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HomeMy WebLinkAboutMINUTES - 04192006 - C.64 I TO: BOARD OF SUPERVISORS O -� Contra /� rss Costa FROM: Danna Fabella, Acting Dlrecto 4� Employment and Human Services County °sr----- A COUF� John Cottrell, Director In Home Supportive Services, Public Authority DATE: April 19,2006 SUBJECT: In Home Supportive Services, Public Authority Application for Elective Coverage of Disability Insurance SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION- 2006/ ADOPT Resolution No. 220 authorizing the Contra Costa County In Home Supportive Services, Public Authority to participate in the State of California Employment Development Department Short Term Disability Insurance program; and AUTHORIZE the Chair of the Board of Supervisors to sign and file the application with the California Employment Development Department. FINANCIAL IMPACT- No County costs. BACKGROUND@ The elective coverage of short-term disability insurance, including paid family leave (PFL), has been requested by IHSS Public Authority employees and is available to local public entities. California Unemployment Insurance Code section 709 provides that Jany local public entity located in this State may elect to become an employer for state disability insurance purposes only, with respect to all its employees. The electing entity agrees to remain a covered employer for not less than two complete calendar years. Coverage may be terminated at the end of the two-calendar-year period or at the end of any calendar year thereafter by giving the Department written notification by January 31 of the succeeding year. In order to file this election with the California Employment Development Department, the Board of Supervisors must pass a Resolution (Attachment A). Upon approval of this ellection, employee contributions to state disability insurance are required and will be paid at the rate established for each year up to the annual taxable wage limit. Employee contributions are used exclusively to finance the State Disability Insurance Program. Deductions for employee contributions should be made at the time wages are paid. Every employing unit shall post and maintain a printed notice (DE 1375C, Notice to Employees Elective - Coverage Application For State Disability Insurance) of the application on the premises. Individual employees shall be given two reasonable opportunities to file objection or to be heard in the matter prior to the Chair's approval of election. The fourteen IHHS employees are not covered at this time and have e vressed a desire to be so covered. CONTINUED ON ATTACHMENT: X YES SIGNATURE: J4r ✓kECOMMENDATION OF COUNTY ADMINISTRATOR _RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURES ACTION OF BOA )DN /// � ? O'(/o� APPROVED AS RECOMMENDED_ OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT - ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED 07 JOHN CUL N,CLER(OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact: JOHN COTTRELL 6-1257 cc: EHSD(CONTRACTS UNIT)—EB BOBADMLER, SD COUNTYTY ADMINISTRATOR Auditor-Controller BY 'DEPUTY THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Resolution on May 2, 2006 by the following vote: sE L AYES: Gioia,Piepho,DeSaulnier,GI(ver and Uilkema o ..14,14 NOES: None 40 ABSENT: None ABSTAIN: None OST1 COl1I3 SUBJECT: Elective Coverage of State ) Resolution No. 2006/220 Disability Coverage ) WHEREAS, Section 709 of the California Unemployment Insurance Code provides that any public entity located in this State specified in Section 135(a)(3) may elect to become an employer for state disability insurance purposes only, with respect to all its employees, and may file its written election with the California Employment Development Department; and WHEREAS, an election under Section 709 may be made on its own motion by the appropriate governing board of the entity making the election, or may be made by such governing board pursuant to a petition signed by a majority of thle employees; and WHEREAS, coverage must be elected for at least two complete calendar years; and WHEREAS, coverage may I approved for all present and future employees of the public entity; and WHEREAS, upon approval of an election, employee contributions for state disability insurance are required at the rate established for each year up to the annual taxable wage limit; and WHEREAS, every employing unit shall post and maintain the printed notice of such election or application on the premises; and WHEREAS, the Board of Supervisors believes the employees of the In Home Support Services Public Authority should be covered by state disability insurance, including paid family leave; It is hereby RESOLVED by the Board that: the Board of Supervisors authorizes the In Home Support Services Public Authority to elect to become an employer for state disability insurance purposes only under Section 709 of the California Unemployment Insurance Code for all its employees; and be it FURTHER RESOLVED, that the Chalir of the Board of Supervisors shall sign and file with the California Employment Development Department an application under Section 709 of the California Unemployment Insurance Code so that In Home Support Services Public Authority may become an employer subject to the Code for at least two complete calendar years. I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date sh wn l^ ATTESTED: (Date) �1 O� of John Cullen, Clerk of the Boa Supervisors And nty Administrator By ® Deputy RESOLUTION 2006/220 Employment EDD Development Department State of California APPLICATION FOR ELECTIVE COVERAGE OF DISABILITY INSURANCE* ONLY LOCAL PUBLIC ENTITIES AND INDIAN TRIBES FOR DEPARTMENT USE ONLY Reference: California Unemployment Insurance Code(CUIC)Section 709 EMPLOYER ACCOUNT NUMBER STATISTICAL CODE IMPORTANT EFFECTIVE DATE DATE EMPLOYER NOTIFIED Do not complete this form unless you wish to apply far State Disability APPROVED BY DATE APROVED Insurance only under Section 709 for ALL of your employees (excluding elected officials and appointees by the Govemor). Coverage under this section of the CUIC does not mike provision SEND NUMBER OF EMPLOYEES for Unemployment Insurance benefits. PLEASE TYPE OR PRINT 1. NAME OF GOVERNMENT ENTITY OR INDIAN TRIBE BUSINESS TELEPHONE In Home Supt)o by2- Sevvtces Ptt)qkir. Authont,/ CC12�5) GACO - us-f 2. BUSINESS ADDRESS(NUMBER,STREET,CITY,COUNTY,STATE,ZIP CODE) 133a A(-nok] Drive , `cul ,_ \<1f5 , Mactlne2 CAS (A-AE553 3. MAILING ADDRESS(NUMBER,STREET,CITY,COUNTY,STATE,ZIP CODE) come 4. TYPE OF LOCAL PUBLIC ENTITY n ❑ County ❑ City ❑ Indian Tribe ® Other(Specify) 5. Law under which agency was established: (Complete a,b,c,or d)(Does not apply to Indian Tribes) TITLE OF ACT NUMBER DATE a. California Tax Law TITLE OF CODE DIVISION PART CHAPTER b• California Codes TITLE OF CHARTER DATE c. Charter TITLE OF ORDINANCEI DATE d. Ordinance 6. Members of governing body of Local Public Entity orllndian Tribe,such as Board of Supervisors,City Council,District Directors,Tribal Council,etc. NAME TITLE RESIDENCE ADDRESS* TELEPHONE SSA NUMBER''k 11`JSo Sol eo _ e,S�+d _610)l`4- .JAI 61i010 �i�r��r 1�(S�vi/{- j_ Su ryi ,r' rI Cerrito qJIL530 3Z3( 20,:1 'D14I6t; go q'5) 16goo �1 c1t-� /,(. �'ie !no 1�1�� CJ.�lir'I DIS}rift LL � •S�r' Ucz^tel► �f6� , 83 �2. e F , tlllKernr� Isfricf� SSI - ✓Ser 65`1 a�tlni' 11 r�+ /S3 W)/o3 ZHt� pji sSU lrarit, ,G. AJ(Irj�, Ue.S,aLfllnler bi&ki4+.T- S VWf Vlscr (—'0I1C1y--� `l-f5y0 5763 15'• C.14-,laod k. q2,5) 9- GG�PT�f 1�. 6JOVer ISVie/VT v ylSOr Aoff*t CIL ri'f5b5� '�13� NOTE: If your application is approved,the elective coverage agreement will be subject to all of the requirements and conditions outlined in DE 1378L, Information Concerning Elective Coverage Under Section 709 of the CUIC. Please retain your copy of DE 1378L for reference. IV peC� t1 Qt�j( 1G(� ctc{�r�SS. 1�tJr cfCSCfOsgrJ(e d� SS� l�Ltr+t�Z/ Includes Paid Family Leave(PFL)beginning Janua I rV 1,2004. Covnf May. DE 1378M Rev.Rev. 10(3-05)(INTERNET) Page 1 of 2 CU 7. Appointive Positions: (These persons are eligible for coverage unless appointed by the Governor) TITLE OF POSITION NUMBER OF POSITIONS NUMBER OF PERSONS BY WHOM APPOINTED INITHIS CATEGORY DESIRING COVERAGE 4 8. Total number of employees to be covered,excluding elected officers and those appointed by the Governor q 9. On what date do you wish elective coverage to commence? Keep in mind that the commencement date of an elective coverage agreement shall not be prior to the first day of the calendar quarter in which the applicafpn is filed,nor later than the first day of the following calendar quarter, ❑First day of current quarter LSI First day of next quarter NOTE: Deductions should not be made from your employee's wages for the purpose of paying employee contributions required under the CUIC until your election is approved. Attach a copy of the resolution in which the governing body described in Item 6 approved the filing of an application for elective coverage under Section 709 of the CUIC. The governmental or tribal entity described in Item(7 hereby files its application under Section 709 of the CUIC to become an employer subject to the CUIC. It is understood that upon approval of the election by the Director,the governmental or tribal entity will be an employer subject to the CUIC for State Disability Insurance purposes only to the same extent as other employers as of the date specified in the approval,and will remain a subject employer for at least two complete calendar years. Thereafter,this election may be terminated as provided by the CUIC. I certify that this application has been examined by me,and to the best of my knowledge and belief,it is true and correct and made in good faith under the provisions of the California Unemployme I it Insurance Code. This certificate must be signed by one or more of the persons under Item 6. SIGNATURE TITLE DATE S��t�vi s��2S Return completed application to: State of California Employment Development Department Taxpayer Assistance Center,Attn: Specialized Coverage Desk P.O.Box 2068 Rancho Cordova,CA 95741-2068 Questions may be directed to the above address or call(916)654-6288. DE 1378M Rev.Rev. 10(3-05)(INTERNET) Page 2 of 2 Cu \ E m p I o y m e n t This form Will to the basic record of YOUR EMPLOYMENT DEVELOPMENT DEPARTMENT EDDDevelopment ACCOUNT. DO NOT FILE THIS FORM UNTIL Taxpayer Assistance Center,Attn:Specialized Coverage Desk Department YOU HAVE PAID WAGES THAT EXCEED P.O.Box 2068 Stale o f California $100.00.Please read the INSTRUCTIONS on the Rancho Cordova, CA 95741-2068 back before completing this form.PLEASE PRINT (916)654-62881 FAX(916)4642904 OR TYPE.!Return this form to: '! www.eddca.gov I REGISTRATION FORM FOR GOVERNMENTAL ORGANIZATIONS, PUBLIC SCHOOLS, &INDIAN TRIBES ACCOUNT NUMSER DEPT QUARTER ON-UNE PROCESS DATE TAS CODE USE Industry specific registration forms are required relative to each type of employer. Please use the appropriate form to register. Commercial/Pacific Maritime/Fishing Boat DE1 Household Workers DE 1HW Agricultural DE 1AG Non-Profit DE 1NP Government/Public Schools/Indian Tribes DE 1GS Personal Income Tax Only DE 1P A. HAVE YOU EVER BEEN REGISTERED IF YES,ENTER THE FOLLOWING: WITH THE DEPARTMENT? ACCOUNT NUMBER BUSINESS NAME ADDRESS PHONE NO. ❑ N No Yes B. INDICATE FIRST QUARTER AND YEAR IN WHICH WAGES EXCEEDED$100. ❑Jan.-Mar.20_ ❑Apr.-June 20_ ❑July-Sept.20_ N Oct.-Dec.2899 C. ORGANIZATION TYPE I D. COUNTY WHERE BUSINESS IS LOCATED ❑(SD)SCHOOL DISTRICT ❑(IT)INDIAN TRIBE ❑(GO)GOVERNMENTAL ®(OT)OTHER(Specify) Public Entity Contra Costa County E. BUSINESS NAMEOWNERSHIP BEGAN OPERATING FEDERAL I.D.NUMBER In Home Supportive Services Public Authority MONTH: DAY: YEAR: 94-6000509 F. ORGANIZATION OR TRIBE NAME NATURE OF ACTIVITY Same In Home Supportive Services/Registry G. List all principal officers or administrators TITLE SOCIAL SECURITY NUMBER DRIVER'S LICENSE NUMBER John Cottrell Executive Director 552-86-5636 D5793585 Frances Smith Program Manager 563-46-8048 D0834390 H. MAILING ADDRESS CITY STATE ZIP CODE PHONE NUMBER 1330 Amold Drive Suite 143 Martinez CA 94553 92 646-1257 1. BUSINESS ADDRESS(if different from mailing address) CITY STATE ZIP CODE PHONE NUMBER Same J.WOULD YOU LIKE INFORMATION ON THE FOLLOWING ALTERNATIVE UNEMPLOYMENT INSURANCE FINANCING? ❑ Reimbursable Cost of Benefits ❑ School Employees Fund ❑ Election of Disability Coverage ® No,assign tax-rate method K. EMPLOYER TYPE NUMBER OF ❑(07)Public/Charter School ❑ (11)Indian Tribe E](15)State Colleges ® (21)Public Entity ❑ (28)State Hospital EMPLOYEES I ❑ (08)District Hospital ❑(14)University of CA ❑(16)District Fair ❑ (26)Fed-State Withholdings 14 L. SUPPORTIVE SERVICES If you are part of a larger organization and you ire primarily engaged in providing supportive services to other establishments of the larger organization,check one of these boxes. (1) ❑Control administrative(headquarters,etc.) (3) ❑Storage(warehouse) (5) N Does not apply (2) ❑ Research,development,or testing I (4) ❑Other(specify) M.CONTACT PERSON FOR BUSINESS TITLE ADDRESS PHONE (925)646-1257 John Cottrell Executive Ekirelctor 1330 Arnold Or Ste 143 Martinez CA 94553 FAX (925)646-1261 N. DECLARATION _.-_.._... These state "enr Ir, is are her is AI` I Ir t to the best knowledge and belief of the undersigned. Signature / �� ` .- Date (U �•( /Q (� Residence Phone �ll'7 Jzi 3`l Y`I Title Executive Director/ I Residence Address )l r YI c' Wit (Officer,Administrator,etc.) I Street billy State ZIP Code O. PAYROLL TAX EDUCATION: Attend a payroll tax seminar that wi11 help you understand how,what,and when to report state payroll taxes. Visit our Web site at www.edd.ce.gov/taxsem or call us at(888)745-3886 for more information. DE 1GS Rev.6(12-05)(INTERNET) Page 1 of 2 CU INSTRUCTIONS FOR DE 1GS REGISTRATION FORM FOR GOVERNMENTAL ORGANIZATIONS, PUBLIC SCHOOLS, & INDIAN TRIBES An employer is required by law to file a regi)tration form with the Employment Development Department(EDD)within Fifteen (15)calendar days after paying over$100 in wages for employment in a calendar quarter, or whenever a change in ownership occurs. Please complete all items on the front of this DE IGS and mail your completed registration form to EDD,Taxpayer Assistance Center, Attn: Specialized Coverage Desk/P.O. Box 2068/Rancho Cordova, CA 95741-2068. NEED MORE HELP OR INFORMATIONT • Contact the nearest Taxpayer Education and Assistance(TEA)office listed in your local telephone directory under State Government, EDD or call a TEA Customer IService Representative at 1-888-745-3886 with questions about whether your business entity is subject to reporting and paying state payroll taxes. For TTY(nonverbal)access,call 1-800-547-9565. • Access the EDD Web site at www.edd.ca.gov. A. PRIOR REGISTRATION—If any part of the ownership in Item E is operating or has ever operated at another location, check"yes"and provide the account number, business name, address, and telephone number if known. B. WAGES—Check the appropriate box for the quarter in which you first paid wages and fill in the last two digits of the year. C. ORGANIZATION TYPE—Check the bi x that best describes the legal form of the ownership shown in Item E. D. COUNTY WHERE BUSINESS IS LOCATED—Enter county name. E. BUSINESS NAME—Give the name b} which your business is known to the public. Enter"None" if the business name is the same as the organization or tribe name. Enter the date the new ownership began operating. Enter Federal Employer Identification Number(s). If not yet assigned, enter"Applied For." F. ORGANIZATION NAME—Give the name of the organization under which your business operates. Indian tribes must provide the full tribal name as shown on the Federal Register. Give a brief description of the nature of activity performed, e.g., National Guard, Public'School District, County,two-year college, university. G. LIST ALL PRINCIPAL OFFICERS OR ADMINISTRATORS—Enter the full name, middle initial, surname,title, social security number, and driver's license number for each officer, administrator, or tribal council member. H. MAILING ADDRESS—Enter the mailing address where EDD correspondence and forms should be sent. Provide daytime business telephone number. I. BUSINESS ADDRESS—Enter the California address and telephone number where the business in Item D is physically conducted. If more than one California location, list on a separate sheet and attach to this form. Indian tribes must also provide the mailing address for the tribal council. J. ALTERNATIVE FINANCING—If you would like information on alternative methods of financing unemployment insurance, check the appropriate boxes for the information you want. Check"NO"if you want tax-rate method. K. EMPLOYER TYPE—Check the box that best describes your employer type. Enter total number of employees for the ownership shown in Item E. L. SUPPORTIVE SERVICES—Check the box that best describes the organization shown in Item E. M. CONTACT PERSON—Enter the name,title,telephone and fax numbers of the person authorized by the ownership shown in Item E to provide information to EDD staff. N. DECLARATION—This declaration should be signed by one of the individuals listed in Item F. O. PAYROLL TAX EDUCATION—EDD provides educational opportunities for taxpayers to learn how to report employees'wages and pay taxes, pointing out the pitfalls that create errors and unnecessary billings. Help is only a telephone call or Web site away. We will notify you of your EDD account number by mail. To help you understand your tax withholding and filing responsibilities you will be sent a California Employer's Guide, DE 44. Please keep your account status current by notifying a TEA Customer Service Representative at 1-888-745-3886 of all future changes to the original registration information. Tribal employers should call the tribal UI information number(916) 653-8135 for registration assistance or other questions. DE IGS Rev.6(12-05)(INTERNET) Page 2 of 2 cu INSTRUCTIONS FOR DE IGS REGISTRATION FORM FOR GOVERNMENTAL ORGANIZATIONS, PUBLIC SCHOOLS, & INDIAN TRIBES An employer is required by law to file a reg stration form with the Employment Development Department(EDD) within Fifteen(15)calendar days after paying over$100 in wages for employment in a calendar quarter, or whenever a change in ownership occurs. Please complete all items on the front of this DE 1 GS and mail your completed registration form to EDD,Taxpayer Assistance Center, Attn: Specialized Coverage Desk/P.O. Box 2068/Rancho Cordova, CA 95741-2068. NEED MORE HELP OR INFORMATION? • Contact the nearest Taxpayer Education and Assistance(TEA)office listed in your local telephone directory under State Government, EDD or call a TEA CustomerlService Representative at 1-888-745-3886 with questions about whether your business entity is subject to reporting and paying state payroll taxes. For TTY(nonverbal)access,call 1-800-547-9565. • Access the EDD Web site at www.edd.ca.gov. A. PRIOR REGISTRATION—If any part of the ownership in Item E is operating or has ever operated at another location, check"yes"and provide the account n i mber, business name, address, and telephone number if known. B. WAGES—Check the appropriate box for the quarter in which you first paid wages and fill in the last two digits of the year. C. ORGANIZATION TYPE—Check the bi x that best describes the legal form of the ownership shown in Item E. D. COUNTY WHERE BUSINESS IS LOCATED—Enter county name. E. BUSINESS NAME—Give the name by which your business is known to the public. Enter"None" if the business name is the same as the organization or tribe name. Enter the date the new ownership began operating. Enter Federal Employer Identification Number(s). If not yet assigned, enter"Applied For." F. ORGANIZATION NAME—Give the name of the organization under which your business operates. Indian tribes must provide the full tribal name as shown on the Federal Register. Give a brief description of the nature of activity performed, e.g., National Guard, Publi r School District, County,two-year college, university. G. LIST ALL PRINCIPAL OFFICERS OR ADMINISTRATORS—Enter the full name, middle initial, surname, title, social security number, and driver's license number for each officer, administrator, or tribal council member. H. MAILING ADDRESS—Enter the mailing address where EDD correspondence and forms should be sent. Provide daytime business telephone number. 1. BUSINESS ADDRESS—Enter the California address and telephone number where the business in Item D is physically conducted. If more than one California location, list on a separate sheet and attach to this form. Indian tribes must also provide the mailing address for the tribal council. J. ALTERNATIVE FINANCING—If you would like information on alternative methods of financing unemployment insurance,check the appropriate boxes for the information you want. Check"NO"if you want tax-rate method. K. EMPLOYER TYPE—Check the box that best describes your employer type. Enter total number of employees for the ownership shown in Item E. L. SUPPORTIVE SERVICES—Check the box that best describes the organization shown in Item E. M. CONTACT PERSON—Enter the name,title,telephone and fax numbers of the person authorized by the ownership shown in Item E to provide information to EDD staff. N. DECLARATION—This declaration should be signed by one of the individuals listed in Item F. O. PAYROLL TAX EDUCATION—EDD provides educational opportunities for taxpayers to learn how to report employees'wages and pay taxes, pointing out the pitfalls that create errors and unnecessary billings. Help is only a telephone call or Web site away. We will notify you of your EDD account number by mail. To help you understand your tax withholding and filing responsibilities you will be sent a California Employer's Guide, DE 44. Please keep your account status current by notifying a TEA Customer Service Representative at 1-888-745-3886 of all future changes to the original registration information. Tribal employers should call the tribal UI information number(916) 653-8135 for registration assistance or other questions. DE IGS Rev.6(12-05)(INTERNET) Page 2 of 2 - cu Employment E®p DepartmenDevelopmentt State of California STATE OF CALIFORNIA- EMPLOYMENT DEVELOPMENT DEPARTMENT SCHOOL EMPLOYEES FUND SELECTION OF FINANCING METHOD AND ELECTION TO COVER EXCLUDED SERVICES Beginning January 1, 1978, all employees,classified,certificated, and others,of a school district (Kindergarten through 10 grades) and a community college district are subject to the compulsory provisions of the California Unemployment Insurance Code for unemployment insurance purposes. Exclusions in the Education Code no longer apply. i. SELECTION OF FINANCING FOR UNEMPLOYMENT INSURANCE(Check only one) ❑ School Employees Fu d, Section 821-832, California Unemployment Insurance Code (financing in effect since January 1, 1972). ❑ Prorated cost of benefits paid (direct reimbursement to the Unemployment Insurance Fund). ® Payments of contributions by regular contribution rate method (Tax Rated method as commonly used by the private/commercial employers). If you elect financing methlod with the School Employees Fund or direct reimbursement,your election may only be cancelled on January 1"of any year after you have been in effect for TWO FULL CALENDAR YEARS. II. ELECTION TO COVER EXCLUDED SERVICES At your option, you may elect to cover certain types of services that are still excluded from the compulsory provisions of the California Unemployment Insurance Code. Such an ELECTION must be for not less than two full calendar years,with the financing method to be the same as that selected for compulsory covered. Most EXCLUDED SERVI ICES are usually not applicable to school districts. Examples are services performed for a church,for a hospital by a patient,for a foreign government, or for penal institutions by inmates. School districts may ELECT coverage for the following EXCLUDED SERVICES by checking the appropriate block(s): ❑ Services performed in the employ of a school,college, or university, if such service is performed (Section 642 of the California Unemployment Insurance Code): (a) By a student enrolled and regularly attending classes at such school district or community college. (b) By a spouse of such student who is advised at the time such spouse commences to perform service that the employment of such spouse is provided under a program to provide financial assistance to such student by such school district or community college. DE 1 SE Rev.5(9-05)(INTERNET) Page 1 of 2 CU Employment ED® Developme eartmenn Dp State of California STATE OF CALIFORNIA-EMPLOYMENT DEVELOPMENT DEPARTMENT SCHOOL EMPLOYEES FUND SELECTION OF FINANCING METHOD AND ELECTION TO COVER EXCLUDED SERVICES Beginning January 1, 1978, all employees, classified, certificated, and others, of a school district (Kindergarten through 121b grades) and a community college district are subject to the compulsory provisions of the California Unemployment Insurance Code for unemployment insurance purposes. Exclusions in the Education Code no longer apply. I. SELECTION OF FINANCING FOR UNEMPLOYMENT INSURANCE(Check only one) ❑ School Employees Fund, Section 821-832, California Unemployment Insurance Code (financing in effect since January 1, 1972). ❑ Prorated cost of benefits paid (direct reimbursement to the Unemployment Insurance Fund). ® Payments of contributions by regular contribution rate method (Tax Rated method as commonly used by the private/commercial employers). If you elect financing method with the School Employees Fund or direct reimbursement,your election may only be cancelled on January 10of any year after you have been in effect for TWO FULL CALENDAR YEARS. It. ELECTION TO COVER EXCLUDED SERVICES At your option,you may elect to cover certain types of services that are still excluded from the compulsory provisions of the California Unemployment Insurance Code. Such an ELECTION must be for not less than two full calendar years,with the financing method to be the same as that selected for compulsol ry covered. Most EXCLUDED SERVICES are usually not applicable to school districts. Examples are services performed for a church,for a hospital by a patient,for a foreign government, or for penal institutions by inmates. School districts may ELECT coverage for the following EXCLUDED SERVICES by checking the appropriate block(s): ❑ Services performed in the employ of a school,college, or university, if such service is performed (Section 642 of the California Unemployment Insurance Code): (a) By a student enrolled and regularly attending classes at such school district or community college. (b) By a spouse of such student who is advised at the time such spouse commences to perform serviceslthat the employment of such spouse is provided under a program to provide financial assistance to such student by such school district or community college. DE ISE Rev.5(9-05)(INTERNET) Page 1 of 2 CU ❑ Service in a program combining academic instruction and work experience for full-time students under age 22 (Section 646 of the California Unemployment Insurance Code). ❑ Services performed by an ordained, commissioned or licensed minister or member of religious order. Services performed by an individual in the exercise of his or her duties as any of the following in the employ of any public)entity: ❑ A member of a legislative body,or a member of the judiciary, of a state or political subdivision thereof. ❑ A member of a State National Guard or Air National Guard. ❑ An employee serving on a temporary basis in case of fire, storm, snow, earthquake, flood,or other similar emergency. ❑ in a position which, under or pursuant to state law, is designated as either of the following: 1. A major,non-tenurl d policymaking or advisory.position, 2. A policymaking orIadvisory position,the performance of the duties of which ordinarily does not require more than eight hours per week. ❑ Services for a rehabilitation program by a participant in the program. E:1 Services by a participant in a work-relief or work training program assisted or financed in whole or in part by a federal or state agency. IF YOU HAVE ANY QUES I INS, PLEASE CALL THE SCHOOL EMPLOYEES FUND AT (916)65375380 OR FAX(9 6 653-5576. Execut-1vC Dkt-e'C-I-0r Authori gnature I Position Title Date 1 Ft ZF't i 25 i (�12a) (vel fti (Zfo l Name of Organization Phone Number Fax Number (include area code) Return form, DE 1 SE,to: Employment Development Department School Employees Fund 800 Capitol Mall, MIC 13 Sacramento, CA 95814 Or FAX to(916)653-5576 DE 1 SE Rev.5(9-05)(INTERNET) Page 2 of 2 cu ❑ Service in a program combining academic instruction and work experience for full-time students under age 22 (Section 646 of the California Unemployment Insurance Code). ❑ Services performed by�an ordained, commissioned or licensed minister or member of religious order. Services performed by an individual in the exercise of his or her duties as any of the following in the employ of any public)entity: ❑ A member of a legislative body, or a member of the judiciary, of a state or political subdivision thereof. ❑ A member of a State National Guard or Air National Guard. ElAn employee serving on a temporary basis in case of fire, storm, snow, earthquake, flood, or other similar emergency. ❑ In a position which, under or pursuant to state law, is designated as either of the following: 1. A major non-tenu e d policymaking or advisory position, 2. A policymaking orladvisory position,the performance of the duties of which ordinarily does not require more than eight hours per week. ❑ Services for a rehabililation program by a participant in the program. ❑ Services by a particip Int in a work-relief or work training program assisted or financed in whole or in part by a federal or state agency. IF YOU HAVE ANY QUES INS, PLEASE CALL THE SCHOOL EMPLOYEES FUND AT (916) 653-5380 OR FAX(9 6 653-5576. Execu ✓e Dtt-ecibr /l� Ch [61/ Authori gnature Position Title Date 1415;2�' PttiD11C FSU"(h t X-1AN4 (0-'1 25 Rzt9 ) [r-�llo- 1z01 Name of Organization Phone Number Fax Number (include area code) Return form, DE 1 SE,to: Employment Development Department School Employees Fund 800 Capitol Mall, MIC 13 Sacramento, CA 95814 Or FAX to(9 16)653-5576 DE ISE Rev.5(9-05)(INTERNET) Page 2 of 2 Cu s - Contra SUPERVISORS ,!s Costa sella, Acting Directot �o j . �� .ent and Human Services os._ ra o; County;N:� ottrell, Director me Supportive Services, Public Authority C_ DATe. .-it 19,2006 SUBJECT: .a Home Supportive Services, Public Authority Application for Elective Coverage of Disability Insurance SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION- 2006/ ADOPT Resolution No. 220 authorizing the Contra Costa County In Home Supportive Services, Public Authority to participate in the State of California Employment Development Department Short Term Disability Insurance program; and AUTHORIZE the Chair of the Board of Supervisors to sign and file the application with the California Employment Development Department. FINANCIAL, IMPACT: No County costs. RACKGROUND: The elective coverage of short-term disability insurance, including paid family leave (PFL), has been requested by IHSS Public Authority employees and is available to local public entities. California Unemployment Insurance Code section 709 provides that any local public entity located in this State may elect to become an employer for state disability insurance purposes only, with respect to all its employees. The electing entity agrees to remain a covered employer for not less than two complete calendar years. Coverage may be terminated at the end of the two-calendar-year period or at the end of any calendar year thereafter by giving the Department written notification by January 31 of the succeeding year. In order to file this election with the California Employment Development Department, the Board of Supervisors must pass a Resolution (Attachment A). Upon approval of this election, employee contributions to state disability insurance are required and will be paid at the rate established for each year up to the annual taxable wage limit. Employee contributions are used exclusively to finance the State Disability Insurance Program. Deductions for employee contributions should be made at the time wages are paid. Every employing unit shall post and maintain a printed notice (DE 1375C,Notice to Employees Elective Coverage Application For State Disability Insurance) of the application on the premises. Individual employees shall be given two reasonable opportunities to file objection or to.be heard in the matter prior to the Chair's approval of election. The fourteen IHHS employees are not covered at this time and have e ressed a desire to be so covered. ///�, _ O J19_ CONTINUED ON ATTACHMENT: X YES SIGNATURE: /t- 247 h �d�f�/G , --RECOMMENDATION OF COUNTY ADMINISTRATOR _RECOMMENDATION O�'F'' BOARD COMMITTEE APPROVE OTHER r SIGNATURES ACTION OF BOA )DN /// J (/i W"V APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT �� ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED JOHN CUL N,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact: JOHN COTTRELL 6-1257 cc: EHSD(CONTRACTS UNIT)—EB BOB SD /J_ p/ � COUNTYTY ADM ADMININI STRATOR 0 Auditor-Controller BY DEPUTY SUPERVISORS Contra Costa s lla, Acting Director' County .ent and Human Services ottrell, Director me Supportive Services,Public Authority C_ DATe. Al 19,2006 SUBJECT: n Home Supportive Services, Public Authority Application for Elective Coverage of Disability Insurance SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION- 2006/ ADOPT Resolution No. 220 authorizing the Contra Costa County In Home Supportive Services, Public Authority to participate in the State of California Employment Development Department Short Term Disability Insurance program; and AUTHORIZE the Chair of the Board of Supervisors to sign and file the application with the California Employment Development Department. FINANCIAL, IMPACT: No County costs. BACKGROUND: The elective coverage of short-term disability insurance, including paid family leave (PPL), has been requested by IHSS Public Authority employees and is available to local public entities. California Unemployment Insurance Code section 709 provides that any local public entity located in this State may elect to become an employer for state disability insurance purposes only, with respect to all its employees. The electing entity agrees to remain a covered employer for not less than two complete calendar years. Coverage may be terminated at the end of the two-calendar-year period or at the end of any calendar year thereafter by giving the Department written notification by January 31 of the succeeding year. In order to file this election with the California Employment Development Department, the Board of Supervisors must pass a Resolution (Attachment A). Upon approval of this election, employee contributions to state disability insurance are required and will be paid at the rate established for each-year up to the annual taxable wage limit. Employee contributions are used exclusively to finance the State Disability Insurance Program. Deductions for employee contributions should be made at the time wages are paid. Every employing unit shall post and maintain a printed notice (DE 1375C,Notice to Employees Elective - Coverage Application For State Disability Insurance) of the application on the premises. Individual employees shall be given two reasonable opportunities to file objection or to be heard in the matter prior to the Chair's approval of election. The fourteen 1H14S employees are not covered at this time and have e ressed a desire to be so covered. Jam / L90 CONTINUED ON ATTACHMENT: X YES SIGNATURE: ✓RECOMMENDATION OF COUNTY ADMINISTRATOR _RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER r SIGNATURES ACTION OF BOA D N APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED JOHN CUL N,CLERK OF THE BOARD OF SUPERVIS70RS AND COUNTY ADMINISTRATOR Contact: JOHN COTTRELL 6-1257 cc: EHSD(CONTRACTS UNIT)—EB BOBSD r /� COUNTYTY ADM ADMININI STRATOR 0 Auditor-Controller BY DEPUTY