Health Resolution Template Packet
Contract vs. Resolution
The CaPERS Health Program is governed by the Public Employees Medical and Hospital Care Act (PEMHCA), and the California Code of Regulations (CCR), of the California Public Employees Retirement Law (PERL). PEMCA contains all the rules and regulations that a contracting agency must adhere to. We define PEMHCA as the actual health contract, and the resolution as the method by which an agency elects to become subject to PEMCA.
Resolution Type (Enclosed)
Change Resolution Purpose
Format: An agency must file a change resolution to change the monthly employer All, Equal health contribution. Contracting agencies may change their employer All, Unequal contribution anytime in the contracting year. A change resolution By Group, Equal becomes effective on the first day of the second month in which the By Group, Unequal resolution is filed and received by CaPERS. It is the agency's responsibility to notify its active and retired employees of the change.
Instructions
• The enclosed resolution should be completed by filling in the editable fields with the information requested in the field tab. Contracting agencies may not add, edit, or remove language in the enclosed resolution, other than the editable fields. CaPERS may reject resolutions that are submitted with additional changes.
The certification shown following the resolution is to be completed by those individuals authorized to sign for the contracting agency in legal actions and is to include the name of the governing body (i.e. Board of Directors, Board of Trustees, etc.), and the location and the date of signing. • This resolution serves as a legally binding document, and we require the original resolution, certified copy with original signatures, or a copy of the resolution with the agency's raised seal.
Please complete and include the enclosed cover sheet when mailing the resolution.
Questions or Additional Information
The Health Resolutions & Compliance Unit is responsible for authoring and maintaining this document.
The unit can be contacted directly at [email protected].
CalPERS
Please staple on top of your health resolution(s) or cover letter.
This will ensure that the CalPERS mailroom expedites delivery to our office.
Mail packet to either:
Overnight Mail Service Regular Mail
California Public Employees' Retirement System California Public Employees' Retirement System Health Resolutions & Compliance Services, HAMD Health Resolutions & Compliance Services, HAMD 400 Q Street PO BOX 942714
Sacramento, CA 95811 Sacramento, CA 94229-2714
HEALTH
RESOLUTION
CaPERS ID # 1039155127
Agency Name City of Red Bluff
Desired Effective Date November 1, 2026
CaPERS Health Resolution (Change), Revised April 2024
RESOLUTION NO. Number 25-2026
FIXING THE EMPLOYER CONTRIBUTION
UNDER THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT
AT AN EQUAL AMOUNT FOR EMPLOYEES AND ANNUITANTS
WITH RESPECT TO A RECOGNIZED EMPLOYEE ORGANIZATION
002 MANAGEMENT
WHEREAS, (1) City of Red Bluff is a contracting agency under Government Code Section 22920 and subject to the Public Employees' Medical and Hospital Care Act (the "Act") for participation by members of 002 Management/Mid-Management Unit; and WHEREAS, (2) Government Code Section 22892(a) provides that a contracting agency subject to Act shall fix the amount of the employer contribution by resolution; and WHEREAS, (3) Government Code Section 22892(b) provides that the employer contribution shall be an equal amount for both employees and annuitants, but may not be less than the amount prescribed by Section 22892(b) of the Act; now, therefore be it
RESOLVED, (a) That the employer contribution for each employee or annuitant shall be the amount necessary to pay the full cost of his/her enrollment, including the enrollment of family members, in a health benefits plan up to a maximum of $200 per month, plus administrative fees and Contingency Reserve Fund assessments; and be it further
RESOLVED, (b) City of Red Bluff has fully complied with any and all applicable provisions of Government Code Section 7507 in electing the benefits set forth above; and be it further
RESOLVED, (c) That the participation of the employees and annuitants of City of Red Bluff shall be subject to determination of its status as an "agency or instrumentality of the state or political subdivision of a State" that is eligible to participate in a governmental plan within the meaning of Section 414(d) of the Internal Revenue Code, upon publication of final Regulations pursuant to such Section.
If it is determined that City of Red Bluff would not qualify as an agency or instrumentality of the state or political subdivision of a State under such final Regulations, CaPERS may be obligated, and reserves the right to terminate the health coverage of all participants of the employer; and be it further RESOLVED, (d) That the executive body appoint and direct, and it does hereby appoint and direct, the H.R. Administrator to file with the Board a verified copy of this resolution, and to perform on behalf of City of Red Bluff all functions required of it under the Act; and be it further
RESOLVED, (e) That coverage under the Act be effective on November 1, 2026.
CaPERS Health Resolution (Change), Revised April 2024
Adopted at a regular meeting of the City Council at the City of Red Bluff, this Day day of Month, Year.
Signed:
Mayor's Signature
Attest:
Deputy City Clerk
CaPERS Health Resolution (Change), Revised April 2024
RESOLUTION NO. Number 25-2026-1
FIXING THE EMPLOYER CONTRIBUTION
UNDER THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT
AT AN EQUAL AMOUNT FOR EMPLOYEES AND ANNUITANTS
WITH RESPECT TO A RECOGNIZED EMPLOYEE ORGANIZATION
004 MID MANAGEMENT UNIT
WHEREAS, (1) City of Red Bluff is a contracting agency under Government Code Section 22920 and subject to the Public Employees' Medical and Hospital Care Act (the "Act") for participation by members of 004 Fire Mid Management Unit; and WHEREAS, (2) Government Code Section 22892(a) provides that a contracting agency subject to Act shall fix the amount of the employer contribution by resolution; and WHEREAS, (3) Government Code Section 22892(b) provides that the employer contribution shall be an equal amount for both employees and annuitants, but may not be less than the amount prescribed by Section 22892(b) of the Act; now, therefore be it
RESOLVED, (a) That the employer contribution for each employee or annuitant shall be the amount necessary to pay the full cost of his/her enrollment, including the enrollment of family members, in a health benefits plan up to a maximum of $200 per month, plus administrative fees and Contingency Reserve Fund assessments; and be it further
RESOLVED, (b) City of Red Bluff has fully complied with any and all applicable provisions of Government Code Section 7507 in electing the benefits set forth above; and be it further
RESOLVED, (c) That the participation of the employees and annuitants of City of Red Bluff shall be subject to determination of its status as an "agency or instrumentality of the state or political subdivision of a State" that is eligible to participate in a governmental plan within the meaning of Section 414(d) of the Internal Revenue Code, upon publication of final Regulations pursuant to such Section.
If it is determined that City of Red Bluff would not qualify as an agency or instrumentality of the state or political subdivision of a State under such final Regulations, CaPERS may be obligated, and reserves the right to terminate the health coverage of all participants of the employer; and be it further RESOLVED, (d) That the executive body appoint and direct, and it does hereby appoint and direct, the H.R. Administrator to file with the Board a verified copy of this resolution, and to perform on behalf of City of Red Bluff all functions required of it under the Act; and be it further
RESOLVED, (e) That coverage under the Act be effective on November 1, 2026.
CaPERS Health Resolution (Change), Revised April 2024
Adopted at a regular meeting of the City Council at the City of Red Bluff, this Day day of Month, Year.
Signed:
Mayor's Signature
Attest:
CaPERS Health Resolution (Change), Revised April 2024
RESOLUTION NO. Number 25-2026-2
FIXING THE EMPLOYER CONTRIBUTION
UNDER THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT
AT AN EQUAL AMOUNT FOR EMPLOYEES AND ANNUITANTS
WITH RESPECT TO A RECOGNIZED EMPLOYEE ORGANIZATION
005 FIRE UNIT
WHEREAS, (1) City of Red Bluff is a contracting agency under Government Code Section 22920 and subject to the Public Employees' Medical and Hospital Care Act (the "Act") for participation by members of 005 Fire Unit; and
WHEREAS, (2) Government Code Section 22892(a) provides that a contracting agency subject to Act shall fix the amount of the employer contribution by resolution; and WHEREAS, (3) Government Code Section 22892(b) provides that the employer contribution shall be an equal amount for both employees and annuitants, but may not be less than the amount prescribed by Section 22892(b) of the Act; now, therefore be it
RESOLVED, (a) That the employer contribution for each employee or annuitant shall be the amount necessary to pay the full cost of his/her enrollment, including the enrollment of family members, in a health benefits plan up to a maximum of $200 per month, plus administrative fees and Contingency Reserve Fund assessments; and be it further
RESOLVED, (b) City of Red Bluff has fully complied with any and all applicable provisions of Government Code Section 7507 in electing the benefits set forth above; and be it further
RESOLVED, (c) That the participation of the employees and annuitants of City of Red Bluff shall be subject to determination of its status as an "agency or instrumentality of the state or political subdivision of a State" that is eligible to participate in a governmental plan within the meaning of Section 414(d) of the Internal Revenue Code, upon publication of final Regulations pursuant to such Section.
If it is determined that City of Red Bluff would not qualify as an agency or instrumentality of the state or political subdivision of a State under such final Regulations, CaPERS may be obligated, and reserves the right to terminate the health coverage of all participants of the employer; and be it further RESOLVED, (d) That the executive body appoint and direct, and it does hereby appoint and direct, the H.R. Administrator to file with the Board a verified copy of this resolution, and to perform on behalf of City of Red Bluff all functions required of it under the Act; and be it further
RESOLVED, (e) That coverage under the Act be effective on November 1, 2026.
CaPERS Health Resolution (Change), Revised April 2024
Adopted at a regular meeting of the City Council at the City of Red Bluff, this Day day of Month, Year.
Signed:
Mayor's Signature
Attest:
CaPERS Health Resolution (Change), Revised April 2024
RESOLUTION NO. Number 25-2026-3
FIXING THE EMPLOYER CONTRIBUTION
UNDER THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT
AT AN EQUAL AMOUNT FOR EMPLOYEES AND ANNUITANTS
WITH RESPECT TO A RECOGNIZED EMPLOYEE ORGANIZATION
006 MISCELLANEOUS UNIT
WHEREAS, (1) City of Red Bluff is a contracting agency under Government Code Section 22920 and subject to the Public Employees' Medical and Hospital Care Act (the "Act" or participation by members of 006 Miscellaneous Unit; an WHEREAS, (2) Government Code Section 22892(a) provides that a contracting agency subject to Act shall fix the amount of the employer contribution by resolution; and WHEREAS, (3) Government Code Section 22892(b) provides that the employer contribution shall be an equal amount for both employees and annuitants, but may not be less than the amount prescribed by Section 22892(b) of the Act; now, therefore be it
RESOLVED, (a) That the employer contribution for each employee or annuitant shall be the amount necessary to pay the full cost of his/her enrollment, including the enrollment of family members, in a health benefits plan up to a maximum of $200 per month, plus administrative fees and Contingency Reserve Fund assessments; and be it further
RESOLVED, (b) City of Red Bluff has fully complied with any and all applicable provisions of Government Code Section 7507 in electing the benefits set forth above; and be it further
RESOLVED, (c) That the participation of the employees and annuitants of City of Red Bluff shall be subject to determination of its status as an "agency or instrumentality of the state or political subdivision of a State" that is eligible to participate in a governmental plan within the meaning of Section 414(d) of the Internal Revenue Code, upon publication of final Regulations pursuant to such Section.
If it is determined that City of Red Bluff would not qualify as an agency or instrumentality of the state or political subdivision of a State under such final Regulations, CaPERS may be obligated, and reserves the right to terminate the health coverage of all participants of the employer; and be it further RESOLVED, (d) That the executive body appoint and direct, and it does hereby appoint and direct, the H.R. Administrator to file with the Board a verified copy of this resolution, and to perform on behalf of City of Red Bluff all functions required of it under the Act; and be it further
RESOLVED, (e) That coverage under the Act be effective on November 1, 2026.
CaPERS Health Resolution (Change), Revised April 2024
Adopted at a regular meeting of the City Council at the City of Red Bluff, this Day day of Month, Year.
Signed:
Mayor's Signature
Attest:
CaPERS Health Resolution (Change), Revised April 2024