Municipalities, counties and public entities that are independent public employers may at their option irrevocably determine by ordinance or resolution, following a public hearing and published notice of the hearing, to become a participating employer under the act. In addition to complying with all other required notice and public hearing or meeting requirements, any such independent public employer seeking to become a NMRHCA participating employer shall be subject to the following conditions:
FORM NOTICE LETTER
Executive Director
Retiree Health Care Authority
625 Don Gaspar (or current address)
Santa Fe, NM 87503
Dear Executive Director
The (INSERT NAME OF APPLICANT EMPLOYER) hereby gives notice that on the ______ day of __________________,_____ at _________________________ the governing body will conduct a public hearing on the question of including the (INSERT NAME OF APPLICANT EMPLOYER) in coverage by the Retiree Health Care Act.
This notice was authorized to be provided by a formal vote of the governing body of the (INSERT NAME OF APPLICANT EMPLOYER) held on the _______ day of ___________________________.
(INSERT NAME OF APPLICANT EMPLOYER)
By
________________________
Its
____________________
ORDINANCE/RESOLUTION FORM NO.
AN ORDINANCE ADOPTED PURSUANT TO THE RETIREE HEALTH CARE ACT, SECTIONS 10-7C-1 ET SEQ. NMSA 1978, EXERCISING THE IRREVOCABLE OPTION TO DETERMINE TO BE INCLUDED IN COVERAGE UNDER THE RETIREE HEALTH CARE ACT
WHEREAS, the governing body has considered the issue of retiree health care for its employees, retirees, their spouses and dependents;
WHEREAS, the governing body has considered the opportunity afforded by the Retiree Health Care Act ("act"), Sections 10-7C-1 et seq. NMSA 1978 to provide basic and optional retiree health coverages. The single basic plan of benefits rate may be adjusted from time to time pursuant to Section 13 of the act. The current single basic plan of benefits rate is______________________ (AMOUNT TO BE OBTAINED FROM THE NMRHCA); and
WHEREAS, the governing body has considered that pursuant to Section 15 of the act, Retiree Health Care Authority participation requires participating employer and/or employee contributions to the Retiree Health Care Authority fund in the amount determined to be appropriate by the NMRHCA Board and which may be adjusted from time to time; and
WHEREAS, the governing body determines to irrevocably include ________________________________, its employees and retirees in the requirements of the employer/employee contributions and retiree benefits under the act.
NOW, THEREFORE, BE IT ORDAINED by the governing body of the ____________________________
________________________________
Mayor or Chairperson
__________________
Attest
by: _________________________
its: _________________________
On this ____ day of _________________________ before me appeared ___________________________________ known to me as a duly-authorized representative of the ___________________________________ and having been first sworn on his/her oath deposed and stated that the hereinbefore recited ordinance was adopted by a vote of __________ in favor and _________ opposed and that the governing body of the ____________________________ consists of ____________ members plus a mayor or including a chairperson and that a sufficient number of them voted in favor of passage of the ordinance or resolution that it is in effect.
________________________________
Notary Public
My Commission Expires
________________________________
N.M. Admin. Code § 2.81.8.8