Self-Insured Benefits Trust Fund Board of Trustees

Duties & Powers

 
4.1: Responsibilities and Authority Assigned to the Trustees.  The Trustees are delegated the responsibility for and are authorized to exercise the following duties and authority in their role as Trustees:
    4.1.1: Providing general financial oversight of the Benefits Trust and serving in an advisory capacity to the Board. 
    4.1.2: Reviewing quarterly the financial position of the Benefits Trust to ensure sufficient funds exist to pay outstanding and future benefits, losses, and claims and to pay for risk management consultation. 
    4.1.3: Providing input and recommendations to the Board on financial issues relating to the Plan, including total Plan premiums.  The Trustees shall, in consult with the Benefits Finance Manager, determine the recommended total premiums no less frequently than annually, and make such recommendations to the Board for approval.
    4.1.4: Determining recommended funding levels and reserve requirements and amounts for the Plan, so long as they are based on generally-accepted actuarial methods, adequate and appropriate for the Benefits Trust’s self-insured retention program, and are at least equal to estimated claims incurred but not reported.  The Board may provide direction on the recommended funding levels and reserve requirements from time to time.
    4.1.5: Providing input and recommendations to the Board, as needed or requested, on an adequate and appropriate provision for stop-loss insurance for self-insured liability, contingent on maintaining recommended Benefit Trust reserves.
    4.1.6: Making recommendations to the Board on premium holidays, subsidies, and/or refunds, so long as such recommended premium holidays, subsidies and/or refunds do not reduce Benefit Trust reserves below the recommended level without a sound contingency to cover any shortfall in the Benefits Trust.  All such recommendations shall be subject to the review and approval of the Board.
    4.1.7: Providing input and recommendations to the Board on modifications of the terms and conditions of this Declaration of Benefits Trust. 
    4.1.8: Adopting any policies, rules, or procedures necessary for the administration of the Benefits Trust; provided that such policies, rules and procedures are not inconsistent with the provisions of this Declaration of Benefits Trust or applicable state and federal law.
    4.1.9: Reviewing and making determinations concerning the acceptance of the annual audit, and request, as appropriate, that specific items be reviewed in conjunction with the annual audit or as a special audit. 
    4.1.10: Prosecuting, defending and compromising actions, claims and proceedings for the protection of the assets of the Benefits Trust and the exercise of the powers vested in the Trustees under this Declaration of Benefits Trust, including, but not limited to, actions for recovery of the cost of medical care and treatment pursuant to A.R.S. § 12-962 and other applicable law.  The Trustees shall have the authority to compromise actions, claims or proceedings against the County for the protection of the assets of the Benefits Trust up to $200,000.  The Trustees shall have the authority to compromise demands or claims for recovery under the Plan of all subrogation, restitution, salvage and related claims, including reimbursement of the cost of medical care and treatment, when the settlement amount is between $100,000 and $200,000 less than the amount that the County or its authorized agent has demanded in reimbursement.  The Board reserves the right to engage and authorize third party administrators to perform recovery services under the Plan for overpayments, third party liability, subrogation, and abusive and fraudulent claims, and to delegate to such contractors the discretion and authority over whether to pursue amounts at issue up to a threshold amount as determined by the Board. 

Formation Authority

The Board of Trustees was established by the Board of Supervisors under the Declaration of Trust for Maricopa County, Arizona, Self-Insured Benefits Trust Fund as adopted on January 26, 2011. The Declaration of Trust was last amended November 2, 2016.