359400000 CDB1430257 0001 0001927580 000160969 00110100 120880-000 H
S umm a r y o f I n v e s t m e n t s AccountNumber 120880-000
As of July 31, 2017 Page 1 of 7
PORTFOLIO INVESTMENT CATEGORY MARKET VALUE (M/V) % OF MARKET VALUE (M/V) % OF
As of 6/30/2017 M/V As of 7/31/2017 M/V
PRINCIPAL PORTFOLIO(S)
U.S. TREASURY OBLIGATIONS
U.S. TREASURY BONDS AND NOTES $9,888,793.50 38.45 $9,904,467.50 38.46
TOTAL U.S. TREASURY OBLIGATIONS 9,888,793.50 38.45 9,904,467.50 38.46
U.S. GOVERNMENT AGENCIES
GOVERNMENT AGENCY BONDS/NOTES 15,827,400.00 61.55 15,846,170.00 61.54
TOTAL U.S. GOVERNMENT AGENCIES 15,827,400.00 61.55 15,846,170.00 61.54
TOTAL PRINCIPAL PORTFOLIO(S) 25,716,193.50 100.00 25,750,637.50 100.00
TOTAL ACCRUED INCOME 25,089.38 51,681.01
TOTAL MARKET VALUE WITH ACCRUED INCOME 25,741,282.88 25,802,318.51
139
2017-08-0100003359400000 CDB1430257 0001 0001927580 000160968 00113100 120880-000 H
S umm a r y o f A c t i v i t y AccountNumber 120880-000
July 1, 2017 through July 31, 2017 Page 2 of 7
CASH CASH MANAGEMENT
PRINCIPAL
OPENING BALANCES: 0.00 0.00
RECEIPTS
Transfers/Additions 77,708.27 0.00
TOTAL RECEIPTS 77,708.27 0.00
DISBURSEMENTS
Wilmington Trust Fees (2,708.27) 0.00
Other Disbursements (75,000.00) 0.00
TOTAL DISBURSEMENTS (77,708.27) 0.00
CASH MANAGEMENT ACTIVITY
Cash Management Purchases 0.00 0.00
Cash Management Sales 0.00 0.00
NET CASH MANAGEMENT 0.00 0.00
CLOSING BALANCES: 0.00 0.00
140
2017-08-0100003359400000 CDB1430257 0001 0001927580 000160968 00121100 120880-000 H
I n v e s t m e n t D e t a i l AccountNumber 120880-000
As of July 31, 2017 Page 3 of 7
QUANTITY MARKET VALUE (M/V) %M/V FEDERAL TAX COST UNREALIZED ACCRUED ESTIMATED YIELD (%)
DESCRIPTION MARKET UNIT PRICE AVERAGE UNIT COST GAIN/(LOSS) INCOME ANNUAL INCOME YTM (%)
PRINCIPAL PORTFOLIO(S)
U.S. TREASURY OBLIGATIONS
2018 1,250,000.0000 $1,247,462.50 4.84 $1,248,847.66 ($1,385.16) $2,117.49 $12,500.00 1.00
UNITED STATES TREASURY NOTES 99.7970 99.91 1.24DTD 05/31/2013 1.000% 05/31/2018CUSIP 912828VE7 RATING AAA
2018 1,250,000.0000 1,245,262.50 4.84 1,246,894.53 (1,632.03) 2,117.49 12,500.00 1.00
UNITED STATES TREASURY NOTES 99.6210 99.75 1.29DTD 11/30/2016 1.000% 11/30/2018CUSIP 912828U40 RATING AAA
2019 1,250,000.0000 1,238,725.00 4.81 1,239,814.45 (1,089.45) 2,117.49 12,500.00 1.01
UNITED STATES TREASURY NOTES 99.0980 99.19 1.39DTD 11/30/2012 1.000% 11/30/2019CUSIP 912828UB4 RATING AAA
2019 1,250,000.0000 1,239,750.00 4.81 1,241,015.62 (1,265.62) 2,318.27 10,937.50 0.88
UNITED STATES TREASURY NOTES 99.1800 99.28 1.34DTD 05/15/2016 0.875% 05/15/2019CUSIP 912828R44 RATING AAA
2020 1,250,000.0000 1,246,487.50 4.84 1,247,275.39 (787.89) 2,911.54 17,187.50 1.38
UNITED STATES TREASURY NOTES 99.7190 99.78 1.48DTD 05/31/2013 1.375% 05/31/2020CUSIP 912828VF4 RATING AAA
2020 1,250,000.0000 1,251,462.50 4.86 1,249,609.38 1,853.12 3,440.92 20,312.50 1.62
UNITED STATES TREASURY NOTES 100.1170 99.97 1.59DTD 11/30/2015 1.625% 11/30/2020CUSIP 912828M98 RATING AAA
2021 1,250,000.0000 1,235,737.50 4.80 1,232,226.56 3,510.94 2,911.54 17,187.50 1.39
UNITED STATES TREASURY NOTES 98.8590 98.58 1.68DTD 05/31/2016 1.375% 05/31/2021CUSIP 912828R77 RATING AAA
continued
141
2017-08-0100003359400000 CDB1430257 0001 0001927580 000160967 00121100 120880-000 H
I n v e s t m e n t D e t a i l AccountNumber 120880-000
As of July 31, 2017 Page 4 of 7
QUANTITY MARKET VALUE (M/V) %M/V FEDERAL TAX COST UNREALIZED ACCRUED ESTIMATED YIELD (%)
DESCRIPTION MARKET UNIT PRICE AVERAGE UNIT COST GAIN/(LOSS) INCOME ANNUAL INCOME YTM (%)
PRINCIPAL PORTFOLIO(S)
U.S. TREASURY OBLIGATIONS
2021 1,200,000.0000 $1,199,580.00 4.66 $1,196,953.13 $2,626.87 $3,557.38 $21,000.00 1.75
UNITED STATES TREASURY NOTES 99.9650 99.75 1.76DTD 11/30/2016 1.750% 11/30/2021CUSIP 912828U65 RATING AAA
TOTALU.S. TREASURYOBLIGATIONS9,904,467.50 38.46 9,902,636.72 1,830.78 21,492.12 124,125.00 1.25
U.S. GOVERNMENT AGENCIES
2018 3,000,000.0000 2,990,880.00 11.61 3,000,000.00 (9,120.00) 8,500.00 30,000.00 1.00
FEDERAL HOME LOAN MORTGAGE CORP 99.6960 100.00 1.42MEDIUM TERM NOTEDTD 10/19/2015 1.000% 04/19/2018CALLABLECUSIP 3134G7E31 RATING AAA
2018 2,000,000.0000 1,987,680.00 7.72 2,000,000.00 (12,320.00) 1,422.22 16,000.00 0.80
FEDERAL HOME LOAN MORTGAGE CORP 99.3840 100.00 1.48MEDIUM TERM NOTEDTD 06/29/2016 0.800% 06/29/2018CALLABLECUSIP 3134G9D53 RATING AAA
2019 10,000,000.0000 9,873,900.00 38.34 10,000,000.00 (126,100.00) 18,000.00 135,000.00 1.37
FEDERAL HOME LOAN BANK 98.7390 100.00 1.90DTD 06/13/2016 1.350% 12/13/2019CALLABLECUSIP 3130A8FB4 RATING AAA
continued
142
2017-08-0100003359400000 CDB1430257 0001 0001927580 000160967 00121100 120880-000 H
I n v e s t m e n t D e t a i l AccountNumber 120880-000
As of July 31, 2017 Page 5 of 7
QUANTITY MARKET VALUE (M/V) %M/V FEDERAL TAX COST UNREALIZED ACCRUED ESTIMATED YIELD (%)
DESCRIPTION MARKET UNIT PRICE AVERAGE UNIT COST GAIN/(LOSS) INCOME ANNUAL INCOME YTM (%)
PRINCIPAL PORTFOLIO(S)
U.S. GOVERNMENT AGENCIES
2019 1,000,000.0000 $993,710.00 3.86 $1,000,000.00 ($6,290.00) $2,266.67 $12,000.00 1.21
FEDERAL HOME LOAN MORTGAGE CORP 99.3710 100.00 1.55MEDIUM TERM NOTEDTD 08/23/2016 1.200% 05/23/2019CALLABLECUSIP 3134GAAR5 RATING AAA
TOTALU.S. GOVERNMENTAGENCIES15,846,170.00 61.54 16,000,000.00 (153,830.00) 30,188.89 193,000.00 1.22
TOTAL PRINCIPAL PORTFOLIO(S) 25,750,637.50 100.00 25,902,636.72 (151,999.22) 51,681.01 317,125.00 1.23
TOTAL ACCRUED INCOME 51,681.01
TOTAL MARKET VALUE WITH ACCRUED INCOME 25,802,318.51
143
2017-08-0100003359400000 CDB1430257 0001 0001927580 000160966 00128100 120880-000 H
A c t i v i t y D e t a i l AccountNumber 120880-000
July 1, 2017 through July 31, 2017 Page 6 of 7
DATE TYPE QUANTITY DESCRIPTION CASH CASH MANAGEMENT
PRINCIPAL
OPENING BALANCES: 0.00 0.00
7/10/2017 TRANSFER/ADDITION CASH RECEIPT ACH TRANSFER FROM CHECKING 75,000.00
9871761905
OTHER DISBURSEMENT CASH DISBURSEMENT MISCELLANEOUS - WIRE PAID TO (75,000.00)
Gloucester,Salem & Cumberland Cty Gloucester,Salem & Cumberland Cty
INVESTORS BANK 1000399349
7/14/2017 WILMINGTON TRUST FEE FEE PAYMENT-DIRECT DEBIT(PRIN) COLLECTED Fee (2,708.27)
Payment 120880-000.P Arrears Market Value Fee Average Value for the
Period 4/10/2017 to 6/30/2017 $ -2,708.27
24,110,187.05 at 5.00 BPS = $ 2,708.27 Prorate at:
22.47% 100.00000 % allocation of total fee: 2,708.27
7/17/2017 TRANSFER/ADDITION CASH RECEIPT ACH TRANSFER FROM CHECKING 2,708.27
9871761905
CLOSING BALANCES: 0.00 0.00
144
2017-08-0100003359400000 CDB1430257 0001 0001927580 000160966 00900000 120880-000 H
Ot h e r I n f o r m a t i o n 120880-000 TRICO JOINT INSURANCEFUND
As of July 31, 2017 Page 7 of 7
To the extent Wilmington Trust has custody of assets but no investment authority over your account,you have the right at any time to receive, at no additional cost to you, written confirmations ofsecurities transactions that occur in your account. These confirmations will be mailed to you in thetimeframe required by applicable regulations. Even if you previously waived your right to receivethese confirmations, you may at anytime ask to receive such confirmations going forward.
Please contact your relationship manager if you wish to have written trade confirmationsmailed to you.
145
2017-09-0100003334600000 CDB1430059 0001 0001927580 000160397 00001000 120880-000 H
AccountNumber 120880-000
As of August 31, 2017
Rodney SquareNorth
1100 North Market Street
Wilmington DE 19890-0001
S t a t em e n t o f A c c o u n t
WILMINGTONTRUST, NA
AS INVESTMENTAGENTUNDERAGREEMENT
DATED 3/6/17 FORGLOUSTER,SALEM
CUMBERLANDCOUNTIESMUNICIPAL
JOINT INSURANCEFUND
If you have questions regarding this statement, please
contact the appropriate individual(s) noted below. You
may also write to the address appearing above.
Account Administrator: SUSAN T. O'NEAL 302-636-6448
PortfolioManager: ZIA E. QASIM 302-651-8413
1430059 02 T 4569 000160397 0001N
THOMAS J. TONTARSKI
10796 MALLARD POINT ROAD
CHESTERTOWN, MD 21620
146
2017-09-0100003334600000 CDB1430059 0001 0001927580 000160396 00001000 120880-000 H
AccountNumber 120880-000
As of August 31, 2017Im p o r t a n t I n f o r m a t i o n
The market value and estimated income information contained in this statement reflect marketquotations at the close of your statement period and may not reflect current values. This statementshould not be used to prepare tax documents. Information for tax reporting purposes will bereflected in your annual Wilmington Trust Tax Information Letter. Please contact your relationshipmanager if you have any questions.
The Securities and Exchange Commission (SEC) has amended a rule that will shorten the settlementcycle for securities transactions that include stocks, bonds, municipal securities, exchange-tradedfunds, certain mutual funds, and limited partnerships that trade on an exchange, from trade dateplus three (T+3) to trade date plus two (T+2) business days. On September 5, 2017, Wilmington Trustwill begin complying with the new rule. Please contact your Relationship Manager with any questions.
T a b l e o f C o n t e n t sPAGE
SUMMARY
Investment 1
Activity 2
DETAIL
Investment 3
Activity 6
continued
147
2017-09-0100003334600000 CDB1430059 0001 0001927580 000160396 00001000 120880-000 H
AccountNumber 120880-000
As of August 31, 2017
S u b j e c t A c c o u n t ( s )
ACCOUNT ACCOUNTNUMBER NAME
120880-000 TRICO JOINT INSURANCE FUND
148
2017-09-0100003334600000 CDB1430059 0001 0001927580 000160395 00110100 120880-000 H
S umm a r y o f I n v e s t m e n t s AccountNumber 120880-000
As of August 31, 2017 Page 1 of 7
PORTFOLIO INVESTMENT CATEGORY MARKET VALUE (M/V) % OF MARKET VALUE (M/V) % OF
As of 7/31/2017 M/V As of 8/31/2017 M/V
PRINCIPAL PORTFOLIO(S)
U.S. TREASURY OBLIGATIONS
U.S. TREASURY BONDS AND NOTES $9,904,467.50 38.46 $9,925,502.50 38.49
TOTAL U.S. TREASURY OBLIGATIONS 9,904,467.50 38.46 9,925,502.50 38.49
U.S. GOVERNMENT AGENCIES
GOVERNMENT AGENCY BONDS/NOTES 15,846,170.00 61.54 15,863,990.00 61.51
TOTAL U.S. GOVERNMENT AGENCIES 15,846,170.00 61.54 15,863,990.00 61.51
TOTAL PRINCIPAL PORTFOLIO(S) 25,750,637.50 100.00 25,789,492.50 100.00
TOTAL ACCRUED INCOME 51,681.01 78,272.64
TOTAL MARKET VALUE WITH ACCRUED INCOME 25,802,318.51 25,867,765.14
149
2017-09-0100003334600000 CDB1430059 0001 0001927580 000160395 00113100 120880-000 H
S umm a r y o f A c t i v i t y AccountNumber 120880-000
August 1, 2017 through August 31, 2017 Page 2 of 7
CASH CASH MANAGEMENT
PRINCIPAL
OPENING BALANCES: 0.00 0.00
RECEIPTS
No activity during this period.
DISBURSEMENTS
No activity during this period.
CASH MANAGEMENT ACTIVITY
Cash Management Purchases 0.00 0.00
Cash Management Sales 0.00 0.00
NET CASH MANAGEMENT 0.00 0.00
CLOSING BALANCES: 0.00 0.00
150
2017-09-0100003334600000 CDB1430059 0001 0001927580 000160394 00121100 120880-000 H
I n v e s t m e n t D e t a i l AccountNumber 120880-000
As of August 31, 2017 Page 3 of 7
QUANTITY MARKET VALUE (M/V) %M/V FEDERAL TAX COST UNREALIZED ACCRUED ESTIMATED YIELD (%)
DESCRIPTION MARKET UNIT PRICE AVERAGE UNIT COST GAIN/(LOSS) INCOME ANNUAL INCOME YTM (%)
PRINCIPAL PORTFOLIO(S)
U.S. TREASURY OBLIGATIONS
2018 1,250,000.0000 $1,247,850.00 4.84 $1,248,847.66 ($997.66) $3,176.23 $12,500.00 1.00
UNITED STATES TREASURY NOTES 99.8280 99.91 1.23DTD 05/31/2013 1.000% 05/31/2018CUSIP 912828VE7 RATING AAA
2018 1,250,000.0000 1,245,750.00 4.83 1,246,894.53 (1,144.53) 3,176.23 12,500.00 1.00
UNITED STATES TREASURY NOTES 99.6600 99.75 1.27DTD 11/30/2016 1.000% 11/30/2018CUSIP 912828U40 RATING AAA
2019 1,250,000.0000 1,240,525.00 4.81 1,239,814.45 710.55 3,176.23 12,500.00 1.01
UNITED STATES TREASURY NOTES 99.2420 99.19 1.34DTD 11/30/2012 1.000% 11/30/2019CUSIP 912828UB4 RATING AAA
2019 1,250,000.0000 1,240,725.00 4.81 1,241,015.62 (290.62) 3,239.64 10,937.50 0.88
UNITED STATES TREASURY NOTES 99.2580 99.28 1.32DTD 05/15/2016 0.875% 05/15/2019CUSIP 912828R44 RATING AAA
2020 1,250,000.0000 1,249,225.00 4.84 1,247,275.39 1,949.61 4,367.32 17,187.50 1.38
UNITED STATES TREASURY NOTES 99.9380 99.78 1.40DTD 05/31/2013 1.375% 05/31/2020CUSIP 912828VF4 RATING AAA
2020 1,250,000.0000 1,255,175.00 4.87 1,249,609.38 5,565.62 5,161.37 20,312.50 1.62
UNITED STATES TREASURY NOTES 100.4140 99.97 1.49DTD 11/30/2015 1.625% 11/30/2020CUSIP 912828M98 RATING AAA
2021 1,250,000.0000 1,240,912.50 4.81 1,232,226.56 8,685.94 4,367.32 17,187.50 1.39
UNITED STATES TREASURY NOTES 99.2730 98.58 1.58DTD 05/31/2016 1.375% 05/31/2021CUSIP 912828R77 RATING AAA
continued
151
2017-09-0100003334600000 CDB1430059 0001 0001927580 000160394 00121100 120880-000 H
I n v e s t m e n t D e t a i l AccountNumber 120880-000
As of August 31, 2017 Page 4 of 7
QUANTITY MARKET VALUE (M/V) %M/V FEDERAL TAX COST UNREALIZED ACCRUED ESTIMATED YIELD (%)
DESCRIPTION MARKET UNIT PRICE AVERAGE UNIT COST GAIN/(LOSS) INCOME ANNUAL INCOME YTM (%)
PRINCIPAL PORTFOLIO(S)
U.S. TREASURY OBLIGATIONS
2021 1,200,000.0000 $1,205,340.00 4.67 $1,196,953.13 $8,386.87 $5,336.07 $21,000.00 1.74
UNITED STATES TREASURY NOTES 100.4450 99.75 1.64DTD 11/30/2016 1.750% 11/30/2021CUSIP 912828U65 RATING AAA
TOTALU.S. TREASURYOBLIGATIONS9,925,502.50 38.49 9,902,636.72 22,865.78 32,000.41 124,125.00 1.25
U.S. GOVERNMENT AGENCIES
2018 3,000,000.0000 2,995,920.00 11.62 3,000,000.00 (4,080.00) 11,000.00 30,000.00 1.00
FEDERAL HOME LOAN MORTGAGE CORP 99.8640 100.00 1.21MEDIUM TERM NOTEDTD 10/19/2015 1.000% 04/19/2018CALLABLECUSIP 3134G7E31 RATING AAA
2018 2,000,000.0000 1,989,420.00 7.71 2,000,000.00 (10,580.00) 2,755.56 16,000.00 0.80
FEDERAL HOME LOAN MORTGAGE CORP 99.4710 100.00 1.44MEDIUM TERM NOTEDTD 06/29/2016 0.800% 06/29/2018CALLABLECUSIP 3134G9D53 RATING AAA
2019 10,000,000.0000 9,884,200.00 38.33 10,000,000.00 (115,800.00) 29,250.00 135,000.00 1.37
FEDERAL HOME LOAN BANK 98.8420 100.00 1.87DTD 06/13/2016 1.350% 12/13/2019CALLABLECUSIP 3130A8FB4 RATING AAA
continued
152
2017-09-0100003334600000 CDB1430059 0001 0001927580 000160393 00121100 120880-000 H
I n v e s t m e n t D e t a i l AccountNumber 120880-000
As of August 31, 2017 Page 5 of 7
QUANTITY MARKET VALUE (M/V) %M/V FEDERAL TAX COST UNREALIZED ACCRUED ESTIMATED YIELD (%)
DESCRIPTION MARKET UNIT PRICE AVERAGE UNIT COST GAIN/(LOSS) INCOME ANNUAL INCOME YTM (%)
PRINCIPAL PORTFOLIO(S)
U.S. GOVERNMENT AGENCIES
2019 1,000,000.0000 $994,450.00 3.86 $1,000,000.00 ($5,550.00) $3,266.67 $12,000.00 1.21
FEDERAL HOME LOAN MORTGAGE CORP 99.4450 100.00 1.53MEDIUM TERM NOTEDTD 08/23/2016 1.200% 05/23/2019CALLABLECUSIP 3134GAAR5 RATING AAA
TOTALU.S. GOVERNMENTAGENCIES15,863,990.00 61.51 16,000,000.00 (136,010.00) 46,272.23 193,000.00 1.22
TOTAL PRINCIPAL PORTFOLIO(S) 25,789,492.50 100.00 25,902,636.72 (113,144.22) 78,272.64 317,125.00 1.23
TOTAL ACCRUED INCOME 78,272.64
TOTAL MARKET VALUE WITH ACCRUED INCOME 25,867,765.14
153
2017-09-0100003334600000 CDB1430059 0001 0001927580 000160393 00128100 120880-000 H
A c t i v i t y D e t a i l AccountNumber 120880-000
August 1, 2017 through August 31, 2017 Page 6 of 7
DATE TYPE QUANTITY DESCRIPTION CASH CASH MANAGEMENT
PRINCIPAL
OPENING BALANCES: 0.00 0.00
No activity during this period.
CLOSING BALANCES: 0.00 0.00
154
2017-09-0100003334600000 CDB1430059 0001 0001927580 000160392 00900000 120880-000 H
Ot h e r I n f o r m a t i o n 120880-000 TRICO JOINT INSURANCEFUND
As of August 31, 2017 Page 7 of 7
To the extent Wilmington Trust has custody of assets but no investment authority over your account,you have the right at any time to receive, at no additional cost to you, written confirmations ofsecurities transactions that occur in your account. These confirmations will be mailed to you in thetimeframe required by applicable regulations. Even if you previously waived your right to receivethese confirmations, you may at anytime ask to receive such confirmations going forward.
Please contact your relationship manager if you wish to have written trade confirmationsmailed to you.
155
TRICOUNTY MUNICIPAL JOINT INSURANCE FUND
SUMMARY OF CASH TRANSACTIONS - ALL FUND YEARS COMBINED
Current Fund Year: 2017
Month Ending: August
Prop Liab Auto WC Ded POL/EPL EJIF Future Admin TOTAL
OPEN BALANCE 324,268.05 4,504,950.82 637,344.75 6,775,870.80 4,247,931.81 (548,210.42) (178,159.85) 279,960.68 12,888,628.19 28,932,584.83
RECEIPTS
Assessments 248,124.85 453,698.23 115,496.87 1,253,334.45 365,832.19 468,066.26 157,495.73 1,389,278.13 1,074,839.29 5,526,166.00
Refunds 16,845.48 0.00 0.00 157.87 0.00 0.00 0.00 0.00 0.00 17,003.35
Invest Pymnts 472.47 6,563.90 928.64 9,872.71 6,189.41 5.53 3.94 903.02 18,779.25 43,718.87
Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Subtotal Invest 472.47 6,563.90 928.64 9,872.71 6,189.41 5.53 3.94 903.02 18,779.25 43,718.87
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,778.27 1,778.27
TOTAL 265,442.80 460,262.13 116,425.51 1,263,365.03 372,021.60 468,071.79 157,499.67 1,390,181.15 1,095,396.81 5,588,666.49
EXPENSES
Claims Transfers 17,456.14 21,354.00 11,053.71 172,208.43 0.00 0.00 0.00 0.00 0.00 222,072.28
Expenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195,684.51 195,684.51
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL 17,456.14 21,354.00 11,053.71 172,208.43 0.00 0.00 0.00 0.00 195,684.51 417,756.79
END BALANCE 572,254.71 4,943,858.95 742,716.55 7,867,027.40 4,619,953.41 (80,138.63) (20,660.18) 1,670,141.83 13,788,340.49 34,103,494.53
Report Month: August
Balance DifferencesOpening Balances: Opening Balances are equal $0.00Imprest Transfers: Imprest Totals are equal $0.00Investment Balances: Investment Payment Balances are equal $0.00
Investment Adjustment Balances are equal $0.00Ending Balances: Ending Balances are equal $0.00Accural Balances: Accural Balances are equal $0.00
Claims Transaction Status:
Allocation variance 1: Daily xactions add to monthly totals 0.00
Allocation variance 2: Monthly transactions and allocation totals are equal 0.00
Allocation variance 3: Treasurer/TPA net payments NOT equal-reconciliaiton needed Max/Min 0.00 / (1,172.50)
Pre-existing variance: Prior period unreconciled variance exists Max/Min 0.00 / (1,172.50)
156
SUMMARY OF CASH TRANSACTIONS
FUND YEAR 2017
Month Ending: August
Prop Liab Auto WC Ded POL/EPL EJIF Future Admin TOTAL
OPEN BALANCE 116,208.59 589,918.82 120,815.70 867,893.38 476,377.52 (548,758.03) (180,865.34) (337,136.04) 717,958.03 1,822,412.63
RECEIPTS
Assessments 248,124.85 453,698.23 115,496.87 1,253,334.45 365,832.19 468,066.26 157,495.73 1,389,278.13 1,074,839.29 5,526,166.00
Refunds 5,533.67 0.00 0.00 0.00 5,533.67
Invest Pymnts 169.32 859.54 176.03 1,264.56 694.10 0.00 0.00 0.00 1,046.09 4,209.64
Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Subtotal Invest 169.32 859.54 176.03 1,264.56 694.10 0.00 0.00 0.00 1,046.09 4,209.64
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,532.33 1,532.33
TOTAL 253,827.84 454,557.77 115,672.90 1,254,599.01 366,526.29 468,066.26 157,495.73 1,389,278.13 1,077,417.71 5,537,441.64
EXPENSES 0.00
Claims Transfers 16,336.14 5,325.00 6,393.21 128,275.37 0.00 0.00 0.00 0.00 0.00 156,329.72
Expenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 157,768.61 157,768.61
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL 16,336.14 5,325.00 6,393.21 128,275.37 0.00 0.00 0.00 0.00 157,768.61 314,098.33
END BALANCE 353,700.29 1,039,151.59 230,095.39 1,994,217.02 842,903.81 (80,691.77) (23,369.61) 1,052,142.09 1,637,607.13 7,045,755.94
SUMMARY OF CASH TRANSACTIONS
FUND YEAR 2016
Month Ending: August
Prop Liab Auto WC Ded POL/EPL EJIF Future Admin TOTAL
OPEN BALANCE 8,270.98 1,228,818.86 170,277.20 1,638,416.56 951,184.32 2.00 0.57 (2,664.98) 354,635.22 4,348,940.73
RECEIPTS
Assessments 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Refunds 10,844.06 0.00 0.00 0.00 10,844.06
Invest Pymnts 12.05 1,790.44 248.10 2,387.24 1,385.91 0.00 0.00 0.00 516.72 6,340.46
Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Subtotal Invest 12.05 1,790.44 248.10 2,387.24 1,385.91 0.00 0.00 0.00 516.72 6,340.46
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL 10,856.11 1,790.44 248.10 2,387.24 1,385.91 0.00 0.00 0.00 516.72 17,184.52
EXPENSES
Claims Transfers 1,120.00 1,950.00 0.00 25,316.22 0.00 0.00 0.00 0.00 0.00 28,386.22
Expenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37,834.00 37,834.00
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL 1,120.00 1,950.00 0.00 25,316.22 0.00 0.00 0.00 0.00 37,834.00 66,220.22
END BALANCE 18,007.09 1,228,659.30 170,525.30 1,615,487.58 952,570.23 2.00 0.57 (2,664.98) 317,317.94 4,299,905.03
157
SUMMARY OF CASH TRANSACTIONS
FUND YEAR 2015
Month Ending: August
Prop Liab Auto WC Ded POL/EPL EJIF Future Admin TOTAL
OPEN BALANCE 122,518.66 1,170,551.92 172,909.14 777,353.14 1,019,325.20 3,796.16 66.42 218,979.38 254,919.58 3,740,419.60
RECEIPTS
Assessments 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Refunds 0.00 0.00 0.00 97.87 97.87
Invest Pymnts 178.51 1,705.54 251.94 1,132.63 1,485.20 5.53 0.10 319.06 371.43 5,449.94
Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Subtotal Invest 178.51 1,705.54 251.94 1,132.63 1,485.20 5.53 0.10 319.06 371.43 5,449.94
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL 178.51 1,705.54 251.94 1,230.50 1,485.20 5.53 0.10 319.06 371.43 5,547.81
EXPENSES
Claims Transfers 0.00 1,535.00 0.00 11,209.42 0.00 0.00 0.00 0.00 0.00 12,744.42
Expenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL 0.00 1,535.00 0.00 11,209.42 0.00 0.00 0.00 0.00 0.00 12,744.42
END BALANCE 122,697.17 1,170,722.46 173,161.08 767,374.22 1,020,810.40 3,801.69 66.52 219,298.44 255,291.01 3,733,222.99
SUMMARY OF CASH TRANSACTIONS
FUND YEAR 2014
Month Ending: August
Prop Liab Auto WC Ded POL/EPL EJIF Future Admin TOTAL
OPEN BALANCE 74,113.72 866,009.02 85,746.77 1,878,177.58 687,714.44 (3,076.00) 0.76 185,112.74 232,253.34 4,006,052.37
RECEIPTS
Assessments 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Refunds 0.00 0.00 0.00 60.00 60.00
Invest Pymnts 107.99 1,261.81 124.94 2,736.58 1,002.03 0.00 0.00 269.72 338.40 5,841.47
Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Subtotal Invest 107.99 1,261.81 124.94 2,736.58 1,002.03 0.00 0.00 269.72 338.40 5,841.47
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL 107.99 1,261.81 124.94 2,796.58 1,002.03 0.00 0.00 269.72 338.40 5,901.47
EXPENSES
Claims Transfers 0.00 12,544.00 4,660.50 7,407.42 0.00 0.00 0.00 0.00 0.00 24,611.92
Expenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL 0.00 12,544.00 4,660.50 7,407.42 0.00 0.00 0.00 0.00 0.00 24,611.92
END BALANCE 74,221.71 854,726.83 81,211.21 1,873,566.74 688,716.47 (3,076.00) 0.76 185,382.46 232,591.74 3,987,341.92
158
SUMMARY OF CASH TRANSACTIONS
FUND YEAR 2013
Month Ending: August
Prop Liab Auto WC Ded POL/EPL EJIF Future Admin TOTAL
OPEN BALANCE 3,156.10 649,652.20 87,595.94 1,612,853.82 1,113,330.33 (174.55) 2,637.74 215,669.58 154,134.13 3,838,855.29
RECEIPTS
Assessments 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Refunds 467.75 0.00 0.00 0.00 467.75
Invest Pymnts 4.60 946.57 127.63 2,349.99 1,622.17 0.00 3.84 314.24 224.58 5,593.62
Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Subtotal Invest 4.60 946.57 127.63 2,349.99 1,622.17 0.00 3.84 314.24 224.58 5,593.62
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL 472.35 946.57 127.63 2,349.99 1,622.17 0.00 3.84 314.24 224.58 6,061.37
EXPENSES
Claims Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Expenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
END BALANCE 3,628.45 650,598.77 87,723.57 1,615,203.81 1,114,952.50 (174.55) 2,641.58 215,983.82 154,358.71 3,844,916.66
SUMMARY OF CASH TRANSACTIONS
FUND YEAR Closed
Month Ending: August
Prop Liab Auto WC Ded POL/EPL EJIF Future Admin TOTAL
OPEN BALANCE 0.00 0.00 0.00 1,176.32 0.00 0.00 0.00 0.00 10,668,591.10 10,669,767.42
RECEIPTS
Assessments 0.00 0.00 0.00 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
Invest Pymnts 0.00 0.00 0.00 1.71 0.00 0.00 0.00 0.00 15,544.57 15,546.28
Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Subtotal Invest 0.00 0.00 0.00 1.71 0.00 0.00 0.00 0.00 15,544.57 15,546.28
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 245.94 245.94
TOTAL 0.00 0.00 0.00 1.71 0.00 0.00 0.00 0.00 15,790.51 15,792.22
EXPENSES
Claims Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Expenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.90 81.90
Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.90 81.90
END BALANCE 0.00 0.00 0.00 1,178.03 0.00 0.00 0.00 0.00 10,684,299.71 10,685,477.74
159
CERTIFICATION AND RECONCILIATION OF CLAIMS PAYMENTS AND RECOVERIES CERTIFICATION AND RECONCILIATION OF CLAIMS PAYMENTS AND RECOVERIES
TRICOUNTY MUNICIPAL JOINT INSURANCE FUND TRICOUNTY MUNICIPAL JOINT INSURANCE FUND
Month August
Current Fund Year 2017
1. 2. 3. 4. 5. 6. 7. 8.
Calc. Net Monthly Monthly Calc. Net TPA Net Variance Delinquent Change
Policy Paid Thru Net Paid Recoveries Paid Thru Paid Thru To Be Unreconciled This
Year Coverage Last Month August August August August Reconciled Variance From Month
2017 Prop 217,207.04 16,336.14 5,533.67 228,009.51 228,009.51 (0.00) 0.00 (0.00)
Liab 20,103.59 5,325.00 0.00 25,428.59 25,428.59 0.00 0.00 0.00
Auto 34,429.77 6,393.21 0.00 40,822.98 40,822.98 (0.00) 0.00 (0.00)
WC 816,713.22 128,275.37 0.00 944,988.59 944,988.59 0.00 0.00 0.00
Total 1,088,453.62 156,329.72 5,533.67 1,239,249.67 1,239,249.67 (0.00) 0.00 (0.00)
2016 Prop 615,648.39 1,120.00 10,844.06 605,924.33 605,924.33 (0.00) (0.00) 0.00
Liab 75,769.99 1,950.00 0.00 77,719.99 77,719.99 0.00 0.00 0.00
Auto 68,818.53 0.00 0.00 68,818.53 68,818.53 0.00 0.00 0.00
WC 1,705,848.97 25,316.22 0.00 1,731,165.19 1,731,165.19 0.00 0.00 0.00
Total 2,466,085.88 28,386.22 10,844.06 2,483,628.04 2,483,628.04 (0.00) (0.00) 0.00
2015 Prop 399,069.53 0.00 0.00 399,069.53 399,069.53 (0.00) (0.00) 0.00
Liab 160,799.21 1,535.00 0.00 162,334.21 162,334.21 0.00 0.00 0.00
Auto 52,732.99 0.00 0.00 52,732.99 52,732.99 0.00 0.00 0.00
WC 2,876,110.73 11,209.42 97.87 2,887,222.28 2,887,222.28 0.00 0.00 0.00
Total 3,488,712.46 12,744.42 97.87 3,501,359.01 3,501,359.01 (0.00) (0.00) 0.00
2014 Prop 834,490.16 0.00 0.00 834,490.16 834,490.16 0.00 0.00 0.00
Liab 477,012.42 12,544.00 0.00 489,556.42 489,556.42 0.00 0.00 0.00
Auto 189,368.89 4,660.50 0.00 194,029.39 194,029.39 (0.00) (0.00) 0.00
WC 2,126,111.14 7,407.42 60.00 2,133,458.56 2,133,458.56 0.00 0.00 0.00
Total 3,626,982.61 24,611.92 60.00 3,651,534.53 3,651,534.53 0.00 0.00 0.00
2013 Prop 500,588.53 0.00 467.75 500,120.78 500,120.78 (0.00) (0.00) 0.00
Liab 675,564.40 0.00 0.00 675,564.40 675,564.40 0.00 0.00 0.00
Auto 236,762.72 0.00 0.00 236,762.72 236,762.72 0.00 0.00 0.00
WC 2,412,234.78 0.00 0.00 2,412,234.78 2,412,234.78 0.00 0.00 0.00
Total 3,825,150.43 0.00 467.75 3,824,682.68 3,824,682.68 0.00 0.00 0.00
Closed Prop 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Liab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Auto 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
WC (1,172.50) 0.00 0.00 (1,172.50) 0.00 (1,172.50) (1,172.50) 0.00
Total (1,172.50) 0.00 0.00 (1,172.50) 0.00 (1,172.50) (1,172.50) 0.00
TOTAL 14,495,385.00 222,072.28 17,003.35 14,700,453.93 14,700,453.93 0.00 0.00 (0.00)
CIR2017_TC CRC_REPORTS Page 1 9/18/2017 11:10 AM
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TRIJIF-TRI.COUNTY MUN.JIF
Check Register ReportBank Account : ALL
Processed Date: Jul 1, 2017 - Jul 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11243 7/7/2017 POLICE PROF BI CRAIG ANNIN & BAXTER, LLC - - /2017099694 6/24/2016 $4,990.00 2016/2016 Legal 11244 7/7/2017 MEDICAL ONLY I.C.U. INVESTIGATIONS, INC. - - /2017105647 6/15/2017 $525.00 2017/2017 Expense11245 7/7/2017 POLICE PROF PI BIRCHMEIER & POWELL, LLC Z49735/001264284 3/13/2016 $1,305.00 2016/2016 Legal 11246 7/7/2017 BLDG/CONTENT MCBREARTY & ASSOCIATES, INC. - - /2017100323 4/7/2017 $1,195.95 2017/2017 Expense11247 7/7/2017 INDEMNITY EXAMWORKS, INC. Z38327/001250588 5/4/2016 $1,045.00 2016/2016 Expense11248 7/7/2017 1ST PARTY COLL PD LEO PETETTI, LLC. - - /2017106671 6/29/2017 $95.00 2017/2017 Expense11249 7/7/2017 PUB OFF PI DAVID S. DEWEESE - - /2017106928 3/26/2017 $750.00 2017/2017 Legal 11250 7/7/2017 AFFANATO MARUT, LLC $2,358.50
INDEMNITY MLT-2017094066/2017094074
2/6/2017 $352.50 2017/2017 Legal
INDEMNITY MLT-2017094066/2017094066
2/6/2017 $259.50 2017/2017 Legal
MEDICAL ONLY - - /2017093254 1/25/2017 $245.50 2017/2017 Legal
INDEMNITY Z44882/001257205 9/12/2016 $412.50 2016/2016 Legal
INDEMNITY Z39703/001251970 6/1/2016 $286.50 2016/2016 Legal
INDEMNITY Z33146/001245278 1/23/2016 $427.50 2016/2016 Legal
INDEMNITY Z25001/001237009 8/28/2015 $205.00 2015/2015 Legal
INDEMNITY X94200/001205756 6/21/2014 $169.50 2014/2014 Legal
11251 7/7/2017 PIETRAS, SARACINO, SMITH, & MEEK $2,958.00
INDEMNITY Z35001/001247148 2/22/2016 $526.50 2016/2016 Legal
INDEMNITY MLT-Z29574/001241653 11/6/2015 $375.00 2015/2015 Legal
INDEMNITY Z21254/001233182 7/6/2015 $1,261.50 2015/2015 Legal
INDEMNITY Z20517/001232419 6/24/2015 $511.50 2015/2015 Legal
INDEMNITY Z12481/001224193 3/5/2015 $283.50 2015/2015 Legal
11252 7/7/2017 INDEMNITY THOMAS GOUSE - - /2017099819 4/11/2017 $1,792.00 2017/2017 Loss 11253 7/7/2017 INDEMNITY WASHINGTON TOWNSHIP - - /2017101264 4/26/2017 $1,792.00 2017/2017 Loss 11254 7/7/2017 INDEMNITY GLASSBORO BOROUGH - - /2017102672 5/13/2017 $1,792.00 2017/2017 Loss 11255 7/7/2017 INDEMNITY WASHINGTON TOWNSHIP - - /2017100313 4/17/2017 $1,782.20 2017/2017 Loss 11256 7/7/2017 INDEMNITY PENNSVILLE TOWNSHIP - - /2017104343 6/3/2017 $1,792.00 2017/2017 Loss 11257 7/7/2017 INDEMNITY PENNSVILLE TOWNSHIP - - /2017104343 6/3/2017 $1,792.00 2017/2017 Loss 11258 7/7/2017 3RD PARTY PD NICOLE KEHLER - - /2017101074 4/21/2017 $1,300.00 2017/2017 Loss
Run Date: 8/4/2017 02:56:29 Run by: Joshua Petro TRIJIF-TRI.COUNTY MUN.JIF Reporting System: RiskConsole V1 Page 1 of 12
161
TRIJIF-TRI.COUNTY MUN.JIF
Check Register ReportBank Account : ALL
Processed Date: Jul 1, 2017 - Jul 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11259 7/7/2017 INDEMNITY PENNSVILLE TOWNSHIP - - /2017102283 5/10/2017 $1,792.00 2017/2017 Loss 11260 7/7/2017 INDEMNITY QUAL-LYNX - - /2017099206 3/31/2017 $75.00 2017/2017 Expense11261 7/7/2017 INDEMNITY QUAL-LYNX - - /2017099819 4/11/2017 $75.00 2017/2017 Expense11262 7/7/2017 INDEMNITY QUAL-LYNX - - /2017101264 4/26/2017 $75.00 2017/2017 Expense11263 7/7/2017 INDEMNITY QUAL-LYNX - - /2017102672 5/13/2017 $75.00 2017/2017 Expense11264 7/7/2017 INDEMNITY MONROE TOWNSHIP - - /2017100093 4/12/2017 $1,792.00 2017/2017 Loss 11265 7/7/2017 INDEMNITY MONROE TOWNSHIP - - /2017100093 4/12/2017 $1,792.00 2017/2017 Loss 11266 7/7/2017 INDEMNITY NEW JERSEY IME ASSOCIATES, LLC Z25001/001237009 8/28/2015 $700.00 2015/2015 Expense11267 7/7/2017 INDEMNITY BERTON BRUCKER Z25001/001237009 8/28/2015 $456.00 2015/2015 Loss 11268 7/7/2017 GL PROPERTY DAMAGE DEBRA GEHRING - - /2017104041 5/23/2017 $4,500.00 2017/2017 Loss 11269 7/7/2017 1ST PARTY COLL PD MONROE TOWNSHIP - - /2017106671 6/29/2017 $1,967.25 2017/2017 Loss 11270 7/7/2017 1ST PARTY COLL PD VINELAND CITY - - /2017106526 6/22/2017 $3,838.50 2017/2017 Loss 11271 7/7/2017 INLAND MARINE PITMAN BOROUGH - - /2017097787 3/14/2017 $12,184.00 2017/2017 Loss 11272 7/7/2017 1ST PARTY COLL PD MONROE TOWNSHIP - - /2017100134 4/12/2017 $38,545.41 2017/2017 Loss 11273 7/7/2017 COASTAL SPINE, PC. $376.16
INDEMNITY - - /2017100313 4/17/2017 $126.12 2017/2017 Loss
INDEMNITY - - /2017096256 3/3/2017 $250.04 2017/2017 Loss
11274 7/7/2017 INDEMNITY RA PAIN SERVICES, PA - - /2017098698 3/28/2017 $220.88 2017/2017 Loss
11275 7/7/2017 STRIVE PHYSICAL THERAPY AND SPORTS REHABILITATION LLC $720.00
MEDICAL ONLY - - /2017102203 5/8/2017 $189.00 2017/2017 Loss
INDEMNITY - - /2017101264 4/26/2017 $189.00 2017/2017 Loss
INDEMNITY - - /2017100130 3/27/2017 $342.00 2017/2017 Loss
11276 7/7/2017 PREMIER ORTHOPEDIC OF SOUTH JERSEY $307.21
MEDICAL ONLY - - /2017102203 5/8/2017 $69.76 2017/2017 Loss
INDEMNITY Z41288/001253586 7/6/2016 $237.45 2016/2016 Loss
11277 7/7/2017 INDEMNITY LOURDES ANESTHESIA ASSOC PA Z40240/001252524 6/13/2016 $780.00 2016/2016 Loss
11278 7/7/2017 HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC $756.00
INDEMNITY - - /2017102283 5/10/2017 $126.00 2017/2017 Loss
INDEMNITY - - /2017099819 4/11/2017 $189.00 2017/2017 Loss
INDEMNITY - - /2017098698 3/28/2017 $252.00 2017/2017 Loss
Run Date: 8/4/2017 02:56:29 Run by: Joshua Petro TRIJIF-TRI.COUNTY MUN.JIF Reporting System: RiskConsole V1 Page 2 of 12
162
TRIJIF-TRI.COUNTY MUN.JIF
Check Register ReportBank Account : ALL
Processed Date: Jul 1, 2017 - Jul 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
INDEMNITY - - /2017091400 1/4/2017 $189.00 2017/2017 Loss
11279 7/7/2017 INDEMNITY TARIQ S. SIDDIQI, MD Z40240/001252524 6/13/2016 $115.70 2016/2016 Loss 11280 7/7/2017 ONE CALL MEDICAL, INC. $1,275.06
MEDICAL ONLY - - /2017099042 4/2/2017 $75.00 2017/2017 Loss
INDEMNITY - - /2017098018 3/18/2017 $1,150.00 2017/2017 Loss
INDEMNITY - - /2017091400 1/4/2017 $50.06 2017/2017 Loss
11281 7/7/2017 INDEMNITY PROFESSIONAL PAIN MANAGEMENT ASSOC. - - /2017089731 12/9/2016 $219.55 2016/2016 Loss 11282 7/7/2017 MEDICAL ONLY SOUTH JERSEY HS EMG PHYS SV, PA - - /2017099042 4/2/2017 $241.86 2017/2017 Loss 11283 7/7/2017 PONZIO ORTHOPEDICS,, PC $323.48
INDEMNITY - - /2017104618 6/6/2017 $161.74 2017/2017 Loss
MEDICAL ONLY - - /2017102863 5/17/2017 $161.74 2017/2017 Loss
11284 7/7/2017 DISABATINO PHYSICAL THERAPY $252.00
INDEMNITY - - /2017100313 4/17/2017 $126.00 2017/2017 Loss
INDEMNITY - - /2017091760 1/10/2017 $126.00 2017/2017 Loss
11285 7/7/2017 INDEMNITY REHAB EXCELLENCE CENTER, LLC Z40983/001253280 6/29/2016 $342.00 2016/2016 Loss 11286 7/7/2017 INDEMNITY NovaCare Rehabilitation - - /2017102672 5/13/2017 $176.00 2017/2017 Loss
11287 7/7/2017 PREMIER ORTHOPAEDIC ASSOCIATES OF SOUTHERN NJ $2,049.58
INDEMNITY - - /2017104135 5/31/2017 $879.77 2017/2017 Loss
MEDICAL ONLY - - /2017102649 5/16/2017 $88.09 2017/2017 Loss
INDEMNITY - - /2017098018 3/18/2017 $88.09 2017/2017 Loss
INDEMNITY - - /2017091760 1/10/2017 $905.54 2017/2017 Loss
INDEMNITY Z35001/001247148 2/22/2016 $88.09 2016/2016 Loss
11288 7/7/2017 MEDICAL ONLY INSPIRA HEALTH NETWORK URGENT CARE P.C. - - /2017105346 6/15/2017 $275.44 2017/2017 Loss 11289 7/7/2017 MEDEXPRESS URGENT CARE- NEW JERSEY, INC $480.00
MEDICAL ONLY - - /2017104361 6/5/2017 $160.00 2017/2017 Loss
MEDICAL ONLY - - /2017104488 6/4/2017 $160.00 2017/2017 Loss
MEDICAL ONLY - - /2017103338 5/22/2017 $160.00 2017/2017 Loss
11290 7/7/2017 INDEMNITY CHRISTIANA CARE - - /2017103346 5/22/2017 $1,196.22 2017/2017 Loss
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Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11291 7/7/2017 KENNEDY HEALTH ALLIANCE $430.39
MEDICAL ONLY - - /2017105359 6/14/2017 $122.16 2017/2017 Loss
MEDICAL ONLY - - /2017104979 6/9/2017 $226.41 2017/2017 Loss
MEDICAL ONLY - - /2017104744 6/8/2017 $81.82 2017/2017 Loss
11292 7/7/2017 INDEMNITY MEDICAL ALLIANCE OF SOUTHERN NEW JERSEY PC - - /2017099206 3/31/2017 $25.15 2017/2017 Loss
11293 7/7/2017 INDEMNITY CT ORTHO SPECIALISTS PC Z40983/001253280 6/29/2016 $475.00 2016/2016 Loss 11294 7/7/2017 INDEMNITY CONNECTICUT ORTHOPAEDIC SPECIALISTS Z40983/001253280 6/29/2016 $7,000.00 2016/2016 Loss 11295 7/7/2017 QUALCARE, INC. $2,916.00
MEDICAL ONLY - - /2017106520 6/28/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2017106554 6/27/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2017105647 6/15/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2017105346 6/15/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2017105359 6/14/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2017104979 6/9/2017 $486.00 2017/2017 Loss
11296 7/14/2017 BODILY INJURY [Expired] CRAIG ANNIN & BAXTER, LLC MLT-X96450/001208014 7/10/2014 $780.00 2014/2014 Legal 11297 7/14/2017 BARKER, GELFAND & JAMES $1,057.50
POLICE PROF PI Z26942/001238985 9/23/2015 $105.00 2015/2015 Legal
POLICE PROF BI Z09567/001221269 11/7/2014 $952.50 2014/2014 Legal
11298 7/14/2017 MEDICAL ONLY ATLANTIC SECURITY INTERNATL. MLT-X97777/001209332 8/9/2014 $185.00 2014/2014 Expense11299 7/14/2017 INDEMNITY SRPS Z28212/001240264 10/16/2015 $28.90 2015/2015 Loss 11300 7/14/2017 INDEMNITY TRUE VISION THERAPY, LLC - - /2017091277 1/3/2017 $160.00 2017/2017 Loss 11301 7/14/2017 MEDICAL ONLY THE DEWEESE LAW FIRM MLT-X97777/001209332 8/9/2014 $219.00 2014/2014 Expense11302 7/14/2017 AFFANATO MARUT, LLC $427.00
INDEMNITY Z46164/001258489 10/10/2016 $271.50 2016/2016 Legal
INDEMNITY Z14050/001225799 7/30/2014 $155.50 2014/2014 Legal
11303 7/14/2017 PIETRAS, SARACINO, SMITH, & MEEK $1,621.50
INDEMNITY Z38802/001251063 5/3/2016 $412.50 2016/2016 Legal
INDEMNITY Z24543/001236550 8/22/2015 $297.00 2015/2015 Legal
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Processed Date: Jul 1, 2017 - Jul 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
INDEMNITY Z12481/001224193 3/5/2015 $912.00 2015/2015 Legal
11304 7/14/2017 INDEMNITY CAPEHART & SCATCHARD, PA. Z42770/001255084 7/30/2016 $275.00 2016/2016 Legal 11305 7/14/2017 INDEMNITY CAPEHART & SCATCHARD, PA. Z41790/001254099 7/8/2016 $855.47 2016/2016 Legal 11306 7/14/2017 INDEMNITY GLASSBORO BOROUGH Z49772/001264320 11/14/2016 $1,144.36 2016/2016 Loss 11307 7/14/2017 INDEMNITY GLASSBORO BOROUGH - - /2017102672 5/13/2017 $1,792.00 2017/2017 Loss 11308 7/14/2017 INDEMNITY GLASSBORO BOROUGH - - /2017102672 5/13/2017 $128.00 2017/2017 Loss 11309 7/14/2017 INDEMNITY THE SIMONS GROUP, LLC Z34581/001246715 8/12/2015 $600.00 2015/2015 Expense11310 7/14/2017 3RD PARTY PD MICHELE WILLIAMS - - /2017105149 6/7/2017 $500.00 2017/2017 Loss 11311 7/14/2017 INDEMNITY SHANNON WESTFIELD Z27702/001239748 10/5/2015 $1,005.32 2015/2015 Loss 11312 7/14/2017 INDEMNITY PATRICK RILEY Z31035/001243136 12/4/2015 $1,116.40 2015/2015 Loss 11313 7/14/2017 INLAND MARINE VINELAND CITY - - /2018107038 6/20/2017 $4,508.22 2017/2017 Loss 11314 7/14/2017 1ST PARTY COLL PD GLASSBORO BOROUGH - - /2017100683 4/20/2017 $1,000.00 2017/2017 Loss
11315 7/14/2017 STRIVE PHYSICAL THERAPY AND SPORTS REHABILITATION LLC $342.00
MEDICAL ONLY - - /2017102203 5/8/2017 $63.00 2017/2017 Loss
INDEMNITY - - /2017095079 2/16/2017 $279.00 2017/2017 Loss
11316 7/14/2017 INDEMNITY RADIOLOGY ASSOCIATES OF NEW JERSEY Z42270/001254575 7/23/2016 $352.00 2016/2016 Loss 11317 7/14/2017 MEDICAL ONLY INSPIRA MEDICAL CENTER VINELAND - - /2017100545 4/20/2017 $270.89 2017/2017 Loss
11318 7/14/2017 HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC $679.00
INDEMNITY - - /2017104618 6/6/2017 $63.00 2017/2017 Loss
INDEMNITY - - /2017104343 6/3/2017 $216.00 2017/2017 Loss
INDEMNITY Z49772/001264320 11/14/2016 $400.00 2016/2016 Loss
11319 7/14/2017 ONE CALL MEDICAL, INC. $2,137.88
INDEMNITY - - /2017104343 6/3/2017 $1,150.00 2017/2017 Loss
INDEMNITY - - /2017102672 5/13/2017 $427.88 2017/2017 Loss
INDEMNITY - - /2017101264 4/26/2017 $485.00 2017/2017 Loss
INDEMNITY Z21255/001233183 7/6/2015 $75.00 2015/2015 Loss
11320 7/14/2017 INDEMNITY PROFESSIONAL PAIN MANAGEMENT ASSOC. - - /2017089731 12/9/2016 $1,973.65 2016/2016 Loss 11321 7/14/2017 PONZIO ORTHOPEDICS,, PC $304.52
INDEMNITY - - /2017098698 3/28/2017 $244.72 2017/2017 Loss
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Processed Date: Jul 1, 2017 - Jul 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
MEDICAL ONLY MLT-Z17627/001229479 5/13/2015 $59.80 2015/2015 Loss
11322 7/14/2017 INDEMNITY DISABATINO PHYSICAL THERAPY - - /2017091760 1/10/2017 $252.00 2017/2017 Loss 11323 7/14/2017 INDEMNITY REHAB EXCELLENCE CENTER, LLC Z40983/001253280 6/29/2016 $126.00 2016/2016 Loss 11324 7/14/2017 INDEMNITY SALEM HOSPITAL CORPORATION - - /2017104343 6/3/2017 $3,407.65 2017/2017 Loss 11325 7/14/2017 NovaCare Rehabilitation $528.00
INDEMNITY - - /2017102672 5/13/2017 $352.00 2017/2017 Loss
MEDICAL ONLY - - /2017099042 4/2/2017 $176.00 2017/2017 Loss
11326 7/14/2017 INDEMNITY KHS AMBULATORY SURGICAL CENTER - - /2017098698 3/28/2017 $6,935.00 2017/2017 Loss 11327 7/14/2017 MEDICAL ONLY VIRTUA MEDICAL GROUP, PA - - /2017105923 6/21/2017 $166.95 2017/2017 Loss
11328 7/14/2017 PREMIER ORTHOPAEDIC ASSOCIATES OF SOUTHERN NJ $16,639.90
INDEMNITY - - /2017104343 6/3/2017 $167.37 2017/2017 Loss
INDEMNITY - - /2017102672 5/13/2017 $259.33 2017/2017 Loss
INDEMNITY - - /2017095079 2/16/2017 $16,001.79 2017/2017 Loss
INDEMNITY - - /2017091400 1/4/2017 $61.66 2017/2017 Loss
INDEMNITY Z50195/001264745 11/22/2016 $61.66 2016/2016 Loss
INDEMNITY Z49772/001264320 11/14/2016 $88.09 2016/2016 Loss
11329 7/14/2017 INDEMNITY INSPIRA HEALTH NETWORK URGENT CARE PC - - /2017102672 5/13/2017 $175.46 2017/2017 Loss 11330 7/14/2017 MEDEXPRESS URGENT CARE- NEW JERSEY, INC $272.80
MEDICAL ONLY - - /2017102863 5/17/2017 $112.80 2017/2017 Loss
INDEMNITY - - /2017095701 2/24/2017 $160.00 2017/2017 Loss
11331 7/14/2017 KENNEDY HEALTH ALLIANCE $163.64
MEDICAL ONLY - - /2017105359 6/14/2017 $81.82 2017/2017 Loss
MEDICAL ONLY - - /2017104979 6/9/2017 $81.82 2017/2017 Loss
11332 7/14/2017 INDEMNITY BTD RADIOLOGY AT SALEM - - /2017104343 6/3/2017 $25.00 2017/2017 Loss 11333 7/14/2017 QUALCARE, INC. $972.00
MEDICAL ONLY - - /2018107069 7/7/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018106899 7/5/2017 $486.00 2017/2017 Loss
11334 7/21/2017 INDEMNITY TAYLOR, TAYLOR & LEONETTI, PC Z10640/001222351 2/13/2015 $6,023.00 2015/2015 Loss
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Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11335 7/21/2017 INDEMNITY STATE SHORTHAND REPORTING SERV Z10640/001222351 2/13/2015 $90.00 2015/2015 Expense11336 7/21/2017 INLAND MARINE MCBREARTY & ASSOCIATES, INC. - - /2017097787 3/14/2017 $1,103.40 2017/2017 Expense11337 7/21/2017 INDEMNITY TRUE VISION THERAPY, LLC - - /2017091277 1/3/2017 $160.00 2017/2017 Loss 11338 7/21/2017 1ST PARTY COLL PD LEO PETETTI, LLC. - - /2018107408 7/11/2017 $150.00 2017/2017 Expense11339 7/21/2017 1ST PARTY COLL PD THE DEWEESE LAW FIRM X95332/001206881 6/21/2014 $50.00 2014/2014 Legal 11340 7/21/2017 INDEMNITY JERSEY SHORE REPORTING, LLC Z34046/001246176 2/6/2016 $90.00 2016/2016 Expense11341 7/21/2017 INDEMNITY MONROE TOWNSHIP - - /2017100093 4/12/2017 $1,792.00 2017/2017 Loss 11342 7/21/2017 INDEMNITY WASHINGTON TOWNSHIP - - /2017095079 2/16/2017 $1,792.00 2017/2017 Loss 11343 7/21/2017 INDEMNITY WASHINGTON TOWNSHIP - - /2017101264 4/26/2017 $1,792.00 2017/2017 Loss 11344 7/21/2017 INDEMNITY GLASSBORO BOROUGH - - /2017100130 3/27/2017 $1,792.00 2017/2017 Loss 11345 7/21/2017 INDEMNITY GLASSBORO BOROUGH - - /2017100130 3/27/2017 $1,792.00 2017/2017 Loss 11346 7/21/2017 INDEMNITY WASHINGTON TOWNSHIP - - /2017100313 4/17/2017 $1,782.20 2017/2017 Loss 11347 7/21/2017 INDEMNITY FRANKLIN TOWNSHIP - - /2017099206 3/31/2017 $1,155.18 2017/2017 Loss 11348 7/21/2017 INDEMNITY FRANKLIN TOWNSHIP - - /2017099206 3/31/2017 $825.13 2017/2017 Loss 11349 7/21/2017 INDEMNITY WOOLWICH TOWNSHIP - - /2017096256 3/3/2017 $1,792.00 2017/2017 Loss 11350 7/21/2017 INDEMNITY WOOLWICH TOWNSHIP - - /2017096256 3/3/2017 $1,792.00 2017/2017 Loss 11351 7/21/2017 INDEMNITY CAPEHART & SCATCHARD, PA. Z49969/001264514 11/17/2016 $325.00 2016/2016 Legal 11352 7/21/2017 INDEMNITY DEBORAH SCHUBERT Z10640/001222351 2/13/2015 $18,615.28 2015/2015 Loss 11353 7/21/2017 MEDICAL ONLY FRANCES WILLIAMSON - - /2017104964 6/11/2017 $352.97 2017/2017 Loss 11354 7/21/2017 INDEMNITY MARC STEVENS MLT-Z33676/001245807 1/29/2016 $999.00 2016/2016 Loss 11355 7/21/2017 INDEMNITY WILLIAM MICKEN Z09251/001220947 1/26/2015 $1,006.12 2015/2015 Loss 11356 7/21/2017 INDEMNITY WILLIAM HUGGINS Z15821/001227656 4/14/2015 $1,038.72 2015/2015 Loss 11357 7/21/2017 INDEMNITY ANTHONY VERRILLI Z33145/001245277 1/22/2016 $999.00 2016/2016 Loss 11358 7/21/2017 INDEMNITY JOSEPH BEDILION Z20517/001232419 6/24/2015 $912.00 2015/2015 Loss 11359 7/21/2017 INDEMNITY JOHN CICCONE X97702/001209262 8/7/2014 $1,800.00 2014/2014 Loss 11360 7/21/2017 INDEMNITY DALLAS MCKINNEY X91471/001202934 5/14/2014 $1,079.20 2014/2014 Loss 11361 7/21/2017 INDEMNITY JOHN MCCLAY Z01312/001212891 9/30/2014 $1,101.20 2014/2014 Loss 11362 7/21/2017 INDEMNITY PITMAN BOROUGH - - /2017098698 3/28/2017 $1,332.24 2017/2017 Loss 11363 7/21/2017 1ST PARTY COLL PD GLASSBORO BOROUGH - - /2018107408 7/11/2017 $2,647.41 2017/2017 Loss 11364 7/21/2017 INDEMNITY COASTAL SPINE, PC. - - /2017100313 4/17/2017 $83.27 2017/2017 Loss 11365 7/21/2017 INDEMNITY COOPER UNIVERSITY TRAUMA PHYSICIANS., PC - - /2017100093 4/12/2017 $83.66 2017/2017 Loss
11366 7/21/2017 STRIVE PHYSICAL THERAPY AND SPORTS REHABILITATION LLC $378.00
MEDICAL ONLY - - /2017102203 5/8/2017 $126.00 2017/2017 Loss
INDEMNITY - - /2017100130 3/27/2017 $189.00 2017/2017 Loss
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Processed Date: Jul 1, 2017 - Jul 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
INDEMNITY - - /2017095079 2/16/2017 $63.00 2017/2017 Loss
11367 7/21/2017 INDEMNITY EMERGENCY CARE SERVICES OF NJ - - /2017097932 3/21/2017 $646.17 2017/2017 Loss 11368 7/21/2017 MEDICAL ONLY PREMIER ORTHOPEDIC OF SOUTH JERSEY - - /2017094456 2/9/2017 $69.76 2017/2017 Loss 11369 7/21/2017 INDEMNITY COOPER HEALTH SYSTEMS - - /2017100093 4/12/2017 $118,252.62 2017/2017 Loss 11370 7/21/2017 INDEMNITY INSPIRA MEDICAL CENTER ELMER - - /2017103346 5/22/2017 $29.31 2017/2017 Loss 11371 7/21/2017 MEDICAL ONLY VIRTUA AT WORK - - /2017095648 2/24/2017 $95.40 2017/2017 Loss 11372 7/21/2017 INDEMNITY INSPIRA MEDICAL CENTER WOODBURY - - /2017097932 3/21/2017 $1,594.30 2017/2017 Loss 11373 7/21/2017 MEDICAL ONLY ADVANCED ORTHOPAEDIC CENTERS, PA - - /2017104964 6/11/2017 $295.61 2017/2017 Loss
11374 7/21/2017 HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC $567.00
INDEMNITY - - /2017099819 4/11/2017 $189.00 2017/2017 Loss
INDEMNITY - - /2017098698 3/28/2017 $189.00 2017/2017 Loss
INDEMNITY - - /2017091400 1/4/2017 $189.00 2017/2017 Loss
11375 7/21/2017 INDEMNITY ONE CALL MEDICAL, INC. - - /2017101264 4/26/2017 $950.00 2017/2017 Loss
11376 7/21/2017 INDEMNITY CARDIOVASCULAR ASSOCIATES OF DELAWARE VALLEY, PA - - /2017091400 1/4/2017 $238.19 2017/2017 Loss
11377 7/21/2017 INDEMNITY PROFESSIONAL PAIN MANAGEMENT ASSOC. - - /2017089731 12/9/2016 $332.86 2016/2016 Loss 11378 7/21/2017 INDEMNITY CENTENNIAL SURGUNIT, LLC Z40240/001252524 6/13/2016 $1,592.00 2016/2016 Loss 11379 7/21/2017 INDEMNITY NovaCare Rehabilitation - - /2017102672 5/13/2017 $88.00 2017/2017 Loss 11380 7/21/2017 MEDICAL ONLY AMERICAN WORKCARE, PC - - /2017102402 5/2/2017 $46.08 2017/2017 Loss 11381 7/21/2017 VIRTUA MEDICAL GROUP, PA $1,061.62
MEDICAL ONLY - - /2017105647 6/15/2017 $166.95 2017/2017 Loss
MEDICAL ONLY - - /2017106016 6/14/2017 $166.95 2017/2017 Loss
INDEMNITY - - /2017098303 3/24/2017 $727.72 2017/2017 Loss
11382 7/21/2017 PREMIER ORTHOPAEDIC ASSOCIATES OF SOUTHERN NJ $11,082.27
INDEMNITY - - /2017103346 5/22/2017 $165.91 2017/2017 Loss
INDEMNITY - - /2017095079 2/16/2017 $10,916.36 2017/2017 Loss
11383 7/21/2017 INSPIRA HEALTH NETWORK URGENT CARE PC $802.31
MEDICAL ONLY - - /2017105508 6/16/2017 $346.48 2017/2017 Loss
MEDICAL ONLY - - /2017104319 6/3/2017 $175.86 2017/2017 Loss
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Processed Date: Jul 1, 2017 - Jul 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
MEDICAL ONLY - - /2017102203 5/8/2017 $279.97 2017/2017 Loss
11384 7/21/2017 MEDEXPRESS URGENT CARE- NEW JERSEY, INC $697.60
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MEDICAL ONLY - - /2017102492 5/13/2017 $104.00 2017/2017 Loss
11385 7/21/2017 MEDICAL ONLY HADDON EMERGENCYPHYSICIANS - - /2017103987 5/30/2017 $558.00 2017/2017 Loss 11386 7/21/2017 KENNEDY HEALTH ALLIANCE $203.98
MEDICAL ONLY - - /2018107069 7/7/2017 $122.16 2017/2017 Loss
MEDICAL ONLY - - /2017105359 6/14/2017 $81.82 2017/2017 Loss
11387 7/21/2017 GT URGENT CARE PC $320.00
MEDICAL ONLY - - /2017106034 6/21/2017 $160.00 2017/2017 Loss
MEDICAL ONLY - - /2017105201 6/8/2017 $160.00 2017/2017 Loss
11388 7/21/2017 INDEMNITY HOME CARE CONNECT LLC - - /2017099819 4/11/2017 $264.00 2017/2017 Loss 11389 7/21/2017 INDEMNITY TRUE VISION THERAPY, LLC - - /2017091277 1/3/2017 $160.00 2017/2017 Loss 11390 7/21/2017 QUALCARE, INC. $4,374.00
MEDICAL ONLY MLT-2018107726/2018107726
7/16/2017 $486.00 2017/2017 Loss
MEDICAL ONLY MLT-2018107726/2018107730
7/16/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018107703 7/15/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018107632 7/14/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018107440 7/11/2017 $486.00 2017/2017 Loss
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MEDICAL ONLY - - /2017104964 6/11/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2017105201 6/8/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2017104801 6/5/2017 $486.00 2017/2017 Loss
11391 7/28/2017 BODILY INJURY [Expired] BIRCHMEIER & POWELL, LLC X92119/001203670 3/23/2014 $1,755.00 2014/2014 Legal 11392 7/28/2017 INDEMNITY TRUE VISION THERAPY, LLC - - /2017091277 1/3/2017 $160.00 2017/2017 Loss
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Processed Date: Jul 1, 2017 - Jul 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11393 7/28/2017 INDEMNITY Lynn Hong Trieu - - /2017091277 1/3/2017 $190.00 2017/2017 Loss 11394 7/28/2017 1ST PARTY COLL PD LEO PETETTI, LLC. - - /2018108086 11/9/2016 $150.00 2016/2016 Expense11395 7/28/2017 MEDICAL ONLY MED REQUEST SOLUTIONS INC - - /2017101709 4/25/2017 $54.00 2017/2017 Expense11396 7/28/2017 COMPREHENSIVE South Jersey Truck Repairs, LLC. Z47037/001260094 10/13/2016 $689.27 2016/2016 Loss 11397 7/28/2017 INDEMNITY THE DEWEESE LAW FIRM Z04640/001216241 11/20/2014 $200.00 2014/2014 Expense11398 7/28/2017 STONERIVER PHARMACY SOLUTIONS $641.72
INDEMNITY - - /2017098018 3/18/2017 $71.78 2017/2017 Loss
INDEMNITY - - /2017095079 2/16/2017 $92.93 2017/2017 Loss
INDEMNITY - - /2017089731 12/9/2016 $55.79 2016/2016 Loss
INDEMNITY Z39447/001251715 5/27/2016 $421.22 2016/2016 Loss
11399 7/28/2017 INDEMNITY THOMAS GOUSE - - /2017099819 4/11/2017 $1,792.00 2017/2017 Loss 11400 7/28/2017 INDEMNITY CAPEHART & SCATCHARD, PA. Z41288/001253586 7/6/2016 $612.50 2016/2016 Legal 11401 7/28/2017 INDEMNITY GLASSBORO BOROUGH Z49772/001264320 11/14/2016 $1,144.36 2016/2016 Loss 11402 7/28/2017 BODILY INJURY [Expired] MRO CORPORATION - - /2017098734 3/8/2017 $11.00 2017/2017 Expense11403 7/28/2017 3RD PARTY PD TIFFANY OCASIO - - /2018107417 7/7/2017 $240.75 2017/2017 Loss 11404 7/28/2017 1ST PARTY COLL PD PITMAN BOROUGH - - /2018108086 11/9/2016 $1,872.50 2016/2016 Loss 11405 7/28/2017 INLAND MARINE VINELAND CITY - - /2018107539 7/3/2017 $3,543.98 2017/2017 Loss 11406 7/28/2017 INLAND MARINE PAULSBORO BOROUGH - - /2017099534 12/7/2016 $3,004.92 2016/2016 Loss 11407 7/28/2017 1ST PARTY COLL PD DEPTFORD TOWNSHIP - - /2018108536 7/19/2017 $2,597.60 2017/2017 Loss 11408 7/28/2017 INDEMNITY COOPER UNIVERSITY TRAUMA PHYSICIANS., PC - - /2017100093 4/12/2017 $326.70 2017/2017 Loss
11409 7/28/2017 STRIVE PHYSICAL THERAPY AND SPORTS REHABILITATION LLC $378.00
INDEMNITY - - /2017100130 3/27/2017 $63.00 2017/2017 Loss
INDEMNITY - - /2017095079 2/16/2017 $315.00 2017/2017 Loss
11410 7/28/2017 MEDICAL ONLY INSPIRA MEDICAL CENTER WOODBURY MLT-2017105322/2017105322 6/14/2017 $1,676.12 2017/2017 Loss
11411 7/28/2017 HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC $967.00
INDEMNITY - - /2017099819 4/11/2017 $189.00 2017/2017 Loss
INDEMNITY - - /2017098698 3/28/2017 $189.00 2017/2017 Loss
INDEMNITY - - /2017091400 1/4/2017 $189.00 2017/2017 Loss
INDEMNITY Z49772/001264320 11/14/2016 $400.00 2016/2016 Loss
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170
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Check Register ReportBank Account : ALL
Processed Date: Jul 1, 2017 - Jul 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11412 7/28/2017 INDEMNITY TARIQ S. SIDDIQI, MD - - /2017102283 5/10/2017 $484.22 2017/2017 Loss 11413 7/28/2017 INDEMNITY REHAB EXCELLENCE CENTER, LLC Z40983/001253280 6/29/2016 $252.00 2016/2016 Loss 11414 7/28/2017 MEDICAL ONLY AT HOME MEDICAL EQUIPMENT, LLC - - /2017100733 4/22/2017 $146.62 2017/2017 Loss 11415 7/28/2017 VIRTUA MEDICAL GROUP, PA $825.05
MEDICAL ONLY - - /2017106520 6/28/2017 $166.95 2017/2017 Loss
MEDICAL ONLY - - /2017105923 6/21/2017 $95.40 2017/2017 Loss
MEDICAL ONLY - - /2017105647 6/15/2017 $95.40 2017/2017 Loss
INDEMNITY - - /2017098303 3/24/2017 $467.30 2017/2017 Loss
11416 7/28/2017 PREMIER ORTHOPAEDIC ASSOCIATES OF SOUTHERN NJ $2,292.39
INDEMNITY - - /2017103346 5/22/2017 $2,230.73 2017/2017 Loss
INDEMNITY Z49772/001264320 11/14/2016 $61.66 2016/2016 Loss
11417 7/28/2017 INSPIRA HEALTH NETWORK URGENT CARE PC $526.38
MEDICAL ONLY - - /2017105508 6/16/2017 $350.92 2017/2017 Loss
MEDICAL ONLY - - /2017093163 1/25/2017 $175.46 2017/2017 Loss
11418 7/28/2017 MEDICAL ONLY MEDEXPRESS URGENT CARE- NEW JERSEY, INC - - /2017105784 6/15/2017 $225.60 2017/2017 Loss 11419 7/28/2017 MEDICAL ONLY KENNEDY HEALTH ALLIANCE - - /2017105359 6/14/2017 $81.82 2017/2017 Loss 11420 7/28/2017 INDEMNITY Delaware Orthopaedic Specialists Z20517/001232419 6/24/2015 $475.00 2015/2015 Loss 11421 7/28/2017 QUALCARE, INC. $3,888.00
MEDICAL ONLY - - /2018108276 7/22/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018108065 7/20/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018108293 7/20/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018107977 7/19/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018108021 7/19/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018107979 7/18/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2017105784 6/15/2017 $486.00 2017/2017 Loss
MEDICAL ONLY MLT-2017105322/2017105322
6/14/2017 $486.00 2017/2017 Loss
Total for TRIJIF-TRI.COUNTY MUN.JIF $401,465.06 Total for TRIJIF-TRI.COUNTY MUN.JIF $401,465.06
Run Date: 8/4/2017 02:56:29 Run by: Joshua Petro TRIJIF-TRI.COUNTY MUN.JIF Reporting System: RiskConsole V1 Page 11 of 12
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Check Register ReportBank Account : ALL
Processed Date: Jul 1, 2017 - Jul 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Number of Checks: 179 First Check Number: 11243Number of Payments: 360 Last Check Number: 11421
Expense Payments: $6,713.35
Legal Payments: $20,120.47
Loss Payments: $374,631.24
Run Date: 8/4/2017 02:56:29 Run by: Joshua Petro TRIJIF-TRI.COUNTY MUN.JIF Reporting System: RiskConsole V1 Page 12 of 12
172
TRIJIF-TRI.COUNTY MUN.JIF
Check Register ReportBank Account : ALL
Processed Date: Aug 1, 2017 - Aug 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11422 8/4/2017 BODILY INJURY [Expired] CAMPISE REPORTING, INC. Z02177/001213761 9/8/2014 $456.84 2014/2014 Expense11423 8/4/2017 POLICE PROF BI BIRCHMEIER & POWELL, LLC - - /2017089546 11/4/2014 $2,924.50 2014/2014 Legal 11424 8/4/2017 State of New Jersey - Div of Worker's Comp $5.58
INDEMNITY - - /2017100402 4/18/2017 $0.59 2017/2017 Expense
INDEMNITY - - /2017099819 4/11/2017 $4.99 2017/2017 Expense
11425 8/4/2017 MEDICAL ONLY ATLANTIC SECURITY INTERNATL. X92530/001204085 5/29/2014 $211.50 2014/2014 Expense11426 8/4/2017 1ST PARTY COLL PD AEJ Services - - /2018108346 7/20/2017 $95.00 2017/2017 Expense11427 8/4/2017 DAVID S. DEWEESE $3,750.00
PUB OFF PI - - /2018107924 7/18/2017 $750.00 2017/2017 Legal
PUB OFF PI - - /2018107218 6/30/2017 $750.00 2017/2017 Legal
PUB OFF PI - - /2017106663 6/27/2017 $750.00 2017/2017 Legal
PUB OFF PI - - /2017106672 6/26/2017 $750.00 2017/2017 Legal
PUB OFF PI - - /2017109021 4/1/2017 $750.00 2017/2017 Legal
11428 8/4/2017 1ST PARTY COLL PD CLIFF GRAY APPRAISAL SERVICE - - /2017106001 6/16/2017 $35.00 2017/2017 Expense11429 8/4/2017 INDEMNITY THE DEWEESE LAW FIRM MLT-X97085/001208650 7/30/2014 $1,500.00 2014/2014 Expense11430 8/4/2017 AFFANATO MARUT, LLC $1,364.52
INDEMNITY MLT-Z43204/001255521 8/9/2016 $142.50 2016/2016 Legal
INDEMNITY Z39703/001251970 6/1/2016 $171.00 2016/2016 Legal
INDEMNITY Z34160/001246292 2/9/2016 $172.50 2016/2016 Legal
INDEMNITY MLT-Z29574/001241748 11/6/2015 $165.00 2015/2015 Legal
INDEMNITY Z25001/001237009 8/28/2015 $174.52 2015/2015 Legal
INDEMNITY Z21255/001233183 7/6/2015 $256.00 2015/2015 Legal
INDEMNITY Z04640/001216241 11/20/2014 $283.00 2014/2014 Legal
11431 8/4/2017 STONERIVER PHARMACY SOLUTIONS $418.03
MEDICAL ONLY - - /2017095648 2/24/2017 $375.92 2017/2017 Loss
INDEMNITY Z04019/001215607 11/11/2014 $42.11 2014/2014 Loss
11432 8/4/2017 PIETRAS, SARACINO, SMITH, & MEEK $4,862.23
INDEMNITY - - /2017092079 1/12/2017 $629.23 2017/2017 Legal
Run Date: 9/7/2017 14:30:06 Run by: Teresa Drummond TRIJIF-TRI.COUNTY MUN.JIF Reporting System: RiskConsole V1 Page 1 of 13
173
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Check Register ReportBank Account : ALL
Processed Date: Aug 1, 2017 - Aug 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
INDEMNITY Z49772/001264320 11/14/2016 $679.50 2016/2016 Legal
INDEMNITY Z28212/001240264 10/16/2015 $261.00 2015/2015 Legal
INDEMNITY Z26479/001238513 9/21/2015 $481.50 2015/2015 Legal
INDEMNITY Z26301/001238330 9/15/2015 $297.00 2015/2015 Legal
INDEMNITY Z24544/001236551 8/17/2015 $426.00 2015/2015 Legal
INDEMNITY Z10723/001222435 2/12/2015 $694.50 2015/2015 Legal
INDEMNITY Z07461/001219134 1/6/2015 $366.00 2015/2015 Legal
INDEMNITY X95578/001207131 5/5/2014 $721.50 2014/2014 Legal
INDEMNITY X89577/001200908 4/14/2014 $306.00 2014/2014 Legal
11433 8/4/2017 INDEMNITY MONROE TOWNSHIP - - /2017100093 4/12/2017 $1,792.00 2017/2017 Loss 11434 8/4/2017 GL PROPERTY DAMAGE CITY OF VINELAND - - /2018108495 7/20/2017 $325.00 2017/2017 Loss 11435 8/4/2017 INDEMNITY WOOLWICH TOWNSHIP - - /2017096256 3/3/2017 $1,792.00 2017/2017 Loss 11436 8/4/2017 INDEMNITY WASHINGTON TOWNSHIP - - /2017100313 4/17/2017 $1,782.20 2017/2017 Loss 11437 8/4/2017 INDEMNITY GLASSBORO BOROUGH - - /2017100130 3/27/2017 $1,792.00 2017/2017 Loss 11438 8/4/2017 INDEMNITY WASHINGTON TOWNSHIP - - /2017101264 4/26/2017 $1,152.00 2017/2017 Loss 11439 8/4/2017 INDEMNITY WASHINGTON TOWNSHIP - - /2017095079 2/16/2017 $1,792.00 2017/2017 Loss 11440 8/4/2017 INDEMNITY PENNSVILLE TOWNSHIP - - /2017104343 6/3/2017 $1,792.00 2017/2017 Loss 11441 8/4/2017 INDEMNITY PENNSVILLE TOWNSHIP - - /2017104343 6/3/2017 $1,792.00 2017/2017 Loss 11442 8/4/2017 3RD PARTY PD TRI COUNTY TERMITE & PEST CONTROL - - /2017105955 6/16/2017 $2,000.00 2017/2017 Loss 11443 8/4/2017 INDEMNITY DEBORAH SCHUBERT Z10640/001222351 2/13/2015 $1,006.12 2015/2015 Loss 11444 8/4/2017 1ST PARTY COLL PD DEPTFORD TOWNSHIP - - /2018108346 7/20/2017 $4,250.55 2017/2017 Loss 11445 8/4/2017 COMPREHENSIVE MONROE TOWNSHIP - - /2017100807 3/20/2017 $2,900.00 2017/2017 Loss 11446 8/4/2017 INLAND MARINE PAULSBORO BOROUGH - - /2017099538 3/8/2017 $1,690.00 2017/2017 Loss 11447 8/4/2017 INDEMNITY COASTAL SPINE, PC. - - /2017100313 4/17/2017 $600.00 2017/2017 Loss
11448 8/4/2017 MEDICAL ONLY LABCORP HOLDINGS MLT-2017099756/2017099767 4/10/2017 $396.00 2017/2017 Loss
11449 8/4/2017 STRIVE PHYSICAL THERAPY AND SPORTS REHABILITATION LLC $982.00
MEDICAL ONLY - - /2017102203 5/8/2017 $252.00 2017/2017 Loss
INDEMNITY - - /2017101264 4/26/2017 $478.00 2017/2017 Loss
INDEMNITY - - /2017100130 3/27/2017 $252.00 2017/2017 Loss
Run Date: 9/7/2017 14:30:06 Run by: Teresa Drummond TRIJIF-TRI.COUNTY MUN.JIF Reporting System: RiskConsole V1 Page 2 of 13
174
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Check Register ReportBank Account : ALL
Processed Date: Aug 1, 2017 - Aug 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11450 8/4/2017 INDEMNITY EMERGENCY CARE SERVICES OF NJ MLT-2017097416/2017097409 3/15/2017 $186.93 2017/2017 Loss
11451 8/4/2017 INDEMNITY RADIOLOGY ASSOCIATES OF NEW JERSEY - - /2017088724 11/29/2016 $33.00 2016/2016 Loss 11452 8/4/2017 INDEMNITY REGIONAL DIAGNOSTIC, IMAGING, PA - - /2017099206 3/31/2017 $15.83 2017/2017 Loss 11453 8/4/2017 INDEMNITY INSPIRA MEDICAL CENTER VINELAND - - /2017103346 5/22/2017 $122.83 2017/2017 Loss 11454 8/4/2017 INSPIRA MEDICAL CENTER WOODBURY $1,552.72
MEDICAL ONLY - - /2017104361 6/5/2017 $653.04 2017/2017 Loss
MEDICAL ONLY - - /2017103338 5/22/2017 $899.68 2017/2017 Loss
11455 8/4/2017 MEDICAL ONLY ADVANCED ORTHOPAEDIC CENTERS, PA - - /2017104964 6/11/2017 $39.17 2017/2017 Loss 11456 8/4/2017 LOURDES ANESTHESIA ASSOC PA $2,086.10
INDEMNITY - - /2017102283 5/10/2017 $673.80 2017/2017 Loss
INDEMNITY - - /2017100313 4/17/2017 $738.50 2017/2017 Loss
INDEMNITY Z40240/001252524 6/13/2016 $673.80 2016/2016 Loss
11457 8/4/2017 HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC $1,382.00
INDEMNITY - - /2017104343 6/3/2017 $567.00 2017/2017 Loss
INDEMNITY - - /2017099819 4/11/2017 $263.00 2017/2017 Loss
INDEMNITY - - /2017098698 3/28/2017 $252.00 2017/2017 Loss
INDEMNITY Z49772/001264320 11/14/2016 $300.00 2016/2016 Loss
11458 8/4/2017 ONE CALL MEDICAL, INC. $785.00
INDEMNITY - - /2017104343 6/3/2017 $300.00 2017/2017 Loss
INDEMNITY - - /2017096256 3/3/2017 $485.00 2017/2017 Loss
11459 8/4/2017 INDEMNITY CENTENNIAL SURGUNIT, LLC - - /2017102283 5/10/2017 $1,592.00 2017/2017 Loss 11460 8/4/2017 INDEMNITY COASTAL PHYSICIANS &, SURGEONS, P.C. Z21255/001233183 7/6/2015 $89.82 2015/2015 Loss 11461 8/4/2017 DISABATINO PHYSICAL THERAPY $1,503.00
MEDICAL ONLY - - /2017106520 6/28/2017 $279.00 2017/2017 Loss
MEDICAL ONLY - - /2017105359 6/14/2017 $216.00 2017/2017 Loss
INDEMNITY - - /2017100313 4/17/2017 $63.00 2017/2017 Loss
INDEMNITY - - /2017091760 1/10/2017 $630.00 2017/2017 Loss
INDEMNITY Z39447/001251715 5/27/2016 $315.00 2016/2016 Loss
Run Date: 9/7/2017 14:30:06 Run by: Teresa Drummond TRIJIF-TRI.COUNTY MUN.JIF Reporting System: RiskConsole V1 Page 3 of 13
175
TRIJIF-TRI.COUNTY MUN.JIF
Check Register ReportBank Account : ALL
Processed Date: Aug 1, 2017 - Aug 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11462 8/4/2017 INDEMNITY REHAB EXCELLENCE CENTER, LLC Z40983/001253280 6/29/2016 $126.00 2016/2016 Loss 11463 8/4/2017 NovaCare Rehabilitation $528.00
INDEMNITY - - /2017102672 5/13/2017 $440.00 2017/2017 Loss
MEDICAL ONLY - - /2017099042 4/2/2017 $88.00 2017/2017 Loss
11464 8/4/2017 VIRTUA MEDICAL GROUP, PA $503.02
MEDICAL ONLY - - /2017106520 6/28/2017 $95.40 2017/2017 Loss
MEDICAL ONLY - - /2017105647 6/15/2017 $95.40 2017/2017 Loss
INDEMNITY - - /2017098303 3/24/2017 $312.22 2017/2017 Loss
11465 8/4/2017 INDEMNITY LOURDES CARDIOLOGY SERVICES, PC - - /2017098698 3/28/2017 $14.95 2017/2017 Loss
11466 8/4/2017 PREMIER ORTHOPAEDIC ASSOCIATES OF SOUTHERN NJ $1,816.37
INDEMNITY - - /2017104343 6/3/2017 $1,666.62 2017/2017 Loss
MEDICAL ONLY - - /2017099042 4/2/2017 $88.09 2017/2017 Loss
INDEMNITY - - /2017091400 1/4/2017 $61.66 2017/2017 Loss
11467 8/4/2017 INSPIRA HEALTH NETWORK URGENT CARE PC $441.40
MEDICAL ONLY - - /2018107440 7/11/2017 $265.94 2017/2017 Loss
MEDICAL ONLY - - /2018106899 7/5/2017 $175.46 2017/2017 Loss
11468 8/4/2017 MEDICAL ONLY MEDEXPRESS URGENT CARE- NEW JERSEY, INC - - /2017104361 6/5/2017 $112.80 2017/2017 Loss 11469 8/4/2017 INDEMNITY MSC GROUP, INC., - - /2017100093 4/12/2017 $320.32 2017/2017 Loss 11470 8/4/2017 KENNEDY HEALTH ALLIANCE $204.96
MEDICAL ONLY - - /2018107632 7/14/2017 $123.14 2017/2017 Loss
MEDICAL ONLY - - /2017105359 6/14/2017 $81.82 2017/2017 Loss
11471 8/4/2017 INDEMNITY HOME CARE CONNECT LLC - - /2017099819 4/11/2017 $132.00 2017/2017 Loss 11472 8/4/2017 QUALCARE, INC. $2,430.00
MEDICAL ONLY - - /2018108789 7/30/2017 $486.00 2017/2017 Loss
INDEMNITY - - /2018108480 7/25/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018108486 7/25/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018108556 7/24/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018108189 7/20/2017 $486.00 2017/2017 Loss
Run Date: 9/7/2017 14:30:06 Run by: Teresa Drummond TRIJIF-TRI.COUNTY MUN.JIF Reporting System: RiskConsole V1 Page 4 of 13
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Check Register ReportBank Account : ALL
Processed Date: Aug 1, 2017 - Aug 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11473 8/11/2017 CRAIG ANNIN & BAXTER, LLC $10,145.00
BODILY INJURY [Expired] Z41492/001253800 4/23/2016 $1,950.00 2016/2016 Legal
BODILY INJURY [Expired] Z15395/001227166 2/23/2015 $1,535.00 2015/2015 Legal
BODILY INJURY [Expired] Z02177/001213761 9/8/2014 $4,950.00 2014/2014 Legal
BODILY INJURY [Expired] Z00168/001211734 7/7/2014 $1,710.00 2014/2014 Legal
11474 8/11/2017 BODILY INJURY [Expired] BIRCHMEIER & POWELL, LLC X94826/001206380 5/20/2014 $690.00 2014/2014 Legal 11475 8/11/2017 State of New Jersey - Div of Worker's Comp $9.89
INDEMNITY - - /2017100313 4/17/2017 $4.91 2017/2017 Expense
INDEMNITY - - /2017099206 3/31/2017 $1.56 2017/2017 Expense
INDEMNITY Z41512/001253818 7/9/2016 $1.71 2016/2016 Expense
INDEMNITY Z26108/001238132 9/16/2015 $1.71 2015/2015 Expense
11476 8/11/2017 1ST PARTY COLL PD LEO PETETTI, LLC. - - /2017099393 4/3/2017 $750.00 2017/2017 Expense11477 8/11/2017 MEDICAL ONLY THE DEWEESE LAW FIRM Z07112/001218777 1/4/2015 $89.00 2015/2015 Expense11478 8/11/2017 INDEMNITY STONERIVER PHARMACY SOLUTIONS Z04019/001215607 11/11/2014 $36.91 2014/2014 Loss 11479 8/11/2017 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2017104135 5/31/2017 $3.00 2017/2017 Expense11480 8/11/2017 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2017104618 6/6/2017 $3.00 2017/2017 Expense11481 8/11/2017 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2017104343 6/3/2017 $3.00 2017/2017 Expense11482 8/11/2017 INDEMNITY PENNSVILLE TOWNSHIP - - /2017102283 5/10/2017 $1,792.00 2017/2017 Loss 11483 8/11/2017 INDEMNITY PENNSVILLE TOWNSHIP - - /2017102283 5/10/2017 $1,792.00 2017/2017 Loss 11484 8/11/2017 INDEMNITY HARRISON TOWNSHIP Z44352/001256670 8/31/2016 $1,471.92 2016/2016 Loss 11485 8/11/2017 INDEMNITY CAPEHART & SCATCHARD, PA. Z38327/001250588 5/4/2016 $237.50 2016/2016 Legal 11486 8/11/2017 INDEMNITY HARRISON TOWNSHIP Z44352/001256670 8/31/2016 $630.82 2016/2016 Loss 11487 8/11/2017 INDEMNITY PENNS GROVE BOROUGH - - /2017103346 5/22/2017 $1,792.00 2017/2017 Loss 11488 8/11/2017 INDEMNITY PENNS GROVE BOROUGH - - /2017103346 5/22/2017 $1,792.00 2017/2017 Loss 11489 8/11/2017 INDEMNITY PENNS GROVE BOROUGH - - /2017103346 5/22/2017 $1,792.00 2017/2017 Loss 11490 8/11/2017 INDEMNITY PENNS GROVE BOROUGH - - /2017103346 5/22/2017 $1,792.00 2017/2017 Loss 11491 8/11/2017 INDEMNITY PENNS GROVE BOROUGH - - /2017103346 5/22/2017 $1,792.00 2017/2017 Loss 11492 8/11/2017 INDEMNITY GLASSBORO BOROUGH Z49772/001264320 11/14/2016 $1,144.36 2016/2016 Loss 11493 8/11/2017 INDEMNITY GLASSBORO BOROUGH - - /2018108480 7/25/2017 $930.42 2017/2017 Loss 11494 8/11/2017 INDEMNITY THOMAS GOUSE - - /2017099819 4/11/2017 $1,792.00 2017/2017 Loss 11495 8/11/2017 INDEMNITY SHANNON WESTFIELD Z27702/001239748 10/5/2015 $1,005.32 2015/2015 Loss 11496 8/11/2017 INDEMNITY PATRICK RILEY Z31035/001243136 12/4/2015 $1,116.40 2015/2015 Loss
Run Date: 9/7/2017 14:30:06 Run by: Teresa Drummond TRIJIF-TRI.COUNTY MUN.JIF Reporting System: RiskConsole V1 Page 5 of 13
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Check Register ReportBank Account : ALL
Processed Date: Aug 1, 2017 - Aug 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11497 8/11/2017 INLAND MARINE PITMAN BOROUGH - - /2017088961 11/30/2016 $1,000.00 2016/2016 Loss 11498 8/11/2017 COASTAL SPINE, PC. $376.16
INDEMNITY - - /2017100313 4/17/2017 $250.04 2017/2017 Loss
INDEMNITY - - /2017096256 3/3/2017 $126.12 2017/2017 Loss
11499 8/11/2017 MEDICAL ONLY COOPER UNIVERSITY EMERGENCY PHYSICIANS P C
MLT-2017093557/2017093557 1/29/2017 $246.24 2017/2017 Loss
11500 8/11/2017 INDEMNITY RA PAIN SERVICES, PA Z28212/001240264 10/16/2015 $143.37 2015/2015 Loss
11501 8/11/2017 INDEMNITY STRIVE PHYSICAL THERAPY AND SPORTS REHABILITATION LLC - - /2017100130 3/27/2017 $163.00 2017/2017 Loss
11502 8/11/2017 MEDICAL ONLY INSPIRA MEDICAL CENTER WOODBURY - - /2017104319 6/3/2017 $893.68 2017/2017 Loss 11503 8/11/2017 INDEMNITY ADVANCED ORTHOPAEDIC CENTERS, PA - - /2017100130 3/27/2017 $59.80 2017/2017 Loss
11504 8/11/2017 HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC $2,377.00
INDEMNITY - - /2017104135 5/31/2017 $279.00 2017/2017 Loss
INDEMNITY - - /2017103346 5/22/2017 $657.00 2017/2017 Loss
INDEMNITY - - /2017099819 4/11/2017 $500.00 2017/2017 Loss
INDEMNITY - - /2017098698 3/28/2017 $441.00 2017/2017 Loss
INDEMNITY Z49772/001264320 11/14/2016 $500.00 2016/2016 Loss
11505 8/11/2017 INDEMNITY COOPER SUG ASSOC Z28212/001240264 10/16/2015 $168.48 2015/2015 Loss 11506 8/11/2017 INDEMNITY TARIQ S. SIDDIQI, MD Z40240/001252524 6/13/2016 $437.56 2016/2016 Loss 11507 8/11/2017 ONE CALL MEDICAL, INC. $1,020.84
INDEMNITY - - /2017103346 5/22/2017 $75.00 2017/2017 Loss
MEDICAL ONLY MLT-Z31975/001244088 12/22/2015 $445.43 2015/2015 Loss
INDEMNITY Z28212/001240264 10/16/2015 $500.41 2015/2015 Loss
11508 8/11/2017 DISABATINO PHYSICAL THERAPY $657.00
MEDICAL ONLY - - /2017106520 6/28/2017 $126.00 2017/2017 Loss
MEDICAL ONLY - - /2017105359 6/14/2017 $189.00 2017/2017 Loss
INDEMNITY - - /2017091760 1/10/2017 $126.00 2017/2017 Loss
INDEMNITY Z44352/001256670 8/31/2016 $216.00 2016/2016 Loss
11509 8/11/2017 INDEMNITY AMERICAN WORKCARE, PC - - /2017097473 3/16/2017 $203.53 2017/2017 Loss
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TRIJIF-TRI.COUNTY MUN.JIF
Check Register ReportBank Account : ALL
Processed Date: Aug 1, 2017 - Aug 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11510 8/11/2017 INDEMNITY FELLOWSHIP SURGICALCENTER, LLC - - /2017100313 4/17/2017 $1,344.00 2017/2017 Loss 11511 8/11/2017 VIRTUA MEDICAL GROUP, PA $892.99
MEDICAL ONLY - - /2018108021 7/19/2017 $166.95 2017/2017 Loss
MEDICAL ONLY - - /2018107703 7/15/2017 $166.95 2017/2017 Loss
MEDICAL ONLY - - /2017106520 6/28/2017 $95.40 2017/2017 Loss
INDEMNITY - - /2017098303 3/24/2017 $463.69 2017/2017 Loss
11512 8/11/2017 PREMIER ORTHOPAEDIC ASSOCIATES OF SOUTHERN NJ $387.59
INDEMNITY - - /2017102672 5/13/2017 $176.18 2017/2017 Loss
INDEMNITY - - /2017097473 3/16/2017 $61.66 2017/2017 Loss
INDEMNITY Z50195/001264745 11/22/2016 $61.66 2016/2016 Loss
MEDICAL ONLY Z44729/001257048 9/5/2016 $88.09 2016/2016 Loss
11513 8/11/2017 MEDICAL ONLY BREG, INC. - - /2017098968 3/30/2017 $105.72 2017/2017 Loss
11514 8/11/2017 MEDICAL ONLY KENNEDY UNIVERSITY HOSPITAL, INC. MLT-2017090152/2017090152 12/14/2016 $607.68 2016/2016 Loss
11515 8/11/2017 INDEMNITY HOME CARE CONNECT LLC - - /2017099819 4/11/2017 $59.38 2017/2017 Loss 11516 8/11/2017 QUALCARE, INC. $3,402.00
MEDICAL ONLY - - /2018109314 8/3/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018108992 8/1/2017 $486.00 2017/2017 Loss
INDEMNITY - - /2018109298 8/1/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018108914 8/1/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018108775 7/29/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018108856 7/29/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018108985 6/19/2017 $486.00 2017/2017 Loss
11517 8/18/2017 BLDG/CONTENT PROPERTY DAMAGE RESTORATION - - /2017104421 6/2/2017 $5,000.00 2017/2017 Loss 11518 8/18/2017 PUB OFF PI DAVID S. DEWEESE - - /2018109022 6/26/2017 $750.00 2017/2017 Legal 11519 8/18/2017 3RD PARTY PD CLIFF GRAY APPRAISAL SERVICE - - /2018109375 7/24/2017 $95.00 2017/2017 Expense11520 8/18/2017 THE DEWEESE LAW FIRM $380.00
MEDICAL ONLY Z25367/001237378 9/3/2015 $150.00 2015/2015 Expense
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179
TRIJIF-TRI.COUNTY MUN.JIF
Check Register ReportBank Account : ALL
Processed Date: Aug 1, 2017 - Aug 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
INDEMNITY Z21370/001233338 7/4/2015 $40.00 2015/2015 Expense
MEDICAL ONLY Z21253/001233181 7/4/2015 $150.00 2015/2015 Expense
INDEMNITY X91471/001202934 5/14/2014 $40.00 2014/2014 Expense
11521 8/18/2017 1ST PARTY COLL PD ARBITRATION FORUMS INC. Z45283/001257606 9/20/2016 $120.00 2016/2016 Expense11522 8/18/2017 INDEMNITY STONERIVER PHARMACY SOLUTIONS Z43283/001255599 8/9/2016 $36.91 2016/2016 Loss 11523 8/18/2017 INDEMNITY PITMAN BOROUGH - - /2017098698 3/28/2017 $1,332.24 2017/2017 Loss 11524 8/18/2017 MEDICAL ONLY ADMINISTRATIVE CLAIM SERVICES - - /2017101709 4/25/2017 $3.00 2017/2017 Expense11525 8/18/2017 INDEMNITY PENNSVILLE TOWNSHIP - - /2017102283 5/10/2017 $768.00 2017/2017 Loss 11526 8/18/2017 INDEMNITY LOGAN TOWNSHIP - - /2018108293 7/20/2017 $916.34 2017/2017 Loss 11527 8/18/2017 INDEMNITY LOGAN TOWNSHIP - - /2018108293 7/20/2017 $916.34 2017/2017 Loss 11528 8/18/2017 INDEMNITY MONROE TOWNSHIP - - /2017100093 4/12/2017 $1,792.00 2017/2017 Loss 11529 8/18/2017 INDEMNITY WASHINGTON TOWNSHIP - - /2017100313 4/17/2017 $1,782.20 2017/2017 Loss 11530 8/18/2017 INDEMNITY GLASSBORO BOROUGH - - /2017100130 3/27/2017 $1,792.00 2017/2017 Loss 11531 8/18/2017 INDEMNITY WASHINGTON TOWNSHIP - - /2017095079 2/16/2017 $1,792.00 2017/2017 Loss 11532 8/18/2017 INDEMNITY PENNSVILLE TOWNSHIP - - /2017104343 6/3/2017 $1,152.00 2017/2017 Loss 11533 8/18/2017 INDEMNITY WOOLWICH TOWNSHIP - - /2017096256 3/3/2017 $1,792.00 2017/2017 Loss 11534 8/18/2017 INDEMNITY MARC STEVENS MLT-Z33676/001245807 1/29/2016 $999.00 2016/2016 Loss 11535 8/18/2017 INDEMNITY WILLIAM MICKEN Z09251/001220947 1/26/2015 $1,006.12 2015/2015 Loss 11536 8/18/2017 INDEMNITY WILLIAM HUGGINS Z15821/001227656 4/14/2015 $1,038.72 2015/2015 Loss 11537 8/18/2017 INDEMNITY ANTHONY VERRILLI Z33145/001245277 1/22/2016 $999.00 2016/2016 Loss 11538 8/18/2017 INDEMNITY JOSEPH BEDILION Z20517/001232419 6/24/2015 $912.00 2015/2015 Loss 11539 8/18/2017 INDEMNITY DALLAS MCKINNEY X91471/001202934 5/14/2014 $1,079.20 2014/2014 Loss 11540 8/18/2017 INDEMNITY JOHN CICCONE X97702/001209262 8/7/2014 $1,800.00 2014/2014 Loss 11541 8/18/2017 INDEMNITY JOHN MCCLAY Z01312/001212891 9/30/2014 $1,101.20 2014/2014 Loss 11542 8/18/2017 INDEMNITY COASTAL SPINE, PC. - - /2017100313 4/17/2017 $126.12 2017/2017 Loss 11543 8/18/2017 MEDICAL ONLY LABCORP HOLDINGS - - /2018107069 7/7/2017 $461.00 2017/2017 Loss
11544 8/18/2017 INDEMNITY STRIVE PHYSICAL THERAPY AND SPORTS REHABILITATION LLC - - /2017100130 3/27/2017 $63.00 2017/2017 Loss
11545 8/18/2017 MEDICAL ONLY RADIOLOGY ASSOCIATES OF NEW JERSEY - - /2017098968 3/30/2017 $45.00 2017/2017 Loss 11546 8/18/2017 MEDICAL ONLY PREMIER ORTHOPEDIC OF SOUTH JERSEY - - /2017102203 5/8/2017 $69.76 2017/2017 Loss 11547 8/18/2017 MEDICAL ONLY REGIONAL DIAGNOSTIC, IMAGING, PA - - /2018108556 7/24/2017 $12.34 2017/2017 Loss 11548 8/18/2017 INDEMNITY LOURDES ANESTHESIA ASSOC PA - - /2017102283 5/10/2017 $786.10 2017/2017 Loss
11549 8/18/2017 HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC $1,256.00
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180
TRIJIF-TRI.COUNTY MUN.JIF
Check Register ReportBank Account : ALL
Processed Date: Aug 1, 2017 - Aug 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
INDEMNITY - - /2017104135 5/31/2017 $189.00 2017/2017 Loss
INDEMNITY - - /2017103346 5/22/2017 $315.00 2017/2017 Loss
INDEMNITY - - /2017099819 4/11/2017 $200.00 2017/2017 Loss
INDEMNITY - - /2017098698 3/28/2017 $252.00 2017/2017 Loss
INDEMNITY Z49772/001264320 11/14/2016 $300.00 2016/2016 Loss
11550 8/18/2017 TARIQ S. SIDDIQI, MD $605.11
INDEMNITY - - /2017102283 5/10/2017 $437.56 2017/2017 Loss
INDEMNITY - - /2017101264 4/26/2017 $167.55 2017/2017 Loss
11551 8/18/2017 INDEMNITY KINEMATIC CONSULTANTS, INC. - - /2017101264 4/26/2017 $720.00 2017/2017 Loss 11552 8/18/2017 ONE CALL MEDICAL, INC. $560.00
INDEMNITY - - /2017096256 3/3/2017 $485.00 2017/2017 Loss
INDEMNITY Z21255/001233183 7/6/2015 $75.00 2015/2015 Loss
11553 8/18/2017 INDEMNITY CENTENNIAL SURGUNIT, LLC - - /2017102283 5/10/2017 $1,592.00 2017/2017 Loss 11554 8/18/2017 INDEMNITY REHAB EXCELLENCE CENTER, LLC Z40983/001253280 6/29/2016 $315.00 2016/2016 Loss 11555 8/18/2017 VIRTUA MEDICAL GROUP, PA $1,228.24
MEDICAL ONLY - - /2018108021 7/19/2017 $95.40 2017/2017 Loss
INDEMNITY - - /2017098303 3/24/2017 $1,015.79 2017/2017 Loss
INDEMNITY MLT-2017094066/2017094074
2/6/2017 $117.05 2017/2017 Loss
11556 8/18/2017 PREMIER ORTHOPAEDIC ASSOCIATES OF SOUTHERN NJ $4,287.75
INDEMNITY - - /2017099819 4/11/2017 $3,903.68 2017/2017 Loss
INDEMNITY - - /2017098018 3/18/2017 $234.32 2017/2017 Loss
INDEMNITY Z49772/001264320 11/14/2016 $61.66 2016/2016 Loss
MEDICAL ONLY Z44729/001257048 9/5/2016 $88.09 2016/2016 Loss
11557 8/18/2017 INDEMNITY WORKNET OCCUPATIONAL MEDICINE - - /2018108293 7/20/2017 $326.10 2017/2017 Loss 11558 8/18/2017 INDEMNITY QUEST DIAGNOSTICS - - /2017104343 6/3/2017 $17.41 2017/2017 Loss 11559 8/18/2017 INDEMNITY INSPIRA HEALTH NETWORK URGENT CARE P.C. - - /2018108276 7/22/2017 $175.86 2017/2017 Loss 11560 8/18/2017 KENNEDY HEALTH ALLIANCE $493.59
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181
TRIJIF-TRI.COUNTY MUN.JIF
Check Register ReportBank Account : ALL
Processed Date: Aug 1, 2017 - Aug 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
INDEMNITY - - /2018108480 7/25/2017 $122.16 2017/2017 Loss
MEDICAL ONLY - - /2018108189 7/20/2017 $371.43 2017/2017 Loss
11561 8/18/2017 MEDICAL ONLY GLOUCESTER COUNTY EMS MLT-2017105322/2017105322 6/14/2017 $863.40 2017/2017 Loss
11562 8/18/2017 INDEMNITY MIDWEST MEDICAL DME ENTERPRISES - - /2017098698 3/28/2017 $1,386.00 2017/2017 Loss 11563 8/18/2017 INDEMNITY TRI-COUNTY HOME AND HOSPICE CARE, LLC - - /2017091400 1/4/2017 $534.81 2017/2017 Loss 11564 8/18/2017 MEDICAL ONLY Emerg Phy Associates Northern Jersey - - /2017102616 5/13/2017 $531.84 2017/2017 Loss 11565 8/18/2017 QUALCARE, INC. $2,304.00
MEDICAL ONLY - - /2018109689 8/8/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018109642 8/7/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018109376 8/6/2017 $846.00 2017/2017 Loss
MEDICAL ONLY - - /2018109609 8/3/2017 $486.00 2017/2017 Loss
11566 8/25/2017 BIRCHMEIER & POWELL, LLC $6,930.00
BODILY INJURY [Expired] MLT-Z06549/001218209 12/28/2014 $4,660.50 2014/2014 Legal
BODILY INJURY [Expired] MLT-X98894/001210447 7/29/2014 $2,269.50 2014/2014 Legal
11567 8/25/2017 INDEMNITY HOME CARE CONNECT LLC - - /2017099819 4/11/2017 $172.00 2017/2017 Loss 11568 8/25/2017 COMPREHENSIVE AEJ Services - - /2018110330 8/11/2017 $95.00 2017/2017 Expense11569 8/25/2017 COMPREHENSIVE LEO PETETTI, LLC. - - /2018109448 7/24/2017 $95.00 2017/2017 Expense11570 8/25/2017 INDEMNITY THE DEWEESE LAW FIRM Z26108/001238132 9/16/2015 $150.00 2015/2015 Expense11571 8/25/2017 STONERIVER PHARMACY SOLUTIONS $302.48
MEDICAL ONLY - - /2017105923 6/21/2017 $21.44 2017/2017 Loss
MEDICAL ONLY - - /2017106016 6/14/2017 $19.38 2017/2017 Loss
INDEMNITY - - /2017095079 2/16/2017 $261.66 2017/2017 Loss
11572 8/25/2017 INDEMNITY PENNS GROVE BOROUGH - - /2017103346 5/22/2017 $1,792.00 2017/2017 Loss 11573 8/25/2017 INDEMNITY GLASSBORO BOROUGH Z49772/001264320 11/14/2016 $1,144.36 2016/2016 Loss 11574 8/25/2017 INDEMNITY GLASSBORO BOROUGH - - /2018108480 7/25/2017 $930.42 2017/2017 Loss 11575 8/25/2017 3RD PARTY PD KAREEM RUTLEDGE - - /2017100154 3/27/2017 $500.00 2017/2017 Loss 11576 8/25/2017 INDEMNITY DALLAS MCKINNEY X91471/001202934 5/14/2014 $286.00 2014/2014 Loss 11577 8/25/2017 3RD PARTY PD APRILE FREEL - - /2017092650 1/12/2017 $775.61 2017/2017 Loss 11578 8/25/2017 3RD PARTY PD PATTY BUTLER - - /2018109375 7/24/2017 $1,237.85 2017/2017 Loss 11579 8/25/2017 GL PROPERTY DAMAGE TIFFANY SCHEMELEY - - /2018108987 7/25/2017 $500.00 2017/2017 Loss
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182
TRIJIF-TRI.COUNTY MUN.JIF
Check Register ReportBank Account : ALL
Processed Date: Aug 1, 2017 - Aug 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11580 8/25/2017 3RD PARTY PD MOHAM PURI - - /2018108750 6/30/2017 $784.75 2017/2017 Loss 11581 8/25/2017 INDEMNITY THOMAS GOUSE - - /2017099819 4/11/2017 $512.00 2017/2017 Loss 11582 8/25/2017 3RD PARTY PD BARBARA FREIJOMIL - - /2018109013 7/25/2017 $1,000.00 2017/2017 Loss 11583 8/25/2017 COMPREHENSIVE DEPTFORD TOWNSHIP - - /2018110330 8/11/2017 $1,425.59 2017/2017 Loss 11584 8/25/2017 INDEMNITY COASTAL SPINE, PC. - - /2017100313 4/17/2017 $800.00 2017/2017 Loss 11585 8/25/2017 IVY REHAB NETWORK, INC $595.00
MEDICAL ONLY - - /2017106520 6/28/2017 $85.00 2017/2017 Loss
INDEMNITY - - /2017091760 1/10/2017 $85.00 2017/2017 Loss
INDEMNITY Z44352/001256670 8/31/2016 $170.00 2016/2016 Loss
INDEMNITY Z39447/001251715 5/27/2016 $255.00 2016/2016 Loss
11586 8/25/2017 STRIVE PHYSICAL THERAPY AND SPORTS REHABILITATION LLC $756.00
INDEMNITY - - /2017100130 3/27/2017 $126.00 2017/2017 Loss
INDEMNITY - - /2017095079 2/16/2017 $630.00 2017/2017 Loss
11587 8/25/2017 INDEMNITY INSPIRA MEDICAL CENTER VINELAND - - /2017099206 3/31/2017 $387.31 2017/2017 Loss
11588 8/25/2017 HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC $820.00
INDEMNITY - - /2017104343 6/3/2017 $90.00 2017/2017 Loss
INDEMNITY - - /2017104135 5/31/2017 $126.00 2017/2017 Loss
INDEMNITY - - /2017103346 5/22/2017 $315.00 2017/2017 Loss
INDEMNITY - - /2017098698 3/28/2017 $189.00 2017/2017 Loss
INDEMNITY Z49772/001264320 11/14/2016 $100.00 2016/2016 Loss
11589 8/25/2017 INDEMNITY TERRENCE W. MURPHY, MD PA - - /2017095079 2/16/2017 $1,032.00 2017/2017 Loss 11590 8/25/2017 TARIQ S. SIDDIQI, MD $3,626.22
INDEMNITY - - /2017102283 5/10/2017 $2,301.78 2017/2017 Loss
INDEMNITY - - /2017101264 4/26/2017 $115.70 2017/2017 Loss
INDEMNITY Z40240/001252524 6/13/2016 $1,208.74 2016/2016 Loss
11591 8/25/2017 ONE CALL MEDICAL, INC. $1,220.00
MEDICAL ONLY - - /2018108065 7/20/2017 $485.00 2017/2017 Loss
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TRIJIF-TRI.COUNTY MUN.JIF
Check Register ReportBank Account : ALL
Processed Date: Aug 1, 2017 - Aug 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
MEDICAL ONLY - - /2018107440 7/11/2017 $485.00 2017/2017 Loss
INDEMNITY - - /2017096256 3/3/2017 $250.00 2017/2017 Loss
11592 8/25/2017 MEDICAL ONLY BANNETT EYE CENTERS,PA - - /2018109797 8/10/2017 $161.74 2017/2017 Loss 11593 8/25/2017 DISABATINO PHYSICAL THERAPY $378.00
MEDICAL ONLY - - /2017106520 6/28/2017 $63.00 2017/2017 Loss
MEDICAL ONLY - - /2017105359 6/14/2017 $63.00 2017/2017 Loss
INDEMNITY - - /2017091760 1/10/2017 $126.00 2017/2017 Loss
INDEMNITY Z44352/001256670 8/31/2016 $63.00 2016/2016 Loss
INDEMNITY Z39447/001251715 5/27/2016 $63.00 2016/2016 Loss
11594 8/25/2017 INDEMNITY NovaCare Rehabilitation - - /2017102672 5/13/2017 $176.00 2017/2017 Loss 11595 8/25/2017 INDEMNITY Pinnacle Mid-Atlantic Anesthesia Associates PC Z44352/001256670 8/31/2016 $1,300.37 2016/2016 Loss 11596 8/25/2017 VIRTUA MEDICAL GROUP, PA $792.69
MEDICAL ONLY - - /2018109609 8/3/2017 $166.95 2017/2017 Loss
MEDICAL ONLY - - /2018108065 7/20/2017 $166.95 2017/2017 Loss
MEDICAL ONLY - - /2017106520 6/28/2017 $95.40 2017/2017 Loss
INDEMNITY - - /2017098303 3/24/2017 $363.39 2017/2017 Loss
11597 8/25/2017 PREMIER ORTHOPAEDIC ASSOCIATES OF SOUTHERN NJ $12,268.90
MEDICAL ONLY - - /2018108065 7/20/2017 $176.16 2017/2017 Loss
MEDICAL ONLY - - /2018107440 7/11/2017 $494.26 2017/2017 Loss
INDEMNITY - - /2017103346 5/22/2017 $1,586.99 2017/2017 Loss
INDEMNITY Z44352/001256670 8/31/2016 $10,011.49 2016/2016 Loss
11598 8/25/2017 MEDICAL ONLY INSPIRA HEALTH NETWORK URGENT CARE PC - - /2018107440 7/11/2017 $117.36 2017/2017 Loss 11599 8/25/2017 INDEMNITY MSC GROUP, INC., - - /2017100093 4/12/2017 $388.14 2017/2017 Loss 11600 8/25/2017 KENNEDY HEALTH ALLIANCE $203.98
MEDICAL ONLY - - /2018108856 7/29/2017 $122.16 2017/2017 Loss
MEDICAL ONLY - - /2017105359 6/14/2017 $81.82 2017/2017 Loss
11601 8/25/2017 INDEMNITY PREMIER ORTHO ASSOCSURG - - /2017095079 2/16/2017 $15,916.80 2017/2017 Loss 11602 8/25/2017 MEDICAL ONLY GT URGENT CARE PC - - /2018108775 7/29/2017 $160.00 2017/2017 Loss
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184
TRIJIF-TRI.COUNTY MUN.JIF
Check Register ReportBank Account : ALL
Processed Date: Aug 1, 2017 - Aug 31, 2017Instance Type: AllCoverage : All ,Claimant Type: All
Check Number
Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal
11603 8/25/2017 INDEMNITY CONNECTICUT ORTHOPAEDIC SPECIALISTS Z40983/001253280 6/29/2016 $190.00 2016/2016 Loss 11604 8/25/2017 INDEMNITY MEDSOURCE LLC - - /2017095079 2/16/2017 $900.00 2017/2017 Loss 11605 8/25/2017 INDEMNITY TRUE VISION THERAPY, LLC - - /2017091277 1/3/2017 $160.00 2017/2017 Loss 11606 8/25/2017 QUALCARE, INC. $6,804.00
MEDICAL ONLY - - /2018110339 8/17/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018110278 8/16/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018110378 8/16/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018110225 8/16/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018110350 8/16/2017 $486.00 2017/2017 Loss
INDEMNITY - - /2018110054 8/15/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018110073 8/14/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018110109 8/14/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018109884 8/12/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018109967 8/11/2017 $486.00 2017/2017 Loss
INDEMNITY - - /2018110335 8/11/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018109797 8/10/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018109854 8/10/2017 $486.00 2017/2017 Loss
MEDICAL ONLY - - /2018109708 8/3/2017 $486.00 2017/2017 Loss
Total for TRIJIF-TRI.COUNTY MUN.JIF $222,529.12 Total for TRIJIF-TRI.COUNTY MUN.JIF $222,529.12
Number of Checks: 185 First Check Number: 11422Number of Payments: 462 Last Check Number: 11606
Expense Payments: $4,099.81
Legal Payments: $31,653.75
Loss Payments: $186,775.56
Run Date: 9/7/2017 14:30:06 Run by: Teresa Drummond TRIJIF-TRI.COUNTY MUN.JIF Reporting System: RiskConsole V1 Page 13 of 13
185
Payable To: FY 2017 FY 2016 Closed Yrs Appropriation Description
1 The Actuarial Advantage 10,519.00 Prof Services/Actuary May and June 2017 Fees
2 PERMA 10,549.00 Prof Services/Admin. Consultant July, August, Sept 2017 Fees
3 Arthur J. Gallagher Risk Management Services, Inc. 53,460.00 Prof Services/Administration August 2017 Fees
4 Arthur J. Gallagher Risk Management Services, Inc. 407.41 Misc/Postage/Copies/Faxes July 2017 Fees
5 David DeWeese 8,116.00 Prof Services/Attorney August 2017 Fees
6 David DeWeese 81.90 Closed Years -Other Income
1/3 recovery of expenses ($245.94 )from Reimb
of docket#GLO-2053-10 Killen; Inv#D-5123-26
7 Qual-Lynx 38,805.00 Prof Services/Claims Admin August 2017 Fees
8 Brenda Smith 421.00 Misc/Recording Secretary August 2017 Fees
9 J.A. Montgomery Risk Control Services 16,175.00 Prof Services/Safety Director August 2017 Fees
10 Tom Tontarski 1,106.00 Prof Services/Treasurer August 2017 Fees
11 Conner Strong & Buckelew 893.00 Prof Services/Underwriting Manager August 2017 Fees
12 Joyce Media 315.00 Misc/JIF Website August 2017 Fees
13 Debby Schiffer 4,437.00 Wellness August 2017 Fees
14 Qual-Lynx 299.00 Misc/Performance Bond (TPA) Performance Bond #106451933 1/1-12/31/17
15 AGRIP 725.00 Misc/PRIMA/AGRIP Reg. for Oct 2017 Conference-Robert Law
16 ARC Reprographics 217.04 Misc/Printing Inv#270704,270724 member books
17 ARC Reprographics 2,377.58 Misc/Annual Planning Retreat Inv#270704 Retreat Binders
18 Auletto's 3,660.80 Misc/Annual Planning Retreat
Event#8414 & 8415; 7/27&28/17 Planning
Retreat
19 Courier Post 48.48 Misc/Legal Notice RFQ for Ex Dir/Admin
20 Iron Mountain 74.20 Misc/Records Retention Service Inv#PAZ8803; Stor 8/1-8/31/17; serv 6/28-7/25/17
21 NJ Advance Media 68.06 Misc/Legal Notice
RFQ for Ex Dir/Admin; RFQ
Auditor/Actuary/Wellness Dir
22 OfficeMax 145.04 Misc/Office Supplies Inv#960171 File Folders
23 Pivot Point Security 37,834.00 Contingency Inv#002913; Final pymt; reports to members
24 Lower Alloways Creek Township 450.00 Optional Safety Budget Safety Apparell
25 Washington Township 4,500.00 Optional Safety Budget Safety Apparell; equipment
TOTAL 157,768.61 37,834.00 81.90
JIF BILL LIST TOTAL 195,684.51
GLOUCESTER, SALEM, CUMBERLAND COUNTIES MUNICIPAL JIFBILL LIST - AUGUST 2017
186
Payable To: FY 2017 FY 2016 Closed Yrs Appropriation Description
1 The Actuarial Advantage 6,017.00 Prof Services/Actuary July 2017 Fees
2 Arthur J. Gallagher Risk Management Services, Inc. 53,460.00 Prof Services/Administration Sept 2017 Fees
3 Arthur J. Gallagher Risk Management Services, Inc. 274.21 Misc/Postage/Copies/Faxes August 2017 Fees
4 Arthur J. Gallagher Risk Management Services, Inc. 631.18 Wellness
Positive Promotions Handouts for wellness(split
with Burlco)
5 Arthur J. Gallagher Risk Management Services, Inc. 23.40 Misc/Meeting Expense Paid on PF amex-Finance mtg 8/4/17
6 David DeWeese 8,116.00 Prof Services/Attorney Sept 2017 Fees
7 David DeWeese 102.37 Closed Years -Other Income
1/3 recovery of expenses ($307.42 )from Reimb
of docket#GLO-2053-10 Killen; Inv#D-5123-26
8 Qual-Lynx 38,805.00 Prof Services/Claims Admin Sept 2017 Fees
9 Brenda Smith 421.00 Misc/Recording Secretary Sept 2017 Fees
10 J.A. Montgomery Risk Control Services 16,175.00 Prof Services/Safety Director Sept 2017 Fees
11 Tom Tontarski 1,106.00 Prof Services/Treasurer Sept 2017 Fees
12 Conner Strong & Buckelew 893.00 Prof Services/Underwriting Manager Sept 2017 Fees
13 Conner Strong & Buckelew 251.86 Misc/Meeting Expense 9/13/17 F/B for Regional Training
14 Joyce Media 315.00 Misc/JIF Website Sept 2017 Fees
15 Debby Schiffer 4,437.00 Wellness Sept 2017 Fees
16 Will Stoms 40.00 Misc/Meeting Expense Meeting room set up - Sept 2017 fee
17 ARC Reprographics 87.15 Misc/Office Supplies Inv#270914; JIF envelopes
18 ARC Reprographics 304.90 Misc/Printing Inv#270912, 271022, 271023 member books
19 Iron Mountain 74.20 Misc/Records Retention Service
Inv#PDN7999; Stor 9/1-9/30/17; serv 7/26/17-
8/29/17
20 Lower Alloways Creek Township 419.40 Wellness Pedometers for employees
21 Lower Alloways Creek Township 1,517.61 Safety Incentive Program spills kits, safety clothes
22 Township of Mantua 2,500.00 Police Defense & Training Police re-accreditation; June 2017
23 Borough of Woodbury Heights 2,500.00 Optional Safety Budget Safety Apparel
TOTAL 136,851.30 1,517.61 102.37
JIF BILL LIST TOTAL 138,471.28
GLOUCESTER, SALEM, CUMBERLAND COUNTIES MUNICIPAL JIFBILL LIST - SEPTEMBER 2017
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GLOUCESTER, SALEM, CUMBERLAND COUNTIES
MUNICIPAL JOINT INSURANCE FUND
RESOLUTION #2017-___
F:\DATA\Risk\WINWORD\TRICO\RESOLUTI\2017\Amending RTK Contract.doc
RESOLUTION AMENDING RESOLUTION 2017-03 AND AUTHORIZING AN
AMENDMENT TO THE 2017 RIGHT TO KNOW CONTRACT BETWEEN THE
GLOUCESTER, SALEM, CUMBERLAND COUNTIES MUNICIPAL JOINT
INSURANCE FUND AND J. A. MONTGOMERY WHEREAS, the Executive Committee of the Gloucester, Salem, Cumberland Counties Municipal Joint Insurance Fund (TRICO JIF) adopted Resolution 2017-03 “Appointing Professional Staff” on January 23, 2017; and
WHEREAS, Resolution 2017-03 specifically appointed J. A. Montgomery as the Right to Know Coordinator for the TRICO JIF at a fee not to exceed $32,399; and
WHEREAS, in correspondence dated May 16, 2017, following the conclusion of the 2016 Right to Know survey and inventory activities, J. A. Montgomery advised the TRICO JIF of member deficiencies in areas including hazard communication plans, safety data sheets, posters and training records; and
WHEREAS, in response to these deficiencies, the Right to Know Coordinator has offered to
assist the TRICO JIF members by providing them access to their Central File Drop Box service; and WHEREAS, access to the Central File Drop Box service will provide members with instant
access to Safety Data Sheets, Hazardous Substance Facts Sheets, the member’s last Right-to-Know survey, Written Hazard Communication Programs, Training Documentation, and Right to Know Posters; and
WHEREAS, at its meeting of May 25, 2017, the Executive Safety Committee reviewed the Right to Know Coordinator’s proposal and recommended that the TRICO JIF authorize this additional service for its members to provide them with the necessary tools for compliance with New Jersey PEOSHA regulations; and
WHEREAS, the cost for access to this service is $300 per member or $10,500 for the 35 members (excluding the City of Vineland) receiving this service; and
WHEREAS, funds are available in the Right to Know line item of the TRICO JIF’s 2017 Budget
to pay for these additional services; and
WHEREAS, adoption of this Resolution prior to the end of 2017 will allow the Right to Know Coordinator to implement this service in time for the completion of the 2017 Right to Know Survey & Inventory.
NOW THEREFORE BE IT RESOLVED by the Gloucester, Salem, Cumberland Counties
Municipal Joint Insurance Fund that the Scope of Services of the 2017 Right to Know contract between J. A. Montgomery and the TRICO JIF is hereby amended to include member access to the Central File Drop Box service; and
BE IT FURTHER RESOLOVED that a copy of this Resolution be provided to the Fund
Administrator, Fund Treasurer, Right to Know Coordinator, and Fund Solicitor for their information and necessary action.
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2
This Resolution was duly adopted by the Gloucester, Salem, Cumberland Counties Municipal Joint Insurance Fund at a public meeting held on September 25, 2017.
GLOUCESTER, SALEM, CUMBERLAND COUNTIES
MUNICIPAL JOINT INSURANCE FUND
Attest: _____________________________ By: ______________________________ Bob Law, Secretary Brad Campbell, Chairperson
Date: September 25, 2017
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Date: September 7, 2017
To: Fund Commissioners
From: MEL Executive Director
Re: Hurricane Harvey - Self Deployment
We have received a number of inquiries from membership on coverage for member town employees and volunteers who want to provide Hurricane Harvey assistance.
Although we commend those who wish to help, self deployment by any municipality or any individual is not encouraged.
It is our understanding that the State of New Jersey participates in the Emergency Management Assistance Compact (EMAC), an inter-local agreement for emergency services, which outlines the protocol for providing assistance but only upon request for aid. For your reference, attached is a copy of the EMAC Fact Sheet which provides an outline of the program.
If you have any questions, please contact your Risk Management Consultant or JIF Executive Director.
CC: JIF Executive Directors Risk Management Consultants Fund Professionals
Municipal Excess Liability Joint Insurance Fund
9 Campus Drive – Suite 216 Parsippany, NJ 07054 Tel (201) 881-7632 Fax (201) 881-7633
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MUNICIPAL EXCESS LIABILITY JOINT INSURANCE FUND9 Campus Drive
Parsippany, NJ 07054Telephone (856)552-4660
BULLETIN MEL 17-30
Date: September 14, 2017
To: Fund Commissioners of Member Joint Insurance Funds
From: Underwriting Manager, Conner Strong & Buckelew
Re: Public Officials Liability – Optional Excess Land Use CoverageThe bulletin does not apply to the workers compensation only members of the NJPHA JIF and the members of the First Responders Joint Insurance Fund.
QBE is offering optional excess limits for the “Land Use Claims” coverage of $850,000 excess of the $150,000 (automatically provided in QBE’s policy). This would total $1,000,000 in coverage for “Land Use Claims”.
The optional excess “Land Use Claims” coverage is subject to QBE’s review and acceptance of the underwriting application addendum attached to this bulletin. Each member entity applying for coverage will be separately underwritten by QBE. QBE has the right to offer or deny the optional coverage, as well as charge the additional assessment needed to meet its underwriting requirements. If approved, coverage for the optional excess limit would be effective no earlier than the date of approval by QBE.
Please note, the MEL optional Excess Public Officials Liability coverage does not cover Land Use Claims.
If you have any questions concerning this bulletin, please contact your Risk Management Consultant, JIF Executive Director or the Underwriting Manager.
The above description is a general discussion of the coverage and limits provided by the FUND. However, the actual terms and conditions are defined in the policy documents and all issues shall be decided based on the policy documents.
cc: Risk Management ConsultantsFund ProfessionalsFund Executive Directors
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QBE Public Officials Application AddendumOptional Excess Land Use Coverage
** Complete a separate application for each board if you have separate planning and zoning boards. **This supplemental application must be completed and signed by the acting planning/zoning board Chairperson.
GENERAL INFORMATION
1. Demographicsa. Entity name:b. JIF:c. Population:d. Board type: Planning Zoning Combined e. Ratio of residential to non-residential:
2. How long has current legal counsel served the board in this capacity?3 Do officials receive training with respect to the Religious Land Use and Institutionalized Persons Act (RLUIPA)? Yes No4 How many variances were requested in the last 12 months?
a. How many have been granted? 5. Have you had any disputes, claims or complaints involving RLUIPA in the last 3 years? Yes No6. How many applications were made to the board per annum? (Complete the table below)
a. The board attorney must provide a synopsis of all appeals in the last three (3) years. Include as a separate attachment.
Made Approved Denied Appealed Reversed Made Approved Denied Appealed Reversed Made Approved Denied Appealed ReversedReligiousGroup HomesCell TowerAfford. HousingAll Other
Current Year 1 Year Prior 2 Years Prior
BOARD CHAIRPERSON
Name:
Street Address:
City: County: State: Zip:
Phone Number: Email Address:
How many years have you served as the Chairperson?
What is the name of your predecessor?
BOARD LEGAL ADVISOR
Name:
Law Firm:
Mailing address (if different):
City: County: State: Zip:
Phone Number: Email Address:
ATTACHMENTS1. Please provide a copy of currently valued loss runs for the last five years.2. Please provide an electronic version of your current zoning master plan / comprehensive plan.3. Please provide an electronic version of your current zoning ordinances and policies and procedures.
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WARRANTY AND ATTESTATION
The undersigned being authorized by, and acting on behalf of, the applicant and all persons or concerns seeking insurance, has read and understands this Application, and declares that all statements set forth herein are true, complete and accurate. The undersigned further declares and represents that any occurrence or event taking place prior to the inception of the policy applied for, which may render inaccurate, untrue or incomplete any statement made herein will immediately be reported in writing to the insurer. The undersigned acknowledges and agrees that the applicant’s submission and Insurer’s receipt of such written report, prior to the inception of the policy applied for, is a condition precedent to coverage.
The signing of this Application does not bind the undersigned to purchase the insurance, nor does review of the Application bind the insurance company to issue a policy. The applicant does hereby agree that this policy, if issued, is issued in reliance upon the truth of this application, including all requested attachments, which will be incorporated into and made a part of this policy.
___________________________________ _____________________________ ___________________Board Chairperson Signature Title Date
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MUNICIPAL EXCESS LIABILITY JOINT INSURANCE FUND9 Campus Drive, Suite 216
Parsippany, NJ 07054Telephone (201) 881-7632
BULLETIN MEL 17-31
Date: September 11, 2017
To: Fund Commissioners of Member Joint Insurance Funds
From: Underwriting Manager, Conner Strong & Buckelew
Re: 2018 Public Officials / Employment Practices Policy Changes______________________________________________________________________________
As directed by the MEL Coverage Committee, we have worked with QBE to change policy forms from the MEL’s historical policy form to a more standard commercial form. The intent of moving to a new policy form is not to change coverage, but to bring the Public Officials/EPL program in line with policy language standards in the marketplace.
Full details of coverage changes will be released prior to the January 1, 2018 renewal. If you have any questions, please contact your risk management consultant, JIF Executive Director or Underwriting Manager.
This bulletin is for information purposes only. It is not intended to be all-inclusive but merely an overview. It does not alter, amend or change your coverage. Please refer to specific policies for limits, terms, conditions and exclusions.
cc: Fund Executive DirectorsFund ProfessionalsRisk Management Consultants
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September 6, 2017 Memo to: Gloucester, Salem & Cumberland Counties Municipal Joint Insurance Fund From: Commissioner Law Re: Topics Discussed at the RCF September Meeting
Request for Qualifications (RFQ): Executive Director reported the RFQs for professional services for the 2018-2020 contract term were received for all positions by the July 21st deadline. Each position received only one response; recommendations on contract awards will be confirmed at Reorganization on January 3, 2018.
Executive Director reported the MEL and RCF Claims Committees will be working together to review the multiple responses received for the MEL Claims Administrator and Managed Care positions.
2017 Budget Amendment: The Board of Fund Commissioners reviewed the proposed budget amendment for Fund Year 2017 to accept the transfer of Fund Year 2013. The Board made a motion to introduce on first reading the amendments to the 2017 Budget and to schedule the Public Hearing on October 18, 2017, 10:30 a.m. at the Forsgate Country Club, Jamesburg, New Jersey.
2018 Budget: The Board of Fund Commissioners reviewed the proposed 2018 Budget. Executive Director reported that under the conditions of the Fund, the 2018 expenses cannot be charged directly to the contingency reserve established in the 2017 amended budget and recommended the Fund declare a dividend from the 2017 contingency surplus to offset the 2018 expenses. The Board of Fund Commissioners adopted a resolution returning the surplus from the 2017 Fund Year Contingency Account. In addition, the Board of Fund Commissioners voted to introduce the 2018 budget on first reading and to schedule the Public Hearing on October 18, 2017, 10:30 a.m. at the Forsgate Country Club, Jamesburg, New Jersey. Claims Committee: The Claims Review Committee met in June, July and the morning of the Commissioner’s meeting. The next Claims Review Committee is scheduled to meet October 18, 2017 at 9:00AM at the Forsgate Country Club. Fund Attorney: Fund Attorney reported that the POLEPL run-off claims have been reduced to only 9 open claims.
Next Meeting: The next meeting of the RCF will be Wednesday October 18, 2017 at 10:30 AM at the Forsgate Country Club in Jamesburg, NJ.
Municipal Excess Liability Residual Claims Fund
9 Campus Drive – Suite 216 Parsippany, New Jersey 07054 Tel (201) 881-7632 Fax (201) 881-7633
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MUNICIPAL EXCESS LIABILITY RESIDUAL CLAIMS FUND2018 PROPOSED BUDGET
2017 ANNUALIZED 2018 PROPOSED $ %BUDGET BUDGET CHANGE CHANGE
APPROPRIATIONS
CLAIMS 0 0 0REINSURANCE PREMIUMS 78,000 30,000 (48,000) -62%LOSS FUND CONTINGENCY 0 0
SUBTOTAL LOSS FUND 78,000 30,000 (48,000) -62%
EXPENSES
ADMINISTRATOR 193,970 197,849 3,879 2%DEPUTY ADMINISTRATOR 65,982 67,302 1,320 2%ATTORNEY 40,157 40,960 803 2%CLAIMS SUPERVISION & AUDIT 58,050 59,211 1,161 2%TREASURER 37,702 38,456 754 2%AUDITOR 22,272 22,717 445 2%ACTUARY 39,761 40,556 795 2%MISCELLANEOUS 23,835 23,835 0 0%
SUBTOTAL 481,729 490,886 9,157 2%
EXPENSE CONTINGENCY 128,271 129,114 843 1%
SUBTOTAL EXPENSES 610,000 620,000 10,000 2%
TOTAL BUDGET 688,000 650,000 (38,000) -5.5%
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DATE: September 6, 2017 TO: Gloucester, Salem & Cumberland Counties Municipal Joint Insurance Fund FROM: Commissioner Law SUBJECT: Summary of Topics Discussed at E-JIF Meeting _______________________________________________________________________________
REGULATORY AFFAIRS - Perma filed the 2016 Year End Audit, Certification of the Audit adopted by the Executive Committee, Actuarial Valuation and Actuarial Certification with the Department of Banking and Insurance. In addition, the Synopsis of Audit was published in the Fund’s newspaper.
2018 BUDGET PROCESS – Attached to this report, is the 2018 draft budget. The Finance Committee met on August 30, 2017 and recommended the 2018 budget as presented. The budget was introduced and will be adopted at the Public Hearing scheduled for October 18, 2017. 2017 DIVIDEND - The Finance Committee is recommending a 2017 dividend of $1,000,000. Resolution #22-17 authorizing a total return dividend of $1,000,000 was adopted by the Executive Board. RFQ RESULTS - The EJIF advertised all fund professional positions, except for Environmental Engineer and Legislative Agent, for fund years 2018-2020 pursuant to the Fair and Open process. The results of the RFQ were reviewed by the Board. Recommendations will be presented at the re-organization meeting in January. WEB SITE- The EJIF’s web site is up and running and can be found at www.NJEJIF.org. NEXT MEETING- The next meeting of the EJIF is scheduled for October 18, 2017 at the Forsgate CC, Jamesburg.
New Jersey Municipal Environmental Risk Management Fund 9 Campus Drive, Suite 216 Parsippany, New Jersey 07054 Tel (201) 881-7632 Fax (201) 881-7633
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