agendapacket - Atlantic County Municipal Joint Insurance Fund
Transcription
agendapacket - Atlantic County Municipal Joint Insurance Fund
AGENDA PACKET Wednesday, April 15, 2015 at 3:00 PM Atlantic County Library 40 Farragut Ave Mays Landing, NJ WWW.ACMJIF.ORG ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND Atlantic County Library 40 Farragut Ave Mays Landing, NJ April 15, 2015 – 3:00 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: a. The Press of Atlantic City (Atlantic and Cape May editions) b. Courier Post, Cherry Hill, New Jersey; and 2. Filing advance written notice of this meeting with the Clerks/Administrators of all member municipalities; and 3. Posting notice on the public bulletin boards of all member municipalities. IV. Roll Call A. Fund Commissioners B. Fund Professionals C. Risk Management Consultants V. Approval of Minutes .................................................................................................................Pages 1- 19 A. Adoption of the March 18, 2015 minutes – Motion – All in Favor B. Approval of the March 18, 2015 Closed Session minutes – Motion – All in Favor The Closed Session Minutes shall not be released to the public until the reason(s) for their remaining closed is no longer applicable and the Fund Solicitor has an opportunity to review them. VI. Closed Session – Resolution 2015- ______ Authorizing a Closed Session of the Atlantic County Municipal Joint Insurance Fund 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 -Roll Call A. B. Claims Review Committee Report – Closed Session Items Professionals’ Reports 1. Claims Administrator’s Report 2. Executive Director’s Report 3. Safety Director’s Report 4. Solicitor’s Report VII. Reopen Public Portion of Meeting – Motion – All in Favor VIII. Authorization of Claims Payments – Motion - Roll Call IX. Authorization to Abandon Subrogation (if necessary) – Motion - Roll Call X. Claims Review Committee Report – Open Session Items XI. Claims Administrator’s Report A. Lessons Learned from Losses – April 2015…….........................................Page 20-23 XII. Managed Health Care Report A. Managed Care Summary………………………………………….…………..…..Page 24 April, 2015 Agenda Page 2 B. C. D. E. F. G. Average Days to Report……………………………………….……...…….....…Page 25 Transitional Duty Summary……………..…………………………………...…..Page 26 Nurse Case Management Assignment Report ……………….………………......Page 27 PPO Savings and Penetration Reports…….………………………….………......Page 28 Paid Provider by Specialty………………………………………..................…....Page 29 Top 5 Providers….……………………………………………….....................….Page 30 XIII. Solicitor’s Report A. Closed Cases Report …………………….…………………………….………..Page 31 XIV. Committee Reports A. Safety Committee Meeting Minutes – March 25, 2015…………………………..Pages 32-70 1. Approval ACMJIF Wellness Policy Program Statement – Roll Call…………Page 71 2. Approval Wellness Incentive Program – Roll Call……………………….Pages 72-74 XV. Wellness Report…………………………………………………………………………Verbal XVI. Executive Director’s Report ..................................................................................................Pages 75-106 A. Lost Time Accident Frequency Reports ....................................................................Pages 79-80 B. Certificates of Insurance.............................................................................................Pages 81-85 C. 2014 Safety Incentive Program Awards. ..........................................................................Page 86 D. 2015 Optional Safety Budget............................................................................................Page 87 E. Employment Practices Liability Coverage Update .........................................................Page 88 F. EPL Allowance..................................................................................................................Page 89 G. EPL Helpline – Authorized Contact List...................................................................Pages 90-91 H. Financial Fast Track Report. .............................................................................................Page 92 I. Regulatory Filing Checklists......................................................................................Pages 93-94 J. Monthly Activity Calendar ........................................................................................Pages 95-96 K. Skateboard Park Approval Status. ....................................................................................Page 97 L. Capehart & Scatchard Updates ................................................................................Pages 98-102 M. Statutory Bonds ...............................................................................................................Page 103 N. New Fund Commissioner Orientation O. Financial Disclosure Form P. 2015 2nd Assessment Billing Q. Claims Coordinator Training R. Quarterly Attendance Report…………………………………………………….Pages 104-106 S. Revenue and Appropriations T. Payroll Audits U. Property Appraisals V. New Member Activity XVII. MEL and/or RCF Reports A. Super Storm Sandy Memo: Status Update………………………………………….Page 107 XVIII. Safety Director’s Report A. Activity Report - March 2015…………………………………….……….…Pages 108-115 MEL Media Library…………………………………………………….…….Pages 116-117 B. Camp Counselor Training/Log In information……………………………….Pages 118-119 C. Crossing Guard Training……………………………………………..………Page 120 D. Bulletin: Collecting Brush in Roadways…………………………...………..Pages 121-122 E. April, 2015 Agenda Page 3 XIX. Treasurer’s Report as of March 31, 2015……………………………………..……Pages 123-182 A. Fund Status B. Investment Report C. Payment Register – Motion - Roll Call D. Bill List – Motion - Roll Call………………………………………….…….Page 179 F. Reconciliation E. Analysis of Non-Assessment Receipts XX. Miscellaneous Business The Next Meeting will be held on Wednesday, May 20, 2015 at 3:00 PM, Atlantic County Library, Mays Landing Branch, 40 Farragut Avenue, Mays Landing, NJ XXI. Public Comment A. B. XXII. Motion to Open Meeting to Public Comment – Motion - All in Favor Motion to Close Meeting to Public Comment – Motion – All in Favor Motion to Adjourn Meeting – All in Favor ATLANTIC COUNTY PUBLIC LIBRARY 40 Farragut Ave Mays Landing, New Jersey March 18, 2015 – 3:00PM OPEN SESSION MINUTES The regular meeting of the Atlantic County Municipal Joint Insurance Fund (ACM JIF) was held on March 18, 2015, at Atlantic County Library – Mays Landing Branch, 40 Farragut Ave, Mays Landing, New Jersey at 3PM, prevailing time. Chair Beck, City of Linwood, presiding. The meeting was called to order at 3:00 PM. FLAG SALUTE STATEMENT OF COMPLIANCE WITH OPEN PUBLIC MEETING ACT Notice of this meeting was given by: (1) sending sufficient notice herewith to The Press of Atlantic City (Atlantic and Cape May editions) and the Courier Post, Cherry Hill, New Jersey; (2) filing advance written notice of this meeting with the Clerks/Administrators of all member municipalities of the Atlantic County Municipal Joint Insurance Fund; and (3) posting notice on the public bulletin boards of all member municipalities of the Atlantic County Municipal Joint Insurance Fund. ROLL CALL Those in attendance were: Jessica Thompson, Alternate, Absecon Scott Wahl, Avalon Karen Blowers, Brigantine Joseph Santagata, Buena Borough Bob Smith, Cape May City Kim Hodsdon, Cape May Point Heather Sparks, Commercial Rose Turner, Corbin City Karen Seifrit, Deerfield Peter Miller, Egg Harbor Twp Byron Gummoe, Folsom Ingrid Perez, Hamilton Ed Beck, Linwood Rich Hirsch, Longport Julie Picard, Lower Lisa McLaughlin, Margate Connie Mahon, Middle Dawn Stollenwerk, Mullica Scott Jett, North Wildwood Jim Dickinson, Northfield MINUTES.docx 1 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 2 Liz Woods, Ocean City Lucy Samuelsen, Somers Point Jim Craft, Stone Harbor (arrived 3:02pm) Teri Smuz, Upper Twp Roy Spoltore, Upper Deerfield James Goos, Ventnor Bill Richardson, Waterford Lauren Vitelli, West Cape May Bonnie Yearsley, Weymouth Chris Wood, Wildwood City (arrived 3:02pm) Janelle Holzmer, Wildwood Crest Absent were: Glenn Clarke, Dennis Twp Bob Campbell, Downe Twp Linda Kent, Estell Manor Susan Jacobucci, Galloway Susan Robostello, Millville Sam Barbagli, Newfield Stephen Wilkins, Pleasantville George Savastano, Sea Isle City Chris Ridings, West Wildwood Lisa Garrison, Woodbine Also present were: Paul Forlenza, Deputy Executive Director, AJG Risk Management Services, Inc. John Hansen, Treasurer Tim Sheehan, Safety Director, J.A. Montgomery Risk Control Kathie Tyler-Schohl, Claims Administrator, Qual-Lynx Karen Beatty, Managed Care Provider, QualCare Also present were the Risk Management Consultants from the following agencies: C. J. Adams Company Atlantic Associates Conner Strong & Buckelew Fairview Insurance Agency R. T. Gerber Insurance Glenn Insurance Marsh & McLennan Agency McMahon Agency, Inc. Siracusa-Kauffman Insurance William R. Mints Agency Absent RMCs were: Alamo Insurance BCA Insurance J. Byrne Agency, Inc. Hardenberg Insurance Thomas Heist Insurance Agency 2 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 3 Insurance Agencies Management Inc. These minutes do not necessarily reflect the order in which some items were discussed. MOVE UP ALTERNATE In absence of George Savastano, Sea Isle City and Susan Robostello, Millville City, Chair Beck entertained a motion to move Alternates Connie Mahon, Middle Twp and Joe Santagata, Buena Borough to the Executive Committee for voting purposes. Motion by Ms. Smuz, seconded by Mr. Smith, to move up Alternates Connie Mahon, Middle Twp and Joe Santagata, Buena Borough to the Executive Committee for voting purposes. APPROVAL OF MINUTES – OPEN SESSION Chair Beck entertained a motion to approve the meeting minutes of the February 18, 2015 Executive Committee Meeting as presented. Motion by Mr. Smith, seconded by Ms. Smuz, to approve the meeting minutes of the February 18, 2015 Executive Committee Meeting. All in favor. Motion carried. APPROVAL OF MINUTES – CLOSED SESSION Confidential Closed Session Meeting Minutes were distributed to the Executive Committee Members. Chair Beck entertained a motion to adopt the Closed Session Meeting Minutes of the February 18, 2015 Meeting of the Fund as presented. Motion by Mr. Smith, seconded by Ms. Smuz, to approve the Closed Session minutes of the February 18, 2015 Executive Committee Meeting as presented. All in favor. Motion carried. The Closed Session meeting minutes of the February 18, 2015 meeting shall not be released to the public until the reason(s) for their remaining closed is no longer applicable and the Fund Solicitor has had the opportunity to review them. Confidential Closed Session Meeting Minutes were collected. CLOSED SESSION - RESOLUTION #2015-24 Be it moved by the Atlantic County Municipal Joint Insurance Fund that the public be excluded from this portion of the meeting to permit the Executive Committee to consider in closed session matters affecting the safety and property of the public and to discuss pending or anticipated litigation and/or contract negotiations and that the minutes covering these matters and the results of closed session will be released to the public when the reasons for discussing and acting on them in closed session no longer exists as required by the Open Public Meeting Act. Chair Beck entertained a motion to adopt Closed Session Resolution 2015-24 as presented. Motion by Mr. Smith, seconded by Ms. Smuz to adopt Resolution 2015-24. 3 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 4 ROLL CALL Joe Santagata, Buena Borough Bob Smith, Cape May City Kim Hodsdon, Cape May Point Ed Beck, Chair, Linwood City Connie Mahon, Middle Twp Lucy Samuelsen, Somers Pt City Teri Smuz, Sec, Upper Twp Yeas: Nays: None Abstained: None Motion carried by unanimous vote. REOPEN PUBLIC PORTION OF THE MEETING Chair Beck entertained a motion to reopen the public portion of the meeting. Motion by Mr. Smith, seconded by Ms. Smuz, to reopen the public portion of the meeting. All in favor. Motion carried. AUTHORIZATION OF CLAIMS PAYMENTS Chair Beck presented the claims for payment as discussed in Closed Session. Chair Beck asked if there were any questions at this time. No questions were entertained. Chair Beck entertained a motion to approve the claims for payment as discussed in Closed Session. Motion by Ms. Hodsdon, seconded by Ms. Mahon to approve the claims for payment as discussed in Closed Session. They are as follows: February 2015 PARs: Workers’ Compensation General Liability Property Z09891 (01-02) X52140 W98372 X89365 Z08071 Z07103 X70873 W57075 X72324 X50931 Z10681 X79074 X61925 X64896 (01-02) 4 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 5 ROLL CALL Joe Santagata, Buena Borough Bob Smith, Cape May City Kim Hodsdon, Cape May Point Ed Beck, Chair, Linwood City Connie Mahon, Middle Twp Lucy Samuelsen, Somers Pt City Teri Smuz, Sec, Upper Twp Yeas: Nays: None Abstain: None Motion carried by unanimous vote. APPROVAL TO ABANDON SUBROGATION Chair Beck entertained a motion for authorization to abandon subrogation attempts as discussed in Closed Session. Motion by Ms. Smuz, seconded by Mr. Smith to abandon subrogation attempts as discussed in Closed Session. There were three (3) claims for Abandonment of Subrogation. Qual-Lynx File # X64896 (01-02) X79074 X78970 ROLL CALL Joe Santagata, Buena Borough Bob Smith, Cape May City Kim Hodsdon, Cape May Point Ed Beck, Chair, Linwood City Connie Mahon, Middle Twp Lucy Samuelsen, Somers Pt City Teri Smuz, Sec, Upper Twp Yeas: Nays: None Abstain: None All in favor. Motion carried by unanimous vote. CLAIMS REVIEW COMMITTEE REPORT – OPEN SESSION ITEMS Ms. Perez, Hamilton Township, reported on the Claims Review Committee meeting minutes of March 12, 2015. She noted they are a handout to the membership and are self- explanatory. She highlighted the following items: PARs The Committee reviewed Fourteen (14) claims at the March 12, 2015 meeting. Of the claims reviewed, Nine (9) Workers’ Compensation (5 Police, 3 Fire, and 1 Other); Three (3) General Liability; and two (2) Property PARs were approved for settlement or continuing defense. 5 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 6 Ms. Perez commented that the Committee discussed transitional duty and all members received a a copy of the new Transitional Duty Policy at the Safety Breakfast. Ms. Perez noted that there was a correction to the closed cases listed in the agenda packet which is a handout this evening. She stated that case #4 on pg 28 should read “v. West Wildwood” and not “v. West Cape May”. Ms. Perez asked if there were any questions. No questions were entertained. The next meeting is April 9, 2015 at the Hamilton Twp Municipal Building, Mays Landing. CLAIMS ADMINISTRATOR’S REPORT Lessons Learned from Losses – March Ms. Tyler-Schohl reported on the Lessons Learned from Losses which in now included in the agenda packet. Ms. Tyler-Schohl noted that 2014-2015 had several cases relating to the weather, including potholes. She cited a recent case that was found in favor of the Plaintiff. She explained that in 2010 a pothole claim filed against a member was initially denied citing Title 59 immunities. The total damage to the plaintiff’s vehicle was approximately $500. The claim eventually went to trial. The Jury found in favor of the Plaintiff finding “the actions of the municipality were palpably unreasonable” awarding him $150,000. She asked that members review the suggestions regarding potholes listed on her Lessons Learned from Losses. She also asked that municipalities check with their Public Works departments and make sure there is a written policy for taking complaints regarding potholes and documenting their repair. Also, if the pothole is on a county road, that the municipality report it to the county as well. She reminded them to keep records and to set cones around very bad potholes until they can be fixed. Claims Coordinator Seminar Ms. Tyler-Schohl announced that the Claims Coordinator Seminar will be held at Merighi’s on April 30, 2015 from 9AM-12PM. She noted that her office will send emails to all the claims coordinators announcing these dates. The remainder of the Claims Administrator’s report was provided in Closed Session. MANAGED HEALTH CARE REPORT Ms. Beatty reviewed the Managed Care Report for February 2015. Lost Time v. Medical Only Cases Ms. Beatty presented the ACM JIF Lost Time v. Medical Only Cases (Intake Report). Lost Time Medical Only 6 Feb 4 YTD 13 36 85 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 7 Report Only 37 60 Total Intakes(New Claims) 77 159 Report Only % of Total 48.1% 37.7% Medical Only/Lost Time Ratio 90:10 86:14 0.8 1.1 Average Days to Report Transitional Duty Report Ms. Beatty presented the Transitional Duty Report. Transitional Duty Summary Report Transitional Duty Days Available Transitional Duty Days Worked % of Transitional Duty Days Worked Transitional Duty Days Not Accommodated % of Transitional Duty Days Not Accommodated YTD 1,359 868 63.9% 491 36.1% Nurse Case Assignment Report: Nurse Case Summary Report (Inclusive of 3 JIFs) Total Open Cases in current month Total Cases Closed Total New Cases Open Feb 229 70 73 PPO Penetration Report: Ms. Beatty presented the self-explanatory PPO Penetration Rate Report. PPO Penetration Rate Bill Count Original Provider Charges Re-priced Bill Amount Savings % of Savings Participating Provider Penetration Rate- Bill count Participating Provider Penetration Rate-Provider Charges EPO Penetration Rate – Bill Count EPO Penetration Rate –Provider Charges Feb 496 $686,149 $239,049 $432,980 63.1% 92.9% 97.1% 73.9% 82.7% Ms. Beatty asked if there were any questions at this time. No questions were entertained. SOLICITOR’S REPORT In Mr. DeWeese’s absence, Mr. Forlenza presented the following report: 7 YTD 1,028 $1,394,404 $492,615 $882,403 63.3% 93.4% 96.9% 78.9% 76.5% ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 8 New Cases Mr. Forlenza noted that there were four (4) new cases reported as discussed during Closed Session. Closed Claims Mr. Forlenza noted that there were four (4) closed cases. He noted that synopsis of these cases can now be found in the agenda packet; however, a corrected page is a handout this evening. Closed Case Description Guthrie v. Township of Middle Assault/resisting arrest. Assigned Defense Counsel, A. Michael Barker, Esquire negotiated settlement to the Plaintiffs for $5,000 and $45,000 on behalf of all the Township of Middle and all Police Officer Defendants. Auld Estate v. Township of Middle Death during medical transit (pre-suit). Defense Counsel, A. Michael Barker, Esquire, was assigned pre-suit for monitoring. To date, the insured has not been served with a Notice of Claim so the file has been closed. Marchesano Estate v. City of Ocean City Trip and Fall in wheelchair. Assigned Defense Counsel filed Stipulation of Dismissal as to the insured. The Plaintiff’s counsel filed an Offer of Judgment with the co-defendants settling for $20,000 with no contribution from the City of Ocean City. Perloff v. Borough of West Wildwood (this was a corrected handout from one in agenda packet naming West Cape May) Constitutional rights/injunctive relief. Assigned Defense Counsel, Robert Merenich, Esquire filed a Motion for Summary Judgment which was denied. With approval of the RCF, Mr. Merenich negotiated settlement of this matter for the payment to the Plaintiffs of $350,000. General Liability File Status Report Mr. Forlenza reported that there are 68 active General Liability claims. Subrogation Collection Mr. Forlenza reported that the subrogation efforts are listed in Mr. DeWeese’s report in the Claims Review Committee minutes and will be detailed in the Treasurer’s report. BULLETIN – SPORTS COMMITTEES Mr. Forlenza noted that on pg 31 is a bulletin regarding potential liability issues for actions of members of sports and recreation boards, associations, commissions or committees from a case in the TRICO JIF. He noted that in this case, the members of the Recreation Commission that were appointed by Governing Body approved the actions and appointments to the boards of the sports group that they oversaw. In doing so, the Recreation Commission took over control of these groups making them responsible for the actions of these groups; essentially extending coverage liability coverage to their actions. Mr. Forlenza 8 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 9 asked the members to review how they handle these organizations, noting to look at appointment process, and make sure the sports committees are not endorsing the individual actions of the sports groups they are overseeing. He stated that anyone with questions, can contact their RMC, the Fund Solicitor or his office. COMMITTEE REPORTS Nothing to report. EXECUTIVE DIRECTOR’S REPORT Mr. Forlenza reviewed the Executive Director’s Report found in the agenda packet with the membership. He highlighted the following items. 2014 Safety Incentive Program Awards – Mr. Forlenza noted that awards letters from his office were issued after the Safety Breakfast. He stated that the deadline to claim or encumber these funds is December 31, 2015. All encumbered funds must be claimed by February 1, 2016. He encouraged members to submit reimbursement requests as soon as you make the purchases and not wait until the deadline. 2015 Optional Safety Budget - Mr. Forlenza noted that letters from his office were issued via email detailing how to collect your Optional Safety Budget money. He stated that the deadline to claim or encumber these funds is December 31, 2015. All encumbered funds must be claimed by February 1, 2016. He encouraged members to submit reimbursement requests as soon as you make the purchases and not wait until the deadline. EPL Helpline – Mr. Forlenza asked members to review the authorized contact list in the agenda packet to be sure the correct individual is listed. Financial Fast Track – Mr. Forlenza commented that the JIF has a strong surplus position right now. Elected Officials Training – Mr. Forlenza stated that the last Elected Officials training session was held March 11, 2015 and all were well received. He noted all sign in sheets, including those from the League of Municipalities, are on the JIF website for your review. Mr. Forlenza stated that there is an online program that may still be available if any elected officials missed these sessions. Financial Disclosure Form – Mr. Forlenza stated that on March 3, 2015 an email was sent to all Fund Commissioners and included a copy of the Local Finance Notice 2015-5. He stressed that all forms can be filed after April 1, 2015 and need to be filed with the State by April 30, 2015 to avoid penalty fees. He reported that the State is currently fining the individuals $100 that did not file for 2014. In addition, they are still required to complete the 2014 form. He stressed that this fine cannot be paid by the town or the JIF, it is tied directly to the individual. Ms. Hodsdon also stressed to remind everyone to print your confirmation receipt to show proof of your filing. Payroll Audits – Mr. Forlenza reported that the workers’ compensation exposure verification audits have begun. 9 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 10 Property Appraisals – Mr. Forlenza urged members to update their property schedules in Exigis as soon as possible so as to not delay the renewal process. State Auditors – Mr. Forlenza reported to the members that representatives from the DOBI are currently auditing all three of the municipal JIFs administered in his office. He explained that every 6-7 years, the Department sends examiners to review the Funds’ operations inclusive of financial audits, risk management plans, actuarial opinions, committee meeting minutes, meeting notices, etc. He believes they will provide a written report once it is complete. He noted that AJG has been able to supply all their requested items thus far and he will keep the members up to date. He further noted that all of the MEL affiliated JIFs statewide are currently undergoing this review. RESOLUTION 2015-25 Appointing Valerie Smith as Wellness Director Chair Beck noted that the Scope of Services for Ms. Smith in her role as Wellness Director were a handout this evening. He then entertained a motion to approve Resolution 2015-25 Appointing Valerie Smith as Wellness Director from March 19, 2015 through December 31, 2015 with a cost not to exceed $49,479 as presented. Motion by Mr. Smith, seconded by Ms. Smuz to approve Resolution 2015-25 Appointing Valerie Smith as Wellness Director from March 19, 2015 through December 31, 2015 with a cost not to exceed $49,479. Discussion Prior to Roll Call, Ms. Samuelsen asked to comment on the process for selecting Ms. Smith for this position noting that she believes several procedures have been missed. She stated that the Fund should have undergone a RFP or RFQ process; there was not authorization to advertise for this position from Finance Committee. She commented that her opposition has nothing to do with Ms. Smith and her qualifications, just purely procedural. She would like to ensure that the Finance Committee has reviewed the contract and that the contract cost is final. In other words, there are no additional charges set forth for travel expenses, etc. She also commented that she would have preferred to have seen the top three (3) candidates instead of having one (1) candidate put before the JIF for approval. Ms. Hodsdon commented that she shares Ms. Samuelsen’s concerns. She noted that when the Fund considers positions, a Committee makes a recommendation to the Executive Committee whereas the Safety Committee did not in this case. She does appreciate the time that AJG put in to finding Ms. Smith, but feels that the top three (3) candidates should have been presented to the membership for consideration. Ms. Hodsdon asked for a Motion to Table the Resolutions. Mr. Forlenza noted that in accordance with Robert’s Rules, there is currently an open Motion on the floor from Mr. Smith and that must be withdrawn before this Motion can be made. Ms. Hodsdon respectfully requested that his Motion be withdrawn. Mr. Miller requested that prior to roll call the members be given an opportunity to be heard. He noted that he “missed” this new position when the budget was discussed. His concern is the amount of money that will be saved in WC premium dollars for investing in Wellness. He has not seen any data to prove the savings will be recognized. He stated that since Burlco and Trico JIFs have had this program for 2+ years, what percentage of savings has been recognized. He also commented that he feels the job description is repetitive of the State Health Benefits program in which his municipality already 10 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 11 participates. He further asked why the JIF is getting into health systems management rather than staying with loss control. He noted that if the Fund is hiring someone at $62,500, why would this person need a consultant to help them do their job. Mr. Miller requested that the Executive Committee honor the request of Ms. Hodsdon for Mr. Smith to rescind his Motion approving Resolution #2015-25 and to allow the Motion to table this resolution. Ms. Samuelsen noted that she is also opposed to the consultant since Ms. Smith’s qualifications are exceptional. Ms. Hodsdon commented that she was also disappointed that the job was only advertised on Monsters.com and Craigslist.com and not local newspapers where we may have missed some local talent. Ms. Stollenwerk stated that the Safety Committee approached the Finance Committee and requested this Wellness position. She noted that it was discussed at the Finance Committee and noted that some felt it could be used as a potential area of funding for local wellness programs. She also stated that she is not in favor of hiring a consultant either. Ms. McLaughlin also commented that when she saw this in the budget she too thought it was going to be another area where the members could receive funds to assist in local wellness items and activities. She asked that if this position remains, will there be other money available to support member wellness activities or just to pay the Wellness Director. Mr. Forlenza addressed the members. He noted that his office advertised on internet job sites for this position. He commented that his office learned a lesson when advertising for Burlco and Trico’s wellness position. He noted that the position being advertised for is unique. He reported that 57 resumes were received in total which he indicated he had with him and offered anyone an opportunity to review if they desired. He also noted that more than half of the resumes received were from individuals living in the Southern part of NJ which he felt addressed Ms. Hodsdon concern regarding local talent. He also noted that the other finalist for the position is from Pleasantville and after an extensive interview; all felt that Ms. Smith was more qualified and had a better background to meet the needs of this position. Mr. Forlenza stated that procedurally his office did everything correctly. He noted that the Local Public Contracts law indicated that you must do an advertisement – which was done. He noted that a RFP process was not undertaken because they did not want a firm in this position; they wanted a sole proprietor. He stated that there are only a few firms that do this and their personnel are very expensive due to high overhead and administrative costs. He estimated the JIF would spend in excess of $100,000 for one person if they were to engage a firm. He reported that he, Mr. Miola and Ms. Schiffer, the Wellness Director in Burlco and Trico JIFs, reviewed all the resumes and narrowed them down to six candidates. He stated that a notice was sent to those six individuals asking them to provide additional information in regards to their background and review the proposed scope of services noting how they would address the services under the contract, and their compensation requirements. Mr. Forlenza noted that of the six candidates, one (1) responded they no longer were interested; two (2) did not respond; and final three (3) responded with the requested information. He commented that the final three (3) were reviewed by himself, Mr. Miola and Ms. Schiffer. He reported that they decided to interview the two (2) that were clearly more qualified for the position. He commented that they spent over an hour discussing each individual and Ms. Smith was the best candidate of the two. He stated that she currently works for Coaches USA and does provides onsite wellness for Prudential Insurance. 11 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 12 Mr. Forlenza commented that the reason he and Mr. Miola felt that bringing Ms. Schiffer on board to work with Ms. Smith was so she would get the best opportunity to hit the ground running. Ms. Schiffer has worked for over two (2) years in Burlco and Trico. He invited the members to contact any member in either of those JIFs and discuss Ms. Schiffer with them. She is very well liked, energetic and has developed contacts in the medical field and county health systems. It would be a huge benefit if Ms. Smith would learn from Ms. Schiffer and not have to start from scratch. Mr. Forlenza stated that $100,000 has been budgeted. He noted that the contract amount for Ms. Smith is $62,500 inclusive of expenses and her contract is pro-rated. Mr. Forlenza noted that all members were aware that the $100,000 was placed into the budget. He reported that there were extensive discussions of the wellness funding in the Finance Committee minutes, the 2015 Budget message, and Safety Committee minutes. He commented that at the December 4, 2015 Safety Committee meeting there was discussions on hiring a Wellness Director and hiring Ms. Schiffer as the consultant whom those present felt was a good idea. Mr. Forlenza noted that he has copies of all of these items and from discussions over the last six month period if anyone would like to review. He noted that there was an in depth discussion in addition to a presentation at the ACM JIF Retreat. At the Retreat, there was also a discussion about hiring a Wellness Director which was incorporated into the slide presentation. Ms. Schiffer was also a presenter at the Retreat and discussed how she started, her programs, and her initial difficulties getting the program started. Ms. Schiffer along with Dr. Sigafoos highlighted the National studies showing the connection between healthy employees and reduction of workers compensation claims costs. He reiterated that these studies show that healthy employees are less likely to become injured and if they do get injured, they recover quicker. Mr. Forlenza stated that he did not feel it would be in the best interest of the JIF to take a step back and restart this process. Ms. Hodsdon asked if Ms. Smith was promised anything. Mr. Forlenza noted that she was extended an offer of contract contingent upon approval by the JIF governing body. Mr. Miller asked about the amount of savings in claims paid from WC’s data available from Burlco and Trico JIFs. Mr. Forlenza noted that similar to safety programs, you don’t know how much money you save because you do not know how many accidents you prevented by having a strong safety program. He commented that the Claims Committee and the adjustors see it when there are delayed surgeries because the individual is a smoker, or has diabetes, or has to lose weight prior to the surgical procedure. This puts that individual out of work for a longer time period and costs add up. He reiterated that anything that can be done, regardless of the source, to improve the health of our workforce, will benefit everyone in the long run. He also added that Burlco and Trico had these same apprehensions in the beginning and now all members are engaged. He offered that some towns have Biggest Loser Contests, wear pedometers, purchase fresh fruit for employees, took out junk food vending machines and are undertaking all kinds of wellness activities. Mr. Miller inquired about how many hours Ms. Smith will be working a week. Mr. Forlenza noted he expects her to work a full 40 hour week inclusive of travel time. He stated that she will be out visiting members to see what you are doing and how; sitting in on Safety Committee meetings; speak about appointing a local wellness coordinator and expanding your safety program to be a Safety and Wellness Committee. He commented that she will be going with Ms. Schiffer to meet with County organizations and finding out about resources available so she can bring that information to the members. She can assist in health fairs, smoking cessation, biggest loser contests; lunch and learns, etc. and help develop a stronger wellness program. 12 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 13 Mr. Miller asked that if a member choses to not participate, will they receive a credit. Mr. Forlenza noted that money was allocated across the membership based on employee counts. Ms. Hodsdon agreed with Mr. Miller noting that as an extra small member, she can’t see what the Wellness Director would do for her town. Ms. Mahon disagreed with that option. She stated that she is a town that does everything that Mr. Forlenza mentioned including having a Wellness Committee, adding healthy choices to the vending machine, helping smokers quit, etc. and she has seen a difference in her employees. She reported that it has a ripple effect on job performance as well in any size municipality noting that reducing smokers also reduces the number of smoke breaks. Ms. Mahon added that wellness helps everyone’s well-being also and although she has a strong program, she believes the JIF should move forward and try this program for at least a year. She has seen it grow in her town from one person to a life of its own with more employees wanting to participate and she wants to share that with Ms. Smith and the other members. She reminded everyone that it is not just about wellness, but also about mental wellness of the employees. Mr. Forlenza also commented that the City of Vineland in the Trico JIF has a very elaborate program and has amazing WC results. Mr. Bob Smith, Cape May, also noted that they have had their program for over eight years and it is the one program that reaches out to the employees AND the community. Every year they have a health fair with over 16 different vendors/services and it is very successful. He commented that moral increases and they have participation from the majority of the employees. Mr. Bob Smith also noted that the Executive Director’s office has done a very thorough job in this interview process and he feels they should move forward with the wellness program. Ms. Smuz stated that as a Finance Committee member, she recalled being shocked at the introduction of the $100,000 line item for wellness. She noted that Upper Township already has a wellness program and does these activities as well; however, she realizes that it is not just for her town, but for those that do not have this activity. She reported that they had over a 100 participants at her health fair this year which incorporated the public and surrounding towns as well. She further noted that at this year’s health fair, one of her employees found out his sugar was very high, followed up with the doctor and found he was a diabetic, potentially saving his life. She said with that alone, and without any other statistics, is enough for her to have a wellness program. She also noted that Ms. Schiffer should assist her initially because the JIF is not the easiest group to handle. Ms. Samuelsen reiterated that she still felt communication was lacking and moving forward feels the Executive Committee should be more involved in these processes. She is looking forward to the wellness program, but just wants to be part of the process. She also asked Mr. Forlenza if there will be any added costs. She was also hoping for more “seed” money to help the municipalities get going in wellness. He noted Ms. Smith’s contract indicates that it covers all costs and that all Fund Professionals contracts are written with that standard language. Mr. Forlenza commented that he would need to discuss any potential funding/incentives with the Safety Committee, but the first step is getting the program implemented. Ms. Stollenwerk again reiterated that she is not in favor of the consultant with Ms. Smith’s glowing resume. Mr. Forlenza stated that it is a learning curve just like when bringing on a new administrator. At this time, Chair Beck asked if Mr. Smith would care to withdraw his Motion and Ms. Smuz withdraw her second for Resolution 2015-25. 13 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 14 Mr. Smith noted that he will not withdraw his Motion nor would Ms. Smuz withdraw her second. Chair Beck then entertained a roll call on the Motion to approve Resolution 2015-25. ROLL CALL Joe Santagata, Buena Borough Bob Smith, Cape May City Ed Beck, Chair, Linwood City Connie Mahon, Middle Twp Lucy Samuelsen, Somers Pt City Teri Smuz, Sec, Upper Twp Kim Hodsdon, Cape May Point Yeas: Nays: Abstained: None No other questions were entertained. Motion carried by majority vote. RESOLUTION 2015-26 Chair Beck entertained a motion to approve Resolution 2015-26 Appointing Debby Schiffer as Wellness Consultant from March 19, 2015 through December 31, 2015 with a cost not to exceed $15,833 as presented. Motion by Mr. Smith, seconded by Ms. Smuz to approve Resolution 2015-26 Appointing Debby Schiffer as Wellness Consultant from March 19, 2015 through December 31, 2015 with a cost not to exceed $15,833. Chair Beck asked if there were any questions at this time. Ms. Samuelsen stated that she vehemently opposes the appointment of a wellness consultant as she does not believe it is necessary with such a higher qualified Wellness Director. Mr. Miller noted that Mr. Forlenza stated that Ms. Schiffer participated in the interview process and he inquired when she knew she would be asked to be a consultant. Mr. Forlenza stated that is was discussed at the Safety Committee meeting in early December. He noted no matter whom was hired; they would need Ms. Schiffer’s initial assistance. He saw no conflict with Ms. Schiffer assisting in the interview process. He noted that they didn’t recommend hiring a less qualified person to justify a contract for Ms. Schiffer. Chair Beck then entertained a roll call on the Motion to approve Resolution 2015-26. ROLL CALL Joe Santagata, Buena Borough Bob Smith, Cape May City Ed Beck, Chair, Linwood City Connie Mahon, Middle Twp Teri Smuz, Sec, Upper Twp Kim Hodsdon, Cape May Point Lucy Samuelsen, Somers Pt City Yeas: Nays: Abstained: None 14 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 15 No other questions were entertained. Motion carried by majority vote. MEL REPORTS Mr. Hirsch noted that a written report is included in the agenda. He highlighted the following: MEL Commissioner Retreat– Mr. Hirsch reported that the MEL Board of Commissioners held a one day Retreat on February 26, 2015. The Board adopted a Resolution accepting recommendations to combine the Strategic Planning Committee, Membership & Marketing and Rules/Contracts into the Management Committee. He noted that in addition they disbanded the Police Accreditation Committee. 2015 MEL & MRHIF Educational Seminar – Mr. Hirsch informed the members of an upcoming educational seminar hosted by the MEL & MRHIF. He stated it will be on April 17, 2015 from 9am-4pm at the National Conference Center in East Windsor, NJ. Professional Service Agreement - Mr. Hirsch reported that the MEL adopted standard contract language for the professional service agreements. MEL Coverage Bulletins – Mr. Hirsch noted that coverage bulletins can be found on the MEL website. Super Storm Sandy Scheduling Order - Mr. Hirsch noted that Judge Carver set a date of July 31, 2015 to complete the mediation process. RCF REPORTS Professional Service Agreement - Mr. Hirsch reported that the RCF adopted the same standard contract language for the professional service agreements. Mr. Hirsch asked if there were any questions at this time. No questions were entertained. SAFETY DIRECTOR'S REPORT Mr. Sheehan stated that the Safety Director's Report is self-explanatory. He highlighted the following items and reminded the members of the upcoming training sessions: Safety Bulletin – Mr. Sheehan commented that the bulletin “First Responders – Safe Lifting and Moving of Patients” was issued in February. He asked members to read and share it with the appropriate Departments, your governing bodies, and post it in your municipality. Safety Director’s Message – Mr. Sheehan noted that there was also a Safety Director’s message sent out regarding using spotters for backing up vehicles. S:ERVE – Mr. Sheehan noted that the Safety Emergency Responders Vehicle Education notice was emailed on January 27, 2015. 15 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 16 MSI Training – Mr. Sheehan reported that the report contains a list of all programs for March, April and May. Police Adhoc Minutes – Mr. Sheehan stated that the minutes from the January meeting are in his report. Camp Counselor Training – Mr. Sheehan noted that this will be available online by April 1, 2015. This training covers, Child Sexual Abuse Prevention at camp, Bullying Prevention at camp, Playground Safety for camp counselors, Trip and Transportation safety and Aquatic safety for counselors and Professional Lifeguard safety training. Safety Contracts – Mr. Sheehan reminded members that their Safety Contracts are due by March 31. 2015. He stated that there are 5 members still outstanding and this is a mandatory element of the Safety program. Mr. Sheehan asked if there were any questions at this time. No questions were entertained. TREASURER’S REPORT Mr. Hansen presented the Treasurer’s Report for the period ending February 28, 2015. The report was made part of the agenda packet for members’ review. Investment Interest Net interest received for the current month totaled $2,472.02 and a coupon payment of $4,500, accrued interest of $17,375.00. After including an unrealized net loss of $19,200 in the asset portfolio, the yield was adjusted to positive .02 % for this period. The total overview of the asset portfolio for the Fund shows an overall unrealized gain of $69,910.38 as it relates to market value vs. the amount invested. Our asset portfolio with TD Wealth Management has a current market value, at month end, of $22,055,580 and consists of one (1) with maturity of less than one year; five (5) obligation with maturity of 1- 2 years and three (3) obligations with maturities greater than two (2) years. He noted that he will be investing another $5 million at the end of March and an additional $5 million at the end of April. Redeemed: Called: Purchased: Coupon Payment/Asset Income: $0 $0 $0 $4,500 Receipt Activity for the Period Monthly YTD Subrogation Receipts $3,569.63*(corrected verbally at meeting) $202,458.31 Reimbursement & Salvage $2,545.73*(corrected verbally at meeting) $8,896.89 $0 $100.00 Closed Year 2015 Assessment Collected 4,959,913.75 16 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 17 Retrospective Program $0 $7,573.00 1st Quarter Assessments – Mr. Hansen noted that all assessments were collected. 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 $744,707.76. A total of 536 checks were issued to vendors. The claims detail is as follows: Direct Loss Payments $672,391.64 Claim Expenses $37,690.99 Legal Defense Costs $34,625.13 Void 10 payments <$299.67> Cash Activity for the Period During the reporting month, the Fund’s “Cash Position” changed from an opening balance of $45,595,905.31 to a closing balance of $48,403,741.36 showing an increase in the Fund of $2,807,836.05. A.E.L.C.F. PARTICIPANT YEAR-END BALANCES 02/28/15 Unaudited Member Hamilton Township $15,000 Hammonton Town $46,089 Middle Township $22,986 Mullica Township $6,706 Pleasantville City $31,825 Upper Deerfield Township $11,394 Waterford Township $25,667 Upper Township $9,606 Stone Harbor $8,665 Total $178,027* *Note – Unaudited interest has been allocated for 2014 and 2015 elections have been added. 17 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 18 Payment Register Chair Beck entertained a motion to approve the February 2015 Payment Register (Claims Activity) as presented. Chair Beck asked if there were any questions at this time. No questions were entertained. Motion by Mr. Smith, seconded by Ms. Smuz to approve the February 2015 Payment Register (Claims Activity) as submitted by Mr. Hansen. ROLL CALL Joe Santagata, Buena Borough Bob Smith, Cape May City Kim Hodsdon, Cape May Point Ed Beck, Chair, Linwood City Connie Mahon, Middle Twp Lucy Samuelsen, Somers Pt City Teri Smuz, Sec, Upper Twp Yeas: Nays: Abstained: None None Motion carried by unanimous vote. Bill List – March For the Executive Committee’s consideration, Mr. Hansen presented the March 2015 Bill List in the amount of $217,379.17 as presented. Chair Beck entertained a motion to approve the March 2015 Bill List as presented. Chair Beck asked if there were any questions at this time. Mr. Miller inquired about a payment for funeral flowers. Mr. Forlenza noted that a member’s son passed away. Ms. Hodsdon offered condolences to the member from the Executive Committee. No other questions were entertained. Motion by Mr. Smith, seconded by Ms. Smuz, to approve the March 2015 Bill List as presented. ROLL CALL Joe Santagata, Buena Borough Bob Smith, Cape May City Kim Hodsdon, Cape May Point Ed Beck, Chair, Linwood City Connie Mahon, Middle Twp Lucy Samuelsen, Somers Pt City Teri Smuz, Sec, Upper Twp Yeas: Nays: Abstained: None None 18 ACM JIF Executive Committee Meeting Minutes March 18, 2015 Page 19 Motion carried by unanimous vote. MISCELLANEOUS BUSINESS Next Meeting The next regular meeting will be held on Wednesday, April 15, 2015 at 3:00 PM, at the Atlantic County Library, 40 Farragut Ave, Mays Landing, NJ. PUBLIC COMMENT Chair Beck entertained a motion to open the meeting to the public for comment. Motion by Mr. Smith, seconded by Ms. Smuz, to open the meeting to the public. All in favor. Motion carried. Ms. Samuelsen requested that in the event that Mr. DeWeese will not be present at future meetings that he send his partner or replacement to the meeting. Mr. Forlenza will address this request with him. Ms. Turner inquired as to the date of the Claims Coordinator meetings. Ms. Tyler-Schohl noted that ACM is April 30th at Merighi’s 9am-12pm; BURLCO is April 14th at Indian Springs Country Club 912pm; and TRICO is April 16th at Nicolosi’s 1-4pm. Mr. Forlenza noted that anyone can attend any one of the trainings if it works better for them since they are so similar. Chair Beck entertained a motion to close the meeting to the public for comment. Motion by Mr. Smith, seconded by Ms. Smuz, to close the meeting to the public. All in favor. Motion carried. MOTION TO ADJOURN Motion by Mr. Smith, seconded by Ms. Smuz, to adjourn the March 18, 2015 meeting of the ACM JIF. Motion carried. The meeting was adjourned at 4:06 PM. _________________________________ __________________________________________ Tracy Forlenza, Recording Secretary for Teri Smuz, Secretary 19 LESSONS LEARNED FROM LOSSES APRIL 2015 INJURIES CAUSED BY LIFTING Last month’s Safety Director Bulletin stressed the importance of safe lifting for First Responders, which I attach for your reference. Many of the same “safe lifting” pointers apply to all of the municipal workers. Many employees lift when they shouldn’t. Examples of recent claims: A police officer injured his elbow and shoulder requiring surgery from lifting equipment from his trunk A police officer injured his elbow and shoulder moving cases of ammunition A police officer injured his neck while lifting a large traffic sign to turn it. A laborer injured his back loading large branches and a tree trunk into a chipper A laborer injured his knee lifting heavy recycling cans An EMT injured his low back and aggravated a prior back injury lifting a jump bag containing equipment and supplies used to perform his work A truck driver sustained a significant shoulder injury requiring three surgeries while loading a 100 gallon drum filled with leaves onto a truck by himself. (Almost $200,000 will be paid on this claim!) A 17-year old female lifeguard (5’5” weighing 135 lbs) was lifting a lifeguard stand into the sand at the end of the day. Another co-worker held the top half of the stand while the claimant had the bottom half resting on her back. She lost footing and the lifeguard stand fell on top of her, injuring not only her back but fractured her left femur. She required emergency surgery to her femur with a rod placed from her hip to her knee. Her medical alone was over $48,000! 20 Most of these claimants required surgery and had significant time lost from work. In some of these cases the employees have had ongoing treatment for 5+ years! Could these injuries have been avoided? What should have been done? While we cannot eliminate these claims entirely, there are things that should be stressed with employees regarding lifting. Lift with your legs, not with your back Lift without twisting Ensure good footing Employees need to ask for assistance when lifting heavy items Supervisors should also consider whether the task requires more than one employee Take into consideration whether the employee had a prior back or similar injury As the Safety Director noted in last month’s Safety Bulletin: “Studies show that a department-wide fitness and wellness program coupled with training on proper body mechanics and lifting techniques result in fewer injuries.” Kathie Tyler Schohl Qual-Lynx 21 22 23 Atlantic County Municipal JIF Managed Care Summary Report 2015 Intake # of New Claims Reported # of Report Only % Report Only # of Medical Only # of Lost Time Medical Only to Lost Time Ratio Average # of Days to Report a Claim March-15 March-14 2015 YTD 2014 Year End 233 77 233 921 87 33 87 324 37.3% 42.9% 37.3% 35.2% 125 40 125 532 21 4 13 65 86:14 91:09 86:14 89:11 1.7 3.0 1.1 2.4 Nurse Case Management # of Cases Assigned to Case Management # of Cases >90 days March-15 March-14 97 97 67 67 Savings Bill Count Provider Charges Repriced Amount Savings $ % of Savings March-15 588 $747,694 $245,282 $502,412 67.2% Participating Provider Penetration Rate Bill Count Provider Charges March-15 March-14 2015 YTD 2014 Year End 92.0% 93.2% 92.9% 92.7% 95.1% 96.6% 96.2% 97.2% EPO Penetration Rate Bill Count Provider Charges March-15 March-14 2015 YTD 2014 Year End 70.5% 87.6% 75.5% 86.3% 82.5% 96.2% 75.6% 87.6% Transitional Duty Summary % of Transitional Duty Days Worked % of Transitional Duty Days Not Accommodated March-14 2015 YTD 2014 Year End 351 1616 6146 $648,924 $2,142,099 $8,715,640 $208,537 $737,897 $2,970,417 $441,071 $1,384,816 $5,731,417 68.0% 64.6% 65.8% 2015 YTD 2014 Year End 68.6% 74.5% 31.4% 25.5% 24 Atlantic County Municipal JIF Average Days To Report By JIF Member March 2015 # Of Claims Reported Absecon City Avalon Borough Brigantine City Buena Borough Cape May City Egg Harbor Township Galloway Township Hamilton Township Lower Township Margate City Middle Township Millville City Newfield Borough North Wildwood City Northfield City Ocean City Pleasantville City Sea Isle City Somers Point City Stone Harbor Borough Upper Deerfield Township Upper Township Ventnor City Waterford Township West Cape :May Borough Wildwood City Wildwood Crest Borough Grand Total Valued as of 4/1/2015 1 1 2 1 2 1 3 2 6 1 2 11 1 2 2 7 5 1 3 2 1 3 2 3 1 7 1 74 25 Average Days To Report 0.0 5.0 0.5 3.0 0.5 0.0 0.0 3.0 1.7 0.0 1.5 1.1 2.0 0.0 1.0 4.9 1.2 0.0 2.3 1.0 0.0 2.7 0.0 1.3 0.0 2.9 1.0 1.7 Atlantic County Municipal JIF Transitional Duty Summary Report January 1, 2015 - March 31, 2015 AVALON BOROUGH BRIGANTINE CITY EGG HARBOR TOWNSHIP GALLOWAY TOWNSHIP HAMILTON TOWNSHIP HAMMONTON TOWN LONGPORT BOROUGH LOWER TOWNSHIP MIDDLE TOWNSHIP MILLVILLE CITY MULLICA TOWNSHIP NORTH WILDWOOD CITY NORTHFIELD CITY OCEAN CITY PLEASANTVILLE CITY SEA ISLE CITY SOMERS POINT CITY STONE HARBOR BOROUGH UPPER TOWNSHIP VENTNOR CITY WATERFORD TOWNSHIP WILDWOOD CITY WILDWOOD CREST BOROUGH Grand Total Valued as of 4/1/2015 Transitional Duty Transitional Duty % Of Transitional Transitional Duty Days % Of Transitional Duty Days Days Available Days Worked Duty Days Worked Not Accommodated Not Accommodated 90 90 100.0% 0 0.0% 156 67 42.9% 89 57.1% 222 133 59.9% 89 40.1% 151 151 100.0% 0 0.0% 231 45 19.5% 186 80.5% 4 0 0.0% 4 100.0% 7 0 0.0% 7 100.0% 55 55 100.0% 0 0.0% 134 134 100.0% 0 0.0% 42 42 100.0% 0 0.0% 8 8 100.0% 0 0.0% 13 13 100.0% 0 0.0% 189 71 37.6% 118 62.4% 230 162 70.4% 68 29.6% 158 158 100.0% 0 0.0% 97 97 100.0% 0 0.0% 151 66 43.7% 85 56.3% 76 76 100.0% 0 0.0% 73 73 100.0% 0 0.0% 71 71 100.0% 0 0.0% 89 57 64.0% 32 36.0% 111 68 61.3% 43 38.7% 40 7 17.5% 33 82.5% 2398 1644 68.6% 754 31.4% 26 Nurse Case Management Assignment Report March 2015 Russel Bayer Lida Feinstein Kim Gallo Peggy Holmes Patricia Henchy Sharon Maurer Catherine Betham Total Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 63 68 65 60 68 66 61 66 64 28 27 18 47 54 63 38 53 70 19 212 229 213 0 0 0 93 Cases were Closed to Nurse Case Management in March. 72 Cases were Opened to Nurse Case Management in March. Valued as of 4/1/2015 27 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 0 0 0 0 0 0 Atlantic County Municipal JIF PPO Savings And Penetration Report March 2015 Participating Provider Facility Physical Therapy Ortho/Neuro MRI/Radiology Pain Management Anesthesia Occ Med/Primary Care Other Physician Fees Out Of Network Ortho/Neuro Anesthesia Physician Fees Other Physical Therapy Pain Management Grand Total Bill Count Provider Charges Repriced Amount $ Savings % Of Savings 541 $710,895 $222,330 $488,565 68.7% 34 $426,776 $121,611 $305,165 71.5% 244 $85,454 $17,654 $67,800 79.3% 110 $69,204 $29,001 $40,204 58.1% 44 $41,843 $14,657 $27,186 65.0% 14 $31,549 $12,546 $19,003 60.2% 13 $28,500 $12,647 $15,853 55.6% 53 $13,593 $7,063 $6,530 48.0% 8 $8,119 $4,181 $3,938 48.5% 21 $5,856 $2,970 $2,886 49.3% 47 7 4 17 9 8 2 $36,799 $12,845 $11,770 $5,628 $3,083 $2,963 $511 $22,952 $6,660 $4,931 $5,224 $3,007 $2,749 $382 $13,847 $6,185 $6,839 $405 $76 $214 $129 37.6% 48.2% 58.1% 7.2% 2.4% 7.2% 25.2% 588 $747,694 $245,282 $502,412 67.2% Participating Provider Penetration Rate Bill Count 92.0% Provider Charges 95.1% EPO Penetration Rate Bill Count Provider Charges Valued as of 4/1/2015 70.5% 82.5% 28 Specialty Facility Ortho/Neuro Physical Therapy Physician Fees Anesthesia MRI/Radiology Pain Management Occ Med/Primary Care Other Grand Total Repriced Amount $325,400 $145,726 $61,644 $52,241 $45,464 $38,306 $31,827 $19,076 $18,212 $737,897 Atlantic County Municipal JIF Paid Provider By Specialty January 1, 2015 - March 31, 2015 Occ Med/Primary Care Other 3% 3% Pain Management 4% MRI/Radiology 5% Anesthesia 6% Physician Fees 7% Facility 44% Physical Therapy 8% Ortho/Neuro 20% Valued as of 4/1/2015 29 Atlantic County Municipal JIF Top 5 Providers By Specialty January 1, 2015 - March 31, 2015 Bill Count Anesthesia MEDIKINE GROUP, LLC GLOBAL ANESTHESIA ASSOCIATES ADVANCED ANESTHESIA ASSOCIATES, PC ATLANTICARE REGIONAL MEDICAL CENTER CAPE ANESTHESIA & PAIN MGMT. ASSC. Facility SHORE MEDICAL CENTER SHORE AMBULATORY SURGICAL CTR, LLC ATLANTICARE REGIONAL MEDICAL CENTER CAPE REGIONAL MEDICAL CENTER ATLANTICARE SURGERY CENTER MRI/Radiology ONE CALL MEDICAL, INC. ADVANCED RADIOLOGY SOLUTIONS DOSHI DIAGNOSTIC IMAGING SERVICES OCM FN, LLC, ATLANTIC RADIOLOGISTS PROFESSIONAL ASSOCIATION, LLC Occ Med/Primary Care ATLANTICARE URGENT CARE & OCCUPATIONAL HEALTH CAPE URGENT CARE CAPE REGIONAL URGENT CARE MEDEXPRESS URGENT CARE-NEW JERSEY INC. SHORE URGENT CARE Ortho/Neuro SHORE ORTHOPAEDIC UNIVERSITY ASSOC. COASTAL PHYSICIANS & SURGEONS, P.C. EAST COAST ORTHO. & SPORTS MED. LLC ROTHMAN INSTITUTE OF NEW JERSEY PREMIER ORTHOPAEDIC ASSOC Other QUEST DIAGNOSTICS DJO LLC MDS MEDICAL DEVICE SPECIALTY SURGICAL MONITORING SERVICES HOLY REDEEMER HOME CARE, NJ SHORE Pain Management DELAWARE VALLEY PAIN INSTITUTE PROFESSIONAL PAIN MANAGEMENT ASSOC. RELIEVUS PAIN SPECIALISTS, PA COMPREHENSIVE PAIN MANAGEMENT Physical Therapy TWIN BORO PHYSICAL THERAPY NOVACARE REHABILITATION FOX OUTPATIENT REHABILITATION BACHARACH INSTITUTE FOR REHABILATION STRIVE PHYSICAL THERAPY Physician Fees THE PLASTIC SURGERY CENTER ATLANTICARE PHYSICIAN GROUP, PA ATLANTIC EMERGENCY ASSOCIATES SHORE ORTHOPAEDIC UNIVERSITY ASSOC. CAPE EMERGENCY PHYSICIANS, PA Valued as of 4/1/2015 30 30 12 4 5 5 4 74 17 13 13 20 11 98 73 17 2 1 5 143 44 50 26 17 6 216 110 32 46 26 2 24 15 1 3 1 4 53 22 24 2 4 1 593 311 87 148 17 30 58 2 16 11 22 7 Provider Charges $75,000 $21,755 $17,770 $15,105 $12,950 $7,420 $865,325 $399,610 $156,196 $121,230 $101,769 $86,521 $108,041 $103,036 $2,298 $1,147 $866 $694 $34,070 $9,975 $9,282 $7,417 $6,113 $1,282 $359,939 $126,531 $109,843 $42,389 $40,916 $40,260 $18,993 $5,889 $5,250 $3,579 $2,425 $1,850 $74,747 $48,315 $25,371 $511 $425 $125 $226,303 $131,379 $29,580 $29,165 $28,024 $8,155 $76,191 $56,140 $6,602 $5,851 $5,210 $2,388 ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND APRIL 2015 CLOSED CASES 1) Thomas v. Borough of Longport – This matter involved the Plaintiff’s allegations in a Superior Court of New Jersey, Atlantic County Complaint that on May 17, 2012, the Defendant, Sergeant Frank Culmone, swore out certain Criminal Complaints against the Plaintiff which alleged that she violated N.J.S.A. 2C:28-4A, N.J.S.A. 2C:12-1B(5)(A) and N.J.S.A. 2C:29-2A(1). On September 4, 2013 all three Criminal Complaints were dismissed. The Plaintiff alleged that she suffered permanent emotional and physical injuries as a result of the arrest, that she was maliciously prosecuted and that her civil rights were violated as a result of the Complaints being filed. Our Assigned Defense Counsel, Thomas B. Reynolds, Esquire and A. Michael Barker, Esquire, attended Mediation which was unsuccessful in resolving the matter. The Plaintiff’s Demand was for a payment in the amount of $195,000.00. Mr. Barker and Mr. Reynolds were ultimately able to negotiate the settlement of this matter for a payment to the Plaintiff in the amount of $35,000.00 and the payment to the Plaintiff’s attorney in the amount of $15,000.00 for a total settlement in the amount of $50,000.00. 2) Finch v. Bigham Easy Lift, LLC v. City of Millville – This matter involved the Plaintiff’s allegations in a Superior Court of New Jersey, Cumberland County Complaint that on April 17, 2009, while the Plaintiff, Christopher Finch, was working for the Third Party Defendant, City of Millville, he was injured while using a tool which was manufactured and distributed by the Defendant/Third Party Plaintiff, Bigham Easy Lift, LLC. The tool was designed to remove manhole covers. The Plaintiff alleged that he sustained serious and permanent injuries as a result of the accident. Defendant/Third Party Plaintiff, Bigham Easy Lift, LLC filed a Third Party Complaint which alleged that Third Party Defendant, City of Millville, failed to properly perform its duty to train and supervise Christopher Finch with respect to his use of the product that was the subject of this lawsuit, and they sought contribution and indemnification from the City of Millville. Our Assigned Defense Counsel, L. Patricia Sampoli, Esquire, was able to convince the Plaintiff’s Counsel to dismiss the Complaint based upon the substantial Workers’ Compensation lien and the risk that the case had a substantial potential for a “no cause” verdict. 31 1 ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND EXECUTIVE SAFETY COMMITTEE MEETING MINUTES SEA ISLE CITY PROVISIONAL CITY HALL (OLD PUBLIC SCHOOL) 4501 PARK ROAD SEA ISLE CITY, NJ March 25, 2015 AT 11:30AM An Executive Safety Committee meeting of the Atlantic County Municipal Joint Insurance Fund (“ACMJIF”) was held at Sea Isle City’s – Provisional City Hall, Sea Isle, NJ on Wednesday, March 25, 2015 at 11:30am. The meeting was called to order at 11:45am. Those in attendance were: George Savastano, Chair, Sea Isle City James Dickenson, Northfield City Lucy Samuelsen, Somers Point Julie Picard, Lower Township Teri Smuz, Fund Secretary, Upper Township James Goos, Ventnor City Joe Byrne, J. Byrne Agency Dennis Brown, Glenn Insurance Eugene Siracusa, Siracusa-Kaufmann Insurance Agency Mike Thomas, Glenn Insurance Bill McMahon, McMahon Agency Dave Miller, CJ Adams Lou Carey, Lead Consultant, J. A. Montgomery Risk Control Tim Sheehan, Public Sector Assistant Director, J. A. Montgomery Risk Control Paul J. Miola, Executive Director, Arthur J. Gallagher & Co. Paul A. Forlenza, Deputy Executive Director, Arthur J. Gallagher & Co. Sheila Ortiz, Account Representative, Arthur J. Gallagher & Co. Debby Schiffer, Wellness Director (BURLCO / TRICO JIFs) Valerie Smith, Wellness Director (ACM JIF) Those not in attendance were: Chris Ridings, West Wildwood City Robert Smith, Cape May City Robert Campbell, Downe Township William Richardson, Waterford Township Charles Pessagno / Jen Modica, Marsh & McLennan Mike Avalone / Ilene Laursen, Conner Strong & Buckelew Larry Graham, Fairview Insurance Tom Heist, Thomas Heist Insurance Joanne Hall, Safety Director, J. A. Montgomery Risk Control Donald Ruprecht, Consultant, J. A. Montgomery Risk Control These minutes may not represent the order in which some items were discussed. 32 ACMJIF Executive Safety Committee Meeting Minutes March 25, 2015 Page 2 I. MINUTES OF DECEMBER 3, 2014 (e-mailed 03/12/2015) Mr. Savastano stated the December 3, 2014 Executive Safety Committee Meeting minutes were e-mailed to the Committee on 3/12/15. II. SAFETY COMMITTEE CHARTER – E-mailed 03/12/2015 Mr. Forlenza stated it has been the Executive Director’s practice to add the Charter to the first Safety Committee agenda of the year for review to make sure that it is still accurately depicts the role and responsibility of the Committee. He asked if there are any suggested changes to please contact him or Mr. Savastano. Mr. Forlenza asked the Committee if there were any questions. No questions were entertained. III. ANNUAL SAFETY DIRECTOR’S LOSS CONTROL REPORT (e-mailed 03/24/2015) The Safety Director’s Annual Report was e-mailed to the Committee on March 24, 2015. Mr. Sheehan handed out an abridged version for the Committee’s review. He briefly reviewed the report with the Committee. Mr. Sheehan highlighted the Annual Loss Analysis Summary & the 2015 Service Initiatives with the Committee. He indicated that his office will be focusing on the Accident Investigation process in 2015. Mr. Sheehan noted that Accident Investigations are one of the key components in preventing future incidents. The key element will be to identify the members that have the highest workers compensation frequency rates, and to work with these members on their Accident Investigation programs. Mr. Sheehan asked if there were any questions. No questions were entertained at this time. Mr. Miola asked that J. A. Montgomery follow-up with the towns that have not designated a training administrator. Mr. Sheehan responded that his office will follow-up with those towns. He also noted that an updated training administrator list will be included in his monthly report at least once a quarter. Mr. Miola indicated that a few years ago there was an initiative to drive down the number of claims that fall into the NOC “Not Otherwise Classified” category. He noted that the number of claims falling into this category appear to be increasing. He stated that he and Mr. Forlenza will be meeting with Qual-Lynx in a few weeks and will discuss this issue with them. (The Annual Safety Director’s Loss Control Report is attached to the minutes of today’s meeting.) IV. SAFETY INTERVENTION / MONITORING Mr. Forlenza referred the Committee to an excerpt from the last Safety Committee Meeting on page three (3) of the agenda packet. Mr. Sheehan reported that no towns are currently on Safety Monitoring; however, a number of towns are on his “watch list”. He then stated that the following towns have been removed from his “watch list” due to their improvement in certain areas: Corbin City, Pleasantville, Sea Isle City and West Wildwood. He stated that it is his recommendation to keep Millville on the “watch list” due to their high metrics. Mr. Carey will conduct a renewal visit in Millville prior to the June Executive Safety Committee Meeting and will report back to this Committee. Mr. Forlenza asked if there were any questions at this time. No questions were entertained. 33 F:\DATA\Risk\WINWORD\ACMJIF\SAFETY\2015\Meetings\March\MIN 032515_GS.doc ACMJIF Executive Safety Committee Meeting Minutes March 25, 2015 Page 3 V. MEMBERSHIP RENEWALS Mr. Forlenza stated that there are 11 member municipalities up for renewal effective January 1, 2016. They are Brigantine, Lower, Margate, Middle, Millville, North Wildwood, Sea Isle City, Stone Harbor, West Cape May, Wildwood Crest and Woodbine. Mr. Forlenza then reviewed with the Committee the Renewing Members ACMJIF Six-Year Average Loss Ratio Reports for Fund Years 2008-2013 valued as of 12/31/2014 that was included in the agenda packet. Close attention was paid to members with six-year average loss ratio over 100% with a review of specific years and lines of coverage that created the loss ratio in excess of 100% Mr. Forlenza mentioned that only Millville, Sea Isle City and Woodbine have a high loss ratio as of 12/31/2014. The Safety Director will complete each Renewal Survey on each member for presentation at the June 2015 Executive Safety Committee Meeting. Mr. Forlenza asked if there were any questions at this time. No questions were entertained. VI. ACMJIF LOSS RATIO REPORTS – December 31, 2014 Mr. Forlenza directed the Committee to a copy of the ACM JIF Six Year Average Loss Ratio reports valued as of December 31, 2014 included in the agenda packet. Mr. Forlenza noted that the six-year average loss ratio for the ACM JIF is 86.5%. These are incurred losses, which is money paid on known claims, and money set aside in reserve to pay those known claims within the JIFs self-insured retention. Mr. Forlenza briefly reviewed the following report included in the agenda packet with the Committee. Loss Ratio Summary FY 2008 – FY 2013 – Incurred v. Loss Funds as of December 31, 2014 Incurred v. Loss Funds as of 12/31/14 – Fund Year 2008 – 2013 – By Town, By LOC Incurred v. Loss Funds as of 12/31/14 – Fund Year 2013 – By Town, By LOC Incurred v. Loss Funds as of 12/31/14 – Fund Year 2012 – By Town, By LOC Incurred v. Loss Funds as of 12/31/14 – Fund Year 2011 – By Town, By LOC Incurred v. Loss Funds as of 12/31/14 – Fund Year 2010 – By Town, By LOC Incurred v. Loss Funds as of 12/31/14 – Fund Year 2009 – By Town, By LOC Incurred v. Loss Funds as of 12/31/14 – Fund Year 2008 – By Town, By LOC Mr. Forlenza stated that this data is used to create the Loss Ratio Snapshots, which were distributed to the membership at the February Executive Committee Meeting. Mr. Forlenza asked if there were any questions at this time. No questions were entertained. VII. MEL LOSS RATIO REPORTS – December 31, 2014 Mr. Forlenza directed the Committee to a copy of the MEL Six Year Average Loss Ratio reports valued as of December 31, 2014 included in the agenda packet. The six year average MEL Loss Ratio for the ACMJIF is 132.6%. The report reflects a six-year period for Fund Years 2008 – 2013. He indicated that this is money that the MEL uses to fund their self insured retention for Workers Compensation, Property and Liability losses. Mr. Forlenza noted that this report represents incurred losses which are funds that have been paid by the MEL on known claims or set aside in reserve to be paid on known claims. Mr. Forlenza briefly reviewed the following MEL Reports included in the agenda packet with the Committee. 34 F:\DATA\Risk\WINWORD\ACMJIF\SAFETY\2015\Meetings\March\MIN 032515_GS.doc ACMJIF Executive Safety Committee Meeting Minutes March 25, 2015 Page 4 Loss Ratio Summary FY 2008 – FY 2013 – Incurred v. Loss Funds as of December 31, 2014 Incurred v. Loss Funds as of 12/31/14 – Fund Year 2008 – 2013 – By Town, By LOC Incurred v. Loss Funds as of 12/31/14 – Fund Year 2013 – By Town, By LOC Incurred v. Loss Funds as of 12/31/14 – Fund Year 2012 – By Town, By LOC Incurred v. Loss Funds as of 12/31/14 – Fund Year 2011 – By Town, By LOC Incurred v. Loss Funds as of 12/31/14 – Fund Year 2010 – By Town, By LOC Incurred v. Loss Funds as of 12/31/14 – Fund Year 2009 – By Town, By LOC Incurred v. Loss Funds as of 12/31/14 – Fund Year 2008 – By Town, By LOC He also noted that the MEL snapshots were provided to the membership at the February Executive Committee Meeting. Mr. Forlenza asked if there were any questions. No questions were entertained. VIII. REGIONAL TRAINING SCHEDULE Mr. Sheehan reviewed the Regional Training Schedule for 2015 included in the Agenda Packet beginning on page 28. • Safety Coordinators’ Roundtable: Training took place on February 19, 2015 immediately following the Safety Breakfast with good member representation. • Summer Seasonal for Supervisors: Mr. Sheehan mentioned that this training will take place on April 30, 2015 from 9:00am – 12:00pm. The training will take place at the North Wildwood Recreation Center. Mr. Carey will confirm. The target audience is Safety Coordinators, Recreation Department personnel, and Summer Seasonal Coordinators. • Public Works Department Roundtable: Mr. Sheehan mentioned that this training will take place on September 30, 2015, time TBD. He noted that Mr. Carey will follow-up with Galloway to see if they can accommodate this date. The target audience is Public Works Superintendents, Supervisors, Safety Coordinators and other interested persons. • Career Survival for Police Officers / Guest Speaker: Mr. Sheehan mentioned that this training is scheduled on September 17, 2015 from 9:00am-12:00pm at the Ocean City Library. Mr. Forlenza indicated that there is a fee to secure the guest speaker retired Police Chief Keith F. Hummel. The fee is $500 for this session. Mr. Forlenza asked the Committee if they are okay with this expenditure. The Committee approved. Mr. Forlenza stated that the SLEO Training is listed as a “Police Topic” for the 2015 Regional Training schedule; however, this training is not really a Regional Training session. Police Topics – SLEO Training: Mr. Forlenza indicated that retired Police Chief Connell has conducted this training for the members the last two years. He indicated that Chief Connell charges the Fund $800 per session. Mr. Forlenza asked the Committee for authorization for this expenditure. The Committee approved the funding for this training. The trainings are scheduled on Wednesday, May 13, 2015 from 6:00pm – 10:00pm at the Atlantic County Police Academy and a second session will be held on Wednesday, May 20, 2015 from 6:00pm – 10:00pm at the Cape May Police Academy. Mr. Sheehan indicated that Howard Spencer, Consultant for the TRICO JIF, and Joanne Hall can offer an additional Regional Training session on “Sensitivity / Dealing with Difficult People”. He stated that Mr. Spencer and Ms. Hall do a great job with this training. After a brief 35 F:\DATA\Risk\WINWORD\ACMJIF\SAFETY\2015\Meetings\March\MIN 032515_GS.doc ACMJIF Executive Safety Committee Meeting Minutes March 25, 2015 Page 5 discussion, the Committee approved adding this training to the 2015 Regional Training schedule. Mr. Forlenza stated that this training will likely be popular as many office workers have to deal with angry or upset residents. He asked Mr. Sheehan to be sure the facility reserved can accommodate a large number of attendees. IX. SAFETY DIRECTOR’S BULLETIN Mr. Sheehan referred the Committee to a series of Safety Director Bulletins that have been distributed to the members since the Committee’s last meeting. He noted that they are located on pages 29-38 of the agenda packet. The following bulletins were issued: • • • • • Best Practices – Snow Emergencies Annual Reminder – MVR Checks Annual Reminder – Posting of OSHA Summary Log First Responders – Safe Lifting Brush Collection Mr. Sheehan indicated that Mr. Ruprecht is working on a few new Safety Bulletins that will be sent to the members. Mr. Forlenza asked if a Safety Bulletin can be created that would remind towns to inspect their playgrounds. Mr. Sheehan responded that Mr. Ruprecht is currently working on a Safety Bulletin regarding playgrounds. X. SUPERVISOR’S INCIDENT INVESTIGATION REPORT Mr. Forlenza indicated that the new form is on the ACM JIF website for use by the members. He noted that a mobile application of the Supervisor’s Incident Investigation Report is in development. XI. TRANSITIONAL DUTY PROGRAM – REVISIONS Mr. Forlenza indicated that the new Transitional Duty Program was e-mailed to all of the Claims Coordinators following the Safety Breakfast. He stated that the Transitional Duty Program will not be posted to the website due to competing JIF’s stealing their Policies. Mr. Forlenza noted that he will e-mail the RMC’s the program as they have been requesting a copy of the document. XII. MEL SAFETY INSTITUTE Mr. Forlenza asked if a Training Administrator has been appointed in each town. Mr. Sheehan responded that everyone has appointed a Training Administrator with the exception of two towns. He noted that his office will continue to include this report in the Safety Director’s monthly report at least once a quarter. MEL Leadership Institute Mr. Sheehan indicated that the first MEL Leadership Institute for the year has already started in Galloway Township. He noted that the class is filled to capacity and he had to turn approximately 50 people away due to accommodations. Mr. Sheehan indicated that Ms. Hall is 36 F:\DATA\Risk\WINWORD\ACMJIF\SAFETY\2015\Meetings\March\MIN 032515_GS.doc ACMJIF Executive Safety Committee Meeting Minutes March 25, 2015 Page 6 hoping to offer more MEL Leadership Institute sessions in the South Jersey area. He noted that Ms. Hall will work with the MEL to search for funding to support additional courses. Online Training Mr. Sheehan referred the Committee to page 39 of the agenda packet to a flyer for a “Summer Camp Counselor” training course. He indicated that this online course will be available to the members on April 1st via the MSI Learning Management System. XIII. S:ERVE Mr. Sheehan reported that the program reminder was e-mailed to the members on January 27, 2015 and the program continues to be utilized. He indicated that last year Safety National added the Distracted Driver Module as a standalone module for all municipal employees that drive municipal vehicles. XIV. POLICE TOPICS Accreditation Update Mr. Forlenza indicated that his office recently sent out the annual reminder memorandum outlining incentives offered by the JIF & MEL to assist member Police Departments in becoming accredited. He then referred the Committee to the memo on pages 45-46. Mr. Sheehan indicated that Wildwood City is preparing to begin the accreditation process. Police Ad Hoc Committee Meeting Mr. Forlenza stated that the last Police Ad Hoc Committee meeting was held on January 30, 2015. He mentioned that the minutes from the meeting begin on page 47 of the agenda packet. Mr. Forlenza stated the next Police Ad Hoc Committee Meeting is scheduled for April 10, 2015. Narcan Mr. Forlenza reminded the Committee that Mr. DeWeese had raised concerns regarding the potential liability for municipalities over the administration or non-administration of Narcan. He indicated that the Governor initially signed an Executive Order providing immunity to First Responders and EMS regarding the use of Narcan; however, the Executive Order did not provide immunity for Police Officers. Mr. Forlenza stated that recently the Governor signed Chapter 10 of P.L. 2015 that appears to extend immunity to Police Officers for the use of Narcan. Penns State Study Mr. Forlenza asked Mr. Sheehan for an update on the Penn State Study. Mr. Sheehan stated that there is no update at this time. Police Safety in and Around Your Vehicle Mr. Sheehan referred the Committee to page 61 of the agenda packet. He noted that this notice was sent to all Fund Commissioners. Mr. Sheehan indicated that he reached out to the State Chiefs of Police Association to secure an updated e-mail group for all Police Chiefs to send out the memo to all of the JIFs. SLEO Training – Two Sessions (2) This discussion took place during the Regional Training section of the agenda. 37 F:\DATA\Risk\WINWORD\ACMJIF\SAFETY\2015\Meetings\March\MIN 032515_GS.doc ACMJIF Executive Safety Committee Meeting Minutes March 25, 2015 Page 7 XV. MEL SAFETY & EDUCATION MEETING Mr. Forlenza indicated that the MEL Safety & Education Committee met on December 19, 2014 and the minutes are included in the agenda packet beginning on page 62. He mentioned that the next meeting is scheduled for March 27, 2015. XVI. PEOSHA ADVISORY COMMITTEE UPDATES Mr. Forlenza directed the Committee to page 66 to a notice that was sent from the New Jersey Department of Labor and Workforce Development. Mr. Carey reviewed the Most Frequently Cited Standard for the period of October 1, 2014 through December 31, 2014 with the Committee. He noted that PEOSH is focusing on overhead doors, vehicle lifts, and the annual posting of the 300 logs. Mr. Carey indicated that PEOSH has posted a new requirement effective January 5, 2015: • Employers must report all work-related fatalities to PEOSH within eight hours • Employers must report all work-related in-patient hospitalizations, amputations, or losses of an eye to PEOSH within twenty-four hours. Mr. Sheehan commented that Mr. Saville indicated that PEOSH is also focusing their attention to DPW and Water & Sewer Departments. Mr. Carey noted that Mr. Saville will distribute the Most Frequently Cited Standard in the next couple of weeks. Right to Know Mr. Sheehan reported that all members were required to complete their 2013 data entry into the State portal by the end of last year. He is awaiting direction from the State on how the 2014 data entry will be handled. XVII. SMALL MUNICIPALITIES – REGIONAL SAFETY COMMITTEE MEETINGS Mr. Forlenza asked if the Small Municipalities Regional Safety Committee Meetings are still taking place. Mr. Carey responded that these meetings are still taking place. He indicated that Folsom, Weymouth, Corbin City and Woodbine have been conducting their meetings. Mr. Carey stated that Downe Township & Commercial Township have a joint program. He noted that Downe Township’s attendance has not been so great. Therefore, he recently sent a note to Downe Township asking them that they reassert their efforts in attending the Joint Safety Committee Meetings. XVIII. WELLNESS INITIATIVE Mr. Forlenza indicated that last week the Fund appointed Wellness Director, Valerie Smith for the ACM JIF. He stated that Ms. Schiffer was appointed last week as a Wellness Consultant to assist Ms. Smith through the end of the year. Mr. Forlenza mentioned that for the past three years Debby Schiffer has been the Wellness Director for both the BURLCO and TRICO JIFs. Ms. Schiffer introduced herself to the Committee and briefed the Committee on her goals when she started as Wellness Director for the BURLCO and TRICO JIFs. She thanked the members for the opportunity to begin Wellness in the Atlantic JIF and to assist Ms. Smith. Ms. Schiffer noted that she initially located some free or low cost wellness activities for the employees that could easily be implemented. She has utilized local resources including 38 F:\DATA\Risk\WINWORD\ACMJIF\SAFETY\2015\Meetings\March\MIN 032515_GS.doc ACMJIF Executive Safety Committee Meeting Minutes March 25, 2015 Page 8 hospitals and health departments. Many of them offer free speaker bureaus, where a professional will come out to the municipality and discuss various topics that may be appropriate for the employees that are interested. Ms. Schiffer mentioned a few group activities that she helped organize in the other JIFs: • Weight loss challenges (“Biggest Loser Challenge”) • Improve exercises that will help the employee become healthier • Arrange Speakers: example; Heart Disease / Healthier Heart that can help the employee’s live a healthier lifestyle. Mr. Miola stated that the number one goal in the Fund is to lower Workers Competition claims. Ms. Schiffer agreed with Mr. Miola. Ms. Schiffer indicated that most municipalities will start the process by sending a survey to their employees regarding Wellness requesting their feedback. Mr. Miola asked Ms. Schiffer what the surveys have uncovered. Ms. Schiffer stated that most of the survey responses request information on how to handle stress. She indicated that yoga, chair massages and overall lifestyle changes can help with stress. Ms. Schiffer indicated that when employees are healthier, there will be a lower number of injuries. She commented that Safety and Wellness go “hand in hand” with one another. Ms. Schiffer stated that wellness is a voluntarily activity; but she strongly encourages participation by the municipality & employees. She indicated that some towns have added healthier choices to their vending machines for their employees. Ms. Schiffer noted that some of the smaller municipalities have opened up their Community Days to the residents and adjoining towns. Ms. Smith then introduced herself to the members. She stated that she began her career in Cardiac Rehabilitation; working with individuals that suffered “heart” issues. Ms. Smith also taught in the Health and Wellness Department at Camden County Community College, and then she became a Wellness Coach for Horizon Blue Cross in North Jersey along with being a Personal Trainer. Ms. Smith indicated that insurance carriers have incentive programs available; but the employees are not aware of these incentives. Ms. Smith reported that she met with Kelli Seib; Safety Coordinator from Sea Isle City prior to today’s meeting to discuss their Wellness Program. She indicated that Ms. Seib has already initiated the scheduling of wellness events such as: healthy “potlucks”, monthly exercise sessions and a walking program. Ms. Smith noted that Ms. Seib also sent out a questionnaire to the employees requesting feedback and suggestions on their program. She noted that Sea Isle City is well on their way to a successful wellness program. Mr. Miola indicated that Ms. Schiffer and Ms. Smith will also research incentives that health carriers have to offer employees. For example: certain insurance carriers may offer a gift card for completing certain medical procedures. Mr. Miola suggested that the Ms. Schiffer and Ms. Smith reach out to the towns that have already indicated their interest as a starting point. He indicated that by contacting those towns that are interested it will “spark” interest in other members. Mr. Miola mentioned that Ms. Smith will provide an update of her activities at the monthly Executive JIF meeting. Mr. Thomas suggested that an RMC accompany the Wellness Director during the initial visit to the municipality. Ms. Schiffer commented that she has found having the RMC involved very helpful during her Wellness visits. 39 F:\DATA\Risk\WINWORD\ACMJIF\SAFETY\2015\Meetings\March\MIN 032515_GS.doc ACMJIF Executive Safety Committee Meeting Minutes March 25, 2015 Page 9 Mr. Miola indicated his office will meet with Ms. Smith and Ms. Schiffer on Monday to discuss the announcement to the members. He noted that once the announcement is released the “Wellness Corner” with all of Ms. Smith’s contact information will be placed on the ACM JIF website. Mr. Miola referred the Committee to page 69 of the agenda packet to a JIF Wellness Policy Program Statement that he would like to see the Fund adopt. Discussion Ensued. After a brief discussion, Mr. Byrne indicated after reading the program statement the employee’s and the fund would benefit from a Wellness Program. This would include lower Workers Compensation costs to the fund. He suggested adding verbiage that employees lives would benefit from the program by staying healthier and creating a safer workplace. Mr. Byrne also noted that the Fund would benefit by keeping workers compensation costs down. Mr. Miola suggested adding verbiage after sentence three on page 70 that would benefit the employee’s “quality of life”. The Committee Agreed. He then asked the Committee if they were okay removing “full” from the last sentence. The Committee agreed that the word “full” was a little demanding. Mr. Miola stated that once the document is finalized he will circulate it to this Committee for approval and will be attached to the minutes of today’s meeting. The Committee Agreed. Mr. Miola noted that a copy of a proposed municipal wellness statement is also located in the agenda packet. He noted that he would make the same language changes to this document for potential adoption by the individual members. Mr. Forlenza indicated that at last week’s Executive JIF meeting there was a discussion regarding the creation of a Wellness Incentive Program. He indicated that the program would be used to support existing wellness initiatives that are occurring in a lot of the towns. Mr. Forlenza stated that following the payments to the Wellness Director and Wellness Advisor approximately $34,000 is remaining in the budget. He stated that at last week’s JIF meeting Ms. McLaughlin asked if the remaining balance could be utilized to help support existing wellness programs. Mr. Forlenza then referred the Committee to a handout that displays two different Wellness Incentive options based on the member’s size: • Wellness Incentive “A” - for 41 towns $ 33,500 o o o o o XS - $275 SM - $600 MD - $800 LG - $1,000 XL - $1,500 • Wellness Incentive “A” – for 41 towns $30,500 o o o o o XS - $250 SM - $500 MD - $750 LG - $1,000 XL - $1,250 Mr. Forlenza stated that this program would be similar to the Optional Safety Budget Program and the Safety Incentive Program. He then referred the Committee to a “draft” copy of the Wellness Incentive Program – Reimbursement Procedure letter. Following a review of the letter, 40 F:\DATA\Risk\WINWORD\ACMJIF\SAFETY\2015\Meetings\March\MIN 032515_GS.doc ACMJIF Executive Safety Committee Meeting Minutes March 25, 2015 Page 10 Mr. Forlenza asked the Committee if they would like to recommend moving forward with the Wellness Incentive Program. Discussion ensued. Mr. McMahon asked if this program would be optional; where the towns could opt out of the program. Mr. Forlenza responded not for the first year; but for next year this discussion would have to take place in Committee. After a brief discussion, the Committee authorized the Executive Director’s office to move forward with the Wellness Incentive Program funding with Wellness Incentive “A”. Mr. Forlenza stated that this program will have to be approved at the next Executive JIF meeting in April. He noted that once the program is approved, the letters will be e-mailed to the members. Mr. Forlenza asked if there were any questions. No questions were entertained. XIX. OPTIONAL SAFETY BUDGET Mr. Forlenza stated that notices regarding available balances for the 2015 Program were sent to the members on February 11, 2015. The deadline to encumber or claim funds is December 31, 2015. The final date to claim encumbered funds is February 1, 2016. XX. SAFETY INCENTIVE PROGRAM 2014 Program Mr. Forlenza directed the Committee to page 72 of the agenda packet to the available balances. He added that the congratulatory letter was sent out to the governing body on February 25, 2015 and the award letter with reimbursement procedures were sent to Safety Coordinators on February 25, 2015. The deadline to encumber or claim funds is December 31, 2015. The final date to claim encumbered funds is February 1, 2016. Special Recognition Letters Mr. Forlenza stated the Special Recognition Award letters will be going out shortly. XXI. 2015 SAFETY KICKOFF BREAKFAST Mr. Forlenza mentioned that the Safety Kickoff Breakfast was held at Merighi’s Savoy Inn in Vineland, NJ on February 19, 2015. He then referred the Committee to page 73 of the agenda packet to review the survey results following the Safety Kickoff Breakfast. Generally, the feedback was positive; however, those involved in the planning of this event each year feel some changes might be needed. Mr. Forlenza indicated that his office and J. A. Montgomery have a meeting scheduled on April 8, 2015 to discuss the feedback from this year’s survey to revamp the 2016 program. He stated that a report will be provided at the June meeting. XXII. MISCELLANEOUS ITEMS Coordination of Lessons Learned from Losses & Recent Claims 41 F:\DATA\Risk\WINWORD\ACMJIF\SAFETY\2015\Meetings\March\MIN 032515_GS.doc ACMJIF Executive Safety Committee Meeting Minutes March 25, 2015 Page 11 Mr. Sheehan indicated that the Lessons Learned from Losses is developed each month by QualLynx. He noted that he will be coordinating a meeting with Qual-Lynx to discuss having the subject covered in the Lessons connected to recent claims. He is hopeful that this will continue going forward. Mr. McMahon commented that some of his towns show a few second video on Lessons Learned. He stated that employees learn more from videos. Mr. Miola commented that it would be a great idea to send out small clips of video in lieu of a safety bulletin. Claims Reports & Loss Control Reps. Mr. Sheehan will coordinate a meeting between J. A. Montgomery and Qual-Lynx to discuss real claims and resources. OCEAN CITY SKATEBOARD PARK Mr. Forlenza stated that he failed to add this discussion to today’s meeting agenda. He indicated that he had a visit with Ocean City on March 4th to discuss their new skateboard facility. Mr. Forlenza noted that Ocean City has funding in place and location. The preliminary layout of the park was reviewed and Mr. Forlenza asked for a scaled drawing to be provided to the Executive Directors office along with the Safety Director. Mr. Forlenza stated that once these are received, he will re-issue the standard letter “skateboard” to Ocean City. He stated that the layout of the park is different from what his office has generally seen. The elements of the park in Ocean City exist in other parks, but are not all in the same facility. Mr. Forlenza stated that once the various steps are completed, approval of coverage would need to be recommended by this Committee. Once this Committee approves the logistics of the Ocean City Skateboard park facility, the Executive Committee would then approve. Mr. McMahon indicated that Ocean City is looking to open the facility this summer. Mr. Sheehan commented that Mr. Ruprecht conducted a very thorough Loss Control Report for the skateboard facility. Mr. Forlenza indicated that the next Executive Safety Committee is scheduled for June 24th a week after the JIF meeting. Therefore, he would like to have the Executive Committee grant approval of the facility contingent upon a recommendation by the Safety Committee at the June Executive Safety Committee meeting. The Committee agreed. XXIII. 2015 MEETING DATES Mr. Forlenza noted the next meeting date is June 24, 2015 at Sea Isle City at 11:30 AM. The Committee Agreed. Mr. Forlenza stated that last year the Committee invited a few Safety Coordinators to attend the Safety Committee Meeting. He asked the Committee if they would like to continue with this process. The Committee agreed to invite 2 – 3 Safety Coordinator’s to the next round of safety meetings. Mr. Sheehan indicated that he would suggest a few candidates. There being no further business, the meeting adjourned at 1:45 pm. File: ACM/2015/Safety Committee Meetings ACM/GEN/Safety Committee Tab: March 25, 2015 Tab: March 25, 2015 42 F:\DATA\Risk\WINWORD\ACMJIF\SAFETY\2015\Meetings\March\MIN 032515_GS.doc Atlantic County Municipal Joint Insurance Fund 2014 Annual Safety Director’s Report Table of Contents EXECUTIVE SUMMARY ................................................................................................ 2 2014 Contract Status ................................................................................. 2 COMMITMENT AND ACCOUNTABILITY .................................................. 2 • SUMMARY OF MEMBER PARTICIPATION ........................................ 2 • Special Recognition Awards ................................................................. 3 CONTROLLING HAZARDS ....................................................................... 6 • Police Activities..................................................................................... 6 • Renewal Surveys .................................................................................. 6 CONTINUING EDUCATION AND TRAINING ............................................ 7 • Regional Training ................................................................................. 8 COMMUNICATION .................................................................................... 8 COACHING ................................................................................................ 9 ANNUAL LOSS ANALYSIS SUMMARY & SERVICE INITIATIVES............................ 10 TRENDS BY LINE OF COVERAGE: ....................................................... 10 TRENDS BY MEMBER ............................................................................ 13 TRENDS BY CAUSE ............................................................................... 16 TRENDS BY DEPARTMENT ................................................................... 21 PLANNED SERVICE ACTIVITIES FOR Q1 ................................................................. 22 APPENDIX A TRAINING ADMINISTRATOR LIST .................................. 24 APPENDIX B: 2014 REGIONAL TRAINING ATTENDANCE ................... 27 APPENDIX C: 2015 MANAGEMENT REPORT ....................................... 28 43 EXECUTIVE SUMMARY 2014 Contract Status The 2014 Safety Director’s contract calls for a minimum of 126 loss control visits to the 42 members of the Atlantic County Municipal Joint Insurance Fund. As of December 31, 2014, 123 all of the proposed visits have been completed, and many of the visits involved multiple service objectives. All of the special boardwalk surveys were completed, and renewal surveys have been completed for the 15 members that will be renewing in 2015. The Safety Director’s service team consists of Tim Sheehan, Safety Director, and service consultants Louis Carey, Don Ruprecht and Paul Shatkvich. The team is administratively supported by Karen LaSala. Training support is administered by the MSI Learning Management System staff, including Susan Kopec, Andrea Felip and Natalie Dougherty. COMMITMENT AND ACCOUNTABILITY • SUMMARY OF MEMBER PARTICIPATION The Safety Director’s team evaluated participation by all members in the Safety Incentive Program during service visits. 100 % of the members qualified for Safety Incentive Program Awards. Safety Monitoring and Intervention Activity. The Safety Director reviews loss metrics (LTAF Rate, Loss Ratio Reports), training participation and SIP involvement on a quarterly basis. Members who show any deterioration in their results are brought to the attention of the Executive Safety Committee. 2 44 Controlling Hazards Claims Management Health & Wellness Y Accident Review Y Transitional Duty N/A N - No/SIP documentation not available JSO Y Y Y = YES SIP documentation available Coaching Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Daily Contact Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y NW Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Safety Committee Hazard Correction SFI Y Y Y Y Y N/A N/A N/A N/A N/A N/A Y N/A N/A UK Y Y Y Y Y UK Y Y Y Y Y Y UK Y Y Y N/A N/A Y Y N/A Y N/A Y Y Claims Management Tool Box Talks Inspections Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y NW NW Y NW NW NW Y NW Y Y Y NW Y NW NW Y Y NW NW Y Y Y Y Y NW Y Y Y NW Y Y NW Y Y Y Y Y Y NO Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y NO Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y NW Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y NW Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y NW NO Y Y Y Y Y Y Y Y Y Y UK - Unknown Training Admin Assigned Police Participation in SIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y ABSECON AVALON BRIGANTINE BUENA CAPE MAY CAPE MAY POINT COMMERCIAL CORBIN CITY DEERFIELD DENNIS DOWNE EGG HARBOR TWP ESTELL MANOR FOLSOM GALLOWAY HAMILTON LINWOOD LONGPORT LOWER MARGATE MIDDLE MILLVILLE MULLICA NEWFIELD NORTHFIELD NORTH WILDWOOD OCEAN CITY PLEASANTVILLE SEA ISLE CITY SOMERS POINT STONE HARBOR UPPER DEERFIELD UPPER TWP VENTNOR WATERFORD WEST CAPE MAY WEST WILDWOOD WEYMOUTH WILDWOOD CITY WILDWOOD CREST WOODBINE Coaching Communication Continuing Education MSI or other major Training SAFETY CONTRACT ATLANTIC JIF MEMBERS Safety on the Agenda Commitment & Accountability Roadway Sign & walkway SIP Elements NW - Area Needs work • Special Recognition Awards Members were encouraged to nominate individuals or departments for their efforts to go “above and beyond” in their safety program. Throughout the year we encouraged more nominations for the Special Recognition Awards. There were thirteen nominations in 2014. We believe that the nominations all represented good ideas and we appreciate those individuals that took time to nominate their co-workers and employees. The special recognition award program was administered and “winners” were chosen by committee and recognized at the annual safety kick off breakfast. Winners are awarded a plaque and a celebratory luncheon for their department co-workers. The Special recognition Awards winners and honorable mentions are as follows: 3 45 Honorable Mention: Joe Maltese, Waterford Twp. - Submitted by: Larry Rucco: Noticed a fellow employee choking and successfully administered the Heimlich Maneuver. Honorable Mention: Charles Rice, Waterford Twp. - Submitted by Larry Rucco: In the course of his duties, Charles noticed an elderly gentleman had flipped his power wheelchair and stopped to assist. Honorable Mention: James P. Leeds Sr., Longport. - Submitted by E.R. Strawder: Commissioner Leeds has attended every Safety Committee Meeting in 2014, and demonstrates a genuine concern for welfare of employees and citizens. Winner: Tom Heist Risk Manager for Upper Twp. - Submitted by Terri Smuz: Attends Township Safety Committee, Proposed and created safety awareness posters, and gave safety presentation at public works department Honorable Mention: Michael Rutledge -Submitted by Mary Romano: Mike suggested magnetic sign which reduce tailgating and associated hazards for slow moving meter reader truck. Winner: Wildwood Fire Department- Submitted by Daniel Dunn: Updated standard SOP’S, Mandated captain Buscio program, Created Wellness Program, attended National Training Program. Honorable Mention: Joseph Giannattasio Middle Twp. - Submitted by Vera Kalish: Innovative Communication Coordinated an environmental awareness class, recognition for promoting and improving communities. Honorable Mention: Patricia Feketics Safety Coordinator, Wildwood CrestPatricia is very conscientious, detailed, and a total team player. She takes ownership, no matter the assignment, and Organizes Safety Committee meetings with impressive agenda. Patricia has made the safety program interesting. Honorable Mention: Ocean City Health and Safety Committee- Submitted by: Joanne Ciotta- Started in 2000 to recognize employees for safe work practices. Held in local places of interest, with food from local restaurant, flowers from local florist, and gifts / prizes. Honorable Mention: Middle Twp. Wellness Committee-Submitted by Sean McDevitt- Established a fitness center in the Municipal Building. Contracted with vendors to sell organic produce at Township locations. Healthy vending machines in municipal buildings. Negotiated discounted gym memberships, Held several health seminars. Winner: Pleasantville Recreation Dept. Wellness Program-Submitted by Debbie Washington- Created numerous programs throughout year, March Madness weight loss challenge, Walking Club, Health Fair5K Walk / Run. Winner: Egg Harbor Police Injury review Board- Submitted by Chief Mike Morris-IRB created by Departmental General Order. Four member panel reviews all Supervisor’s Injury Reports. Fact-find: root & contributing causes and identify lessons to be learned. To date more than 50 lessons & suggestions have been generated. 4 46 Director’s Award Winner: Joanne Cioeta, Fund Commissioner Ocean CityOutstanding service & support. Role model and mentor to other members. Innovative ideas. Active in JIF committee’s long record of participation. Past Chair & active member of the Executive Safety Committee. Fund Commissioner & Past Safety Coordinator. Strong supporter of JIF loss control efforts. Generous with time and talents. 5 47 CONTROLLING HAZARDS We encouraged greater emphasis on Workers’ Compensation issues during survey visits. Member visit objectives were expanded to include more comprehensive job site observations, noise surveys, reviews of special operations, accident investigations, attendance at safety committee meetings, right to know surveys and other special projects as requested by the members. • Police Activities The Police Chief Ad Hoc Committee met on January 31st , 2014, April 25th, 2014, and August 15th , 2014. Tim Sheehan has taken the responsibility of organizing and facilitating the meetings. The purpose of the meetings is to review Accreditation, training, and other risk management issues related to law enforcement. There where numerous Police Chief’s from the ACM JIF who attended the meetings throughout the year. Regular attendance by the following ACM JIF members is recognized: North Wildwood, Egg Harbor Twp. and, Millville. Also Glenn Prince and Tim Sheehan have developed a uniform consulting plan for law enforcement agencies to address specific risks that are exclusive to the law enforcement community. Consultative surveys have been made to numerous Police Departments by our law enforcement specialist. In addition, Tim Sheehan and Glenn Prince facilitated Training for Special Officers offered at the Atlantic and Cape May County Police Academies, which was open to all JIF members. Course was taught by Ret. Chief Denis Connell from Clark, NJ. • Renewal Surveys Fifteen members were reviewed for renewal: Absecon, Cape May City, Cape May Point, Corbin City, Deerfield, Egg Harbor Twp., Estell Manor, Folsom, Linwood, Mullica, Ocean City, Upper Twp., West Wildwood, and Wildwood City. During the surveys all municipal operations were reviewed, buildings more than 50 + years old were visited and the following elements were reviewed: SIP participation, progress on Suggestions for Improvement, any unusual exposures and comments on their loss metrics. Results were summarized and reported at the June Executive Safety Committee meeting. Although there were some unique exposures identified, none of the conditions found presented concerns with the desirability of these members for renewal. 6 48 CONTINUING EDUCATION AND TRAINING Training administrators have been appointed by the member towns to oversee the registration and reports for MSI Learning events. An updated list of training administrators is included in the Appendix “A”, and members are encouraged to make sure their assigned administrator is current. Administrators are able to access the Learning Management System, register for classes, order videos, record external (non-MSI) learning events, run training reports and take advantage of the on-line learning platform. All but two members have training administrators assigned. We will work with Buena Borough and Newfield to encourage them to assign someone to this role. Training participation was very good in 2014. 2,351 instructor led classes were completed, which is up from 2,239 MSI Learning events during the previous year. On line learning was rolled out through the Learning Management System during 2014. 758 course completions were recorded for members of the Atlantic JIF. We will continue to encourage participation in this learning format during the coming year. Currently, there are 12 on line programs offered through the MSI Learning Management System with several more in production, Currently, available courses are: • • • • • • • • • • • Avoid Back Pain Bloodborne Pathogens Crossing Guard Training Crush Zone Ethics in Local Government Fire Safety Hazard Communications Training New Employee Safety Orientation Part 1 and Part 2 Office Safety - Perils and Pitfalls Survival Driving - Emergencies and Natural Disasters Survival Driving - Urban Driving Atlantic JIF members borrowed more than 80 DVDs from the MEL Media Library to supplement instructor led training. Members with outstanding training participation include: Stone Harbor, Commercial, Pleasantville and Upper Twp. Many of the smaller towns had proportionately high numbers of employees trained. 7 49 • Regional Training Six Regional Training programs have been held this year: • • • • • • The Safety Coordinator Round Table was held on February 20, 2014 Back to Basics-Investigating Sprains/ Strain Injuries –Date: April 3rd, 2014, 9:00 am – 3:00 PM. Police Stress Management Workshops: May 7th & May 28th, 2014 Lifeguard Symposium: June 18th, 2014. DPW Round Table: October 15th , 9:00am-12:00pm ACMJIF Retreat was held on 10/22/14 and 10/23/14. COMMUNICATION Regulatory Compliance has been added as a standing topic on the Executive Safety Committee Agendas. John Saville regularly attends the PEOSH Advisory Committee as a representative from J.A. Montgomery Risk Control. He attends as an ”interested party” and provides members with updates on focused enforcement activity, changes in regulations and summaries of the most frequently cited violations. Safety Director Bulletins, Tool Box Topics, customized hazard inspection checklists, and “Frequently Asked Questions” were distributed throughout the year on a wide range of topics. The use of e-mail distribution has allowed us to increase the frequency and efficiency of our communications throughout the year. Some of the topics addressed during the year by bulletins, included: • • • • • • • • • • • • Safety Director's Bulletin- MVR Checks Safety Director's Bulletin Posting OSHA Summary Logs – Annual Reminder Safety Director's Bulletin - Winter Ice Activities Safety Director's Bulletin - Managing of Special Events Safety Director's Bulletin - Soliciting Donations on Roadways Safety Director Bulletin - Exiting Large Vehicles Safety Director's Bulletin - Training Summer Seasonal Employees Safety Director's Bulletin - Preventing Heat-Related Illnesses Safety Director's Bulletin - Annual School Crossing Guard Training Safety Director's Bulletin - Best Practices for Backing Fire Apparatus into the Station Safety Director's Bulletin - Leaf Collection Safety Director's Bulletin -Mobile Work Zone SD Bulletin November 2014 8 50 COACHING There was a concerted effort on the part of the lead safety consultant to encourage members to use a “narrative” version of the Job Site Observation report and move away from “Checklists.” Risk control consultants met with members and mentored safety coordinators in the observation process. More constructive feedback was given to workers and supervisors reported that the narrative format was also useful as a training document. Included in the 2014 Safety Incentive Program, there was an emphasis on more complete Supervisors Incident investigations. Our consultants provided guidance and reviewed incidents with supervisor providing suggestions for follow up and more detailed investigation and remediation. Overall there is an improvement in the number of towns doing investigations and the level of detail provided. During on site record checks, all elements of the program were reviewed. Members make written documentation available for review, such as Safety Committee Minutes, hazard inspections, training records, job site observations, etc. Consultants work with members to secure a commitment of participation for any areas that are found to be lacking during the review. All safety elements are scored equally and full participation requires that there be activity and significant demonstration of commitment in all aspects of the program to qualify for a Safety Incentive Award. 9 51 ANNUAL LOSS ANALYSIS SUMMARY & SERVICE INITIATIVES TRENDS BY LINE OF COVERAGE: Workers Compensation Claims: For the five year period (2010 - 2014), WC accounted for (45%) of the claim frequency and (70 %) of the incurred costs. The average cost per WC claim is $11,102. • The number of WC claims has declined steadily since 2012 • Payroll declined since 2012, as did the number of F/T employees. • WC Claim frequency (number of claims per million dollars payroll) has dropped steadily since 2011 • Total WC Claim frequency per 100 F/T employees has dropped steadily since 2012 and coincides with other frequency measures • The LTAF rate is the lowest it has been in years. • Claim cost as a per cent of payroll showed a blip in 2013. 10 52 Workers' Compensation Metrics Claim Frequency Total Number of Claims Payroll (Millions) # of Claims per Million $ of Payroll Number of FTE Employees Total Claim Frequency / 100 FTE LTA Claim Frequency / 100 FTE Claim Cost as a % of Payroll 2010 848 $265.5 3.19 7,183 11.81 2011 642 $260.5 2.46 6,806 9.43 4.52% 2.88% 2012 721 $263.2 2.74 6,495 11.1 2.77 2.40% 2013 650 $258.0 2.52 6,305 10.31 2.62 2.64% 2014 612 $247.0 2.48 6,237 9.81 2.47 2.39% The LTAF still remains higher than the MEL average for the entire period reported, but the Atlantic JIF rate continues to decline. 2014 LOST TIME ACCIDENT FREQUENCY ALL JIFs Decemb er 31, 2014 FUND BURLINGTON SUBURBAN MUNICIPAL TRI-COUNTY MORRIS CAMDEN PROF MUN MGMT CENTRAL SUBURBAN ESSEX BERGEN MONMOUTH OCEAN SOUTH BERGEN NJ PUBLIC HOUSING ATLANTIC N.J.U.A. AVERAGE 2014 LOST TIME FREQUENCY 1.47 1.58 1.65 1.72 1.82 1.92 2.02 2.06 2.09 2.17 2.22 2.35 2.47 2.47 2.62 2013 LOST TIME FREQUENCY 1.59 1.91 1.99 1.50 1.95 2.88 2.44 2.49 1.85 1.42 2.24 2.56 2.34 2.62 2.25 2012 LOST TIME FREQUENCY 1.88 1.74 2.35 1.78 2.90 1.81 2.69 2.35 2.02 1.86 2.94 2.47 2.70 2.77 1.95 TOTAL RATE * 2014 - 2012 1.64 1.75 2.00 1.67 2.22 2.20 2.37 2.30 1.99 1.82 2.46 2.46 2.51 2.62 2.26 2.04 2.14 2.28 2.15 Service Initiative #1: The thrust of our service efforts are directed at Workers’ Compensation exposures. We continue to support claims mitigation and reduction efforts, especially focusing on Accident Investigation and promoting the transitional duty initiatives of the JIF. 11 53 General Liability Claims: For the five year period (2010 - 2014), General Liability accounted for (26%) of the claim frequency and (18 %) of the incurred costs. The average cost per GL claim is $5,143. • 2014 YTD shows decrease in the number of GL claims. • Annual appropriations have increased. • GL Claims per appropriations have declined. General Liability Metrics Claim Frequency Total Number of Claims Annual Appropriations # of Claims per Million $ of Appropriations 2010 445 $500,941,456 0.89 2011 389 $503,406,679 0.77 2012 435 $485,607,543 0.90 2013 2014 368 338 $489,619,323 $645,365,805 0.75 0.52 Auto Claims: Auto Liability claims comprise 9% of the claim frequency and 3 % of the incurred costs. • • • 2014 claims frequency was relatively flat with 2013, but shows an overall downward trend for the past 5 years. Number of vehicles decreased in 2014 comparison to prior year Number of Auto Claims per 100 vehicles was flat compared to 2013. Auto Liability Metrics Claim Frequency Total Number of Claims Number of Vehicles # of Claims per 100 Vehicles 2010 218 2,923 7.46 2011 135 2,852 4.73 2012 117 2,729 4.29 2013 103 2,712 3.80 2014 100 2,598 3.85 Property Claims: Property claims represent 21% of the claim frequency and 9 % of the incurred costs. • • Property claims showed a slight upturn in 2014. Generally, the number of property claims track with Auto liability frequency. . Property Metrics Claim Frequency Total Number of Claims 2010 429 12 54 2011 309 2012 361 2013 239 2014 263 TRENDS BY MEMBER The two tables below shows the LTAF rate (2012 – 2014), valued as of 12/31/2014 and claim count by member. Eleven members had no lost time incidents in 2014 and the LTAF rate has declined steadily over the past few years. The LTAF rate is higher than the MEL average Atlantic County JIF 2014 LOST TIME ACCIDENT FREQUENCY December 31, 2014 MEMBER 2014 LOST TIME 2013 LOST TIME FREQUENCY FREQUENCY 2012 LOST TIME TOTAL RATE FREQUENCY 2014 - 2012 BUENA 0.00 2.41 5.03 COMMERCIAL 0.00 0.00 5.88 1.75 DEERFIELD 0.00 0.00 3.13 0.84 ESTELL MANOR 0.00 0.00 0.00 0.00 NEWFIELD 0.00 3.13 0.00 0.97 WEST CAPE MAY 0.00 0.00 0.00 0.00 WOODBINE 0.00 4.17 0.00 1.41 CORBIN CITY 0.00 16.67 0.00 5.56 CAPE MAY POINT 0.00 0.00 1.80 0.63 ABSECON 0.00 1.02 0.00 0.35 DOWNE TOWNSHIP 0.00 0.00 0.00 0.00 WILDWOOD CREST 0.90 0.95 0.45 0.76 STONE HARBOR 1.02 1.99 3.55 2.12 NORTHFIELD 1.02 2.13 3.00 2.05 DENNIS 1.08 1.01 3.00 1.71 UPPER DEERFIELD 1.08 1.12 0.99 1.06 WILDWOOD CITY 1.09 3.96 1.19 2.02 SEA ISLE CITY 1.10 1.57 4.58 2.46 MULLICA 1.32 3.90 0.00 1.71 CAPE MAY 1.53 3.23 1.51 2.07 AVALON 1.74 1.13 1.10 1.32 LONGPORT 1.86 0.00 3.46 1.83 GALLOWAY 1.96 1.20 2.50 1.94 NORTH WILDWOOD 2.04 0.45 1.30 1.29 MARGATE 2.15 1.20 1.49 1.60 OCEAN CITY 2.46 2.48 2.64 2.53 WEYMOUTH 2.50 0.00 0.00 0.92 VENTNOR 3.02 2.98 3.80 3.24 MIDDLE 3.26 2.27 4.39 3.27 HAMILTON 3.42 2.10 3.14 2.87 UPPER 3.43 2.14 3.17 2.90 MILLVILLE 3.49 2.76 6.29 4.23 LINWOOD EGG HARBOR TOWNSHIP 3.54 3.57 2.74 5.02 7.50 3.32 4.51 3.95 WATERFORD 3.68 1.81 4.72 3.36 BRIGANTINE 3.70 2.64 2.36 2.93 LOWER 4.40 4.47 2.40 3.71 PLEASANTVILLE 5.34 10.24 8.44 7.99 SOMERS POINT 6.82 2.91 0.74 3.47 FOLSOM 7.41 5.26 0.00 4.21 10.34 10.53 2.62 0.00 2.77 7.30 WEST WILDWOOD 2.47 13 55 2.41 2.62 ATLANTIC MUNICIPAL JOINT INSURANCE FUND ERS' COMPENSATION LOSSES BY MEMBER : FUND YEARS 2010 Claims by Member Member Name ABSECON AVALON BRIGANTINE BUENA CAPE MAY CAPE MAY POINT COMMERCIAL CORBIN CITY DEERFIELD DENNIS DOWNE TOWNSHIP EGG HARBOR TOWNSHIP ESTELL MANOR FOLSOM GALLOWAY HAMILTON LINWOOD LONGPORT LOWER MARGATE MIDDLE MILLVILLE MULLICA MULLICA NEWFIELD NORTH WILDWOOD NORTHFIELD OCEAN CITY PLEASANTVILLE SEA ISLE CITY SOMERS POINT STONE HARBOR UPPER UPPER DEERFIELD VENTNOR WATERFORD WEST CAPE MAY WEST WILDWOOD WEYMOUTH WILDWOOD CITY WILDWOOD CREST WOODBINE Total All Members Total Fund Years 2010 - 2014 Average % of Cost per # Claims Total Incurred Total 33 $ 608,643 1.57% $ 18,444 101 $ 487,603 1.26% $ 4,828 113 $ 1,574,275 4.06% $ 13,932 27 $ 265,532 0.69% $ 9,835 158 $ 1,209,816 3.12% $ 7,657 7 $ 29,765 0.08% $ 4,252 1 $ 1,733 0.00% $ 1,733 1 $ 79,455 0.21% $ 79,455 5 $ 53,302 0.14% $ 10,660 28 $ 93,904 0.24% $ 3,354 4 $ 3,822 0.01% $ 955 234 $ 3,588,622 9.26% $ 15,336 5 $ 79,579 0.21% $ 15,916 5 $ 87,460 0.23% $ 17,492 114 $ 2,518,753 6.50% $ 22,094 148 $ 2,146,369 5.54% $ 14,502 40 $ 748,476 1.93% $ 18,712 28 $ 249,579 0.64% $ 8,914 193 $ 1,801,637 4.65% $ 9,335 83 $ 685,546 1.77% $ 8,260 156 $ 1,199,726 3.10% $ 7,691 183 $ 2,881,790 7.44% $ 15,747 20 $ 193,592 0.50% $ 9,680 20 $ 193,592 0.50% $ 9,680 5 $ 248,455 0.64% $ 49,691 141 $ 622,337 1.61% $ 4,414 44 $ 511,322 1.32% $ 11,621 429 $ 3,509,826 9.06% $ 8,181 198 $ 3,556,939 9.18% $ 17,964 169 $ 2,052,570 5.30% $ 12,145 84 $ 730,237 1.88% $ 8,693 81 $ 453,082 1.17% $ 5,594 95 $ 821,286 2.12% $ 8,645 16 $ 54,974 0.14% $ 3,436 116 $ 1,505,075 3.88% $ 12,975 60 $ 689,543 1.78% $ 11,492 10 $ 11,823 0.03% $ 1,182 23 $ 82,474 0.21% $ 3,586 10 $ 84,213 0.22% $ 8,421 164 $ 1,194,770 3.08% $ 7,285 63 $ 562,067 1.45% $ 8,922 5 $ 43,850 0.11% $ 8,770 3493 $ 38,749,235 100.00% $ 11,093 14 56 Service Initiative #2: • We continue to monitor the WC metrics through the “Watch List” to identify members that may show deteriorating loss experience. Members that appear to be trending in the wrong direction may be placed on Safety Monitoring, which initiates greater attention from the Safety Director office. Members that show significant deterioration or unwillingness to address exposures may be placed on Safety Intervention, and calling in the efforts of other JIF Professionals. • The Safety Director’s office identifies and reviews members on “Watch,” “Monitoring,” and “Intervention” during every Executive Safety Committee meeting. • Part of this review includes the LTAF rate, which gives an indication of overall performance, along with loss ratios and participation in the Safety Incentive Program. There are many components that go into reducing the LTAF rate, including 1) not having claims in the first place; 2) medical management of injuries to reduce lost time; 3) incident investigation to reduce future incidents; and 4) availability of transitional duty. We will continue to monitor the Atlantic JIF LTAF rate – both among the members and in comparison with other JIFs to identify trends and service initiatives Service Initiative #3: • Accident Investigation is one of the key components in preventing future incidents. One of our key elements in 2015 will be to identify the members that have the highest WC frequency rates, and to work with these members on their accident investigation programs. We have identified the top 20% of the members in terms of frequency for special emphasis in 2015: • Each of these members will receive a focused survey visit to address WC accident experience. We will review 5 years of loss experience, identify departments with the highest frequency rates, review recent investigation reports and review procedures, and conduct at least one on-site investigation with the safety coordinator. If needed, we will meet with the safety committee and conduct an accident investigation workshop • Our goal from this process will be to see 1) increased utilization of the accident investigation program; 2) more meaningful and substantive accident investigation findings; 3) clearer understanding on the part of the member towns on how to use the JIF accident investigation resources, including on-line reports, root cause analysis worksheet and the expertise of Loss Control consultants. 15 57 TRENDS BY CAUSE Workers Compensation Trends: The Chart and table below shows the Workers Compensation experience (2010 – 2014 YTD) by Cause. The most significant loss sources in terms of frequency/ severity were: strains, motor vehicle incidents, slip falls and assaults. 16 58 ATLANTIC MUNICIPAL JOINT INSURANCE FUND CLAIMS BY CAUSE : FUND YEARS 2010 - 2014 Claims by Loss Cause Total Fund Years 2010 - 2014 Loss Cause/ Workers Compensation # Claims Burn or Scald / Heat or Cold Exposure Subtotal Caught In or Between (10, 12-13, 20) Subtotal Cut, Puncture, Scrape (15 - 19) Subtotal Fall or Slip From (25 -33) 121 78 205 475 Motor Vehicle Causes Subtotal Strains (53 - 60) Subtotal Striking Against or Stepping On (65 - 70) Subtotal Struck By (75 - 81, 87) Subtotal Miscellaneous Causes Robbery or Criminal Assault Workers Compensation NOC 79 1,159 138 373 574 196 75 Total Workers Compensation Loss Causes Average Cost per Claim Total Incurred % of Total $ $ $ $ 563,499 443,620 540,617 7,278,275 1.46% 1.15% 1.40% 18.88% $ $ $ $ 4,657 5,687 2,637 15,323 $ 2,658,589 $ 15,849,451 $ 946,926 $ 2,275,834 $ 3,826,622 $ 3,266,816 $ 905,395 6.90% 41.11% 2.46% 5.90% 9.92% 8.47% 2.35% $ $ $ $ $ $ $ 33,653 13,675 6,862 6,101 6,667 16,667 12,072 100.00% $ 11,102 3473 $ 38,555,644 Service Initiative #4: Focus on most frequent injury types: strains, falls and motor vehicle incidents. Several actions could be taken to improve this experience: • • • • • • • Reinforce during daily safety briefings between employees and supervisors. Evaluate every lift. Is there a method to lift / move the material to eliminate or limit manual handling? Is there a mechanical aid to lessen musculoskeletal strain potential? Can workers be added or re-positioned to promote better body mechanics? Encourage workers to engage in pre-lift stretches. Promote wellness initiatives. Prevent winter slips and falls: Snow removal and salting on walkways and parking lots should be thorough, and repeated as necessary to account for melting-refreezing cycles Personnel in the field should be encouraged to take additional precautions during winter months. Evaluate providing removable shoe cleats for certain tasks. Effective self-inspections can identify snow removal and housekeeping concerns. They should be done frequently, and especially during inclement weather. Provide adequate (3-step length), walk off mats at entrances and clean or replace regularly, to minimize carryover of moisture into the building. 17 59 • • • Provide boot/shoe cleaner brushes at entrances frequented by field personnel. Reinforce three-points-of-contact when using ladders, stairs, and entering / exiting vehicles. Defensive driving habits must be consistently emphasized. Offer Defensive Driving Course, Driver Awareness, S:ERVE or CEVO presentation. General Liability Trends: The table below shows the General Liability experience (2010 – 2014 YTD) by Cause. The most significant loss sources in terms of frequency and incurred cost were: Police Professional (7% Frequency and 30.5% cost), Damaged or Injured (36% frequency and 18.8% cost), Falling Down (23 % frequency and 32% cost) and Motor Vehicle (19 % frequency and 15 % cost. ATLANTIC MUNICIPAL JOINT INSURANCE FUND CLAIMS BY CAUSE : FUND YEARS 2010 - 2014 Claims by Loss Cause Total Fund Years 2010 - 2014 Loss Cause/ General Liability Subtotal Falling Down (10 - 15) Subtotal Damaged or Injured By (18 - 39) Subtotal Police Professional (40 - 46) Subtotal Public Officials (47 - 53) Subtotal Motor Vehicle (61 - 71) General Liabilty NOC Total General Liability Loss Causes # Claims 456 717 146 211 377 68 1975 Total Incurred $ 3,310,484 $ 1,909,639 $ 3,096,912 $ 148,816 $ 1,553,595 $ 138,765 $ 10,158,213 % of Total 32.59% 18.80% 30.49% 1.47% 15.29% 1.37% 100.00% Average Cost per Claim $ $ $ $ $ $ $ Service Initiative #5: GL • Focus on most frequent Claim types. Several actions could be taken to improve this experience: • Motor vehicle incidents and fall related claims can be mitigated with strong Roadway Sign and Walkway programs. • Falls can also be mitigated with some of the same strategies noted under Workers Comp above. • Finally, there is a correlation between Police accreditation and reduced Police Professional Liability claims. Police accreditation is encouraged. 18 60 7,260 2,663 21,212 705 4,121 2,041 5,143 Auto Liability Trends: The table below shows the Auto Liability experience (2010 – 2014 YTD) by Cause. The most significant loss sources in terms of frequency and incurred cost were: Intersection (10% Frequency and 29% cost), Pedestrian (2.5% frequency and 16% cost), Collision with fixed object (32 % frequency and 9% cost) and Backing incidents (22 % frequency and 7% cost). ATLANTIC MUNICIPAL JOINT INSURANCE FUND CLAIMS BY CAUSE : FUND YEARS 2010 - 2014 Auto Liability Rear Ended Pass, Turn, Lane Change Backing Up Intersection Collision With Fixed Object Hit Pedestrian Auto Liability NOC Total Auto Liability Loss Causes 45 20 146 67 217 17 161 673 $ $ $ $ $ $ $ $ 71,989 16,166 103,697 447,854 142,810 254,986 520,417 1,557,921 4.62% 1.04% 6.66% 28.75% 9.17% 16.37% 33.40% 100.01% $ $ $ $ $ $ $ $ 1,600 808 710 6,684 658 14,999 3,232 2,315 Service Initiative #6: Focus on most costly types of claims, especially intersection pedestrian, backing and collision with fixed objects. Several actions could be taken to improve this experience: • Backing incidents - Encourage the use of spotters and new technologies like cameras and alarm sensors. • Intersection claims are a concern, especially to first responders. Fire, Police and EMS Departments are encouraged to take part in the on-line training offered by S:ERVE on avoiding intersection accidents. These types of claims tend to be frequent and costly. • Collision with fixed objects and Rear-end accidents – Emphasize the importance of maintaining proper following distance, 3 -second rule. Always wear seat belts and avoid cell phone use while driving. Develop a cell phone policy and train all employees on its major requirements. Encourage the new Driver Safety Awareness program as remedial training for anyone involved in accidents. 19 61 Property Trends: ATLANTIC MUNICIPAL JOINT INSURANCE FUND CLAIMS BY CAUSE : FUND YEARS 2010 - 2014 Claims by Loss Cause Total Fund Years 2010 - 2014 Loss Cause/ Property Damaged or Injured By Wind Damage Lightening Flooding Fire/Explosion Vandalism Theft Total Incurred % of Total $ $ $ $ $ $ $ 49,947 187,495 524,207 102,249 217,957 112,028 295,350 0.97% 3.62% 10.13% 1.98% 4.21% 2.17% 5.71% 1,029 $ 388 $ # Claims 34 18 41 20 12 34 25 Motor Vehicle All Property NOC Total Property Loss Causes 1601 $ Average Cost per Claim $ $ $ $ $ $ $ 1,469 10,416 12,786 5,112 18,163 3,295 11,814 1,700,079 1,984,251 32.86% $ 38.35% $ 1,652 5,114 5,173,562 100.00% $ 3,231 The most significant property losses arise from physical damage / motor vehicle claims, which represent 64% of the property claims and 33% of the incurred losses. . Traditional perils (wind, lightning, flood, fire & explosion, vandalism and theft represent (11%) of the claim frequency. The same service intiatives identified under auto losses apply to the physical damage componets of these claims. 20 62 TRENDS BY DEPARTMENT ATLANTIC MUNICIPAL JOINT INSURANCE FUND WORKERS' COMPENSATION CLAIMS : FUND YEARS 2010 - 2014 Claims by Department Department Name Administration Subtotal EMS Subtotal Fire Lifeguards Subtotal Police Subtotal Public Works NOC Total All Departments # Claims 127 80 443 323 1,044 1,425 18 3473 21 63 Total Fund Years 2010 - 2014 % of Average Cost per Claim Total Incurred Total $ 1,287,431 3.34% $ 10,137 15,112 3.14% $ $ 1,208,942 11.76% $ 10,235 $ 4,534,039 $ 1,267,835 3.29% $ 3,925 14,978 40.56% $ $ 15,637,209 10,064 37.19% $ $ 14,340,498 0.66% $ 14,206 $ 255,699 11,102 $ 38,555,644 100.00% $ Service Initiative #7: Continue to promote the Safety Incentive Program as best practices for a successful safety program. Encourage all members to show significant demonstration of participation in each of the areas: 1) Commitment and Accountability; 2) Controlling hazards; 3) Continuing Education and Training; 4) Communication; 5) Coaching; and 6) Claims Management. Service Initiative# 8 – Police: • • Police Ad Hoc Committee - The purpose of the meetings is to review Accreditation, training, and other risk management issues related to law enforcement. Uniform consulting plan for law enforcement agencies to address specific risks that are exclusive to the law enforcement community. Service Initiative #9 - Public Works • • • Encourage more meaningful Job Site Observations and daily crew meetings for the DPW Continue to develop Tool-Box-Talk outlines for MSI classes to assist supervisors in providing specific safety refresher in the years between mandated MSI training. Encourage the use of training resources, including MSI, online and regional training workshops. PLANNED SERVICE ACTIVITIES FOR Q1 • • • • • • • Write and distribute the 2015 safety incentive program Identify Special Recognition award winners and present safety award breakfast. Make a concerted effort to identify training opportunities within Atlantic JIF members, including traditional and on-line formats. Include “written program review” for members during surveys. Assist in personalizing programs to meet individual member needs. Continue to encourage members to utilize the Job Site Observations. Review recent submitted Supervisor incident reports for completeness and thorough investigation, and provide constructive feedback to Safety Coordinators and Supervisors. Continued emphasis on law enforcement through the uniform consulting plan. 22 64 • • • • • • • • • • • Continue to notify RMC’s and FC’ on a timely basis of any unusual or unique exposures identified during member visits. Seek their input in identifying the best approach to take to resolve or present the findings. Work closely with members with above average frequency / LTAF rates. Facilitate Police Chief Ad Hoc Committee meeting. Provide feedback on Safety Incentive Program progress Encourage disposal of excess or no longer needed chemicals prior to the Right-to-Know inventories to facilitate accuracy and minimize survey time. Complete the renewal surveys for 2015 by June 1st Participate in joint risk control / claims review process Continue to participate in quarterly Executive Safety Committee meetings and provide analysis of issues or share insights gained during member visits. Alert members to issues or incident trends, PEOSH citations and solicit guidance on proposed activities in response to same. Distribution of Safety Director Bulletins and notices. Continue to develop Tool-Box-Talk outlines for MSI classes to assist supervisors in providing specific safety refresher in the years between mandated MSI training. Participate in the fund commissioner meetings and all JIF related activities 23 65 APPENDIX A TRAINING ADMINISTRATOR LIST MSI ADMINISTRATORS AS OF FEBRUARY 27, 2015 MUNICIPALITY LAST NAME FIRST NAME ABSECON DOLAN TERENCE ABSECON JONES LLOYD AVALON DEAN EDWARD, R. AVALON JUZAITIS BRIAN AVALON MACOMBER WILLIAM AVALON MCCLINTOCK ELISABETH AVALON PATRO ROBERT AVALON SCARPA KEVIN AVALON WHILDIN JR WAYNE BRIGANTINE DORING JOHN BRIGANTINE MUSUMECI LISA BUENA NONE CAPE MAY SMITH ROBERT CAPE MAY POINT MAHON CONSTANCE COMMERCIAL SPARKS HEATHER CORBIN CITY SIEDLECKI JOANNE DEERFIELD SEIFRIT KAREN DENNIS CHAMPION VERNON DOWNE TOWNSHIP LOCKLEY NADINE BURGER DONNA LINCOLN ROBERT SLUSARSKI STEPHEN ESTELL MANOR HENRY JOE ESTELL MANOR KENT LINDA FOLSOM GATTO PATRICIA FOLSOM LAPOLLO JOHN GALLOWAY AYERS MATT GALLOWAY FARRELL RAYMOND GALLOWAY GUERRA RAY GALLOWAY MCDOWELL KEVIN HAMILTON MARCOLONGO LISA LINWOOD BECK EDWARD LINWOOD KOLAKOWSKI HENRY LONGPORT HIRSCH RICHARD LONGPORT SIMMONS JUERGEN EGG HARBOR TOWNSHIP EGG HARBOR TOWNSHIP EGG HARBOR TOWNSHIP 24 66 MSI ADMINISTRATORS AS OF FEBRUARY 27, 2015 MUNICIPALITY LAST NAME FIRST NAME LOWER BEEBY THOMAS LOWER BIERSBACH MARTIN LOWER CRIPPEN COLLEEN LOWER DILWORTH JASON LOWER GALESTOK WILLIAM LOWER LEPOR DAVE LOWER PLENN MITCHELL MARGATE ADAMS DANIEL MIDDLE KALISH VERA MIDDLE KEATING KAYTIE MIDDLE KRAUSS KIMBERLY MILLVILLE CAMPISI FRANK MILLVILLE HESS KURT MILLVILLE KILEY TONYA MILLVILLE LIPPINCOTT MICHAEL MILLVILLE ROBOSTELLO SUSAN MILLVILLE TONETTA CHRISTINE MILLVILLE WILSON DOUGLAS MULLICA CRITELLI JERRY MULLICA STOLLENWERK DAWN M. MULLICA THOMPSON JOHN MULLICA SPERLAK STEPHEN NEWFIELD NONE NONE NORTH WILDWOOD FORD DOUGLAS NORTH WILDWOOD OSTRANDER LEWIS NORTH WILDWOOD VANSANT JENNIFER NORTH WILDWOOD GALLAGHER MATTHEW NORTH WILDWOOD MCGRAW ADAM NORTH WILDWOOD OKANE BONNIE NORTHFIELD RUFFO CINDY OCEAN CITY BIRCH DIANE OCEAN CITY CIOETA JOANN OCEAN CITY MOYER CHARLOTTE PLEASANTVILLE PAGE-SCOTT DENISE SEA ISLE CITY GLYNN PAUL SEA ISLE CITY SEIB KELLIE SOMERS POINT MOLLENKOPF SHELBY SOMERS POINT VENAFRO TOM STONE HARBOR RUSS GRANT 25 67 MSI ADMINISTRATORS AS OF FEBRUARY 27, 2015 MUNICIPALITY LAST NAME FIRST NAME UPPER SMUZ TERI UPPER POTTER JAY UPPER MORGAN SCOTT UPPER SHARP RHONDA UPPER SPIEGEL BARBARA UPPER DEERFIELD VAGNARELLI VICKI VENTNOR GOOS JAMES WATERFORD MICKLASAVAGE MICHAEL WATERFORD GARDNER BETTY ANNE WATERFORD CHIUMENTO DANIEL WATERFORD CORMANEY DANIEL WATERFORD LAURSEN ILENE WEST CAPE MAY BASILE GREGORY WEST CAPE MAY RUTHERFORD DIANNE WEST CAPE MAY WALLACE ELAINE WEST WILDWOOD SWEENEY RUTH WEYMOUTH CARROLL RONALD WILDWOOD CITY DUNN DAN WILDWOOD CITY SPEIGEL DANIEL WILDWOOD CITY PINTO HOPE WILDWOOD CITY HODSON KIM WILDWOOD CITY WARD SENA WILDWOOD CREST SHEARER STEVEN WILDWOOD CREST FEKETICS PATRICIA WILDWOOD CREST GRASSI RALPH WILDWOOD CREST HOLZMER JANELLE WOODBINE GURDGIEL JAMES 26 68 APPENDIX B: 2014 REGIONAL TRAINING ATTENDANCE Absecon City Avalon Borough Brigantine City Buena Borough Cape May City Cape May Point Commercial Township Corbin City Deerfield Township Dennis Township Downe Township Egg Harbor Township Estell Manor City Folsom Borough Galloway Township Hamilton Township Linwood Longport Borough Lower Township Margate City Middle Township Millville City Mullica Township Newfield Borough North Wildwood City Northfield City Ocean City Pleasantville City Sea Isle City Somers Point City Stone Harbor Upper Deerfield Township Upper Township Ventnor City Waterford Township West Cape May West Wildwood Weymouth Township Wildwood City Wildwood Crest Borough Woodbine Borough XX Total M M L S M XS XS XS XS S XS XL XS XS L L M S L L L XL S XS L M XL XL L M M S M L M XS XS XS XL M XS SC Round Table 2/20/14 x Back to Basics Police Stress Police Stress Lifeguard Strains/Sprains Mgt. Mgt. Symposium 4-3-14 5/7/14 5/28/14 6/18/14 1 1 0 1 1 1 1 1 1 1 DPW RT 10-15-14 1 Police Stress Planning Mgt. Retreat 10-22-14 10/22-23/14 1 x 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 0 0 1 0 1 1 0 1 1 0 1 1 1 0 1 1 x 1 0 1 1 1 0 1 1 0 1 0 1 0 1 1 1 1 x 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 0 1 x 0 0 x 1 1 1 0 0 0 0 0 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 x 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 x 1 1 0 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 0 1 1 1 1 1 x 1 1 x 1 1 1 23 12 0 11 1 35 1 27 69 4 1 21 1 1 6 1 39 Total Attended 4 5 5 4 6 3 2 1 2 2 1 5 2 2 3 2 2 4 6 4 3 4 1 2 6 4 6 6 5 3 6 4 4 4 5 4 3 4 5 5 1 150 APPENDIX C: 2015 MANAGEMENT REPORT Atlantic County Municipal Joint Insurance Fund Loss Control Management Report - Contract Period 1/1/2015 to 12/31/2015 2015 Visit Schedule Size REN Absecon City Avalon Brigantine City Buena Borough Cape May City Cape May Point Commercial Township Corbin City Deerfield Township Dennis Township Downe Township Egg Harbor Township Estell Manor City Folsom Borough Galloway Township Hamilton Township Linwood Longport Borough Lower Township Margate City Middle Township Millville City Mullica Township Newfield Borough North Wildwood City Northfield City Ocean City Pleasantville City Sea Isle City Somers Point City Stone Harbor Upper Deerfield Township Upper Township Ventnor City Waterford Township West Cape May West Wildwood Weymouth Township Wildwood City Wildwood Crest Borough Woodbine Borough XXXTotal M M L REN S M XS XS SERV PROJ CONS VISITS BW PS LC LC LC DR LC LC 3 3 3 2 3 2 2 XS XS S XS XL XS XS LC LC LC LC PS LC LC 2 2 2 2 4 2 2 L L M S L REN L REN L REN PS DR LC LC PS LC DR 2 3 3 2 4 4 4 XL REN S XS L REN M XL XL LC LC LC DR DR DR DR 3 2 2 4 2 4 4 L M M S M L M XS XS XS XL M XS DR LC DR LC LC LC LC LC LC LC DR PS LC 28 4 3 3 2 3 3 3 2 2 2 4 3 2 REN REN REN REN REN 70 113 Special Focus LAW ENFOR Safety Contract received 3/2/2015 1 3/23/2015 (2nd page) 1 3/19/2015 3/23/2015 1 Acc review 1/22/2015 1/23/2015 2/3/15 (no signatures on 2nd page) 1/30/2015 3/4/2015 2/18/2015 Acc review 1/28/2015 3/16/2015 1 Acc review 3/2/2015 1/29/2015, second page only 2/12/2015 1/22/2015 Acc review 2/2/2015 Acc review 1/30/2015 2/23/15, second page only 2/5/2015 Acc review 1 1 2/2/2015 3/4/2015 1 Acc review 1 Acc review Acc review 1/29/2015 Acc review 1/28/2015 2/4/2015 1 1 2/3/2015 3/6/2015 2/5/2015 3/3/2015 2/13/2015 1 1/8/2015 3/3/2015 1/28/2015 1/29/2015 2/9/2015 1 Acc review 3/10/2015 1/29/2015 1/28/2015 7 0 5 ATLANTIC A C COUNT TY MUNIICIPAL JO OINT INS SURANCE E FUND WE ELLNESS S POLICY Y PROGRA RAM STAT TEMENT T It is thee policy off the Atlanttic County y Municipaal Joint Inssurance Fuund to prom mote the heallth and saffety of mun nicipal em mployees. O Our membeers’ successs in achieeving a high degree off freedom from acccidents annd injuriess has beenn due to their committment to saafety. Num merous stu udies have demonstraated that thhere is a sttrong link between b workplace w e wellnesss and lower W Workers’ Compensaation Costs. Wellness Programs also contrribute to eemployee morale, w well-being, and quality of life bo oth in and outside off the workkplace. T Therefore, iin an effoort to benefit our employees an nd to addrress ever rising coosts, we, the Execuutive Committtee of the Atlantic County C Mu unicipal Joiint Insurannce Fund, hhereby suppport the im mplementatiion of a Workplaace Wellnness Proggram in each mem mber municip pality that will utilizee a proactiv ve approacch to prom mote emplooyee healthh and wellness. In furth herance of this objecttive, the E Executive C Committeee has appoiinted a Welln ness Direcctor to wo ork with members’ m Wellness Committeees to proovide guidancce and sup pport for member m pro ograms wiith the goaal of creatiing a healthier and mo ore producctive work kplace. Every E mem mber standds to bennefit from this program m. We en ncourage cooperation c n from alll memberss of the A Atlantic Coounty Municip pal Joint In nsurance Fund. The ressults of ou ur compreh hensive Wellness W Proogram willl certainlyy be worthh the effort. __ __________ ___________________ Fu und Chair ______ __________ ________________________ Fun nd Secretary __________ _ __________________ DATE f:\\data\risk\winworrd\acmjif\wellnesss\wellness policy sstatement ‐ final.docx 71 TO: Fund Commissioner FROM: Executive Safety Committee DATE: April 15, 2015 RE: Wellness Incentive Program - Reimbursement Procedures Please note that $______ has been allocated for your municipality’s Wellness Incentive Program for the 2015 Fund Year. Purpose The Wellness Incentive Program is designed to assist members in meeting their own Wellness objectives by providing financial reimbursement for wellness and health related items or programs purchased by the member municipality. Suggested Uses Some suggestions for eligible items are as follows: • • • • • • Pedometers & Other Activity Monitoring devices Employee Incentives Health Fairs & Community Outreach Programs Promotional Items Guest Speakers Nutritionists Your JIF Wellness Director can help you with additional ideas, if needed. Inadmissible Reimbursements Please note that purchases made routinely within a municipality, if a Wellness Incentive Program were not in place, are not eligible for reimbursement. These items include such things as healthcare premiums, deductible reimbursements, etc. Requests for reimbursement items that are not clearly wellness related will be submitted to the Executive Safety Committee for approval. 72 Reimbursement Instructions Payments will be processed on a monthly basis as individual reimbursement requests are made by members. Instructions for reimbursement are as follows: 1. After you have completed your purchase, you must forward supporting documentation (purchase orders, vouchers, invoices, course outlines, descriptions, etc.) along with a copy of the enclosed voucher with an original signature to: Atlantic County Municipal Joint Insurance Fund Attention: Sheila Ortiz, Account Representative PO Box 488 Marlton, NJ 08053 Fax: (856) 446-9149 E-mail: [email protected] 2. Upon receipt of the above documentation, a check will be issued after the next monthly JIF Executive Committee meeting. In order to avoid accounting problems for your vendors and the JIF, we want to again emphasize that all purchases must be made by and paid for by the municipality. The JIF cannot pay vendors directly on your behalf. Deadline for Reimbursement Requests Please plan your expenditures so that your requests for reimbursement are submitted no later than December 31, 2015. The Executive Safety Committee enforces this cutoff date. If you are planning to purchase reimbursable items after the December 31, 2015 cutoff date; you may encumber your money by sending a letter to the Executive Director’s office announcing your intent by the December 31, 2015 deadline. All encumbered Funds must be claimed by February 1, 2016. The JIF will strictly adhere to the program cutoff date. cc: «F4», Wellness Coordinator «F5», Risk Management Consultant Valerie Smith, Wellness Director, File: ACMJIF/2015/Wellness Incentive program Tab: Reimbursement Procedures F:\DATA\Risk\WINWORD\ACMJIF\WELLNESS\draft Wellness Incentive Program.doc 73 2015 WELLNESS INCENTIVE PROGRAM Member Corbin City Downe Township Estell Manor City Folsom Borough Woodbine Borough Weymouth Township West Cape May Borough Deerfield Township Cape May Point Borough Commercial Township Newfield Borough West Wildwood Borough Dennis Township Upper Deerfield Township Buena Borough Mullica Township Longport Borough Linwood City Waterford Township Absecon City Upper Township Northfield City Stone Harbor Borough Wildwood Crest Borough Somers Point City Avalon Borough North Wildwood City Middle Township Cape May City Sea Isle City Galloway Township Hamilton Township Lower Township Wildwood City Margate City Ventnor City Pleasantville City Brigantine City Millville City Egg Harbor Township Ocean City ACM JIF TOTALS Size Category XS XS XS XS XS XS XS XS XS XS XS XS SM SM SM SM MD MD MD MD MD MD LG LG LG LG LG LG LG LG LG LG LG XL XL XL XL XL XL XL XL 74 Wellness Incentive 275 275 275 275 275 275 275 275 275 275 275 275 600 600 600 600 800 800 800 800 800 800 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,500 1,500 1,500 1,500 1,500 1,500 1,500 1,500 33,500 To: Fund Commissioners From: Paul J. Miola, CPCU, ARM, Executive Director Date: April 15, 2015 Re: Executive Director’s Report A. Lost Time Accident Frequency Report (pgs. 79-80) The March 2015 Lost Time Accident Frequency Summary and the Statewide Recap for March 2015 are enclosed for your review. B. Certificates of Insurance (pgs. 81-85) Summaries of the Certificates of Insurance issued during March 2015 are attached for your review. C. 2014 Safety Incentive Program Awards (pg. 86) A letter from our office describing how to collect your 2014 Safety Incentive Awards money was e-mailed on or about February 27, 2015. A report detailing the available balances for each member is attached for your review. Please note that the deadline to claim or encumber these funds is December 31, 2015. All encumbered funds had to be claimed by February 1, 2016. D. 2015 Optional Safety Budget (pg. 87) A reporting detailing the available balance for each member participating in the 2015 Optional Safety Budget is attached for your review. Instructions on claiming these funds were e-mailed to participating members on or about February 11, 2015. If you have any questions on how to collect your 2015 Optional Safety Budget funding, please contact our office. Please note that the deadline for claiming or encumbering these funds is December 31, 2015. All encumbered funds must be claimed by February 1, 2016. E. Employment Practices Liability Coverage – (pgs. 88) 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. F. EPL Allowance (pg. 89) The JIF has provided each member with $725 of funding that can be used by each member for employment practices related expenses. These expenses include employment related training that the member would like to arrange for its personnel. Additional employee training can be effective mechanisms for members looking to manage their employment liability risks. If you need additional information regarding this program, please contact our office. C:\Users\Kkristie\Documents\Agenda Packets\ACM JIF\Executive Dir Reports\ED April 2015.doc 75 Executive Director’s Report Page 2 G. EPL Helpline – Authorized Contact List (pgs. 90-91) With the placement of the member’s EPL/POL coverage in the commercial insurance market, the insurance company XL has implemented an EPL Helpline for the member’s use. 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. Appointments must be made by Resolution of the Governing Body. Please note that Municipal Solicitors can not be appointed as Helpline Contacts. Enclosed, please find the most recent list of authorized contacts for the EPL Helpline. These are the only representatives authorized to access this service. Please contact the Executive Director’s Office with any questions. H. Financial Fast Track Report (pg. 92) The Financial Fast Track Report as of February 28, 2015 is 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 February 28, 2015 was $27,220,088 I. Regulatory Filing Checklists (pgs. 93-94) 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 listed. J. Monthly Activity Calendar (pgs. 95-96) Attached for your review is the monthly activity calendar for the months of April/May. K. Skateboard Park Approval Status (pg. 97) Enclosed, pleased 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 15-09, that must be followed by all members who wish to construct a skateboard park and have the Atlantic 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 current status of your facility. All members considering construction of a skateboard park should contact the Executive Director’s office prior to moving forward. L. Capehart & Scatchard Updates (pgs. 98-102) 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. M. Statutory Bond Status (pg. 103) 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. N. New Fund Commissioner Orientation 76 Executive Director’s Report Page 3 For the last several years, the Executive Director’s office has held the New Fund Commissioner Orientation via webinar. In preparation for the 2015 sessions, the Executive Director’s office is questioning the effectiveness of holding these sessions via webinar and will be discussing alternatives to the current process with the Strategic Planning Committee. Additional information on these sessions will be forthcoming. O. Financial Disclosure Form As you are aware, last year the Division of Local Government Services had changed the on line process for completion and submission of Financial Disclosure forms. In accordance with the new program the Executive Directors office created a Local Government Officials roster for the JIF and last year emailed Pin #’s to each individual required to file the Financial Disclosure Form for their position with the JIF. This year, a reminder email was sent on March 3, 2015 and March 30, 2015 to all Fund Commissioners and Clerks and included a copy of the Local Finance Notice 2015-5 and 2015-6, respectively, so the online filing may be completed in a timely manner. Any new Fund Commissioners, who did not receive a Pin # to file the Financial Disclosure Form for their position with the JIF previously, received their PIN # this year in a separate email sent from our office on March 2, 2015. Please note all Financial Disclosure Forms are required to be filed with the State by April 30, 2015 in order to avoid penalty fees. You could start filing your Financial Disclosure Form as of April 1, 2015. If you have any questions, please contact the Executive Director’s office. P. 2015 2nd Assessment Billing Second installment bills were emailed to member Municipal Clerks, with a copy to the Fund Commissioner and Risk Management Consultant, on or about March 15, 2015. Please note that the second installment is due by May 17, 2015. If you have any questions, please contact Tracy Forlenza at (856) 446-9143. Q. Claims Coordinator Training An email invitation was sent out from Sandy Eaton of Qual-Lynx on March 24, 2015 to all Claims Coordinators in regards to Claims Coordinator Training scheduled for April 30, 2015 from 9:00 am – 12 noon at Merighi’s Savory Inn, Vineland. It was requested that those that wish to participate respond via the invitation no later than April 17, 2015 R. Quarterly Attendance Report (pgs. 104-106) A report detailing attendance records through the first quarter of the 2015 Fund Year is attached for your review. S. Revenue & Appropriations This information will not be collected manually this year as in years past, as it is now being collected in the EXIGIS system. T. Payroll Audits On or about February 6, 2015, a letter was e-mailed to all Municipal Clerks, with a copy to Fund Commissioners, advising that Bowman & Company will be performing workers’ compensation exposure verification audits of members’ year 2014 payrolls. These payrolls will serve as the basis for your 2016 workers compensation renewal data. Attached to the e-mail was a spreadsheet that included employee counts by payroll classification as reported during last year’s payroll audit. As employee counts have a tendency to be the most time consuming part of the payroll audit process, members were asked to review and update this spreadsheet prior to the actual audit. In addition, beginning this year, members are invited to send the required payroll 77 Executive Director’s Report Page 4 data to the auditors for processing prior to the auditor visiting the member town. Details on how the data can be sent were included in the February 6, 2015 correspondence. Members not wishing to send their data to the auditors ahead of time will be contacted by a representative from Bowman to set up a mutually convenient date and time for the audit. U. Property Appraisals On February 9, 2015 each member and their RMC’s received a notification from our office asking that they review and update their property schedule located in the Exigis Exposure Data Management System. Once a member responds, those that are going to receive a physical appraisal this year will be contacted by the Fund Property Appraiser, ASSETWORKS. Those that are not receiving a physical inspection in 2015 will have their building & contents values trended accordingly. All members were asked to complete this process no later than March 20, 2015 V. New Member Activity There is no new member activity at this time. 78 79 80 ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND Certificate Of Insurance Monthly Report From 2/19/2015 Tuesday, March 24, 2015 To 3/23/2015 Holder (H) / Insured Name (I) Holder Code Holder / Insured Address Description of Operations Issue Date Coverage ATLANTIC JIF H- US Coast Guard Training Center Cape May 1 Munro Avenue Cape May, NJ 08204 153 Evidence of insurance as respects to Water Rescue Classes. I- North Wildwood City P.O. Box 499 North Wildwood, NJ H- Borough of Longport I- Longport Borough 2305 Atlantic Avenue Longport, NJ 08403 2305 Atlantic Avenue Longport, NJ 08403 231 Evidence of insurance as respects Statutory Bond Coverage for 2/26/2015 BOND Donna O'Brien, Tax Collector, Effective 02/05/15. H- The Flagship Condo Assoc. I- City of Ocean City 831 Atlantic Avenue Ocean City, NJ 08226 861 Asbury Avenue Ocean City, NJ 08226 310 Certificate Holder is amended to be included as “additional 3/6/2015 GL AU EX WC 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) rental of office space and right of way at 831 Atlantic Avenue, Ocean City, NJ from April 1, 2015 to October 31, 2015. H- Cumberland County Emergency 911 Communications & Training Center 637 Bridgeton 384 Avenue Bridgeton, NJ 08302 P.O. Box 609 12 S High Street 12 S. High Street Millville, NJ 08332 Certificate Holder is amended to be included as “additional 3/23/2015 GL EX AU WC 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 all fire training facilities and grounds. H- City of Ocean City I- City of Ocean City 861 Asbury Avenue Ocean City, NJ 08226 861 Asbury Avenue Ocean City, NJ 08226 568 Evidence of insurance as respects to Statutory Bond coverage for 3/11/2015 Terence Graff, Tax Collector, Effective 02/23/15. H- NJ Department of Health & Senior Services Office of EMS PO Box 360 Trenton, NJ 08625-0360 1685 Evidence of insurance as respects to Re-licensure with Department of Health, Office of EMS. I- City of Ocean City 861 Asbury Avenue Ocean City, NJ I- City of Millville 2/20/2015 GL EX AU WC 08260 08226 81 3/19/2015 ALL BOND H-Rutgers University I- Township of Upper Deerfield The State University of New Jersey 335 George Street 2028 Liberty Plaza New Brunswick, NJ 08903 1325 Hwy 77 Seabrook, NJ 08302 Rutgers University, The State University of New Jersey are 3/12/2015 GL EX AU WC amended to be included as “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) NJDOC Ambulance Services. H- New Jersey Historic Trust PO Box 457, S. Broad St. Trenton, NJ 08625-0457 2388 I- City of Ventnor 6201 Atlantic Avenue Ventnor City, NJ Evidence of Property for Flood on 6201 Atlantic Ave Ventnor NJ 2/25/2015 PR 08406 for Ventnor City Hall Grant Project #2014.SO25. Building locations wholly or partially within Special Flood Hazard Areas of 100 year flooding as defined by the Federal Emergency Management Agency (Flood Zones A &V) are subject to the following limits and deductible: (1) $2,500,000 per location for loss or damage arising from Flood and/or Surface Water and (2) Separate deductibles of $500,000 each building for municipality buildings, $500,000 each building for municipality contents. Primary flood insurance must be purchased by the Named Insured separately through National Flood Insurance Plan’s (NFIP). H- New Jersey Historic Trust PO Box 457, S. Broad St. Trenton, NJ 08625-0457 2388 Evidence of Property for Flood on 6201 Atlantic Ave Ventnor NJ 2/25/2015 PR 08406 for Ventnor City Hall Grant Project #2014.SO25. I- City of Ventnor 6201 Atlantic Avenue Ventnor City, NJ H- Commerce Bank &/or Assigns 8000 Forsyth Blvd., Suite 510 St. Louis, MO 63105 I- Borough of Buena_ Minotola Fire Company District #2 616 Central Ave. Minotola, NJ 08341 H- USDA Rural Development 8000 Midlantic Dr., Ste. 500N Mt. Laurel, NJ I- Folsom Borough 1700 12th Street, Route 54 Folsom, NJ H- State of NJ Motor Vehicle Commission 225 East State St., 5th Floor West PO Box 167 Trenton,NJ 08666-0167 I- Township of Upper Deerfield 1325 Hwy 77 Seabrook, NJ 08406 08406 2563 08054 3753 Certificate Holder is amended to be included as “additional 2/19/2015 GL EX AU OTH insured” the person(s) or organization(s) as shown in the description section of this certificate of insurance for General Liability & Excess Liability & as “Mortgagee/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) 2014 Kenworth T370 Rescue Vehicle #2NKHHJ8X9EM408850 values at $333,547.00 Evidence of Insurance. 3/4/2015 GL AU EX CRIME 08037 08302 82 4254 Evidence of insurance. 3/12/2015 GL EX AU WC H- HUNTERDON COUNTY EMERGENCY SERVICES TRAINING CENTER I- City of Wildwood 59 PETTICOAT LANE ANNANDALE, NJ 08801 H- Yamaha Motor Corp., U.S.A. Attn: Commercial Customer Finance 6555 Katella 5640 Avenue Cypress, CA 90630 1417 West Brigantine Avenue Brigantine, NJ 08203 Certificate Holder is amended to be included as “additional 3/23/2015 GL EX PR insured” the person(s) or organization(s) as shown in the description section of this certificate of insurance for General Liability & Excess Liability & as “Mortgagee/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) lease of 80 Yamaha Golf carts, 3 Yamaha Maintenance carts & 1 Yamaha Beverage cart total lease value of $290,000. H- Cumberland County Board of Chosen Freeholders Administration Building 5707 790 E. Commerce St. Bridgeton NJ 08302 I- Township of Upper Deerfield 1325 Hwy 77 Seabrook, NJ Certificate holder is amended to be included as “additional 3/12/2015 GL EX AU WC 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 the Fire and EMS Training Center located at 637 Bridgeton Ave., Bridgeton, NJ 08302. H- State of New Jersey Dept. of Treasury Contract Compliance & Audit Dept. 33 6223 Evidence of insurance. W. State St., 9th Flr. PO Box 236 Trenton, NJ 08625 1325 Hwy 77 Seabrook, NJ 08302 3/12/2015 GL EX AU WC Evidence of insurance as respects to relicensure. 3/12/2015 GL EX AU WC I- Township of Upper Deerfield NJ Dept. of Health & Senior Svcs P O Box 360 Trenton, 6931 NJ 08625 1325 Hwy 77 Seabrook, NJ 08302 H- Township of Upper Deerfield I- Township of Upper Deerfield Highway 77 PO Box 5098 Seabrook, NJ 08302 1325 Hwy 77 Seabrook, NJ 08302 Evidence of insurance as respects to Statutory Bond coverage for 3/19/2015 Andrea A. Penny-Tax Collector and Amy L. Colaneri-Treasurer, effective 01/01/15. I- Brigantine City I- Township of Upper Deerfield H- Emergency Medical Services - Relicensure 4501 4400 New Jersey Avenue Wildwood, NJ 08260 08302 9515 83 Certificate holder is amended to be included as “additional 3/19/2015 GL EX AU WC 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) Greg Neill from the Wildwood Fire Company taking a class at the Hunterdon County Emergency Services Training Center. BOND H- Cape May City I- City of Cape May H- Garden State Highway Products, Inc. I- City of Millville H- Atlantic County Police Elementary School District 921 Lafayette Street Cape 12131 May, NJ 08204 643 Washington Street Cape May, NJ 08204 Certificate Holder is amended to be included as “additional 3/6/2015 GL EX AU WC 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) leased premises located and known as the Lafayette Street Park 1740 East Oak Road Vineland, NJ 08361 P.O. Box 609 12 S High Street 12 S. High Street Millville, NJ Certificate Holder is amended to be included as “additional 2/27/2015 GL EX AU OTH insured” the person(s) or organization(s) as shown in the description section of this certificate of insurance for General Liability & Excess Liability & as “Mortgagee/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) rented/leased contractors equipment (2006 Sterling Acterra 6500, Vin # 2FZACFDC76AV65977, Valued at $65,000). 14840 08332 Evidence of Insurance as respects to police recruits attending the 3/6/2015 GL EX AU WC Atlantic County Police Training Center I- City of Ventnor Training Center 5033 English Creek Ave. Egg Harbor 17672 Township, NJ 08234 6201 Atlantic Avenue Ventnor City, NJ 08406 H- Logisticare Solutions & DMAHS 200 Metroplex Drive Suite 200 Edison, NJ 08817 18292 I- Township of Waterford 2131 Auburn Avenue Atco, NJ 08004 REPLACES PRIOR CERTIFICATE -Logisticare Solutions & 2/25/2015 GL EX AU WC DMAHS are amended to be included as “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) transportation brokerage services. Sexual Abuse & Molestation is not excluded in the General Liability coverage. H- Pine Valley Golf Club I- Township of Waterford 1 Domey Drive Pine Valley, NJ 08021 2131 Auburn Avenue Atco, NJ 08004 18590 Certificate Holder is amended to be included as “additional 3/9/2015 GL EX AU WC 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 facilities by the Waterford Township Fire Department for a training drill on 3/10/15. 84 H- Jewish Community Center I- Longport Borough 501 North Jerome Ave Margate, NJ 08402 2305 Atlantic Avenue Longport, NJ 08403 H- County of Salem Fire Academy 135 Cemetery Rd. Woodstown, NJ 08098 19554 Evidence of insurance with respects to Fire District to the Salem 3/11/2015 GL EX AU WC County Fire Academy. 1325 Hwy 77 Seabrook, NJ 08302 I- Township of Upper Deerfield 18654 Certificate Holder is amended to be included as “additional 3/9/2015 GL EX AU WC 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 swimming pool for recertification of life guards for the beach patrol H- Salem County Improvement Authority I- Borough of Buena 52 McKillip Road Alloway, NJ 08001 19905 Landisville Fire District #1 616 Central Ave. Minotola, NJ 08341 H- School District of Philadelphia Office of Risk Management 440 N. Broad Street – Suite 19960 Evidence of insurance with regards to Students from Masterman 3/18/2015 GL EX AU WC 325 Philadelphia, PA 19130 School, 1699 Spring Garden Street, Philadelphia, PA 19130, who 861 Asbury Avenue Ocean City, NJ 08226 will be performing on Tuesday, April 28, 2015, at the Music Pier in Ocean City, NJ. I- City of Ocean City H- PRC Development Group, LLC I- Buena Borough 40 Monmouth Park Highway West Long Branch, NJ07764 616 Central Avenue Minotola, NJ 08341 21064 Total # of Holders = 28 85 Evidence of insurance as respects to waste disposal in the Salem 2/24/2015 County landfill. AU WC Certificate Holder is amended to be included as “additional 2/26/2015 GL EX WC insured” the person(s) or organization(s) as shown in the description section of this certificate of insurance for General Liability, Excess Liability & Property 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) Assisting Lowys Moving with the relocation of 50 residents. Overall Management company for the entire project for the John Knox Property,19 Davis Ave., Neptune, NJ 07753, & Almerth Battle Homes, 2100 Wells Ave., Neptune, NJ 07753, 56 N. Taylor Ave., Neptune, NJ 07753 from 2/27/15 - 03/27/15. Atlantic County Municipal Joint Insurance Fund 2014 SIP Qualifiers Award Member Opening January February March April May June July August September October November December Paid in Total YTD Ending Encumbered Municipality Balance 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2016 Expenses Balance Funds Absecon 1,250.00 0.00 1,250.00 Avalon 1,250.00 0.00 1,250.00 Brigantine 1,500.00 0.00 1,500.00 Buena 1,000.00 Cape May 1,250.00 1,000.00 0.00 0.00 1,250.00 Cape May Point 750.00 750.00 0.00 Commercial 750.00 0.00 750.00 Corbin City 750.00 0.00 750.00 Deerfield 750.00 0.00 750.00 1,000.00 0.00 1,000.00 750.00 0.00 750.00 1,750.00 0.00 1,750.00 0.00 750.00 Dennis Downe Egg Harbor Twp. Estell Manor 750.00 Folsom 750.00 750.00 1,000.00 750.00 750.00 0.00 Galloway 1,500.00 0.00 1,500.00 Hamilton 1,500.00 0.00 1,500.00 Linwood 1,250.00 0.00 1,250.00 Longport 1,000.00 Lower 1,000.00 0.00 1,500.00 0.00 1,500.00 Margate 1,500.00 0.00 1,500.00 Middle 1,500.00 0.00 1,500.00 Millville 1,750.00 0.00 1,750.00 Mullica 1,000.00 Newfield 1,000.00 1,000.00 750.00 North Wildwood 1,500.00 Northfield 1,250.00 Ocean City 1,750.00 1,250.00 1,000.00 0.00 0.00 750.00 0.00 1,500.00 1,250.00 0.00 0.00 1,750.00 Pleasantville 1,750.00 0.00 1,750.00 Sea Isle City 1,500.00 0.00 1,500.00 Somers Point 1,250.00 Stone Harbor 1,250.00 Upper Twp. 1,250.00 Upper Deerfield 1,000.00 Ventnor Waterford 1,250.00 1,000.00 1,250.00 0.00 0.00 1,250.00 0.00 1,250.00 1,000.00 0.00 1,500.00 0.00 1,500.00 1,250.00 0.00 1,250.00 West Cape May 750.00 0.00 750.00 West Wildwood 750.00 0.00 750.00 Weymouth 750.00 0.00 750.00 Wildwood 1,750.00 1,750.00 1,750.00 0.00 Wildwood Crest 1,250.00 1,250.00 1,250.00 0.00 0.00 750.00 11,000.00 37,750.00 Woodbine Total By Line 750.00 $48,750.00 0.00 0.00 7,250.00 3,750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Must be Claimed or Encumbered by December 31, 2015. All Encumbered Funds Must be Claimed by February 1, 2016 ACMJIF 86 Last Revision: 4/8/2015 Atlantic County Municipal Joint Insurance Fund 2015 Optional Safety Budget Member Opening January February March April May June July August September October November December Paid Total YTD Ending Encumb. Municipality Balance 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2016 Expenses Balance Funds Absecon City Avalon Borough $1,500.00 $0.00 $1,500.00 $2,000.00 $0.00 $2,000.00 Brigantine City Buena Borough Cape May City Cape May Point Commercial Township Corbin City Deerfield Township $1,000.00 $0.00 $1,000.00 Dennis Township $1,250.00 $0.00 $1,250.00 Downe Township Egg Harbor Township Estell Manor City Folsom Borough Galloway Township Hamilton Township $2,000.00 $0.00 $2,000.00 Linwood $1,500.00 $0.00 $1,500.00 $2,000.00 $0.00 $2,000.00 $1,000.00 $0.00 $1,000.00 Northfield City $1,500.00 $0.00 $1,500.00 Ocean City $2,500.00 $0.00 $2,500.00 Pleasantville City $2,500.00 $0.00 $2,500.00 Sea Isle City $2,000.00 $722.82 $1,277.18 $0.00 $1,500.00 Longport Borough Lower Township Margate City Middle Township Millville City Mullica Township Newfield Borough North Wildwood City $722.82 Somers Point City Stone Harbor $1,500.00 Upper Deerfield Township Upper Township Ventnor City Waterford Township $1,500.00 $0.00 $1,500.00 West Cape May $1,000.00 $0.00 $1,000.00 West Wildwood Weymouth Township $1,000.00 $0.00 $1,000.00 Wildwood City $2,500.00 $0.00 $2,500.00 $722.82 $27,527.18 Wildwood Crest Borough Woodbine Borough Total By Line $28,250.00 $0.00 $0.00 $0.00 $722.82 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Must be Claimed of Encumbered by December 31, 2014. All Encumbered Funds Must be Claimed by February 1, 2015 ACMJIF 87 Updated as of 4/8/2015 88 Atlantic County Municipal Joint Insurance Fund 2015 JIF EPL ALLOWANCE Member Opening January February March April May June July August Sept. October November December Total YTD Municipality Balance 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 Expenses Encumbered Paid in Ending 2016 Balance Absecon 725.00 0.00 $725.00 Avalon 725.00 0.00 $725.00 Brigantine 725.00 0.00 $725.00 Buena 725.00 0.00 $725.00 Cape May City 725.00 0.00 $725.00 Cape May Point 725.00 0.00 $725.00 Commercial 725.00 0.00 $725.00 Corbin City 725.00 0.00 $725.00 Deerfield 725.00 0.00 $725.00 Dennis 725.00 0.00 $725.00 Downe Township 725.00 0.00 $725.00 Egg Harbor Twp. 725.00 0.00 $725.00 Estell Manor 725.00 0.00 $725.00 Folsom 725.00 0.00 $725.00 Galloway 725.00 0.00 $725.00 Hamilton 725.00 0.00 $725.00 Linwood 725.00 0.00 $725.00 Longport 725.00 0.00 $725.00 Lower 725.00 0.00 $725.00 Margate 725.00 0.00 $725.00 Middle 725.00 0.00 $725.00 Millville 725.00 0.00 $725.00 Mullica 725.00 0.00 $725.00 Newfield 725.00 0.00 $725.00 North Wildwood 725.00 0.00 $725.00 Northfield 725.00 Ocean City 725.00 Pleasantville 0.00 $725.00 340.00 $385.00 725.00 0.00 $725.00 Sea Isle City 725.00 0.00 $725.00 Somers Point 725.00 0.00 $725.00 Stone Harbor 725.00 0.00 $725.00 Upper Deerfield 725.00 0.00 $725.00 Upper Twp. 725.00 0.00 $725.00 Ventnor 725.00 0.00 $725.00 Waterford 725.00 0.00 $725.00 West Cape May 725.00 0.00 $725.00 West Wildwood 725.00 0.00 $725.00 Weymouth 725.00 0.00 $725.00 Wildwood 725.00 0.00 $725.00 Wildwood Crest 725.00 0.00 $725.00 Woodbine 725.00 0.00 Total By Line $29,725.00 130.00 $0.00 $130.00 210.00 $210.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $340.00 $725.00 $0.00 $29,385.00 Must be used by December 31, 2015 89 Updated as of 4/8/2015 EPL Helpline Authorized Contact Person(s) TOWN Absecon City Avalon Borough Brigantine City Buena Borough Cape May City Cape May Point Borough Commercial Township Corbin City Deerfield Township Dennis Township Downe Township Egg Harbor Township Estell Manor City Folsom Borough Galloway Township Hamilton Township Linwood City Longport Borough Lower Township Margate City Middle Township Millville City Mullica Township Newfield Borough Northfield City North Wildwood City Ocean City Pleasantville City Sea Isle City AUTHORIZED CONTACT PERSON Jessica Thompson Scott Wahl Diane Eafrati, Dir. of Personnel Joseph Baruffi, Mayor Bruce MacLeod, City Mgr Kim Hodsdon, Clerk ADDITIONAL CONTACT PERSON(s) John Armstrong, Mayor James Waldron Eleanor Derrickson Joseph Santagata, FC Louise Cummiskey Anita Vanhesswyk Hannah E. Nichols N/A Kelly Camp Karen Seifrit, Clerk Glenn O. Clarke, CFO/FC Robert Campbell Peter Miller, Administrator Joanne Siedlecki N/A Michele Heim, tax Collector Dennis Cook Jennifer McIver Fern Brown Patricia Gatto Susan Jacobucci Michael Jacobs, Administrator Leigh Ann Napoli, Clerk Jenna Kelly/CFO James Ridgway Rosemarie Freed, Acting Clerk Kim Krauss Susan G. Robostello, Clerk/Admin. Dawn Stollenwerk, CFO Toni Van Camp, Clerk/Administrator Mary Canesi, Clerk Scott Jett, Clerk Linda Kent Louis DeStefano Patrick Moran Mary Kelly, HR Dir. N/A Amelia Strawder Julie Picard, Asst Clerk Lisa McLaughlin, CFO Vera Kalish, Personnel Officer N/A Kim Johnson, Clerk N/A Jim Dickinson, Fund Commissioner Todd Burkey, CFO Elizabeth Wood, Asst Dir of HR Linda Peyton, Administrator George Savastano, Administrator Joann Cioeta, Director of HR Davinna King, Personnel Officer Kellie Seib, Alt. FC Atlantic County Municipal Joint Insurance Fund P.O. Box 488, Marlton, New Jersey 08053 · P: 856-446-9100 · F: 856-446-9149 · www.acmjif.org Date of Last Revision: 04/08/15 C:\Users\Kkristie\Documents\Agenda Packets\ACM JIF\Executive Dir Reports\EPL Contacts.doc 90 EPL Helpline Authorized Contact Person(s) TOWN Somers Point City Stone Harbor Borough AUTHORIZED CONTACT PERSON Wes Swain, City Administrator Jill Gougher ADDITIONAL CONTACT PERSON(s) Carol L. Degrassi, City Clerk N/A Upper Deerfield Township Upper Township Ventnor City Waterford Township West Cape May Borough West Wildwood Borough Weymouth Township Wildwood City Wildwood Crest Borough Woodbine Borough Roy Spoltore, Clerk Vicki Vagnarelli, HR Barbara Spiegel Janice Callaghan William Richardson Rhonda Sharp James Goos Susan Danson Elaine Wallace Pamela Kaithem, Mayor Chris Ridings, Administrator Donna Frederick, Clerk Bonnie S. Yearsley, RMC, Clerk Ken Haeser Chris Wood, FC Janelle Holzmer, Clerk N/A Patricia Feketics Lisa Garrison, Clerk William Pikolycky Atlantic County Municipal Joint Insurance Fund P.O. Box 488, Marlton, New Jersey 08053 · P: 856-446-9100 · F: 856-446-9149 · www.acmjif.org Date of Last Revision: 04/08/15 C:\Users\Kkristie\Documents\Agenda Packets\ACM JIF\Executive Dir Reports\EPL Contacts.doc 91 ATLANTIC COUNTY MUNICIPAL FUND FINANCIAL FAST TRACK REPORT AS OF February 28, 2015 THIS MONTH 1. UNDERWRITING INCOME 2. CLAIM EXPENSES Paid Claims Case Reserves IBNR Recoveries TOTAL CLAIMS 3. TOTAL EXPENSES 7. UNDERWRITING PROFIT (1‐2‐3) INVESTMENT INCOME DIVIDEND INCOME STATUTORY PROFIT (4+5+6) 8. DIVIDEND 5. 6. 1,987,074 729,937 410,914 (183,521) ‐ PRIOR YEAR END 3,974,148 1,273,324 356,201 43,995 ‐ FUND BALANCE 340,053,350 344,027,498 166,148,590 13,744,329 6,519,436 (411,505) 167,421,913 14,100,531 6,563,431 (411,505) 957,330 1,673,521 186,000,850 187,674,371 486,371 227,890 972,742 461,653 66,501,099 57,967,786 67,473,841 58,429,439 714,262 1,434,395 124,468,885 125,903,280 315,482 647 0 866,232 65,122 0 29,583,615 18,794,792 2,749,272 30,449,847 18,859,914 2,749,272 316,129 931,354 51,127,679 52,059,033 EXPENSES Excess Premiums Administrative 4. YTD CHANGE 9. STATUTORY SURPLUS (7‐8) 0 0 24,838,945 24,838,945 316,129 931,354 26,288,734 27,220,088 SURPLUS (DEFICITS) BY FUND YEAR Closed 2011 2012 2013 2014 2015 TOTAL SURPLUS (DEFICITS) TOTAL CASH 132 476 108,424 44,105 55,828 107,164 14,526 13,334 260,011 187,891 214,537 241,056 8,506,285 4,239,756 4,946,778 4,947,193 3,648,722 8,520,811 4,253,090 5,206,789 5,135,084 3,863,259 241,056 316,129 931,354 26,288,734 27,220,088 48,403,739 141,226,159 141,226,050 CLAIM ANALYSIS BY FUND YEAR TOTAL CLOSED YEAR CLAIMS FUND YEAR 2011 Paid Claims Case Reserves IBNR Recoveries TOTAL FY 2011 CLAIMS FUND YEAR 2012 Paid Claims Case Reserves IBNR Recoveries TOTAL FY 2012 CLAIMS FUND YEAR 2013 Paid Claims Case Reserves IBNR Recoveries TOTAL FY 2013 CLAIMS FUND YEAR 2014 Paid Claims Case Reserves IBNR Recoveries TOTAL FY 2014 CLAIMS FUND YEAR 2015 Paid Claims Case Reserves IBNR Recoveries TOTAL FY 2015 CLAIMS COMBINED TOTAL CLAIMS (9) (109) 72,548 (60,291) (12,650) 0 (393) 155,777 (64,667) (96,682) 0 (5,572) 9,131,080 1,881,816 116,906 (70,052) 11,059,750 9,286,857 1,817,149 20,224 (70,052) 11,054,178 120,853 (98,453) (130,701) 0 (108,301) 30,691 (285,245) 5,957 0 (248,597) 7,086,901 3,369,239 615,255 (341,453) 10,729,942 7,117,592 3,083,994 621,212 (341,453) 10,481,345 149,817 142,022 (335,799) 0 (43,960) 297,269 45,247 (516,643) 0 (174,127) 5,336,588 4,123,507 1,594,904 0 11,054,999 5,633,857 4,168,754 1,078,261 0 10,880,872 291,923 154,638 (502,222) 0 (55,661) 647,119 100,444 (944,341) 0 (196,778) 3,367,861 4,369,768 4,192,371 0 11,930,000 4,014,980 4,470,212 3,248,030 0 11,733,222 94,805 272,997 797,852 0 1,165,654 142,577 560,423 1,595,703 0 2,298,703 957,330 1,673,521 142,577 560,423 1,595,703 0 2,298,703 186,000,850 187,674,371 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. 4/2/2015 Per Executive Director, professional fees other than RMC Fees reflect paid amounts. 92 ATLFFT_02 Atlantic County Municipal Joint Insurance Fund Monthly Regulatory Filing Check List Fund Year 2015 for Month of March ITEM Meeting Minutes Bylaws Amendments Risk Management Program Changes New Member Filings Supplemental Assessments/Contributions Budget Amendments (transfers, etc.) Surplus Distribution (refunds/dividends) Changes/Amendments/Additions to Service Providers Executive Committee Changes FILING STATUS 4/16/15 N/A N/A N/A N/A NA NA 4/6/15 N/A C:\Users\Kkristie\Documents\Agenda Packets\ACM JIF\Executive Dir Reports\Reg Filing Month.doc 93 Atlantic County Municipal Joint Insurance Fund Annual Regulatory Filing Check List Year: January 1, 2015 – December 31, 2015 ITEM Ethics Filings (Notification emailed to FC’s and Prof’s) Renewal Resolutions and Indemnity & Trust Agreements Budget and Actuarial Certification/Opinion Letter Annual Assessments/Contributions Supplemental Assessments/Contributions Risk Management Program Annual Certified Audit List of Fund Commissioners & Executive Committee Identity of Administrator Identity of Treasurer Excess Insurance /Group Purchase Insurance/Reinsurance Policies Withdrawals Exhibit A – Certification of JIF Fund Professionals Exhibit B - Certification of JIF Data Forms Exhibit D - New Member Filings New Service Providers Annual Reorganization Resolutions, including Cash Management Plan Professionals Actuary – Actuarial Advantage Administrative Consultant PERMA Administrator - AJG Asset Manager – TD Bank Attorney - DeWeese Attorney (Subrogation) - DeWeese Attorney (Conflict)-Lou Greco Auditor- Holman Frenia Allison Claims Administrator – Qual-Lynx Exposure Database Manger - Exigis Managed Care - QualCare Payroll Auditor - Bowman Property Appraiser - Assetworks Safety Director – JA Montgomery Underwriting Manager – Hrubash, Conner Strong & Buckelew Website – Joyce Media Treasurer – J. Hansen Recording Secretary - T. Forlenza Wellness Director – Valerie Smith Contract FILING STATUS 3/30/15 12/23/14 12/23/14 1/29/15 1/29/15 1/29/15 1/29/15 MEL 1/29/15 N/A N/A 1/29/15 1/29/15 Gen Ins. 7/9/15 12/10/15 Fidelity N/A N/A E&O 7/16/15 12/10/15 Surety N/A N/A X X X X X X X X X X X X X 10/1/15 6/30/15 9/1/15 9/1/15 10/15/14 7/1/15 3/31/15 7/1/15 8/1/15 9/27/15 12/10/15 12/10/15 JIF 10/1/09 N/A N/A N/A N/A 5/1/12 NA N/A N/A N/A N/A N/A 9/1/15 10/1/15 9/1/15 9/1/15 10/15/14 N/A 9/16/15 3/31/15 9/16/15 8/1/15 9/27/15 12/10/15 12/10/15 N/A N/A N/A N/A N/A N/A 12/31/11 N/A N/A N/A N/A N/A N/A X X X X N/A N/A N/A N/A N/A JIF N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A X X C:\Users\Kkristie\Documents\Agenda Packets\ACM JIF\Executive Dir Reports\Reg Filing Yr.doc Date of last revision: 04/08/15 94 Atlantic County Municipal Joint Insurance Fund April 2015 Monthly Planner Monday Tuesday Mar 2015 M T W T F May 2015 S S M T W T 1 2 3 4 5 6 Wednesday 7 8 4 5 6 7 F S S 1 2 3 8 9 10 9 10 11 12 13 14 15 11 12 13 14 15 16 17 16 17 18 19 20 21 22 18 19 20 21 22 23 24 23 24 25 26 27 28 29 30 31 25 26 27 28 29 30 31 6 Thursday 1 2 3 8 9 10 April Fool's Day 7 10:00 AM MEL Special Corp Claims Conf Call 13 9:00 AM ACM Claims Review Comm Mtg @ Hamilton Muni Bldg 14 9:00 AM Claims Coordinator Training @ Indian Springs Country Club, Marlton 20 Friday 15 9:30 AM Police Ad-Hoc Mtg @ Conner Strong, Marlton 16 1:30 PM ACM EPL/POL Claims Review Comm Mtg @ Atlantic County Library 10:00 AM ACM Strat Planning Mtg @ Weymouth Muni Bldg 3:00 PM ACMJIF Exec Comm Mtg @ Atlantic County Library 1:00 PM Claims Coordintor Training @ Nicolosi Caterers, West Deptford 21 22 23 9:00 AM Joint Coverage Committee Meeting @ Renault Winery, Egg Harbor City 27 28 29 30 9:00 AM Claims Coordinator Training @ Merighi's, Vineland 95 Printed by Calendar Creator for Windows on 4/1/2015 17 MEL ED Seminar - Location: TBD (all day) 24 Atlantic County Municipal Joint Insurance Fund May 2015 Monthly Planner Monday Tuesday Wednesday Apr 2015 M T Thursday 1 Jun 2015 W T F S S M T W T F S S 1 2 3 4 5 1 2 3 4 5 6 7 6 7 8 9 10 11 12 8 9 10 11 12 13 14 13 14 15 16 17 18 19 15 16 17 18 19 20 21 20 21 22 23 24 25 26 22 23 24 25 26 27 28 27 28 29 30 29 30 4 Friday 5 6 7 8 9:00 AM RCF Claims Conf Call 10:30 AM MEL Claims Conference Call 11 12 13 14 9:00 AM ACM Claims Comm Mtg @ Hamilton Twp Muni Bldg 18 19 20 15 9:00 AM ACM Finance Comm Mtg @ Mullica Twp Court Rm 21 22 28 29 3:00 PM ACM Exec Comm Mtg @ Atlantic County Library 25 26 27 10:00 AM MEL Leg Comm Conference Call Memorial Day (Observed) Office Closed 96 Printed by Calendar Creator for Windows on 4/8/2015 Atlantic County Municipal Joint Insurance Fund Skateboard Park Approval Status Member Stage Status Notes Municipality Absecon Avalon Approved Complete Brigantine Approved Complete Buena General Inquiry Inactive Approved Complete Galloway Approved Complete Hamilton Removed Removed The Executive Director/Safety Director are unaware of any ongoing activity Cape May Cape May Point Corbin City Commercial Deerfield Dennis Downe Egg Harbor Twp. Estell Manor Folsom Park Equipment Removed as of 11/1/08 Linwood Longport Lower Removed Removed Park Equipment removed as of 4/26/07 Margate Planning Inactive The Executive Director/Safety Director are unaware of any ongoing activity Middle Approved Complete Millville Mullica Removed Park Equipment removed as of 11/5/09 Newfield North Wildwood Approved Complete Planning Pending Approved Complete Approved Complete Approved Complete Northfield Ocean City A letter explaining the Approval Process was sent to the City on 8/27/2013 Pleasantville Sea Isle City Somers Point Stone Harbor Upper Deerfield Upper Twp. Ventnor Waterford West Cape May West Wildwood Weymouth Wildwood Wildwood Crest Woodbine F:\DATA\Risk\EXCEL\ACMJIF\2015\[2015 Skateboard status.xls]ACM Last Update: 4/1/2015 97 98 99 100 101 102 MEL STATUTORY BONDS as of 3/23/2015 Member ID 1 1 1 2 3 3 5 5 377 377 377 6 7 7 8 8 595 10 10 11 11 12 13 13 14 15 465 16 17 17 530 18 19 20 21 21 22 22 23 23 23 24 24 24 25 25 26 27 27 28 28 375 375 29 29 30 30 31 31 32 32 32 33 33 33 34 475 475 475 35 35 36 36 Member Name AVALON AVALON AVALON BRIGANTINE BUENA BUENA CAPE MAY CAPE MAY CAPE MAY POINT CAPE MAY POINT CAPE MAY POINT COMMERCIAL DEERFIELD DEERFIELD DENNIS DENNIS DOWNE TOWNSHIP EGG HARBOR TOWNSHIP EGG HARBOR TOWNSHIP ESTELL MANOR ESTELL MANOR FOLSOM GALLOWAY GALLOWAY HAMILTON HAMMONTON LINWOOD LONGPORT LOWER LOWER MARGATE MIDDLE MILLVILLE MULLICA NEWFIELD NEWFIELD NORTH WILDWOOD NORTH WILDWOOD NORTHFIELD NORTHFIELD NORTHFIELD OCEAN CITY OCEAN CITY OCEAN CITY PLEASANTVILLE PLEASANTVILLE SEA ISLE CITY SOMERS POINT SOMERS POINT STONE HARBOR STONE HARBOR UPPER UPPER UPPER DEERFIELD UPPER DEERFIELD VENTNOR VENTNOR WATERFORD WATERFORD WEST CAPE MAY WEST CAPE MAY WEST CAPE MAY WEST WILDWOOD WEST WILDWOOD WEST WILDWOOD WEYMOUTH WILDWOOD CITY WILDWOOD CITY WILDWOOD CITY WILDWOOD CREST WILDWOOD CREST WOODBINE WOODBINE Fund ID ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL DELET ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL ATL Applicant Connie L. DiCola James A. Thatcher James V. Craft Dana Wineland Maryann Coraluzzo Cynthia LoGuidice Bruce A. MacLeod Neil Young James Craft Susan jackson David Carrick Leslie A. Kraus Lorraine Boyer Maria Schiano Branson Michele Thomas Heim Glenn Clarke Jennafer Hernandez Sharon D. Riley Jennifer Lynn McIver Terrence Graff Judson Moore Bertha Cappuccio Christian Johansen Marilyn Dolcy Renee DeSalvo Rosemarie F. Jacobs Albert Stanley Donna O'Brien Lauren Read Susan Jackson Linda A. Morgan Sandra Beasley Sherri J. Ball Bertha Cappuccio Robert E. Scharle Lawrence J. Nightlinger Jr. Todd N. Burkey Todd N. Burkey Dawn Stollenwerk Cindy A. Ruffo Elaine Meglathery Jon D. Batastini Frank Donato III Terence S Graff Barry Ludy Flor Roman Paula G. Doll William E. Swain Lisa King Deborah Candelore James Craft Barbara A. Spiegel Rhonda L. Sharp Andrea A. Penny Amy L. Colaneri Adetoro O. Aboderin Julie Harron Anita M. Wilson Brian Pollock David S. Carrick Todd N. Burkey Frank Donato III Terence S Graff Maureen Mitchell Elaine Brunkel-Crowley Debra A. D'Amore Lori J. Rosensteel Donna Dennis Jeanette J Powers Terence S Graff Alicia Belansen Lisa Garrison John H. Miller 103 Position Tax Collector Library Treasurer Treasurer (CFO-Crime) Tax Collector Tax Collector Treasurer Tax Collector Treasurer Treasurer Tax Collector Utilities Collector Tax Collector Treasurer / CFO Crime Tax Collector Tax Collector Treasurer (CFO Crime) Tax Collector Tax Collector Treasurer Tax Collector Treasurer Tax Collector Tax Collector Treasurer Tax Collector Tax Collector / Treasurer Tax Collector Tax Collector Treasurer (CFO Crime) Tax Collector Tax Collector Tax Collector Tax Collector / Utility Collector Tax Collector Treasurer ( CFO crime) Tax Collector Treasurer CFO / CRIME Tax Collector Treasurer (CFO-Crime) Tax Collector Library Treasurer Library Treasurer Treasurer Tax Collector Treasurer Tax Collector Tax Collector / Treasurer (CFO-CRIME) Treasurer( CFO-crime) Tax Collector / Utility Collector Tax Collector Treasurer Treasurer Tax Collector Tax Collector Treasurer Treasurer Tax Collector Tax Collector Library Treasurer water/sewer collector Tax Collector Treasurer (CFO-crime) Tax Collector Tax Collector / Utilities Collector Treasurer / CFO Crime Tax Collector Tax Collector Utilities Collector Treasurer (CFO-Crime) Tax Collector / Utilities Collector Treasurer / CFO Crime Tax Collector Treasurer / CFO Crime Eff Date 01/01/07 11/14/07 12/06/07 01/13/07 01/01/07 10/01/13 08/20/07 09/30/13 01/01/13 12/31/07 02/25/14 09/01/10 02/19/14 06/01/09 04/01/07 01/01/07 01/01/09 01/01/07 01/01/10 04/04/12 01/01/08 01/01/07 07/01/14 10/31/11 01/01/07 01/01/07 06/02/14 02/02/15 11/01/07 11/01/07 01/01/15 06/30/07 07/01/10 01/01/07 01/01/07 01/01/08 01/01/13 08/16/07 02/15/12 05/10/07 11/08/07 01/14/13 01/01/10 02/23/15 03/04/13 01/01/07 01/01/07 03/22/14 01/01/15 04/01/11 05/05/14 06/23/08 07/01/09 01/01/07 07/01/09 01/01/09 04/01/08 01/01/09 06/24/09 01/01/07 01/01/09 06/01/09 07/01/12 03/04/11 03/04/11 01/01/07 09/01/12 06/28/11 01/27/07 03/29/10 10/07/13 07/01/07 01/01/14 2015 Combined Member Attendance Jun-15 Jul-15 Absecon City Municipality Jan-15 - Feb-15 - Mar-15 1 Apr-15 - May-15 - - - Aug-15 - Sep-15 - Oct-15 - Nov-15 - Dec-15 - # Attended 1 # Meetings 3 % Attended 33% Avalon Borough 1 1 1 - - - - - - - - - 3 3 100% Brigantine City 1 - 1 - - - - - - - - - 2 3 67% Buena Borough 1 1 1 - - - - - - - - - 3 3 100% Cape May City 1 1 1 - - - - - - - - - 3 3 100% Cape May Point 1 - 1 - - - - - - - - - 2 3 67% Commercial Township - 1 1 - - - - - - - - - 2 3 67% Corbin City - 1 1 - - - - - - - - - 2 3 67% Deerfield Township 1 - 1 - - - - - - - - - 2 3 67% Dennis Township - - - - - - - - - - - - - 3 0% Downe Township - - - - - - - - - - - - - 3 0% Egg Harbor Township 1 1 1 - - - - - - - - - 3 3 100% Estell Manor City 1 - - - - - - - - - - - 1 3 33% Folsom Borough - 1 1 - - - - - - - - - 2 3 67% Galloway Township - - - - - - - - - - - - - 3 0% Hamilton Township 1 1 1 - - - - - - - - - 3 3 100% Linwood 1 1 1 - - - - - - - - - 3 3 100% Longport Borough 1 1 1 - - - - - - - - - 3 3 100% Lower Township - - 1 - - - - - - - - - 1 3 33% Margate City 1 - 1 - - - - - - - - - 2 3 67% Middle Township - 1 1 - - - - - - - - - 2 3 67% Millville City 1 1 - - - - - - - - - - 2 3 67% Mullica Township 1 1 1 - - - - - - - - - 3 3 100% Newfield Borough 1 1 - - - - - - - - - - 2 3 67% North Wildwood City 1 1 1 - - - - - - - - - 3 3 100% Northfield City 1 - 1 - - - - - - - - - 2 3 67% Ocean City 1 1 1 - - - - - - - - - 3 3 100% Pleasantville City Sea Isle City 1 1 1 1 - - - - - - - - - - 2 2 3 3 67% 67% Somers Point City - 1 1 - - - - - - - - - 2 3 67% Stone Harbor Borough 1 1 1 - - - - - - - - - 3 3 100% Upper Deerfield Township 1 1 1 - - - - - - - - - 3 3 100% Upper Township 1 1 1 - - - - - - - - - 3 3 100% Ventnor City 1 1 1 - - - - - - - - - 3 3 100% Waterford Township 1 - 1 - - - - - - - - - 2 3 67% West Cape May - 1 1 - - - - - - - - - 2 3 67% West Wildwood - 1 - - - - - - - - - - 1 3 33% Weymouth Township 1 1 1 - - - - - - - - - 3 3 100% Wildwood City 1 1 1 - - - - - - - - - 3 3 100% Wildwood Crest 1 - 1 - - - - - - - - - 2 3 67% 28 68% 27 66% 31 76% - - - - - - - - - 86 3 123 0% 70% Woodbine Borough 41 Total # Municipalities 0% 0% 0% 0% 0% 104 0% 0% 0% 0% . Last Update 4/8/2015 2015 ACM Fund Commissioner Attendance Municipality FC Last Name FC First Name Jan-15 Feb-15 Absecon Armstrong John Avalon Wahl Scott Brigantine Blowers Karen P Buena Boro Santagata Joseph P P P P Cape May Smith Robert P Cape May Point Hodsdon Kim P P Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 # Attended # Meetings 0 3 % Attended 0% P 3 3 100% P 2 3 67% P 3 3 100% P 3 3 100% P 2 3 67% Commercial Township Sparks Heather P P 2 3 67% Corbin City Turner Rose P P 2 3 67% Deerfield Seifrit Karen P 2 3 67% Dennis Clarke Glenn 0 3 0% Downe Campbell Robert 0 3 0% Egg Harbor Twp. Miller Peter P 3 3 100% Estell Manor Kent Linda P 1 3 33% Folsom Gummoe Bryon 2 3 67% Galloway Jacobucci Susan 0 3 0% Hamilton Perez Ingrid 3 3 100% Linwood Beck Longport Hirsch Lower Picard Julie Margate McLaughlin Lisa Middle Mahon Constance Millville Robostello Susan P P Mullica Stollenwerk Dawn P P Newfield Barbagli Sam P P North Wildwood Jett William Scott P P P P P P P P P P Edward P P P 3 3 100% Richard P P P 3 3 100% P 1 3 33% P 2 3 67% P 2 3 67% 2 3 67% 3 3 100% 2 3 67% 3 3 100% P 2 3 67% P 3 3 100% P P P P Northfield Dickinson James P Ocean City Woods Elizabeth P P Pleasantville Wilkins Steve P P 2 3 67% Sea Isle Savastano George P P 2 3 67% Somers Point Samuelson Lucy Stone Harbor Craft Jim P P 2 3 67% P P P 3 3 100% Upper Deerfield Spoltore Roy P P P 3 3 100% Upper Township Smuz Teri P P P 3 3 100% Ventnor Goos James P P P 3 3 100% Waterford Richardson Mayor Bill P 1 3 33% West Cape May Vitelli Lauren P P 2 3 67% West Wildwood Ridings Christopher P 1 3 33% Weymouth Yearsley Bonnie 3 3 100% P P P Wildwood City Wood Chris P Wildwood Crest Holzmer Janelle P Woodbine Garrison Lisa P P 3 3 100% P 2 3 67% 0 3 0% 84 123 68% 41 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% No representation for this municipality Alt. Fund Commissioner in attendance Denotes attendance of a representative, not "officially" a Fund Commissioner at the time. 105 Last Update 4/8/2015 2015 Alternate Fund Commissioner Attendance Municipality Alt. Last Name Alt. First Name # Attended # Meetings % Attended 1 3 33% James 0 3 0% Derrickson Ellie 0 3 0% Buena Borough Santagata Valerie 0 3 0% Cape May Cummiskey Louise 0 3 0% Cape May Point vanHeeswyk Anita 0 3 0% Commercial Township Humphries Pam 0 3 0% Corbin City Camp Kelly 0 3 0% Deerfield Closser Brenda 0 3 0% Dennis Justice Jacqueline 0 3 0% Downe Township Bart Edward 0 3 0% Egg Harbor Twp. Burger Donna 0 3 0% Estell Manor Seelman Teresa 0 3 0% Folsom Jantz Kenneth 0 3 0% Galloway Krause Dennis 0 3 0% Hamilton Jacobs Michael 0 3 0% Linwood Napoli LeighAnn 0 3 0% Longport Clayton Levon 0 3 0% Lower Ridgway James 0 3 0% Margate Adams Daniel 0 3 0% Middle Taverner Tracey 0 3 0% Millville Campisi Frank 0 3 0% Mullica none Newfield Sullivan Donald 0 3 0% North Wildwood Burkey Todd 0 3 0% Northfield Canesi Mary 0 3 0% Ocean City Cioeta Joanne 0 3 0% Pleasantville Ludy Barry 0 3 0% Sea Isle Seib Kellie 0 3 0% Somers Point Dill Howard 0 3 0% Stone Harbor Bosacco Carrie 0 3 0% Upper Deerfield Vagnareli Vicki 0 3 0% Upper Township Young Barbara 0 3 0% Waterford Danson Susan 1 3 33% West Cape May Kaithern Pamela 0 3 0% West Wildwood Brunkel-Crowley Elaine 0 3 0% Weymouth Carroll Ronald C. 0 3 0% 0% Absecon Thompson Jessica Avalon Waldron Brigantine Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 P Ventnor P Wildwood City Wildwood Crest Graff Terence 0 3 Woodbine Gurdgiel James 0 3 0% 2 114 2% 41 1 0 1 0 0 0 0 0 0 0 0 0 3% 0% 3% 0% 0% 0% 0% 0% 0% 0% 0% 0% No representation for this municipality F:\DATA\Risk\EXCEL\ACMJIF\2015\[ATTEND ACM15.xls]Alternates Last Update on 4/8/2015 at 3:47 PM Fund Commissioner in attendance Denotes attendance of a representative, not "officially" a Fund Commissioner at the time. 106 Alternates Municipal Excess Liability Joint Insurance Fund Office of the Fund Attorney 714 Main Street P.O. Box 228 Boonton, New Jersey 07005 Tel (973) 334-1900 [email protected] MEMORANDUM TO: Member Municipalities and Housing Authorities DATED: March 17, 2015 FROM: Fred Semrau, Esq., General Counsel RE: Super Storm Sandy - Flood Claims Dear Member: As you know, we continue to pursue progress and move to the final phase of the Super Storm Sandy Flood Claim process. As you may recall, the MEL and Zurich Insurance have appointed Alexander H. Carver, III, J.S.C. (Retired) as the Special Mediation Master for outstanding property damage flood claims relating to this event. This a reminder that all demands for Arbitration of unresolved claims shall be submitted to the Special Mediation Master with notice to the NJ Municipal Excess Liability Fund on or before April 20, 2015. Thereafter, the Special Mediation Master will bring all claims for a resolve determination no later than July 31, 2015. All demands for Arbitration shall be submitted to the Special Mediation Master with a copy of such request to the MEL. Judge Carver’s information is as follows: Alexander H. Carver, III, Esq. Harwood Lloyd 130 Main Street P.O. Box 1788 Hackensack, NJ 07601 With copies to: David Grubb, Executive Director PERMA 9 Campus Drive Parsippany, NJ 07054 If you have any questions, please do not hesitate to contact me. FCS:sdj Cc: David Grubb, Executive Director Super Storm Sandy Sub-Committee 107 ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND SAFETY DIRECTOR’S REPORT TO: Municipal Fund Commissioners, Safety Coordinators, Risk Managers FROM: Timothy Sheehan, Associate Public Sector Director DATE: March 30, 2015 ______________________________________________________________________________ Service Team: Timothy Sheehan, Associate Public Sector Director [email protected] Office: 856-552-6862 Cell: 609-352-6378 Paul Shatkyvich [email protected] Office: 732-660-5037 Cell: 203-859-4073 Don Ruprecht, Consultant [email protected] Office: 732-660-5051 Louis Carey, Consultant [email protected] Office: 732-736-5224 Cell: 856-905-2950 Karen La Sala Executive Assistant [email protected] Office: 732-660-5006 Fax: 856-830-1496 Mailing Address: 231 Main Street, P. O. Box 2017, Toms River New Jersey 08754 Toll Free: 877-398-3046 MARCH ACTIVITIES LOSS CONTROL SERVICES Borough of Avalon – Conducted a Boardwalk Survey on March 26 City of Brigantine – Conducted a Renewal Survey on March 10 Township of Commercial/Township of Downe – Attended joint Safety Committee meeting on March 11 City of Corbin – Conducted a Loss Control Survey on March 12 City of Corbin, Borough of Folsom, City of Estell Manor and Township of Weymouth – Attended joint Safety Committee meeting on March 13 Township of Dennis – Attended a Safety Committee meeting on March 27 Township of Deerfield – Conducted a Loss Control Survey on March 20 Township of Downe – Conducted a Loss Control Survey on March 11 Township of Egg Harbor – Conducted a Loss Control Survey on March 13 City of Linwood – Attended Safety Committee meeting and conducted Accident Review on March 18 Township of Lower – Introductory meeting by new consultant, Paul Shatkyvich, on March 10 City of Margate – Conducted a Loss Control Survey on March 10 City of Northfield – Conducted a Loss Control Survey on March 12 City of Ocean City – Conducted two Loss Control Surveys on March 4 City of Somers Point – Attended a Safety Committee meeting on March 13 Township of Upper – Conducted a Loss Control Survey on March 25 108 Borough of West Cape May – Attended Safety Committee meeting and conducted a Renewal Survey on March 26 City of Wildwood – Conducted a Loss Control Survey on March 23 Borough of Wildwood Crest – Conducted a Renewal Survey on March 10 Supervisor Incident Reports Received – 25 JIF MEETINGS ATTENDED Claims Review – March 12 Executive Committee – March 18 Executive Safety Committee – March 25 MEL VIDEO LIBRARY The following members used the MEL Video Library during March. 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 Buena City of Margate Township of Commercial Township of Egg Harbor Borough of Stone Harbor Township of Upper Borough of West Cape May Borough of Wildwood Crest 4 5 2 1 2 2 1 1 MEL MEDIA CATALOG 2015 We are excited to announce an updated MEL Media Catalog with 100 new DVD titles! Attached is a list of the new additions. To view the entire updated catalog 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 Atlantic JIF (http://www.acmjif.org) to verify Fund Commissioners, Safety Coordinators and Risk Managers contact information is correct. If you find a discrepancy, please let us know. The following Safety Director Bulletins and alerts were distributed by e-mail during March. If you are not receiving updates or would like to add other names to the distribution list, please let us know. A copy of the Safety Director’s Bulletin is attached. Atlantic JIF - Atlantic JIF Fast Track Announcement – Revised Atlantic JIF - Safety Director's Message - Police Safety In and Around Your Patrol Vehicle Atlantic JIF MSI Class Notices Atlantic JIF - MEL Media Library Updated for 2015! Atlantic JIF - Safety Director's Bulletin - Brush Collection Atlantic JIF - New Online Camp Counselor Training Programs - Available April 1st 109 UPCOMING EVENTS Executive Committee – April 15 Rutgers University Crossing Guard Training and Resources Train-the-Trainer – Notices included MSI TRAINING PROGRAMS A Summer Camp announcement is attached which outlines online courses to aid in counselor training. Please note the start date of April 1st. Listed below are upcoming MSI training programs scheduled for April, May and June. 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 866661-5120. Date 4/1/15 4/8/15 4/9/15 4/9/15 4/13/15 Territory 6 6 6 6 6 Location City of Margate #2 City of Pleasantville #1 City of Wildwood #3 City of North Wildwood Township of Egg Harbor #5 Topic Heavy Equipment Safety Playground Safety Inspections Playground Safety Inspections BBP Office Safety Time 8:30 - 11:30 am 8:30 - 10:30 am 8:30 - 10:30 am 11:30 - 12:30 pm 9:00 - 11:00 am 4/13/15 4/15/15 4/16/15 4/16/15 4/17/15 4/17/15 6 6 6 6 6 6 Township of Upper Township of Galloway City of Brigantine #3 City of Vineland #1 City of Northfield #1 City of Ocean City #1 1:00 - 3:00 pm 8:00 - 12:00 pm 8:00 - 2:00 pm w/lunch brk 8:30 - 12:30 pm 8:30 - 11:30 am 1:00 - 2:30 pm 4/20/15 4/21/15 4/21/15 4/22/15 4/23/15 4/24/15 4/24/15 4/24/15 4/27/15 4/27/15 4/27/15 4/29/15 4/29/15 5/4/15 6 6 6 6 6 6 6 6 6 6 6 6 6 6 Borough of Longport #1 Township of Hamilton #2 Township of Hamilton #2 City of Pleasantville #1 City of Brigantine #3 City of Sea Isle City #2 Township of Carneys Point #2 Township of Carneys Point #2 Township of Egg Harbor #5 Township of Egg Harbor #5 Borough of Longport #3 Borough of Woodstown #1 Borough of Woodstown #1 Township of Middle #3 5/4/15 5/7/15 5/8/15 5/8/15 5/14/15 5/14/15 5/15/15 5/15/15 6 6 6 6 6 6 6 6 Borough of Longport #1 City of North Wildwood City of Ocean City #1 City of Ocean City #1 City of Brigantine #3 City of Brigantine #3 Township of Carneys Point #2 Township of Upper Deerfield Hazard ID: Making Your Observation Count CMVO Fast Track to Safety Flagger / Work Zone Safety Landscape Safety Employee Conduct & Violence Prevention Traffic Control for Emergency RespondersEvening Jetter / Vacuum Safety PPE CSE-Permit Required w/Classroom Demo HazMat Awareness w/HazCom GHS Forklift Operator Evaluation Train-the-Trainer Employee Conduct & Violence Prevention Confined Space Awareness Heavy Equipment Safety Confined Space Awareness Safety Coordinator Skills Training Fire Extinguisher Accident Investigation Safety Committee Best Practices Traffic Control for Emergency RespondersEvening CSE-Permit Required w/Classroom Demo HazMat Awareness w/HazCom GHS Hearing Conservation Special Events Management Fire Extinguisher Landscape Safety Excavation/Trenching/Shoring 110 7:00 - 9:00 pm 8:00 - 10:00 am 10:15 - 12:15 pm 8:30 - 12:30 pm 8:30 - 11:30 am 10:00 - 1:00 pm 8:30 - 10:00 am 10:15 - 11:15 am 8:00 - 11:00 am 11:15 - 12:15 pm 8:30 - 3:00 pm w/lunch brk 8:00 - 9:00 am 9:15 - 11:15 am 8:30 - 10:30 am 7:00 - 9:00 pm 8:30 - 12:30 pm 8:00 - 11:00 am 11:15 - 12:15 pm 8:30 - 10:30 am 10:45 - 11:45 am 8:30 - 11:30 am 8:00 - 12:00 pm Date 5/18/15 5/20/15 5/20/15 5/21/15 6/8/15 6/8/15 6/10/15 6/10/15 6/11/15 6/16/15 6/16/15 6/23/15 6/23/15 6/26/15 6/26/15 Territory 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 Location Township of Egg Harbor #5 Township of Galloway Township of Galloway City of North Wildwood City of Northfield #1 City of Northfield #1 Township of Galloway Township of Galloway Borough of Stone Harbor #1 City of Pleasantville #1 City of Pleasantville #1 Township of Hamilton #2 Township of Hamilton #2 City of Ocean City #1 City of Ocean City #1 Topic Flagger / Work Zone Safety Fall Protection Awareness Back Safety / Material Handling Excavation/Trenching/Shoring PPE Employee Conduct & Violence Prevention Jetter / Vacuum Safety Shop & Tool Safety Fast Track to Safety Accident Investigation BBP CDL-Drivers Safety Regulations CDL-Supervisors Reasonable Suspicion Seasonal (Summer) Employee Orientation BBP MSI Administrators are listed below. MSI ADMINISTRATORS AS OF MARCH 31, 2015 MUNICIPALITY LAST NAME FIRST NAME ABSECON JONES LLOYD AVALON DEAN EDWARD, R. AVALON JUZAITIS BRIAN AVALON MACOMBER WILLIAM AVALON MCCLINTOCK ELISABETH AVALON PATRO ROBERT AVALON SCARPA KEVIN AVALON WHILDIN JR WAYNE BRIGANTINE DORING JOHN BRIGANTINE MUSUMECI LISA BUENA DAN CAREGNATO CAPE MAY SMITH ROBERT CAPE MAY POINT HODSDON KIMBERLEY COMMERCIAL SPARKS HEATHER CORBIN CITY SIEDLECKI JOANNE DEERFIELD SEIFRIT KAREN DENNIS CHAMPION VERNON DOWNE TOWNSHIP LOCKLEY NADINE BURGER DONNA LINCOLN ROBERT SLUSARSKI STEPHEN ESTELL MANOR HENRY JOE ESTELL MANOR KENT LINDA FOLSOM GATTO PATRICIA FOLSOM LAPOLLO JOHN GALLOWAY AYERS MATT EGG HARBOR TOWNSHIP EGG HARBOR TOWNSHIP EGG HARBOR TOWNSHIP 111 Time 8:30 - 12:30 pm 9:00 - 11:00 am 11:15 - 12:15 pm 8:30 - 12:30 pm 8:30 - 10:30 am 10:45 - 12:15 pm 8:00 - 10:00 am 10:15 - 11:15 am 8:00 - 2:00 pm w/lunch brk 8:30 - 10:30 am 10:45 - 11:45 am 8:00 - 10:00 am 10:00 - 12:00 pm 8:30 - 12:30 pm 1:00 - 2:00 pm GALLOWAY FARRELL RAYMOND GALLOWAY GUERRA RAY GALLOWAY MCDOWELL KEVIN HAMILTON MARCOLONGO LISA LINWOOD BECK EDWARD LINWOOD KOLAKOWSKI HENRY LONGPORT HIRSCH RICHARD LONGPORT SIMMONS JUERGEN LOWER BEEBY THOMAS LOWER BIERSBACH MARTIN LOWER CRIPPEN COLLEEN LOWER DILWORTH JASON LOWER GALESTOK WILLIAM LOWER LEPOR DAVE LOWER PLENN MITCHELL MARGATE ADAMS DANIEL MIDDLE KALISH VERA MIDDLE KEATING KAYTIE MIDDLE KRAUSS KIMBERLY MILLVILLE HESS KURT MILLVILLE KILEY TONYA MILLVILLE LIPPINCOTT MICHAEL MILLVILLE ROBOSTELLO SUSAN MILLVILLE TONETTA CHRISTINE MILLVILLE WILSON DOUGLAS MULLICA CRITELLI JERRY MULLICA STOLLENWERK DAWN M. MULLICA THOMPSON JOHN MULLICA SPERLAK STEPHEN NEWFIELD NONE NONE NORTH WILDWOOD FORD DOUGLAS NORTH WILDWOOD OSTRANDER LEWIS NORTH WILDWOOD VANSANT JENNIFER NORTH WILDWOOD GALLAGHER MATTHEW NORTH WILDWOOD MCGRAW ADAM NORTH WILDWOOD OKANE BONNIE NORTHFIELD RUFFO CINDY OCEAN CITY BIRCH DIANE OCEAN CITY CIOETA JOANN OCEAN CITY MOYER CHARLOTTE PLEASANTVILLE PAGE-SCOTT DENISE SEA ISLE CITY GLYNN PAUL SEA ISLE CITY SEIB KELLIE 112 SOMERS POINT MOLLENKOPF SHELBY SOMERS POINT VENAFRO TOM STONE HARBOR RUSS GRANT UPPER SMUZ TERI UPPER POTTER JAY UPPER MORGAN SCOTT UPPER SHARP RHONDA UPPER SPIEGEL BARBARA UPPER DEERFIELD VAGNARELLI VICKI VENTNOR GOOS JAMES WATERFORD MICKLASAVAGE MICHAEL WATERFORD GARDNER BETTY ANNE WATERFORD CHIUMENTO DANIEL WATERFORD CORMANEY DANIEL WATERFORD LAURSEN ILENE WEST CAPE MAY BASILE GREGORY WEST CAPE MAY RUTHERFORD DIANNE WEST CAPE MAY WALLACE ELAINE WEST WILDWOOD SWEENEY RUTH WEYMOUTH CARROLL RONALD WILDWOOD CITY DUNN DAN WILDWOOD CITY SPEIGEL DANIEL WILDWOOD CITY PINTO HOPE WILDWOOD CITY HODSON KIM WILDWOOD CITY WARD SENA WILDWOOD CREST SHEARER STEVEN WILDWOOD CREST FEKETICS PATRICIA WILDWOOD CREST GRASSI RALPH WILDWOOD CREST HOLZMER JANELLE WOODBINE GURDGIEL JAMES 113 2015 “Fast Track to Safety” Training Scheduled Dates & Open Enrollment Available On‐Line Registration is now available to all individuals who would like to attend one of the scheduled 2015 “Fast Track to Safety” venues listed below. The MEL Safety Institute encourages you taking advantage of one of these full days of regulatory training. To attend one of the scheduled dates, log onto NJMEL.org and access the Learning Management System by clicking on the MSI Logo followed by MSI Login to enroll your employees. If assistance is needed, contact the MSI Help Line at 866‐661‐5120. Full Day Sessions Includes: Hazard Communication w/GHS Bloodborne Pathogens Fire Safety Personal Protective Equipment Driving Safety Awareness Venues & Dates Fast Track run time is 5 hours plus a 1 hour lunch break Check website for times & locations June Deal (Monmouth) – 1/16/15 Upper Deerfield (Atlantic) – 1/23/15 February Mahwah (Bergen) – 2/13/15 Pemberton BOE (SAIF) – 2/25/15 March Barnegat (Ocean) – 3/10/15 Lower Township (Atlantic) – 3/13/15 Wharton (Morris) – 3/19/14 Collingswood (Camden) – 3/20/15 Bergenfield (Bergen) – 3/25/15 April Union Beach (Monmouth) – 4/9/15 Brigantine (Atlantic) – 4/16/15 Clementon (Camden) – 4/17/15 Pitman (TRICO) – 4/22/15 May Elmwood Park (S. Bergen) – 5/8/15 Westampton (BURLCO) – 5/12/15 Jackson (Ocean) – 5/22/15 Robbinsville (Mid‐Jersey) – 6/10/15 Stone Harbor (Atlantic) – 6/11/15 Lincoln Park (Morris) – 6/12/15 Manalapan (Monmouth) – 6/26/15 August Hanover (Morris) – 8/28/15 September Ocean City (Atlantic) – 9/11/15 Ridgefield (PAIC) – 9/18/15 Perth Amboy H.A. (NJPHA) – 9/22/15 Washington Twp. (TRICO) – 9/24/15 October Sparta (Morris) – 10/2/15 Hillsborough (Central) – 10/15/15 Middletown (Monmouth) – 10/28/15 November Beach Haven (Ocean) – 11/4/15 114 CEU's for Certified Publics Works Managers MSI Course Accident Investigation Advanced Safety Leadership Asbestos, Lead & Silica Industrial Health Overview Back Safety / Material Handling Bloodborne Pathogens Training Bloodborne Pathogens Train- the- Trainer BOE Safety Awareness CDL – Supervisors Reasonable Suspicion CDL - Drivers' Safety Regulations Coaching the Maintenance Vehicle Operator Confined Space Entry – Permit Required Confined Space Awareness Driving Safety Awareness Employee Conduct and Violence in the Work Place Excavation Trenching & Shoring Fast Track to Safety Flagger / Workzone Safety HazCom with Globally Harmonized System CEU's/Cat. 2/M 10 / M 1 /T,G 1/T 1/G 1/T 3/T 2/M 2/G 2 /T,M 3.5 / T 1 /T,G 1.5 / T 1.5 / E 2 /T,M 4/T 2 /T,M 1 /T,G MSI Course Hazardous Materials Awareness w/ HazCom & GHS Hazard Identification - Making Your Observations Count Hearing Conservation Heavy Equipment Safety Housing Authority Safety Awareness Jetter Safety Landscape Safety Leaf Vac Safety Awareness Lockout Tagout Personal Protective Equipment (PPE) Playground Safety Sanitation and Recycling Safety Safety Committee Best Practices Safety Coordinator's Skills Training Shop and Tool Safety Seasonal Public Works Operations Special Events Management Toolbox Talk Essentials CEU's/Cat. 3/T 1 /T,M 1 /T,G 1 / G- 2 / T 3/T 2/T 2/T 2/T 2/T 2/T 2/T 2/T 1.5 / M 3 / M,G 1/T 3/T 2/M 1/M CEU's/Cat. 1/P 1/P 1.5 / E MSI Course Hazard Identification - Making your Observations Count Safety Committee Best Practices Safety Coordinator's Skills Training Special Event Management CEU's/Cat. 2/P 1.5/ P 6/P 2/P TCH's/Cat. 1.5 / S 10 / S 1/S 1/S 1/S 2.5 / S 3/S 1.5 / S 2/S 1 /S 3.5 / S 5.5 / S 4/S 2/S 5/S 1/S 1/S 2/S 1.5/ S MSI Course Hazardous Materials Awareness w/ HazCom & GHS Heavy Equipment Safety Housing Authority Safety Awareness Hazard Identification - Making your Observations Count Hearing Conservation Jetter Safety Ladder Safety/Walking Working Surfaces Landscape Safety Leaf Vac Safety Lockout Tagout Shop and Tool Safety Office Safety Personal Protective Equipment (PPE) Safety Committee Best Practices Seasonal Public Works Operations Snow Plow Safety Special Event Management Toolbox Talk Essentials TCH's/Cat. 3/S 3/S 3/S 1.5 / S 1/S 2/S 2/S 2/S 2/S 2/S 1/S 2/S 2/S 1.5 / S 3/S 2/S 2/S 1/S CEU's/Cat. 1.5 / E MSI Course Employee Conduct and Violence in the Work Place CEU's for Registered Municipal Clerks MSI Course Asbestos, Lead & Silica Industrial Health Overview Bloodborne Pathogens Training Employee Conduct and Violence in the Work Place TCH's For Water/ Wastewater MSI Course Accident Investigation Advanced Safety Leadership Asbestos, Lead & Silica Industrial Health Overview Back Safety / Material Handling Bloodborne Pathogens Training Bloodborne Pathogens Train- the- Trainer BOE Safety Awareness CDL – Supervisors Reasonable Suspicion CDL - Drivers' Safety Regulations Confined Space Awareness Confined Space Entry - Permit Required Defensive Driving-6-Hour Excavation Trenching & Shoring Fall Protection Awareness Fast Track to Safety Fire Extinguisher Fire Safety Flagger / Workzone Safety HazCom with Globally Harmonized System CEU's for Tax Collectors MSI Course Employee Conduct and Violence in the Work Place CEU's for County/Municipal Finance Officers CEU's for Qualified Purchasing Agents Employee Conduct and Violence in the Work Place 1.5 / E ***Category E- Ethics T- Technical G- Governmental S- Safety P- Professional Development M- Management 115 CEU's/Cat. 1.5 / E MEL Media Library New DVD Additions for 2015 See Catalog For Descriptions Category Accident Awareness Accident Awareness Back Safety / Lifting Back Safety / Lifting Driving Safety Driving Safety Driving Safety Driving Safety Driving Safety Driving Safety Driving Safety Driving Safety Driving Safety Driving Safety Electrical / LOTO / Arc-Flash Electrical / LOTO / Arc-Flash Emergency Preparedness Emergency Preparedness Emergency Preparedness Employee Conduct / Harassment & Violence Employee Conduct / Harassment & Violence in the Workplace Employee Conduct / Harassment & Violence in the Workplace Employee Conduct / Harassment & Violence in the Workplace Fall Protection Fall Protection Fire Department Fire Department Fire Department Fire Department Fire Department Fire Department Fire Department Fire Department Fire Department Fire Department Fire Department Fire Department Fire Department Fire Department Fire Extinguisher / Fire Safety Fire Extinguisher / Fire Safety Forklift (PIT) / Cranes / Aerial General Job Safety Hand Safety Hazard Communications (RTK) Number 107 108 504 505 1009 1010 1111 1112 1113 1114 1115 1116 1117 1118 1208 1209 1409 1410 1411 1509 Title Close Calls, Near Misses Making Safety Work: An Overview of Workplace Safety Back Injury Prevention Preventing & Managing Back Pain Texting & Driving Five Minute Fundamentals Driving Safety Safety Shorts (3 programs) Winter Driving; When the Rules Change Safety Winter Driving Considerations Winter Driving Fundamentals...Including Skid Recovery Low Visibility Driving Road Rage: How to Protect Yourself School Bus Safety Safe Electrical Work Practices NFPA 70E 2015 Lock Out/Tag Out: When Everyone Knows First Aid First Aid: Until Help Arrives CPE/AED Awareness Training Preventing Harassment: Creating a Positive Office 1510 Bullying and Respect in the Workplace 1511 1512 Active Shooter Awareness for Business: Helping Prevent Tragedy Active Shooter & Workplace Violence 1805 1806 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 2004 2005 2309 2404 2504 2608 Fall Protection (Aurora) ABC’s of Your Personal Fall Arrest System Tactical Perspectives – Command Tactical Perspectives – Fire Attack Tactical Perspectives – Ventilation Tactical Perspectives – Search Tactical Perspectives – Mayday Tactical Perspectives – Dispatch Bread & Butter Operations: Car Fires Bread & Butter Operations: Fire Streams Bread & Butter Operations: Ground Ladders Bread & Butter Operations: Initial Attach Lines Bread & Butter Operations: SCBA Bread & Butter Operations: Search & Rescue Bread & Butter Operations: Ventilation Pride & Ownership: A Firefighter’s Love of the Job Using Fire Extinguishers Fire Extinguisher Basic Training Scissor Lift Back to Work, Back to Safety Hand, Wrist & Finger Safety How to Comply with the New GHS 116 Hazard Communications (RTK) 2609 Hazard Materials & Chemicals Heavy Equipment / Snow Plow Heavy Equipment / Snow Plow Landscape Safety Landscape Safety Lifeguard Operations Lifeguard Operations Lifeguard Operations Lifeguard Operations Lifeguard Operations Lifeguard Operations Office & Ergonomics Safety Outdoor Exposure Outdoor Exposure Outdoor Exposure Playground Safety / Field Maint. Playground Safety / Field Maint. Respiratory Protection Sanitation Safety Shop & Tool Safety Shop & Tool Safety Slips, Trips, Falls Supervisors / Management Supervisors / Management Task Specific Water / Waste Water Wellness Wellness Wellness Wellness Wellness Wellness Wellness Wellness Wellness Wellness Wellness 2710 2915 2916 3009 3010 3106 3107 3108 3109 3110 3111 3205 3308 3309 3310 3506 3507 3701 3911 4111 4112 4206 4308 4309 4402 4504 4721 4722 4723 4724 4725 4726 4727 4728 4729 4730 4731 HazCom & The Global Harmonizing System Employee Training (Refresher) Flammable Liquid Safety Basic Snowplowing Techniques Skid Steer Loaders in the Snow & Ice Industry Pesticides Training for Handlers Pesticide Safety: Worker Protection Beach Safety Basics (2 programs) Beach Vehicle Operations Code X (Search & Recovery) Components of a Rescue Water Observation Safety Chemical Handling for Lifeguards & Pool Operators Office Safety (Marcom) The Mosquito - What You Need to Know Hidden in the Leaves Summer Sports & Recreation Safety (Off-Job Safety) Safety Active Play: A Guide to Avoiding Play Area Hazards Playground Safety Supervision Respirator Selection And Use 5 Keys to Safety Driving: Sanitation Truck Machine Guard Safety Table Saw Safety And Use Winter Walking: Staying On Your Feet Responsibilities Of A Supervisor Safety And The Supervisor Basic Sidewalk Clearing With Snow Blowers Motorola EME Awareness for Antenna Site Safety Nutrition: Restaurants, Fast Foods & Parties What Is Heart Failure? Stroke: Reducing Your Risk Pre-Diabetes: It’s Time To Make Changes Snoring And Obstructive Sleep Apnea Sensorineural Loss In Adults Understanding And Managing Your Allergies Preventing The Spread of Contagious Illness Resisting The Flu: How To Minimize Your Risk Go With Your Own Glow (Skin Cancer) Workplace Stress Police Department In-The-Line-Of-Duty Series Special Issue Series Special Issue Series Special Issue Series Special Issue Series Volume 14 – Program 1 Volume 14 – Program 2 Volume 14 – Program 3 Volume 14 – Program 4 Volume 14 – Program 5 Volume 15 - Program 1 Volume 15 - Program 5 Volume 15 – Program 6 5028 5029 5030 5031 6401 6402 6403 6404 6405 6503 6505 6506 Courtroom Testimony Alabama Officer Stabbed to Death Rapid Response: Saving Lives In The Golden Hour Use of Force: The Death of Eric Garner Violent Ground Fight Erupts: Are You Prepared – Part 1 Violent Ground Fight Erupts: Are You Prepared – Part 2 Terror in Tuscalossa: The Public Safety Response Shootout in Conroe: What Would You Have Done? El Segundo Movie Theater Gunfight Cops and Black Eyes: Ethics Training Murder Of An Arkansas Officer What If: Scenarios That Can Save Cops Lives 117 Contacct Us: 866-661-5120 New Online Camp C Cou unselor Trraining Prrograms **Available April 1st They’ T reRea ady for f Ca amp! Are Y You? Starting April 1st, the t MEL Saffety Institute is pleased to o provide a new suite off online trainiing programs for camp counselors. Ch hild Sexual Abuse A Prevention at Cam mp - This cou urse will teacch counselorss how to identtify red d flags warnin ng signs of ab buse and metthods to prote ect campers from peer-to--peer and adu ultto--child sexual abuse. a Bu ullying Preve ention at Camp - This co ourse will tea ach counselorrs what bullyiing is, what tthe consequences could c be, and d how to identtify, stop and prevent bullyying. Pla ayground Sa afety for Ca amp Counse elors - This course will tteach counse elors how mo ost pla ayground injuries happen and a the strate egies you can n use to preve ent them from m occurring. Triip and Transportation Safety S - This s training willl help you pllan and prep pare for off ssite adventures to make m them me emorable, saffe and fun. Aq quatic Safety y for Couns selors - This training will teach non-lifeguard cam mp staff how to pro otect campers s in the pool and a natural bo odies of wate er. Th he Professio onal Lifegua ard – Pools - This trraining helpss guards un nderstand th heir res sponsibilities and the practtical applicatio on of their skiills on the poo ol deck. Camp counselors can complete the t courses in ndividually orr as a group. QUEST TIONS? Con ntact the MSI Help Line (8 866) 661-5120 0 118 Summer Before you start even one activity, make the following online courses part of your counselor training: Camp Child Sexual Abuse Prevention at Camp Bullying Prevention at Camp Playground Safety for Camp Counselors Trip and Transportation Safety Aquatic Safety for Counselors The Professional Lifeguard – Pools Visit The MEL Safety Institute. Questions? Contact the MSI Help Line (866) 661-5120. The MSI Safety Institute can be accessed anytime by going to www.njmel.org. Look for our logo. How to Access Online Training Courses: 1. Go to NJMEL.org and click on the MSI logo at the top of the page. 2. Click on "MSI Login" 3. 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’ll receive a confirmation email with your username and password. 4. Once logged in, click on "MSI On-Line Training Courses." 5. Choose the course you would like to complete 6. Click enroll 7. Choose "Click Here" to go to your authorized course list. 8. Click the program name to launch the course. 9. Click Start to begin. 10. 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. 119 New Jersey Safe Routes to School Resource Center Crossing Guard Program Rutgers University Crossing Guard Training and Resources Train-the-Trainer Course Are you currently working as a Police Traffic Safety Officer supervising School Crossing Guards? If YES, please join us for a crossing guard training program. TRAIN-THE-TRAINER DETAILS When: Wednesday, April 29, 2015 Time: 8:30 a.m.– 1:00 p.m. Where: Ocean County Police Academy 659 Ocean Avenue Lakewood NJ 08701 About the Training: The training will include crossing guard positioning and procedures, state and federal law and regulations, and hands-on practice to set up similar training for crossing guards in your community. . To attend or for more information, please contact Catherine Bull at 848-932-2833; [email protected] Registration is limited, deadline: Wednesday, April 15, 2015 for more information on Safe Routes to School visit saferoutesnj.org This training is sponsored by NJ Department of Transportation and the NJ Division of Highway Traffic Safety with funding from the Federal Highway Administration, and by the New Jersey Excess Liability Joint Insurance Fund. 120 Safety Director Bulletin One in a series of safety bulletins from your Joint Insurance Fund March 2015 Safety when Collecting Brush on Roadways Spring time means spring cleaning and many agencies begin with branch and brush clean-up operations. Now is a good time to review your policies and practices for collecting brush along public roads. There are two common practices for collecting brush; chippers and front-end loaders with a claw attachment. Each presents hazards, some common, such as working on streets that are open to traffic, and others specific to the equipment being used. Traffic Hazards Collecting brush is considered a Mobile Work Zone. The minimum requirements are high intensity amber warning lights that can be seen by vehicles approaching from either the front or rear of the crew, and workers wearing ANSI Class 2 high-visibility outer wear. Be alert for obstructions to the amber lights being visible due to raised beds, equipment, or damage. Also, due to the changing weather, retro-reflective outerwear can be a challenge. The temperature change between mornings and afternoon can mean three levels of outwear during the day. Make sure employees have, leave with, and use options that meet the MUTCD requirements. New Jersey has the most congested roads in the nation. Look for opportunities to go above the minimum safety requirements for crews on the street. • If crews are collecting brush in a development with one or two entrances, consider placing warning signs at the entrance(s). • While most brush piles can safely be collected with the crew assigned, consider assigning a trailing vehicle or flaggers for difficult locations. • Schedule collections for areas around schools when school is in session and bus / pick-up / drop-off traffic is minimal. Likewise, schedule collections along commuter routes after and before times of heavy traffic. New Jersey public agencies have experienced a significant number of fatalities / injuries and near misses when a vehicle approaching from behind the crew have been distracted or blinded from the sun and ran into the rear work vehicle. Workers must be aware that motorists are distracted, blinded, rushed or inexperienced and the workers must watch their back and the backs of each other. Do not forget the hazard of the work vehicles moving from stop to stop. Nationally, half of work zone fatalities are from workers being struck by their own work vehicles. There is a simple rule to avoid these incidents: Drivers must not move a vehicle unless every worker can be seen, either directly or in mirrors. Ergonomic Hazards Regardless of the method of collecting branches and brush, workers will need to handle the vegetation to some extent. Whether with rakes or bending over to pick-up branches, workers will need to be reminded to protect their backs, shoulders, and knees. Sprains and strains are the most common injury to employees. • Evaluate rake handles. Are they the right length and diameter for workers? Are they in good condition? • Observe workers as they rake, lift, and carry vegetation. Are they using the proper body mechanics? Take pictures and discuss footing, erect body position when using a rake, locking the lower back in the natural S-curve when lifting, and other concerns. This bulletin is intended for general information purposes only. It should not be construed as legal advice or legal opinion regarding any specific or factual situation. Always follow your organization’s policies and procedures as presented by your manager or supervisor. For further information regarding this bulletin, contact your Safety Director at 877.398.3046. © All rights reserved 121 Page 1 Chipper Safety Review the additional safeguards with crews who will be using chippers: • Review the Owners’ Manual and the safety warnings. Make sure a copy is available for reference. • Review the pre-use inspection procedure. Best practice is to use a form from the manufacturer. Take the crew outside and go through the inspection process with the chipper. Explain the criteria for taking the unit out-of-service for deficiencies. • Review the proper personal protective equipment that is needed. This should include hardhats, face / eye protection, hearing protection, and foot protection. Operational best practices include: • Do not wear loose-fitting clothing or gloves • Feed branches with the cut end first. Stand to the side and walk away when the branches catch • Use a tool or other branches to feed small brush into the chipper – never your hands. Very small branches and vegetation can be thrown directly onto the pile of chipped material. • Follow guidelines for clearing jams. Be aware that knives can free spin for minutes after the machine is turned off. Review Lock Out / Tag Out procedures for various maintenance operations. Front-end Loader & Claw Safety For crews using front-end loaders, review the following safeguards: • There are two significant ‘Crush Zones’ for workers to be aware: 1) between the truck / container and the loader, and 2) under the raised claw. It is not enough just for workers on foot to make eye contact with the loader operator. There must a means, such as hand signals, for more definitive communication on the intent of the worker and operator. • The operation entails a lot of movement within the work zone by the loader. This places a great responsibility on the operator to check behind, to the sides and front of the loader before EVERY move, checking for people and cars. Dump-site Safety Crews must unload the collected vegetation at the end of their assignment. Dump sites can be a dangerous place. There are typically no designated traffic patterns, multiple vehicles at any one time, and workers on foot. Discuss site safety, working around raised containers, and the requirement for high-visibility apparel. © All rights reserved 122 Page 2 April 2, 2015 To the Members of the Executive Board of the Atlantic County 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 one month period ending March 31st, 2015, for Closed Fund Years 1987 to 2010, and Fund Years 2011, 2012, 2013, 2014, and 2015. 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: Net interest received of $2,300.89 and a coupon payment of $46,875, accrued interest for the reporting period totaled $18,104.17 and after including an unrealized net gain of $17,820 in the asset portfolio, the yield is adjusted to a .95% for this period. The total overview of the asset portfolio for the fund shows an overall unrealized gain of $90,550.00 as it relates to current market value vs. the amount we have invested. Our asset portfolio with TD Wealth Management has a current market value, at month end, of $27,073,400 and consists of -1- with maturity of less than one year and -9obligation with a maturity of 1-2 years and -0- of greater than 2 years. Portfolio inventory activity during this period: Redeemed $-0-Called $-0-& Purchased: $5,000,000 Coupon Payment/Asset Income $46,875 RECEIPT ACTIVITY FOR THE PERIOD Subrogation Receipts Reimbursement & Salvage 2015 Assessment Collected 2nd qtr. Retrospective Program Due Atlantic County $123,474.37 {YTD=$325,932.68} $ --0-{YTD=$ 8,996.89} $233,211.00 $ -0{YTD=$7,573.00 $625.00 123 YTD DEPOSITS YTD TO MARCH CONTROL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 MONTH JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY JANUARY CONTROL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 ACMJIF DEPOSIT DATE 1/8/2015 1/8/2015 1/8/2015 1/8/2015 1/8/2015 1/10/2015 1/10/2015 1/10/2015 1/10/2015 1/10/2015 1/10/2015 1/10/2015 1/13/2015 1/13/2015 1/13/2015 1/15/2015 1/20/2015 1/20/2015 1/22/2015 1/22/2015 1/22/2015 1/22/2015 1/22/2015 1/22/2015 1/30/2015 1/30/2015 1/30/2015 1/30/2015 1/30/2015 1/30/2015 1/30/2015 1/30/2015 1/30/2015 1/30/2015 1/31/2015 GROUP NAME EGG HARBOR TOWNSHIP LOWER TOWNSHIP LOWER TOWNSHIP LOWER TOWNSHIP LOWER TOWNSHIP HAMILTON TOWNSHIP SOMERS POINT CITY SOMERS POINT CITY SOMERS POINT CITY SOMERS POINT CITY LONGPORT BOROUGH VENTNOR CITY MILLVILLE CITY GALLOWAY TOWNSHIP MIDDLE TOWNSHIP EGG HARBOR TOWNSHIP GALLOWAY TOWNSHIP GALLOWAY TOWNSHIP ABSECON CITY ABSECON CITY PLEASANTVILLE CITY HAMILTON TOWNSHIP LOWER TOWNSHIP HAMMONTON TOWN EGG HARBOR TOWNSHIP WILDWOOD CITY LINWOOD CITY LINWOOD CITY WILDWOOD CITY LOWER TOWNSHIP LOWER TOWNSHIP EGG HARBOR TOWNSHIP WILDWOOD CREST BOROUGH MILLVILLE CITY ASSESSMENTS LOWER TOWNSHIP CONTROL POST YR Closed year 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 RETROSPECTIVE 2015 Closed year 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 $ 6,182,858.32 AMOUNT 50.00 416.88 602.15 1,373.46 1,373.46 10.00 48.00 59.00 59.00 363.73 2,328.00 3,461.80 1,000.00 7,573.00 7,734.47 50.00 157.00 1,553.35 8.50 8.50 28.00 50.00 61.00 400.00 6.00 30.00 50.00 50.00 50.00 74.00 74.00 102.00 178.00 183,333.33 646,606.00 196.21 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 859,518.84 MONTH FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY FEBRUARY MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH MARCH 2/7/2015 2/27/2015 2/25/2014 2/25/2015 2/11/2015 2/11/2015 2/27/2015 2/27/2015 2/27/2015 2/25/2015 2/27/2015 2/27/2015 2/27/2015 2/27/2015 2/27/2015 2/27/2015 2/27/2015 2/27/2015 2/12/2015 2/27/2015 2/25/2015 2/25/2015 2/25/2015 2/27/2015 2/12/2015 2/28/2015 3/5/2015 3/5/2015 3/4/2015 3/14/2015 3/18/2015 3/18/2015 3/21/2015 3/25/2014 3/25/2015 3/26/2015 3/26/2015 3/26/2015 3/26/2015 3/27/2015 3/27/2015 3/30/2015 3/30/2015 3/30/2015 3/30/2015 3/30/2015 3/30/2015 3/30/2015 3/30/2015 3/31/2015 MILLVILLE CITY WATERFORD TOWNSHIP HAMILTON TOWNSHIP HAMILTON TOWNSHIP HAMILTON TOWNSHIP HAMILTON TOWNSHIP SOMERS POINT CITY SOMERS POINT CITY LINWOOD CITY HAMILTON TOWNSHIP PLEASANTVILLE CITY HAMILTON TOWNSHIP LINWOOD CITY LINWOOD CITY ABSECON CITY ABSECON CITY WILDWOOD CITY WILDWOOD CREST BOROUGH SOMERS POINT CITY WILDWOOD CITY PLEASANTVILLE CITY VENTNOR CITY MILLVILLE CITY EGG HAR HARBOR TOWNSHIP MILLVILLE CITY ASSESSMENTS MILLVILLE CITY EGG HARBOR TOWNSHIP EGG HARBOR TOWNSHIP EGG HARBOR TOWNSHIP UPPER DEERFIELD MILLVILLE CITY EGG HARBOR TOWNSHIP SOMERS POINT EGG HARBOR TOWNSHIP LOWER TOWNSHIP EGG HARBOR TOWNSHIP SOMERS POINT GALLOWAY PLEASANTVILLE EGG HARBOR TOWNSHIP HAMILTON TWP SEA ISLE CITY WILDWOOD CREST SOMERS POINT ABSECON ATLANTIC COUNTY LINWOOD NORTHFIELD ASSESSMENTS 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 CLOSED YR 2015 2015 2015 2015 2015 2015 CLOSED YR 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2ND QTR $ 100.00 $ 2,200.00 $ 9.00 $ 9.00 $ 9.00 $ 9.00 $ 49.00 $ 49.00 $ 25.00 $ 40.00 $ 56.00 $ 50.00 $ 50.00 $ 50.00 $ 5.00 $ 5.00 $ 40.00 $ 78.00 $ 48.00 $ 26.00 $ 1,871.90 $ 490.73 $ 500.00 $ 248.00 $ 97.73 $ 4,959,913.75 $ 4,966,029.11 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 100.00 71,957.46 431.59 50.00 459.70 200.00 86.60 13,435.90 11,504.60 98.00 1,924.00 13.00 102.00 20,000.00 50.00 40.00 90.73 98.00 98.00 10.00 625.00 101.00 2,623.79 233,211.00 357,310.37 $ 325,932.68 RECOVERY $ $ $ $ $ $ $ $ $ $ $ $ 10.00 48.00 59.00 59.00 363.73 3,461.80 1,000.00 $ 7,734.47 $ 8,996.89 $ 8,198.00 ADJUSTMENT OTHER $ 50.00 $ 416.88 $ 602.15 $ 1,373.46 $ 1,373.46 $ $ 5,839,730.75 ASSESSMENT $ - 2,328.00 $ 7,573.00 $ 50.00 $ 61.00 $ 196.21 $ 198,888.68 $ 6,451.16 $ 198,888.68 $ 6,451.16 $ 205,339.84 $ 157.00 $ 1,553.35 $ 8.50 $ 8.50 $ 28.00 $ 50.00 $ $ 400.00 $ 6.00 $ 30.00 $ 50.00 $ 50.00 $ 50.00 $ 74.00 $ 74.00 $ 102.00 $ 178.00 $ 183,333.33 - $ 100.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 9.00 9.00 9.00 9.00 49.00 49.00 25.00 40.00 56.00 50.00 50.00 50.00 5.00 5.00 40.00 78.00 48.00 26.00 1,871.90 490.73 500.00 $ 3,569.63 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 100.00 71,957.46 431.59 50.00 459.70 200.00 86.60 13,435.90 11,504.60 98.00 1,924.00 13.00 102.00 20,000.00 50.00 40.00 90.73 98.00 98.00 10.00 $ $ 101.00 2,623.79 $ 123,474.37 124 $ 2,200.00 $ $ 248.00 97.73 $ $ 2,545.73 6,115.36 $ $ 123,474.37 $ 646,606.00 $ 7,573.00 $ 646,606.00 $ 7,573.00 $ 646,606.00 $ - $ 4,959,913.75 $ 4,959,913.75 $ 625.00 $ 625.00 $ $ 233,211.00 233,211.00 FILE:C:\Users\Kkristie\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\Y0LF9D5A\DEPOSITS YTD MARCH 2015.xlsx\PR _03685_ AJF-ATL.JOINT I__All 4/3/2015 125 SUMMARY OF CASH AND INVESTMENT INSTRUMENTS ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND ALL FUND YEARS COMBINED CURRENT MONTH March CURRENT FUND YEAR 2015 Description: ID Number: Maturity (Yrs) Purchase Yield: Opening Cash & Investment Balance Opening Interest Accrual Balance 1 2 3 4 5 6 7 8 9 10 Interest Accrued and/or Interest Cost Interest Accrued - discounted Instr.s (Amortization and/or Interest Cost) Accretion Interest Paid - Cash Instr.s Interest Paid - Term Instr.s Unrealized Gain (Loss) Net Investment Income Deposits - Purchases (Withdrawals - Sales) Ending Cash & Investment Balance Ending Interest Accrual Balance Plus Outstanding Checks (Less Deposits in Transit) Balance per Bank Instr #2 EXP & CONT 0 0 Instr #3 IMPREST 0 0 Instr #4 TD INVEST 0 0 TOTAL for All Accts & instruments $48,403,741.36 $ $69,910.38 $ 20,868,110.43 - $18,104.17 $0.00 $0.00 $0.00 $2,300.89 $46,875.00 $17,820.00 $38,225.06 $11,493,522.83 ($12,225,549.92) $0.00 $0.00 $0.00 $0.00 $3,311.77 $0.00 $0.00 $3,311.77 $357,310.37 ($6,089,337.46) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $217,379.17 ($217,379.17) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $871,958.29 ($871,958.29) $47,738,710.16 $41,139.55 $214,872.97 ($40.00) $47,953,543.13 $15,139,395.11 $0.00 $0.00 ($40.00) $15,139,355.11 $500.00 $0.00 $55,513.00 $0.00 $56,013.00 $99,729.99 $0.00 $159,359.97 $0.00 $259,089.96 0.95% 0.22% Annualized Rate of Return This Month SCII_REPORT PAGE.xlsx Instr #1 LOSS SCII_REPORTS $ $ 500.00 - 0.00% 126 Page 1 $ $ 99,729.99 - 0.00% Instr #5 TD CHECK 0 0 $ $ 22,055,580.00 69,910.38 $18,104.17 $0.00 $0.00 $0.00 $0.00 $46,875.00 $17,820.00 $35,924.17 $5,000,000.00 ($46,875.00) $27,073,400.00 $41,139.55 $0.00 $0.00 $27,073,400.00 1.75% Instr #6 0 0 0 $ $ 5,379,820.94 - 0 0 $ $ - $0.00 $0.00 $0.00 $0.00 ($1,010.88) $0.00 $0.00 ($1,010.88) $5,046,875.00 ($5,000,000.00) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,425,685.06 $0.00 $0.00 $0.00 $5,425,685.06 $0.00 $0.00 $0.00 $0.00 $0.00 -0.22% 4/7/2015 1:31 PM Investment Income Allocation 2015 Opening Cash & Investment Balance Opening Interest Accrual Balance 1 2 3 4 5 6 7 8 9 Prop 167,813.08 $6.07 Interest Accrued and/or Interest Cost Interest Accrued - discounted Instr.s (Amortization and/or Interest Cost) Accretion Interest Paid - Cash Instr.s Interest Paid - Term Instr.s Realized Gain (Loss) Net Investment Income Interest Accrued - Net Change Ending Cash & Investment Balance Ending Interest Accrual Balance 2014 Opening Cash & Investment Balance Opening Interest Accrual Balance 1 2 3 4 5 6 7 8 9 Ending Cash & Investment Balance Ending Interest Accrual Balance 2015 CIR_ACM.xls SCII_REPORTS Auto 99,364.78 $4.04 WC 1,797,346.99 $67.25 Ded 504,109.92 $21.69 Cont 999.64 $0.37 EJIF 0.00 $0.00 ($101.10) $0.00 $0.00 $0.00 $7.81 $4.07 $60.52 ($32.77) ($105.17) ($46.24) $0.00 $0.00 $0.00 $3.57 $33.25 $27.68 ($14.99) ($79.49) ($59.86) $0.00 $0.00 $0.00 $4.63 $2.71 $35.83 ($19.40) ($62.57) ($1,082.82) $0.00 $0.00 $0.00 $83.69 $45.09 $648.14 ($350.98) ($1,127.91) ($303.70) $0.00 $0.00 $0.00 $23.47 $14.54 $181.79 ($98.44) ($318.24) ($0.60) $0.00 $0.00 $0.00 $0.05 $0.25 $0.36 ($0.20) ($0.85) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $139,629.68 ($99.10) $122,303.46 ($29.89) $98,037.72 ($58.53) $1,745,795.69 ($1,060.66) $525,299.74 ($296.56) $1,000.30 ($0.48) $0.00 $0.00 Liab 2,731,460.11 $1,871.52 Auto 379,324.82 $519.19 WC 5,896,240.94 $8,450.14 Ded 2,287,704.01 $2,940.53 0.00 $0.00 Prop (92,558.56) $80.68 Interest Accrued and/or Interest Cost Interest Accrued - discounted Instr.s (Amortization and/or Interest Cost) Accretion Interest Paid - Cash Instr.s Interest Paid - Term Instr.s Realized Gain (Loss) Net Investment Income Interest Accrued - Net Change Liab 76,745.01 $49.59 Cont 30,733.96 $11.47 EJIF MEL (919,813.43) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($2,341.02) $0.00 $0.00 $0.00 $180.93 $106.14 $1,401.27 ($758.82) ($2,447.16) ($919,813.43) $0.00 $1,108,061.66 ($743.64) $2,820,314.82 ($2,288.86) MEL 199,211.72 $74.34 Admin 260,838.53 $3,609.01 ($1,645.57) $0.00 $0.00 $0.00 $127.18 $1,254.86 $984.99 ($533.40) ($2,900.43) ($228.52) $0.00 $0.00 $0.00 $17.66 $348.12 $136.79 ($74.07) ($576.64) ($3,552.20) $0.00 $0.00 $0.00 $274.54 $5,665.83 $2,126.25 ($1,151.41) ($9,218.03) ($1,378.23) $0.00 $0.00 $0.00 $106.52 $1,971.63 $824.97 ($446.74) ($3,349.86) ($18.52) $0.00 $0.00 $0.00 $1.43 $7.69 $11.08 ($6.00) ($26.21) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($120.02) $0.00 $0.00 $0.00 $9.28 $49.85 $71.84 ($38.90) ($169.86) ($93,697.04) $26.58 $2,726,312.72 ($1,028.91) $379,797.39 ($57.45) $5,701,153.35 ($767.89) $2,290,607.13 ($409.33) $30,754.16 ($14.74) $0.00 $0.00 $199,342.68 ($95.52) 127 Total $2,966,007.01 $158.30 ($746.70) $0.00 $0.00 $0.00 $57.71 $6.22 $446.96 ($242.04) ($752.93) $0.00 $0.00 $0.00 $0.00 $0.00 $54.10 $0.00 $0.00 ($54.10) Page 1 Admin 1,239,441.02 $9.28 ($157.14) $0.00 $0.00 $0.00 $12.15 $2,419.85 $94.06 ($50.94) ($2,576.99) $251,774.28 $1,032.02 4/3/2015 Total $11,692,955.53 $17,556.89 ($7,100.21) $0.00 $0.00 $0.00 $548.75 $11,771.92 $4,249.99 ($2,301.46) ($18,872.13) $11,486,044.67 ($1,315.24) 11:00 AM 2013 Opening Cash & Investment Balance Opening Interest Accrual Balance 1 2 3 4 5 6 7 8 9 Prop 105,440.36 $136.13 Interest Accrued and/or Interest Cost Interest Accrued - discounted Instr.s (Amortization and/or Interest Cost) Accretion Interest Paid - Cash Instr.s Interest Paid - Term Instr.s Realized Gain (Loss) Net Investment Income Interest Accrued - Net Change Ending Cash & Investment Balance Ending Interest Accrual Balance 2012 Opening Cash & Investment Balance Opening Interest Accrual Balance 1 2 3 4 5 6 7 8 9 Ending Cash & Investment Balance Ending Interest Accrual Balance 2015 CIR_ACM.xls SCII_REPORTS Auto 322,176.54 $451.12 WC 4,674,504.36 $7,086.23 Ded 2,352,236.31 $3,274.96 Cont EJIF 0.00 $0.00 0.00 $0.00 MEL 167,131.06 $234.65 Admin 102,535.98 $190.44 ($1,546.83) $0.00 $0.00 $0.00 $119.55 $2,428.21 $925.89 ($501.39) ($3,975.04) ($194.10) $0.00 $0.00 $0.00 $15.00 $302.48 $116.18 ($62.91) ($496.57) ($2,816.16) $0.00 $0.00 $0.00 $217.65 $4,751.33 $1,685.68 ($912.83) ($7,567.50) ($1,417.11) $0.00 $0.00 $0.00 $109.52 $2,195.86 $848.24 ($459.34) ($3,612.97) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($100.69) $0.00 $0.00 $0.00 $7.78 $157.33 $60.27 ($32.64) ($258.02) $105,574.57 ($18.67) $2,568,957.15 ($353.56) $322,590.20 ($45.45) $4,589,552.61 ($481.26) $2,355,389.94 ($338.02) $0.00 $0.00 $0.00 $0.00 $167,356.45 ($23.37) $101,705.42 $0.98 $10,211,126.34 ($1,259.35) Liab 2,106,449.69 $3,026.24 Auto 268,703.94 $388.37 WC 4,545,602.77 $6,432.16 Ded 1,409,769.84 $2,041.10 0.00 $0.00 0.00 $0.00 MEL 241,180.06 $337.32 Admin 122,022.94 $183.04 Total $8,759,192.38 $12,432.94 Cont EJIF ($61.77) $0.00 $0.00 $0.00 $4.77 $127.69 $36.98 ($20.02) ($189.46) Total $10,291,589.61 $14,995.02 ($63.52) $0.00 $0.00 $0.00 $4.91 $91.28 $38.02 ($20.59) ($154.80) Prop 65,463.14 $24.71 Interest Accrued and/or Interest Cost Interest Accrued - discounted Instr.s (Amortization and/or Interest Cost) Accretion Interest Paid - Cash Instr.s Interest Paid - Term Instr.s Realized Gain (Loss) Net Investment Income Interest Accrued - Net Change Liab 2,567,565.00 $3,621.48 ($6,200.19) $0.00 $0.00 $0.00 $479.19 $10,054.19 $3,711.26 ($2,009.72) ($16,254.37) ($39.44) $0.00 $0.00 $0.00 $3.05 $16.57 $23.61 ($12.78) ($56.01) ($1,269.03) $0.00 $0.00 $0.00 $98.08 $2,029.10 $759.61 ($411.35) ($3,298.13) ($161.88) $0.00 $0.00 $0.00 $12.51 $260.40 $96.90 ($52.47) ($422.28) ($2,738.51) $0.00 $0.00 $0.00 $211.65 $4,312.77 $1,639.19 ($887.66) ($7,051.28) ($849.32) $0.00 $0.00 $0.00 $65.64 $1,368.56 $508.38 ($275.30) ($2,217.88) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($145.30) $0.00 $0.00 $0.00 $11.23 $226.17 $86.97 ($47.10) ($371.47) ($73.51) $0.00 $0.00 $0.00 $5.68 $122.73 $44.00 ($23.83) ($196.24) ($5,276.99) $0.00 $0.00 $0.00 $407.84 $8,336.31 $3,158.66 ($1,710.49) ($13,613.30) $72,149.97 ($31.30) $1,915,024.29 ($271.89) $266,619.25 ($33.92) $4,535,269.69 ($619.12) $1,411,712.42 ($176.78) $0.00 $0.00 $0.00 $0.00 $241,504.44 ($34.15) $122,195.35 ($13.20) $8,564,475.41 ($1,180.36) 128 Page 1 4/3/2015 11:01 AM 2011 Opening Cash & Investment Balance Opening Interest Accrual Balance 1 2 3 4 5 6 7 8 9 Prop 95,110.31 $131.66 Interest Accrued and/or Interest Cost Interest Accrued - discounted Instr.s (Amortization and/or Interest Cost) Accretion Interest Paid - Cash Instr.s Interest Paid - Term Instr.s Realized Gain (Loss) Net Investment Income Interest Accrued - Net Change Ending Cash & Investment Balance Ending Interest Accrual Balance 1 2 3 4 5 6 7 8 9 Auto 59,423.27 $83.93 WC 2,601,004.57 $3,794.51 Ded 2,123,576.60 $2,952.59 Cont EJIF MEL 0.00 $0.00 0.00 $0.00 (0.54) $0.00 ($57.30) $0.00 $0.00 $0.00 $4.43 $88.28 $34.30 ($18.57) ($145.58) ($481.45) $0.00 $0.00 $0.00 $37.21 $896.41 $288.19 ($156.06) ($1,377.86) ($35.80) $0.00 $0.00 $0.00 $2.77 $56.27 $21.43 ($11.60) ($92.07) ($1,566.98) $0.00 $0.00 $0.00 $121.11 $2,544.23 $937.95 ($507.92) ($4,111.21) ($1,279.35) $0.00 $0.00 $0.00 $98.88 $1,979.72 $765.79 ($414.69) ($3,259.07) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $95,059.96 ($13.92) $759,982.13 ($40.94) $59,503.74 ($8.15) $2,577,397.56 ($316.69) $2,126,420.98 ($306.48) $0.00 $0.00 $0.00 $0.00 ($0.54) $0.00 Prop Closed Liab 799,158.23 $1,336.92 Liab Auto WC Ded Cont EJIF MEL Opening Cash & Investment Balance Opening Interest Accrual Balance 108.86 $0.04 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 Interest Accrued and/or Interest Cost Interest Accrued - discounted Instr.s (Amortization and/or Interest Cost) Accretion Interest Paid - Cash Instr.s Interest Paid - Term Instr.s Realized Gain (Loss) Net Investment Income Interest Accrued - Net Change ($0.07) $0.00 $0.00 $0.00 $0.01 $0.03 $0.04 ($0.02) ($0.09) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Ending Cash & Investment Balance Ending Interest Accrual Balance ($6.00) ($0.05) $0.00 $0.00 $0.00 $0.00 $8,063.16 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2015 CIR_ACM.xls SCII_REPORTS 129 Page 1 Admin 157,313.02 $219.29 Total $5,835,585.46 $8,518.91 ($94.77) $0.00 $0.00 $0.00 $7.32 $147.03 $56.73 ($30.72) ($241.81) ($3,515.66) $0.00 $0.00 $0.00 $271.71 $5,711.94 $2,104.38 ($1,139.56) ($9,227.60) $157,524.11 ($22.52) $5,775,887.94 ($708.69) Admin 8,858,301.79 $16,248.26 ($5,336.70) $0.00 $0.00 $0.00 $412.46 $10,894.48 $3,194.40 ($1,729.84) ($16,231.18) $8,872,803.13 $17.07 4/3/2015 Total $8,858,410.65 $16,248.29 ($5,336.77) $0.00 $0.00 $0.00 $412.46 $10,894.51 $3,194.44 ($1,729.86) ($16,231.27) $8,880,860.29 $17.02 11:02 AM ATLANTIC COUNTY MUNICIPAL JIF INVESTMENT MANAGEMENT ACCOUNT NO. 65-P142-01-4 FINANCIAL STATEMENT FOR THE PERIOD 03/01/15 THROUGH 03/31/15 ACCOUNT MANAGER: JASON J. WALLACH 201-574-4836 PORTFOLIO MANAGER: JASON WALLACH JOHN HANSEN 105 SIMPSON AVE OCEAN CITY NJ 08226 130 TABLE OF CONTENTS ACCOUNT NO. 65-P142-01-4 ATLANTIC COUNTY MUNICIPAL JIF INVESTMENT MANAGEMENT PAGE STATEMENT OF CHANGES IN NET ASSETS. . . . . . . . . 1 PORTFOLIO SUMMARY . . . . . . . . . . . . . . . . . 2 BOND MATURITY SUMMARY . . . . . . . . . . . . . . . 3 PORTFOLIO APPRAISAL . . . . . . . . . . . . . . . . 4 TRANSACTION LEDGER. . . . . . . . . . . . . . . . . 7 131 STATEMENT OF CHANGES IN NET ASSETS FOR PERIOD 03/01/15 THRU 03/31/15 ACCOUNT NO. 65-P142-01-4 PAGE ATLANTIC COUNTY MUNICIPAL JIF INVESTMENT MANAGEMENT BEGINNING TOTAL PORTFOLIO AS OF 03/01/15 22,125,490.38 TRANSACTION ACTIVITY CASH RECEIPTS 5,000,000.00 COUPON PAYMENTS/ASSET INCOME 46,875.00 CASH DISBURSEMENTS 46,875.00- NON-CASH ASSET CHANGES .00 CHANGE IN UNREALIZED CAPITAL GAIN/LOSS UNREALIZED GAIN/LOSS CURRENT PERIOD 90,550.00 UNREALIZED GAIN/LOSS PRIOR PERIOD 72,730.00 ----------------17,820.00 NET CHANGE ACCRUED INCOME RECONCILIATION ENDING INTEREST ACCRUAL BALANCE 41,139.55 BEGINNING INTEREST ACCRUAL BALANCE 69,910.38 CHANGE IN INCOME ACCRUAL ----------------28,770.83----------------- TOTAL TRANSACTIONS 4,989,049.17 ----------------27,114,539.55 ENDING TOTAL PORTFOLIO AS OF 03/31/15 TOTAL PORTFOLIO VALUE INCLUDES ASSET MARKET VALUE PLUS ACCRUED INCOME 132 1 PORTFOLIO SUMMARY AS OF 03/31/15 PAGE ACCOUNT NO. 65-P142-01-4 FIXED INCOME SECURITIES GOVERNMENT OBLIGATIONS CASH AND EQUIVALENTS ATLANTIC COUNTY MUNICIPAL JIF INVESTMENT MANAGEMENT TOTAL COST TOTAL MARKET 26,982,850.00 .00 --------------26,982,850.00 27,073,400.00 .00 --------------27,073,400.00 133 % OF ESTIMATED PURCH MKT VAL ANN INCOME YLD 100.00 -----100.00 282,000 1.0 ----1.0 2 PORTFOLIO SUMMARY AS OF 03/31/15 PAGE ACCOUNT NO. 65-P142-01-4 ATLANTIC COUNTY MUNICIPAL JIF INVESTMENT MANAGEMENT BOND MATURITY SUMMARY RANGE DEBT OBLIGATIONS 3 - 6 MONTHS 1 - 2 YEARS GREATER THAN 2 YEARS TOTAL DEBT OBLIGATIONS TOTAL PAR VALUE MARKET VALUE 5,000,000 5,036,650.00 11,000,000 11,006,950.00 11,000,000 11,029,800.00 ---------------- --------------27,000,000 27,073,400.00 ---------------- --------------27,000,000 27,073,400.00 134 3 PORTFOLIO APPRAISAL AS OF 03/31/15 ACCOUNT NO. 65-P142-01-4 PAR VALUE/ NO. SHARES CUSIP/ DESCRIPTION PAGE 4 ATLANTIC COUNTY MUNICIPAL JIF INVESTMENT MANAGEMENT TOTAL ACCRUED INTEREST MARKET VALUE ACQUISITION COST UNREALIZED GAIN/LOSS MARKET PRICE CURRENT BOOK % OF PURCHASE PORTFOLIO YIELD CASH & EQUIVALENTS CASH 0 .00 INCOME CASH 0 .00 PRINCIPAL CASH TOTAL CASH .00 .000 .00 .00 .000 .00 .00 .00 .00 .00 .00 TOTAL CASH & EQUIVALENTS .00 .00 0.0 .00 0.0 18.60 1.9 18.60 1.9 .00 .00 .00 .00 5,729.16 5,036,650.00 4,987,500.00 49,150.00 5,729.16 5,036,650.00 4,987,500.00 49,150.00 .00 DEBT OBLIGATIONS 3 - 6 MONTHS 5,000,000 3136FP-DY-0 FED NATL MTG ASSN 1.875% 09/09/2015 DTD 09/09/10 CALLABLE 03/09/2011 TOTAL 3 - 6 MONTHS 100.733 4,998,750.00 4,998,750.00 1 - 2 YEARS 2,000,000 3134G4-VK-1 FHLMC .45% 05/27/2016 DTD 02/27/2014 CALLABLE 08/27/2014 3,000,000 3130A3-KC-7 FHLBB 0.700% 12/12/2016 DTD 12/12/14 850.00 1,998,080.00 2,000,000.00 1,920.00- 99.904 2,000,000.00 7.38 .4 1,750.00 3,002,970.00 3,000,000.00 2,970.00 100.099 3,000,000.00 11.09 .7 135 PORTFOLIO APPRAISAL AS OF 03/31/15 PAGE ACCOUNT NO. 65-P142-01-4 PAR VALUE/ NO. SHARES CUSIP/ DESCRIPTION 5 ATLANTIC COUNTY MUNICIPAL JIF INVESTMENT MANAGEMENT TOTAL ACCRUED INTEREST MARKET VALUE ACQUISITION COST UNREALIZED GAIN/LOSS MARKET PRICE CURRENT BOOK % OF PURCHASE PORTFOLIO YIELD 3,000,000 3134G4-QP-6 FHLMC .75% 12/27/2016 DTD 12/27/2013 CALLABLE 12/27/2016 5,875.00 3,003,360.00 2,997,750.00 5,610.00 100.112 2,998,680.00 11.09 .8 1,000,000 313381-KR-5 FEDL HOME LOAN BK .625% 12/28/2016 DTD 12/28/2012 CALLABLE 06/28/2013 1,614.58 1,001,160.00 999,600.00 1,560.00 100.116 999,820.00 3.70 .6 2,000,000 3134G5-A4-7 FHLMC .65% 12/20/2016 DTD 06/30/2014 CALLABLE 3,286.11 2,001,380.00 2,000,000.00 1,380.00 100.069 2,000,000.00 7.39 .6 TOTAL 1 - 2 YEARS 13,375.69 11,006,950.00 10,997,350.00 9,600.00 40.66 0.7 4,555.55 1,000,340.00 1,000,000.00 340.00 100.034 1,000,000.00 3.69 1.0 10,416.66 3,003,450.00 2,999,400.00 4,050.00 100.115 2,999,580.00 11.09 1.0 729.16 5,007,050.00 5,000,000.00 7,050.00 100.141 5,000,000.00 18.49 1.0 6,333.33 2,018,960.00 1,998,600.00 20,360.00 100.948 1,998,900.00 7.46 1.2 22,034.70 11,029,800.00 10,998,000.00 31,800.00 40.74 1.1 27,073,400.00 26,982,850.00 90,550.00 100.00 1.0 10,998,500.00 GREATER THAN 2 YEARS 1,000,000 3130A1-GG-7 FHLB 1% 04/17/2017 DTD 04/17/2014 CALLABLE 3,000,000 3134G4-V4-7 FED HOME LN MTG 1% 05/26/2017 DTD 02/26/2014 CALLABLE 05/26/2014 5,000,000 3134G6-JU-8 FED HOME LN MTG DTD 03/26/15 2,000,000 1.050% 09/26/2017 3134G5-AU-9 FHLMC 1.2% 12/26/2017 DTD 06/26/2014 CALLABLE TOTAL GREATER THAN 2 YEARS TOTAL DEBT OBLIGATIONS 41,139.55 136 10,998,480.00 26,995,730.00 PORTFOLIO APPRAISAL AS OF 03/31/15 ACCOUNT NO. 65-P142-01-4 PAR VALUE/ NO. SHARES CUSIP/ DESCRIPTION NET ASSETS PAGE 6 ATLANTIC COUNTY MUNICIPAL JIF INVESTMENT MANAGEMENT TOTAL ACCRUED INTEREST MARKET VALUE ACQUISITION COST UNREALIZED GAIN/LOSS MARKET PRICE CURRENT BOOK ------------- --------------- ----------------------------41,139.55 27,073,400.00 90,550.00 26,982,850.00 26,995,730.00 TOTAL SECURITIES CURRENTLY HELD 27,114,539.55 137 % OF PURCHASE PORTFOLIO YIELD -----100.00 ----1.0 TRANSACTION LEDGER FOR PERIOD 03/01/15 THRU 03/31/15 ACCOUNT NO. 65-P142-01-4 TRANSACTION PAGE 7 ATLANTIC COUNTY MUNICIPAL JIF INVESTMENT MANAGEMENT TRADE DATE SETTLEMENT DATE CUSIP 00/00/00 03/09/15 JIF ATLANTIC COUNTY DISCRETIONARY DISTRIBUTION DAILY DISTRIBUTION OF INCOME AND PRINCIPAL TO TD BANK NA JIF ATLANTIC COUNTY ACCT # 7855139650 REP #2805 46,875.00- .00 .000 00/00/00 03/09/15 INT TO 03/09/15 ON 5,000,000 3136FP-DY-0 FED NATL MTG ASSN 1.875% 09/09/2015 DTD 09/09/10 CALLABLE 03/09/2011 46,875.00 .00 .000 00/00/00 03/26/15 TRANSFER FUNDS FROM DDA 7855139650 ATLANTIC COUNTY JIF TO COVER TRADES SETTLING 5,000,000.00 .00 .000 02/27/15 03/26/15 PURCHASED 5000000 02/27/15 FROM JEFFERIES & CO/CUSTODY @ 100 FED HOME LN MTG 1.050% 09/26/2017 DTD 03/26/15 5,000,000.00 5,000,000.000 3134G6-JU-8 CASH 5,000,000.00- --------------.00 TOTAL TRANSACTIONS 138 COST SHARES/ PAR VALUE --------------5,000,000.00 139 ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND SUMMARY OF CASH TRANSACTIONS - ALL FUND YEARS COMBINED Current Fund Year: Month Ending: OPEN BALANCE RECEIPTS Assessments Refunds Invest Pymnts Invest Adj Subtotal Invest Other * TOTAL 2015 March Prop 341,377.19 Liab 8,281,378.04 Auto 1,128,993.35 WC 19,514,699.63 Ded 8,677,396.68 Cont 31,733.60 8,238.47 28,455.58 431.02 0.00 431.02 186.60 37,311.67 48,221.95 0.00 10,013.78 0.00 10,013.78 0.00 58,235.73 4,397.73 0.00 1,429.68 0.00 1,429.68 0.00 5,827.41 79,109.22 102,895.35 25,265.11 0.00 25,265.11 0.00 207,269.68 20,970.02 0.00 11,063.51 0.00 11,063.51 0.00 32,033.53 0.00 0.00 20.86 0.00 20.86 0.00 20.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59,676.19 301.53 0.00 59,977.72 318,711.14 247,034.02 0.00 0.00 247,034.02 8,092,579.75 8,272.46 0.00 0.00 8,272.46 1,126,548.30 564,737.25 0.00 0.00 564,737.25 19,157,232.06 0.00 0.00 0.00 0.00 8,709,430.21 0.00 0.00 0.00 0.00 31,754.46 0.00 0.00 0.00 0.00 0.00 EJIF 0.00 MEL (312,291.13) 0.00 0.00 680.73 0.00 680.73 0.00 680.73 Admin 10,740,453.28 TOTAL 48,403,740.64 72,273.61 0.00 18,091.23 0.00 18,091.23 625.00 90,989.84 233,211.00 131,350.93 66,995.92 0.00 66,995.92 811.60 432,369.45 0.00 217,379.17 0.00 217,379.17 10,614,063.95 879,719.92 217,680.70 0.00 1,097,400.62 47,738,709.47 EXPENSES Claims Transfers Expenses Other * TOTAL END BALANCE 0.00 0.00 0.00 0.00 (311,610.40) $47,738,710.16 $0.68 Report Month: March Opening Balances: Imprest Transfers: Investment Balances: Ending Balances: Accural Balances: Opening Balances are equal Imprest Totals are equal Investment Payment Balances are equal Investment Adjustment Balances are equal Ending Balances are equal Accural Balances are equal Differences $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Claims Transaction Status: Allocation variance 1: Allocation variance 2: Allocation variance 3: Pre-existing variance: 2015 CIR_ACM.xls SCT_REPORTS Daily xactions add to monthly totals Monthly transactions and allocation totals are equal Treasurer/TPA net payments NOT equal-reconciliaiton Max/Min needed Prior period unreconciled variance exists Max/Min Page 1 140 0.00 0.00 0.00 0.00 / / (0.00) (0.00) 4/3/2015 11:02 AM LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE PHYSICIA PHYSICIA URGENT C PHYSICIA PHYSICIA CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV 020701782 020701782 020701782 020701782 020701782 0247137 0247137 0247137 0247137 0247137 037 003 042 010 037 Z07109 Z08202 Z08883 Z08662 Z09085 01 01 01 01 01 WC WC WC WC WC MED MED MED MED MED MCO00144000. MCO00144632. MCO00144928. MCO00144901. MCO00145087. MCO00129029. MCO201101123 MCO201102083 MCO00145922. 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 681915 681916 681917 681918 681918 ATLANTICARE ATLANTICARE ATLANTICARE ATLANTICARE ATLANTICARE 3/03/15 3/03/15 3/03/15 3/03/15 681919 681920 681920 681920 MATTHEW FANNON ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. 0247137 026 X79373 133973142 0247137 015 W81603 133973142 0247137 009 W84056 133973142 0247137 009 Z10520 01 01 01 01 WC WC WC WC IND MED MED MED 3/03/15 3/03/15 3/03/15 3/03/15 681921 681921 681921 681921 ISO ISO ISO ISO 133973142 133973142 133973142 133973142 01 01 01 01 GL GL GL GL BI BI BI BI 3/03/15 3/03/15 681922 ISO SERVICES, INC. 681922 ISO SERVICES, INC. 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 681923 681924 681925 681926 681927 681928 681929 681930 681931 681932 681932 681932 681932 WILLIAM REED MARK MENSCH NICHOLAS PETRUZZI AARON FINCKE JESSICA CRACKOVICH MICHAEL COSTELLO ERIC BITTMANN GEORGE BARGER ATLANTIC EMERGENCY A STRIVE PHYSICAL THER STRIVE PHYSICAL THER STRIVE PHYSICAL THER STRIVE PHYSICAL THER 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 681933 681934 681935 681936 681937 681938 681938 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 681939 681940 681941 681942 681943 681944 681945 681946 681947 681948 SERVICES, SERVICES, SERVICES, SERVICES, INC. INC. INC. INC. 0247137 0247137 0247137 0247137 038 005 008 037 Z05135 Z10292 Z10343 Z10346 CLIENT# 133973142 0247137 024 X67720 04 AL BI 133973142 0247137 024 X67720 05 AL BI 200287387 201901714 201901714 201901714 201901714 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 021 021 007 017 011 009 014 024 008 014 014 014 014 X26999 X47412 X63143 X93675 X88077 X35537 X23660 X93459 Z09082 X99960 X99960 X99960 X99960 01 01 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC IND IND IND IND IND IND IND IND MED MED MED MED MED MCO00102474. MCO00112008. MCO00120252. MCO00136979. MCO00133869. MCO00107163. MCO00100457. MCO00136903. MCO00145101. MCO00140045. MCO00140045. MCO00140045. MCO00140045. CAPE URGENT CARE CAPE URGENT CARE CAPE URGENT CARE CAPE URGENT CARE DOSHI DIAGNOSTIC IMA EAST COAST ORTHO. &, EAST COAST ORTHO. &, 202896034 202896034 202896034 202896034 203661505 204484976 204484976 0247137 0247137 0247137 0247137 0247137 0247137 0247137 043 012 022 022 026 017 038 Z09249 Z09581 Z10012 Z10012 Z07929 Z01300 Z05471 01 01 01 01 01 01 01 WC WC WC WC WC WC WC MED MED MED MED MED MED MED MCO00145152. MCO00145346. MCO00145606. MCO00145606. MCO00144433. MCO00140865. MCO00143263. ARMC FACULTY PRACTIC ATLANTICARE REGIONAL BACHARACH INSTITUTE BRIGANTINE CITY BRIGANTINE CITY STATE OF NEW JERSEY NORTHFIELD CITY PLEASANTVILLE CITY DYLAN YOUNG SOUTH JERSEY RADIOLO 210634549 210634549 210634964 216000384 216000384 216000928 216000945 216001018 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 221899118 0247137 014 026 023 026 026 009 005 006 012 007 Z07103 Z02843 X00875 Z05819 Z05819 Z04848 X86239 X88172 Z07456 Z08545 01 02 01 01 01 01 01 03 01 01 WC WC WC WC WC WC WC WC WC WC MED MED MED IND IND MED IND IND IND MED MCO00144003. MCO00141786. MCO201106024 MCO00143500. MCO00143500. MCO00142921. MCO00132909. MCO00133944. MCO00144132. MCO00144823. 141 RUN DATE: 4/01/2015 PAGE 1 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 63.37 263.00 263.00 263.00 263.00 526.00 880.00 10.00 10.00 10.00 30.00 10.00 10.00 10.00 10.00 40.00 10.00 10.00 20.00 1,620.00 464.00 880.00 815.14 5,512.50 954.84 954.84 900.00 805.00 63.00 63.00 63.00 63.00 252.00 91.36 91.36 128.79 86.87 34.05 93.76 2,227.08 2,320.84 234.00 133.90 198.00 1,686.00 1,686.00 1.81 450.00 1,686.00 805.46 14.88 LOSS 1/03/15 LOSS 1/14/15 LOSS 1/21/15 LOSS 1/20/15 LOSS 1/24/15 TOTAL CHECK#: LOSS 12/13/13 EXP 1/12/11 EXP 2/08/11 EXP 2/12/15 TOTAL CHECK#: EXP 11/08/14 EXP 2/09/15 EXP 2/07/15 EXP 1/19/15 TOTAL CHECK#: EXP 7/05/13 EXP 7/05/13 TOTAL CHECK#: LOSS 4/23/12 LOSS 11/12/12 LOSS 5/09/13 LOSS 6/14/14 LOSS 3/24/14 LOSS 7/25/12 LOSS 3/27/12 LOSS 6/11/14 LOSS 1/25/15 LOSS 9/12/14 LOSS 9/12/14 LOSS 9/12/14 LOSS 9/12/14 TOTAL CHECK#: LOSS 1/28/15 LOSS 1/31/15 LOSS 2/06/15 LOSS 2/06/15 LOSS 1/05/15 LOSS 10/01/14 LOSS 12/07/14 TOTAL CHECK#: LOSS 1/03/15 LOSS 10/24/14 LOSS 6/02/11 LOSS 12/12/14 LOSS 12/12/14 EXP 11/24/14 LOSS 3/04/14 LOSS 3/27/14 LOSS 1/06/15 LOSS 1/17/15 15 15 15 15 15 037-9430NJ 003-7720NJ 042-7720NJ 010-9403NJ 037-7720NJ 681918 13 026-7720NJ 11 015-7720NJ 11 009-5509NJ 15 009-7720NJ 681920 14 038-5509NJ 15 005-5509NJ 15 008-5509NJ 15 037-5509NJ 681921 13 024-7720NJ 13 024-7720NJ 681922 12 021-7720NJ 12 021-7720NJ 13 007-9015NJ 14 017-9053NJ 14 011-9430NJ 12 009-5509NJ 12 014-7720NJ 14 024-5509NJ 15 008-7720NJ 14 014-7720NJ 14 014-7720NJ 14 014-7720NJ 14 014-7720NJ 681932 15 043-7720NJ 15 012-9430NJ 15 022-7580NJ 15 022-7580NJ 15 026-9403NJ 14 017-9430NJ 14 038-9402NJ 681938 15 014-7720NJ 14 026-7720NJ 11 023-5509NJ 14 026-5509NJ 14 026-5509NJ 14 009-7711NJ 14 005-9106NJ 14 006-7720NJ 15 012-7720NJ 15 007-7720NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE TODD TODD TODD TODD IRS# BATCH# GRP FILE# CL 222046544 222046544 222046544 222046544 0247137 0247137 0247137 0247137 023 009 044 042 X50931 X08781 X13696 X42822 01 01 01 01 GL GL GL GL PD BI BI BI T T T T T T T T T T T T T T T T T 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 009 008 008 008 008 021 021 021 021 009 009 009 014 014 014 014 014 X91165 X79964 X79964 X79964 X79964 X98251 X98251 X98251 X98251 Z00080 Z00080 Z00080 Z07103 Z07103 Z07103 Z07103 Z07103 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MCO00135579. MCO00129514. MCO00129514. MCO00129514. MCO00129514. MCO00139155. MCO00139155. MCO00139155. MCO00139155. MCO00140147. MCO00140147. MCO00140147. MCO00144003. MCO00144003. MCO00144003. MCO00144003. MCO00144003. UN UN UN UN 222540040 222540040 222540040 222540040 0247137 0247137 0247137 0247137 027 039 027 014 Z06585 Z06101 Z06585 Z07103 01 01 01 01 WC WC WC WC MED MED MED MED MCO00143911. MCO00143632. MCO00143911. MCO00144003. MEREN MEREN MEREN MEREN COV CLIENT# 3/03/15 3/03/15 3/03/15 3/03/15 681949 681950 681950 681950 GEMMEL, GEMMEL, GEMMEL, GEMMEL, 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 681951 681952 681952 681952 681952 681952 681952 681952 681952 681952 681952 681952 681952 681952 681952 681952 681952 TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN 3/03/15 3/03/15 3/03/15 3/03/15 681953 681954 681954 681954 SHORE SHORE SHORE SHORE 3/03/15 3/03/15 3/03/15 681955 QUALCARE, INC. 681955 QUALCARE, INC. 681955 QUALCARE, INC. 3/03/15 3/03/15 3/03/15 3/03/15 681956 681957 681957 681957 ONE ONE ONE ONE IN IN IN IN 223218521 223218521 223218521 223218521 0247137 0247137 0247137 0247137 006 006 027 037 Z09081 Z05390 Z06585 Z09085 01 01 01 01 WC WC WC WC MED MED MED MED MCO00145130. MCO00143236. MCO00143911. MCO00145087. 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 681958 681959 681960 681961 681962 681963 681964 681965 681966 681967 681968 681969 681969 ATLANTICARE CLINICAL PACE ORTHOPEDICS AND ROTHMAN INSTITUTE OF ROTHMAN INSTITUTE OF SHORE AMBULATORY SUR FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB RT ENVIRONMENTAL SER NOVACARE REHABILITAT ATLANTIC SECURITY IN NICOLAPT LLC CAPE REGIONAL URGENT CAPE REGIONAL URGENT 223265214 223319594 223700669 223700669 223778333 223822612 223822612 232534548 232736153 233024656 262230453 272584205 272584205 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 0247137 008 023 002 037 006 027 027 023 027 016 003 034 034 X88175 Z04015 X41650 Z09085 Z05390 Z08547 Z08547 X50931 Z05233 W48335 Z05652 Z08882 Z08882 01 01 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC GL WC PR WC WC WC MED MED MED MED MED MED MED PD MED I/M MED MED MED MCO00133828. MCO00142436. MCO00108313. MCO00145087. MCO00143236. MCO00144830. MCO00144830. BORO BORO BORO BORO BORO BORO BORO BORO BORO BORO BORO BORO BORO BORO BORO BORO BORO & & & & CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC CALL CALL CALL CALL MEDICAL, MEDICAL, MEDICAL, MEDICAL, 223129563 0247137 024 Z11855 01 WC MED MCO00146618. 223129563 0247137 008 Z11985 01 WC MED MCO00146697. 223129563 0247137 009 Z11986 01 WC MED MCO00146605. 142 MCO00143126. BUENA VISTA MCO00143378. MCO00144993. MCO00144993. RUN DATE: 4/01/2015 PAGE 2 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 9,393.33 3,449.01 3,888.25 3,584.37 10,921.63 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 1,008.00 308.95 1,829.16 160.00 84.00 2,073.16 472.00 472.00 472.00 1,416.00 485.00 785.00 427.88 485.00 1,697.88 4.00 91.93 54.32 200.70 5,901.35 63.00 63.00 329.23 80.63 251.50 198.00 119.56 195.51 315.07 LGL 11/08/11 LGL 8/01/11 LGL 10/01/11 LGL 8/02/12 TOTAL CHECK#: LOSS 5/11/14 LOSS 12/16/13 LOSS 12/16/13 LOSS 12/16/13 LOSS 12/16/13 LOSS 8/18/14 LOSS 8/18/14 LOSS 8/18/14 LOSS 8/18/14 LOSS 9/14/14 LOSS 9/14/14 LOSS 9/14/14 LOSS 1/03/15 LOSS 1/03/15 LOSS 1/03/15 LOSS 1/03/15 LOSS 1/03/15 TOTAL CHECK#: LOSS 12/28/14 LOSS 12/16/14 LOSS 12/28/14 LOSS 1/03/15 TOTAL CHECK#: LOSS 2/24/15 LOSS 3/01/15 LOSS 2/27/15 TOTAL CHECK#: LOSS 1/10/15 LOSS 12/05/14 LOSS 12/28/14 LOSS 1/24/15 TOTAL CHECK#: LOSS 3/25/14 LOSS 11/05/14 LOSS 8/25/12 LOSS 1/24/15 LOSS 12/05/14 LOSS 1/15/15 LOSS 1/15/15 EXP 11/08/11 LOSS 12/03/14 EXP 6/02/10 LOSS 12/10/14 LOSS 1/22/15 LOSS 1/22/15 TOTAL CHECK#: 11 11 11 12 023-9410NJ 009-5509NJ 044-5509NJ 042-5509NJ 681950 14 009-7720NJ 13 008-7720NJ 13 008-7720NJ 13 008-7720NJ 13 008-7720NJ 14 021-5509NJ 14 021-5509NJ 14 021-5509NJ 14 021-5509NJ 14 009-7711NJ 14 009-7711NJ 14 009-7711NJ 15 014-7720NJ 15 014-7720NJ 15 014-7720NJ 15 014-7720NJ 15 014-7720NJ 681952 14 027-7720NJ 14 039-5509NJ 14 027-7720NJ 15 014-7720NJ 681954 15 024-7711NJ 15 008-7720NJ 15 009-8810NJ 681955 15 006-7720NJ 14 006-7720NJ 14 027-7720NJ 15 037-7720NJ 681957 14 008-7720NJ 14 023-5509NJ 12 002-7720NJ 15 037-7720NJ 14 006-7720NJ 15 027-7720NJ 15 027-7720NJ 11 023-9410NJ 14 027-5509NJ 10 016-5509NJ 14 003-7720NJ 15 034-5509NJ 15 034-5509NJ 681969 LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE IRS# BATCH# CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB GRP FILE# CL COV CLIENT# 3/03/15 3/03/15 681970 AFFANATO MARUT, LLC 681970 AFFANATO MARUT, LLC 463266146 0247137 024 X05966 01 WC IND MCO00081778. 463266146 0247137 021 X26999 01 WC IND MCO00102474. 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/03/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 681971 681972 681973 681974 681975 681976 681977 681978 681979 681979 681979 681979 681979 681979 681979 681979 BIRCHMEIER & POWELL, BIRCHMEIER & POWELL, BIRCHMEIER & POWELL, ANTHONY VENUTO IOD INCORPORATED MULLICA TOWNSHIP LANCE GREENE ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. 472344815 0247137 031 X90949 472344815 0247137 036 X83846 472344815 0247137 043 X69721 0247137 021 X62430 650765287 0247137 027 X17938 999999999 0247137 033 Z06376 0247219 026 X03678 133973142 0247219 009 Z10585 133973142 0247219 008 X07684 133973142 0247219 039 X41407 133973142 0247219 015 X43438 133973142 0247219 024 X47413 133973142 0247219 043 X56666 133973142 0247219 043 Z10521 133973142 0247219 008 Z10717 133973142 0247219 008 Z10788 01 01 01 03 01 01 01 01 01 01 01 01 01 01 01 01 GL GL GL WC GL PR WC AL WC WC WC WC WC WC WC WC BI PI PPPI IND MCO00119842. PPBI COL MULLICA TWP IND MCO00080569. PD MED MCO00082669. MED MCO00108235. MED MED MCO00112074. MED MCO00116729. MED MCO00145901. MED MCO00145996. MED MCO00146024. 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 681980 681980 681980 681980 681980 ISO ISO ISO ISO ISO 133973142 133973142 133973142 133973142 133973142 0247219 0247219 0247219 0247219 0247219 006 023 038 005 006 X09949 X96683 X98297 X98548 Z10592 02 01 01 01 01 GL GL GL GL GL BI BI BI BI BI 3/06/15 3/06/15 3/06/15 3/06/15 681981 681982 681983 681983 LEA MARIE SACCO ANDREW MATTERN PIETRAS, SARACINO, S 141872046 PIETRAS, SARACINO, S 141872046 0247219 0247219 0247219 0247219 012 023 006 027 Z05059 X48720 X44747 X87954 01 01 01 01 WC WC WC WC IND MCO00143022. IND MCO00112875. IND MCO00110384. IND 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 681984 681985 681986 681987 681988 681989 681990 681990 DAMON ORBACH ALLEN MAGNAVITA KEVIN OLSON JOHNATHAN SEIDEL RICHARD RUTLEDGE WILLIAM HAMMERSTEIN LAW OFFICES OF NEIL LAW OFFICES OF NEIL 0247219 0247219 0247219 0247219 0247219 0247219 161623340 0247219 161623340 0247219 021 024 043 036 023 027 009 010 X70005 X81602 Z10933 X34147 X18919 X41191 X40452 X45008 01 01 01 02 01 01 01 01 WC WC WC WC WC WC GL GL IND IND IND IND IND IND BI BI MCO00123965. MCO00130379. MCO00146053. 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 681991 681992 681993 681993 681993 STACY KUSKO 0247219 CAPE URGENT CARE 202896034 0247219 EAST COAST ORTHO. &, 204484976 0247219 EAST COAST ORTHO. &, 204484976 0247219 EAST COAST ORTHO. &, 204484976 0247219 009 043 012 012 038 X94524 Z10933 Z05059 Z05059 Z05471 01 01 01 01 01 WC WC WC WC WC IND MED MED MED MED MCO00137519. MCO00146053. MCO00143022. MCO00143022. MCO00143263. 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 681994 681995 681996 681997 681998 ATLANTICARE REGIONAL BRIGANTINE CITY CAPE MAY CITY CAPE MAY CITY EGG HARBOR TOWNSHIP 009 026 038 038 021 Z04848 Z02843 X88710 Z05471 X98251 01 02 01 01 01 WC WC WC WC WC MED IND IND IND IND MCO00142921. MCO00141786. MCO00134236. MCO00143263. MCO00139155. SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, INC. INC. INC. INC. INC. 210634549 216000384 216000429 216000429 216000547 0247219 0247219 0247219 0247219 0247219 143 MCO00097438. MCO00108155. RUN DATE: 4/01/2015 PAGE 3 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 276.00 163.00 439.00 4,350.25 658.30 517.00 1,984.00 40.20 10,495.82 1,480.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 80.00 10.00 10.00 10.00 10.00 10.00 50.00 1,362.84 697.30 266.50 381.50 648.00 880.00 900.00 759.64 985.44 1,058.80 857.88 2,967.99 2,012.00 4,979.99 535.50 220.80 93.76 93.76 232.66 420.18 824.00 1,686.00 1,070.08 1,686.00 948.94 LGL 8/03/11 LGL 4/23/12 TOTAL CHECK#: LGL 4/21/12 LGL 1/27/14 LGL 8/05/11 LOSS 4/30/13 EXP 10/11/11 LOSS 12/20/14 LOSS 7/07/11 EXP 2/12/15 EXP 8/25/11 EXP 8/24/12 EXP 6/29/12 EXP 11/13/12 EXP 2/16/13 EXP 2/11/15 EXP 2/09/15 EXP 2/16/15 TOTAL CHECK#: EXP 6/10/11 EXP 7/01/14 EXP 7/31/14 EXP 6/14/14 EXP 11/17/14 TOTAL CHECK#: LOSS 11/27/14 LOSS 11/24/12 LGL 10/09/12 LGL 3/10/14 TOTAL CHECK#: LOSS 8/09/13 LOSS 1/13/14 LOSS 2/16/15 LOSS 7/08/12 LOSS 1/23/12 LOSS 8/21/12 LGL 5/27/12 LGL 7/13/12 TOTAL CHECK#: LOSS 6/26/14 LOSS 2/16/15 LOSS 11/27/14 LOSS 11/27/14 LOSS 12/07/14 TOTAL CHECK#: LOSS 11/24/14 LOSS 10/24/14 LOSS 4/03/14 LOSS 12/07/14 LOSS 8/18/14 11 024-8810NJ 12 021-7720NJ 681970 12 031-5509NJ 14 036-7720NJ 11 043-7720NJ 13 021-7720NJ 11 027-7720NJ 14 033-7720NJ 11 026-9403NJ 15 009-7720NJ 11 008-8810NJ 12 039-9403NJ 12 015-8810NJ 12 024-9403NJ 13 043-7711NJ 15 043-5509NJ 15 008-7720NJ 15 008-7720NJ 681979 11 006-5509NJ 14 023-9053NJ 14 038-9053NJ 14 005-5509NJ 14 006-5509NJ 681980 14 012-7715NJ 12 023-5509NJ 12 006-7711NJ 14 027-8810NJ 681983 13 021-5509NJ 14 024-5509NJ 15 043-7520NJ 12 036-7720NJ 12 023-5509NJ 12 027-5509NJ 12 009-5509NJ 12 010-5509NJ 681990 14 009-9053NJ 15 043-7520NJ 14 012-7715NJ 14 012-7715NJ 14 038-9402NJ 681993 14 009-7711NJ 14 026-7720NJ 14 038-5509NJ 14 038-9402NJ 14 021-5509NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE TOWNSHIP TOWNSHIP NEW JERSEY NEW JERSEY NEW JERSEY NEW JERSEY CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV CLIENT# 216000690 216000690 216000928 216000928 216000928 216000928 0247219 0247219 0247219 0247219 0247219 0247219 014 014 008 023 039 014 X14840 X90115 X87367 X86410 Z06101 Z07103 01 01 01 01 01 01 WC WC WC WC WC WC IND IND MED MED MED MED MCO00095253. MCO00134990. MCO00133509. MCO00132983. MCO00143632. MCO00144003. 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 009 009 006 006 043 036 024 037 037 037 037 037 037 037 009 026 026 Z00080 Z04848 Z05390 Z09891 Z10933 Z05062 X55550 Z04906 Z04906 Z04906 Z04906 Z04906 Z04906 Z04906 X87368 Z02843 Z02843 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 02 02 WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC IND IND IND IND IND MED IND MED MED MED MED MED MED MED MED MED MED MCO00140147. MCO00142921. MCO00143236. MCO00145535. MCO00146053. MCO00143055. MCO00116184. MCO00142983. MCO00142983. MCO00142983. MCO00142983. MCO00142983. MCO00142983. MCO00142983. MCO00133503. MCO00141786. MCO00141786. 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 681999 682000 682001 682002 682002 682002 HAMILTON HAMILTON STATE OF STATE OF STATE OF STATE OF 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 682003 682004 682005 682006 682007 682008 682009 682010 682011 682012 682013 682014 682015 682016 682017 682017 682017 OCEAN CITY OCEAN CITY PLEASANTVILLE CITY PLEASANTVILLE CITY WILDWOOD CITY VINELAND COMMUNITY LOWER TOWNSHIP TWIN BORO PHYSICAL TWIN BORO PHYSICAL TWIN BORO PHYSICAL TWIN BORO PHYSICAL TWIN BORO PHYSICAL TWIN BORO PHYSICAL TWIN BORO PHYSICAL TWIN BORO PHYSICAL TWIN BORO PHYSICAL TWIN BORO PHYSICAL T T T T T T T T T T 216000952 216000952 216001018 216001018 216001360 216001670 216005700 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 3/06/15 3/06/15 3/06/15 3/06/15 682018 682019 682020 682020 SHORE ORTHOPAEDIC UN SHORE ORTHOPAEDIC UN HAND SURGERY AND REH HAND SURGERY AND REH 222540040 222540040 222545917 222545917 0247219 0247219 0247219 0247219 026 006 036 036 Z07929 Z09891 X90026 X90026 01 01 01 01 WC WC WC WC MED MED MED MED MCO00144433. MCO00145535. MCO00134969. MCO00134969. 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 682021 682022 682022 682022 682022 682022 682022 682022 682022 682022 682022 FERNANDO J. DELASOTT QUALCARE, INC. QUALCARE, INC. QUALCARE, INC. QUALCARE, INC. QUALCARE, INC. QUALCARE, INC. QUALCARE, INC. QUALCARE, INC. QUALCARE, INC. QUALCARE, INC. 222711719 223129563 223129563 223129563 223129563 223129563 223129563 223129563 223129563 223129563 223129563 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 037 036 014 012 024 024 024 024 005 015 036 Z04906 Z11462 Z11990 Z12161 Z12162 Z12162 Z12162 Z12162 Z12290 Z12291 Z12294 01 01 01 01 01 02 03 04 01 01 01 WC WC WC WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MED MED MED MCO00142983. MCO00146386. MCO00146699. MCO00146741. MCO00146803. MCO00146803. MCO00146803. MCO00146803. MCO00146904. MCO00146711. MCO00146891. 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 682023 682024 682025 682026 682027 682028 682029 682030 682031 KINEMATIC CONSULTANT KINEMATIC CONSULTANT ONE CALL MEDICAL, IN ONE CALL MEDICAL, IN ONE CALL MEDICAL, IN PROFESSIONAL PAIN MA I.C.U. INVESTIGATION ADVOCARE, LLC ROTHMAN INSTITUTE OF 223211494 223211494 223218521 223218521 223218521 223351986 223492387 223537011 223700669 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 024 023 037 037 037 002 006 043 022 X55550 X00875 Z04906 Z04906 Z04906 X79605 X80854 Z04343 X73306 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC GL WC MED MED MED MED MED MED MED BI MED MCO00116184. MCO201106024 MCO00142983. MCO00142983. MCO00142983. MCO00129231. MCO00129905. N 144 MCO00125565. RUN DATE: 4/01/2015 PAGE 4 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 1,584.00 1,686.00 5.24 8.73 4.44 5.89 19.06 1,083.86 1,686.00 1,686.00 1,710.00 759.64 690.00 1,337.78 63.00 90.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 189.00 1,293.28 247.41 68.00 68.00 136.00 115.00 472.00 472.00 472.00 472.00 472.00 472.00 472.00 472.00 472.00 472.00 4,720.00 720.00 720.00 700.00 485.00 300.00 205.52 150.00 19.00 90.00 LOSS 11/26/11 LOSS 4/25/14 EXP 3/16/14 EXP 2/26/14 EXP 12/16/14 EXP 1/03/15 TOTAL CHECK#: LOSS 9/14/14 LOSS 11/24/14 LOSS 12/05/14 LOSS 2/04/15 LOSS 2/16/15 LOSS 11/29/14 LOSS 2/05/13 LOSS 11/26/14 LOSS 11/26/14 LOSS 11/26/14 LOSS 11/26/14 LOSS 11/26/14 LOSS 11/26/14 LOSS 11/26/14 LOSS 3/16/14 LOSS 10/24/14 LOSS 10/24/14 TOTAL CHECK#: LOSS 1/05/15 LOSS 2/04/15 LOSS 4/16/14 LOSS 4/16/14 TOTAL CHECK#: LOSS 11/26/14 LOSS 2/20/15 LOSS 3/01/15 LOSS 3/02/15 LOSS 3/02/15 LOSS 3/02/15 LOSS 3/02/15 LOSS 3/02/15 LOSS 3/04/15 LOSS 3/01/15 LOSS 3/01/15 TOTAL CHECK#: LOSS 2/05/13 LOSS 6/02/11 LOSS 11/26/14 LOSS 11/26/14 LOSS 11/26/14 LOSS 12/08/13 EXP 1/06/14 EXP 9/27/14 LOSS 9/20/13 11 14 14 14 14 15 014-7720NJ 014-7720NJ 008-7720NJ 023-9015NJ 039-5509NJ 014-7720NJ 682002 14 009-7711NJ 14 009-7711NJ 14 006-7720NJ 15 006-7711NJ 15 043-7520NJ 14 036-7711NJ 13 024-9403NJ 14 037-5509NJ 14 037-5509NJ 14 037-5509NJ 14 037-5509NJ 14 037-5509NJ 14 037-5509NJ 14 037-5509NJ 14 009-7720NJ 14 026-7720NJ 14 026-7720NJ 682017 15 026-9403NJ 15 006-7711NJ 14 036-7720NJ 14 036-7720NJ 682020 14 037-5509NJ 15 036-7520NJ 15 014-7720NJ 15 012-7720NJ 15 024-9430NJ 15 024-9430NJ 15 024-9430NJ 15 024-9430NJ 15 005-7711NJ 15 015-7720NJ 15 036-5509NJ 682022 13 024-9403NJ 11 023-5509NJ 14 037-5509NJ 14 037-5509NJ 14 037-5509NJ 13 002-5509NJ 14 006-7720NJ 14 043-5509NJ 13 022-7711NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE IRS# BATCH# CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB GRP FILE# CL COV CLIENT# 3/06/15 682031 ROTHMAN INSTITUTE OF 223700669 0247219 007 Z01712 01 WC MED MCO00141117. 3/06/15 3/06/15 3/06/15 3/06/15 682032 682032 682032 682032 FOX FOX FOX FOX REHAB REHAB REHAB REHAB 223822612 223822612 223822612 223822612 0247219 0247219 0247219 0247219 024 023 012 012 X99651 Z04088 Z05059 Z05059 01 01 01 01 WC WC WC WC MED MED MED MED MCO00139832. MCO00142475. MCO00143022. MCO00143022. 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 682033 682034 682034 682034 682034 682034 REHAB CLINICS (SPT) NOVACARE REHABILITAT NOVACARE REHABILITAT NOVACARE REHABILITAT NOVACARE REHABILITAT NOVACARE REHABILITAT 232736153 232736153 232736153 232736153 232736153 232736153 0247219 0247219 0247219 0247219 0247219 0247219 007 036 036 036 007 007 Z01712 X73094 X73094 X73094 Z01712 Z01712 01 01 01 01 01 01 WC WC WC WC WC WC MED MED MED MED MED MED MCO00141117. MCO00125478. MCO00125478. MCO00125478. MCO00141117. MCO00141117. 3/06/15 3/06/15 3/06/15 682035 LEO PETETTI, LLC. 682036 LEO PETETTI, LLC. 682036 LEO PETETTI, LLC. 270005874 0247219 017 Z10688 01 PR COMP AVALON 270005874 0247219 021 Z09454 01 PR COL EGG HARBOR T 270005874 0247219 014 Z12360 01 PR COL HAMILTON TWP 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 3/06/15 682037 682038 682039 682040 682040 682040 682040 682040 682040 682040 682040 682040 682040 682040 682040 682040 682040 682040 682040 455564717 455564717 455564717 463266146 463266146 463266146 463266146 463266146 463266146 463266146 463266146 463266146 463266146 463266146 463266146 463266146 463266146 463266146 463266146 3/06/15 3/06/15 682041 STONERIVER PHARMACY 682041 STONERIVER PHARMACY 621770924 0247219 021 X77237 02 WC MED MCO00127753. 621770924 0247219 037 Z07931 01 WC MED MCO00144392. 3/06/15 3/06/15 3/10/15 3/10/15 3/10/15 3/10/15 682042 682043 682044 682045 682046 682046 999999999 999999999 020701782 020701782 020701782 020701782 3/10/15 3/10/15 3/10/15 682047 ADMINISTRATIVE CLAIM 043174375 0247271 039 Z08073 01 WC MED MCO00144459. 682048 ISO SERVICES, INC. 133973142 0247271 042 X70655 01 GL BI 682049 ISO SERVICES, INC. 133973142 0247271 007 Z10900 01 GL PPBI OUTPATIENT OUTPATIENT OUTPATIENT OUTPATIENT THE DEWEESE LAW THE DEWEESE LAW THE DEWEESE LAW AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, AFFANATO MARUT, FIRM FIRM FIRM LLC LLC LLC LLC LLC LLC LLC LLC LLC LLC LLC LLC LLC LLC LLC LLC CITY OF MARGATE HAMILTON TOWNSHIP ATLANTICARE PHYSICIA ATLANTICARE PHYSICIA ATLANTICARE PHYSICIA ATLANTICARE PHYSICIA 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247219 0247271 0247271 0247271 0247271 036 007 036 006 037 021 023 014 021 027 009 026 014 038 008 009 010 026 026 044 014 014 009 010 010 X16792 X78970 X34147 W81842 W86835 X40541 X48999 X58070 X75966 X81959 X85028 X85860 X90681 X96484 X96684 Z00080 Z02841 Z03327 Z03498 Z08125 Z12360 Z08204 Z08661 Z08662 Z09247 145 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 PR WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC PR PR WC WC WC WC I/M MED MED IND IND IND IND IND IND IND IND IND IND IND IND IND IND IND IND I/M COL MED MED MED MED MILLVILLE MCO00128787. MCO201101153 MCO201103101 MCO00107859. MCO00113320. MCO00117428. MCO00127081. MCO00130576. MCO00132289. MCO00132700. MCO00135294. MCO00138429. MCO00140147. MCO00141784. MCO00142093. MARGATE CITY HAMILTON TWP MCO00144639. MCO00144877. MCO00144901. MCO00145147. RUN DATE: 4/01/2015 PAGE 5 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 73.90 163.90 63.00 90.00 63.00 63.00 279.00 342.00 185.00 185.00 185.00 80.63 80.63 716.26 679.50 160.00 85.00 245.00 157.00 150.00 27,500.00 223.00 186.00 249.00 134.00 304.00 112.00 109.00 132.00 165.00 232.00 333.00 240.00 443.00 193.00 238.00 336.00 3,629.00 183.14 55.27 238.41 1,500.00 3,807.21 63.37 263.00 61.39 263.00 324.39 3.00 10.00 10.00 LOSS 10/08/14 TOTAL CHECK#: LOSS 9/06/14 LOSS 11/12/14 LOSS 11/27/14 LOSS 11/27/14 TOTAL CHECK#: LOSS 10/08/14 LOSS 9/19/13 LOSS 9/19/13 LOSS 9/19/13 LOSS 10/08/14 LOSS 10/08/14 TOTAL CHECK#: EXP 2/13/15 EXP 1/28/15 EXP 3/01/15 TOTAL CHECK#: LGL 12/01/11 EXP 12/07/13 EXP 7/08/12 LGL 1/15/11 LGL 3/10/11 LGL 8/03/12 LGL 11/30/12 LGL 3/06/13 LGL 10/24/13 LGL 1/03/14 LGL 2/20/14 LGL 2/21/14 LGL 5/04/14 LGL 7/24/14 LGL 7/27/14 LGL 9/14/14 LGL 10/23/14 LGL 10/29/14 LGL 10/27/14 TOTAL CHECK#: LOSS 11/07/13 LOSS 1/09/15 TOTAL CHECK#: LOSS 12/22/14 LOSS 3/01/15 LOSS 1/14/15 LOSS 1/20/15 LOSS 1/20/15 LOSS 1/27/15 TOTAL CHECK#: EXP 1/12/15 EXP 12/19/12 EXP 5/03/13 14 007-5509NJ 682031 14 024-7720NJ 14 023-5509NJ 14 012-7715NJ 14 012-7715NJ 682032 14 007-5509NJ 13 036-7720NJ 13 036-7720NJ 13 036-7720NJ 14 007-5509NJ 14 007-5509NJ 682034 15 017-9430NJ 15 021-9420NJ 15 014-7720NJ 682036 11 036-7520NJ 13 007-7720NJ 12 036-7720NJ 11 006-7720NJ 11 037-8810NJ 12 021-7720NJ 12 023-9403NJ 13 014-7720NJ 13 021-5509NJ 14 027-5509NJ 14 009-5509NJ 14 026-7720NJ 14 014-7720NJ 14 038-7720NJ 14 008-7720NJ 14 009-7711NJ 14 010-7720NJ 14 026-5509NJ 14 026-7720NJ 682040 13 021-7720NJ 15 037-7720NJ 682041 14 044-5509NJ 15 014-7720NJ 15 014-7715NJ 15 009-7720NJ 15 010-9403NJ 15 010-9403NJ 682046 15 039-5509NJ 12 042-7720NJ 13 007-7720NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV CLIENT# 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 036 008 008 010 042 042 021 043 010 009 037 027 039 015 015 024 004 043 006 043 009 021 043 X02818 X04249 X08145 X18291 X21494 X21494 X24064 X34257 X34722 X35537 X40418 X41191 X41407 X43438 X45469 X47413 X70872 X97775 Z08544 Z10933 Z11029 Z11032 Z11033 01 01 01 01 01 02 01 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MCO00080143. MCO00080935. MCO00082819. MCO00096999. MCO00098940. MCO00098940. MCO00100699. MCO00106472. MCO00106754. MCO00107163. MCO00107843. MCO00108155. MCO00108235. 141867044 141867044 141867044 141867044 141867044 141867044 0247271 0247271 0247271 0247271 0247271 0247271 0247271 021 008 006 007 045 024 006 X07452 X41402 X50121 X63143 X64666 X81602 X82058 01 01 01 01 01 01 01 WC WC WC WC WC WC WC IND MED MED MED MED MED MED MCO00082593. MCO00108236. MCO00113968. MCO00120252. MCO00121114. MCO00130379. MCO00130595. 141872046 141872046 141872046 141872046 141872046 0247271 0247271 0247271 0247271 0247271 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 682050 ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 682051 682052 682053 682053 682053 682053 682053 DANIEL JERSEY JERSEY JERSEY JERSEY JERSEY JERSEY 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 682054 682054 682054 682054 682054 PIETRAS, PIETRAS, PIETRAS, PIETRAS, PIETRAS, 014 038 007 045 042 X14840 X17061 X44748 X64666 X88917 01 01 01 01 01 WC WC WC WC WC IND IND IND IND IND MCO00095253. MCO00096364. MCO00110385. MCO00121114. MCO00134339. 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 682055 682056 682057 682058 682059 682059 MARK SIMON 0247271 009 JOSEPH MARRONE 0247271 045 MARK ALEXANDER 0247271 006 THE SIMONS GROUP, LL 200796890 0247271 023 NEW JERSEY IME ASSOC 202197146 0247271 002 NEW JERSEY IME ASSOC 202197146 0247271 036 X34720 X64666 X08695 Z04088 X79605 X83094 01 01 01 01 01 01 WC WC WC WC WC WC IND IND IND MED MED MED MCO00106751. MCO00121114. MCO00082985. MCO00142475. MCO00129231. MCO00131187. 3/10/15 3/10/15 3/10/15 682060 O'BRIEN ADJUSTMENT S 202647837 0247271 036 Z08765 01 PR B/C 682061 O'BRIEN ADJUSTMENT S 202647837 0247271 005 Z06609 01 PR I/M NORTHFIELD C 682061 O'BRIEN ADJUSTMENT S 202647837 0247271 036 Z06756 01 PR I/M 3/10/15 3/10/15 682062 CAPE URGENT CARE 682063 CAPE URGENT CARE LITTLEFIELD SHORE REPORTI SHORE REPORTI SHORE REPORTI SHORE REPORTI SHORE REPORTI SHORE REPORTI SARACINO, SARACINO, SARACINO, SARACINO, SARACINO, S S S S S MCO00110918. MCO00112074. MCO00124334. MCO00138943. MCO00144841. MCO00146053. MCO00146115. MCO00146120. MCO00146102. 202896034 0247271 012 Z09581 01 WC MED MCO00145346. 202896034 0247271 043 Z10521 01 WC MED MCO00145901. 146 RUN DATE: 4/01/2015 PAGE 6 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 230.00 1,480.00 105.28 90.00 90.00 90.00 90.00 90.00 450.00 706.00 675.50 329.50 657.00 175.00 2,543.00 1,512.00 4,014.48 1,035.72 735.00 550.00 550.00 1,100.00 419.65 381.60 412.65 794.25 86.87 134.87 EXP 6/24/11 EXP 7/13/11 EXP 8/30/11 EXP 12/13/11 EXP 2/27/12 EXP 2/27/12 EXP 3/31/12 EXP 7/09/12 EXP 7/16/12 EXP 7/25/12 EXP 8/11/12 EXP 8/21/12 EXP 8/24/12 EXP 6/29/12 EXP 8/17/12 EXP 11/13/12 EXP 8/20/13 EXP 8/07/14 EXP 1/17/15 EXP 2/16/15 EXP 2/18/15 EXP 2/19/15 EXP 2/18/15 TOTAL CHECK#: LOSS 8/20/11 EXP 8/23/12 EXP 12/10/12 EXP 5/09/13 EXP 5/30/13 EXP 1/13/14 EXP 1/19/14 TOTAL CHECK#: LGL 11/26/11 LGL 12/29/11 LGL 10/09/12 LGL 5/30/13 LGL 4/05/14 TOTAL CHECK#: LOSS 7/16/12 LOSS 5/30/13 LOSS 9/03/11 EXP 11/12/14 LOSS 12/08/13 LOSS 1/30/14 TOTAL CHECK#: EXP 1/06/15 EXP 12/22/14 EXP 12/30/14 TOTAL CHECK#: LOSS 1/31/15 LOSS 2/11/15 11 11 11 11 12 12 12 12 12 12 12 12 12 12 12 12 13 14 15 15 15 15 15 036-7720NJ 008-7720NJ 008-7720NJ 010-7720NJ 042-7720NJ 042-7720NJ 021-5509NJ 043-7720NJ 010-7720NJ 009-5509NJ 037-7720NJ 027-5509NJ 039-9403NJ 015-8810NJ 015-7720NJ 024-9403NJ 004-7720NJ 043-5509NJ 006-7711NJ 043-7520NJ 009-7711NJ 021-7720NJ 043-7720NJ 682050 11 021-7720NJ 12 008-7720NJ 12 006-7711NJ 13 007-9015NJ 13 045-9430NJ 14 024-5509NJ 14 006-7711NJ 682053 11 014-7720NJ 11 038-5509NJ 12 007-5509NJ 13 045-9430NJ 14 042-7720NJ 682054 12 009-7711NJ 13 045-9430NJ 11 006-7711NJ 14 023-5509NJ 13 002-5509NJ 14 036-5509NJ 682059 15 036-9102NJ 14 005-9102NJ 14 036-5509NJ 682061 15 012-9430NJ 15 043-5509NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL 204484976 208761981 210662542 216000928 216001164 216001324 216005700 222540040 222540040 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 027 045 022 037 023 039 024 024 009 01 01 01 01 01 01 01 01 01 Z09374 X64666 Z11459 Z07931 Z11460 Z06101 X55550 X47413 Z10520 COV CLIENT# 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 682064 682065 682066 682067 682068 682069 682070 682071 682071 EAST COAST ORTHO. &, RALPH G. CATALDO, DO CAPE REGIONAL MEDICA STATE OF NEW JERSEY SEA ISLE CITY UPPER TOWNSHIP LOWER TOWNSHIP SHORE ORTHOPAEDIC UN SHORE ORTHOPAEDIC UN WC WC WC WC WC WC WC WC WC MED IND MED MED IND IND IND MED MED MCO00145225. MCO00121114. MCO00146314. MCO00144392. MCO00146296. MCO00143632. MCO00116184. MCO00112074. MCO00145922. 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 682072 682073 682073 682073 682073 682073 682073 HAND SURGERY AND REH 222545917 0247271 036 X90026 01 WC QUALCARE, INC. 223129563 0247271 005 Z12289 01 WC QUALCARE, INC. 223129563 0247271 034 Z12392 01 WC QUALCARE, INC. 223129563 0247271 011 Z12471 01 WC QUALCARE, INC. 223129563 0247271 023 Z12472 01 WC QUALCARE, INC. 223129563 0247271 036 Z12474 01 WC QUALCARE, INC. 223129563 0247271 034 Z12672 01 WC MED MED MED MED MED MED MED MCO00134969. MCO00146848. MCO00146918. MCO00146942. MCO00146947. MCO00146979. MCO00147009. 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 682074 682075 682076 682077 682078 682079 682080 682081 682082 682083 682084 682085 682086 682086 682086 682086 682086 682086 682086 682086 682086 682086 ONE CALL MEDICAL, IN OCEAN CITY FAMILY PR DWYER & DUNNIGAN QUEST COPY SERVICE L ANDREA BLOCH D.O. FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB CAPE REGIONAL URGENT PHOTOFAX, INC COMPREHENSIVE MEDICA MEDEXPRESS URGENT CA THE DEWEESE LAW FIRM AFFANATO MARUT, LLC AFFANATO MARUT, LLC AFFANATO MARUT, LLC AFFANATO MARUT, LLC AFFANATO MARUT, LLC AFFANATO MARUT, LLC AFFANATO MARUT, LLC AFFANATO MARUT, LLC AFFANATO MARUT, LLC AFFANATO MARUT, LLC 223218521 223283776 223626977 223636768 223752318 223822612 223822612 272584205 363618907 371558333 455388778 455564717 463266146 463266146 463266146 463266146 463266146 463266146 463266146 463266146 463266146 463266146 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 0247271 026 009 045 030 015 005 027 023 021 007 036 021 021 036 008 005 041 036 036 027 006 042 Z06186 Z10294 X64666 X85172 X45469 Z03152 Z08547 Z09083 Z03411 X44748 Z09803 X26999 X24064 X40881 X41402 X45811 X55173 X55993 X73094 X76154 X77067 X93974 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC MED MED IND MED MED MED MED MED MED MED MED IND IND IND IND IND IND IND IND IND IND IND MCO00143674. MCO00145721. MCO00121114. MCO00132384. MCO00110918. MCO00141989. MCO00144830. MCO00145091. MCO00142125. MCO00110385. MCO00145481. MCO00102474. MCO00100699. MCO00108016. MCO00108236. MCO00111179. MCO00115876. MCO00116355. MCO00125478. MCO00127172. MCO00127678. MCO00137223. 3/10/15 3/10/15 3/10/15 3/10/15 3/10/15 682087 682088 682088 682088 682088 WATERFORD FAMILY PRA STONERIVER PHARMACY STONERIVER PHARMACY STONERIVER PHARMACY STONERIVER PHARMACY 562354590 621770924 621770924 621770924 621770924 0247271 0247271 0247271 0247271 0247271 030 023 023 022 026 X85172 X48720 X48720 X73306 Z02843 01 01 01 01 02 WC WC WC WC WC MED MED MED MED MED MCO00132384. MCO00112875. MCO00112875. MCO00125565. MCO00141786. 3/10/15 3/13/15 3/13/15 3/13/15 682089 682090 682091 682092 CITY OF NORTHFIELD ATLANTICARE PHYSICIA ISO SERVICES, INC. ISO SERVICES, INC. 999999999 020701782 133973142 133973142 0247271 0247365 0247365 0247365 005 037 006 008 Z06609 Z09893 X96633 Z11222 01 01 01 01 PR WC AL AL I/M NORTHFIELD C MED MCO00145544. BI PD 147 RUN DATE: 4/01/2015 PAGE 7 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 260.43 400.00 795.00 3.57 1,043.45 1,418.78 191.12 84.00 132.00 216.00 68.00 472.00 472.00 472.00 472.00 472.00 472.00 2,832.00 485.00 185.00 1,204.52 75.00 275.00 63.00 63.00 239.00 2,234.38 1,200.00 160.00 10,793.62 192.00 168.00 463.00 216.00 108.00 180.00 169.00 192.00 156.00 465.00 2,309.00 100.00 183.14 11.28 58.06 55.27 307.75 1,623.79 59.80 10.00 10.00 LOSS 1/29/15 LOSS 5/30/13 LOSS 2/21/15 EXP 1/09/15 LOSS 2/23/15 LOSS 12/16/14 LOSS 2/05/13 LOSS 11/13/12 LOSS 2/12/15 TOTAL CHECK#: LOSS 4/16/14 LOSS 3/02/15 LOSS 3/04/15 LOSS 3/06/15 LOSS 3/06/15 LOSS 3/06/15 LOSS 3/07/15 TOTAL CHECK#: LOSS 12/17/14 LOSS 2/09/15 LOSS 5/30/13 EXP 1/27/14 LOSS 8/17/12 LOSS 10/13/14 LOSS 1/15/15 LOSS 1/26/15 EXP 11/02/14 LOSS 10/09/12 LOSS 2/04/15 LGL 4/23/12 LGL 3/31/12 LGL 8/15/12 LGL 8/23/12 LGL 10/23/12 LGL 1/31/13 LGL 2/07/13 LGL 9/19/13 LGL 10/28/13 LGL 11/07/13 LGL 6/19/14 TOTAL CHECK#: EXP 1/27/14 LOSS 11/24/12 LOSS 11/24/12 LOSS 9/20/13 LOSS 10/24/14 TOTAL CHECK#: LOSS 12/22/14 LOSS 2/04/15 EXP 7/08/14 EXP 1/26/15 15 13 15 15 15 14 13 12 15 027-5509NJ 045-9430NJ 022-7711NJ 037-7720NJ 023-9403NJ 039-5509NJ 024-9403NJ 024-9403NJ 009-7720NJ 682071 14 036-7720NJ 15 005-9106NJ 15 034-5509NJ 15 011-9403NJ 15 023-5509NJ 15 036-9102NJ 15 034-7720NJ 682073 14 026-7715NJ 15 009-5509NJ 13 045-9430NJ 14 030-5509NJ 12 015-7720NJ 14 005-7720NJ 15 027-7720NJ 15 023-5509NJ 14 021-7720NJ 12 007-5509NJ 15 036-7520NJ 12 021-7720NJ 12 021-5509NJ 12 036-5509NJ 12 008-7720NJ 12 005-5509NJ 13 041-8810NJ 13 036-7580NJ 13 036-7720NJ 13 027-9403NJ 13 006-7720NJ 14 042-7720NJ 682086 14 030-5509NJ 12 023-5509NJ 12 023-5509NJ 13 022-7711NJ 14 026-7720NJ 682088 14 005-9102NJ 15 037-7720NJ 14 006-5509NJ 15 008-5509NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV CLIENT# 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 682093 682093 682093 682093 682093 682093 682093 682093 682093 682093 682093 682093 682093 ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 038 021 036 003 021 026 035 045 026 017 022 023 036 X17061 X56219 Z11151 Z11291 Z11294 Z11297 Z11298 Z11302 Z11381 Z11458 Z11459 Z11460 Z11461 01 01 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MED MED MED MED MED 3/13/15 3/13/15 3/13/15 3/13/15 682094 682094 682094 682094 ISO ISO ISO ISO SERVICES, SERVICES, SERVICES, SERVICES, INC. INC. INC. INC. 133973142 133973142 133973142 133973142 0247365 0247365 0247365 0247365 038 038 015 022 X70653 Z09212 Z11340 Z11345 01 01 01 01 GL GL GL GL BI BI BI BI 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 682095 682096 682097 682098 682099 682100 682101 682102 682103 682104 682105 682106 682106 682106 682106 682106 ERIC GRANT ANDREW MATTERN GARY SMILEY FREDERICK PANE JERSEY SHORE REPORTI PIETRAS, SARACINO, S GERALD SUTTS KEVIN OLSON RICHARD WILENT HOWARD SMITH JEREMY IRELAND STRIVE PHYSICAL THER STRIVE PHYSICAL THER STRIVE PHYSICAL THER STRIVE PHYSICAL THER STRIVE PHYSICAL THER 201901714 201901714 201901714 201901714 201901714 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 008 023 037 023 006 037 001 043 009 023 023 014 014 014 014 014 X17667 X48720 X51435 X51540 X70873 X51435 X71376 Z10933 X67311 W87271 X11917 X99960 X99960 X99960 X99960 X99960 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC IND IND IND IND MED IND IND IND IND IND IND MED MED MED MED MED 3/13/15 3/13/15 3/13/15 3/13/15 682107 682107 682107 682107 NEW NEW NEW NEW 202197146 202197146 202197146 202197146 0247365 0247365 0247365 0247365 021 011 014 044 X70005 X88077 X90681 X97658 01 01 01 01 WC WC WC WC MED MCO00123965. MED MCO00133869. MED MCO00135294. MED 3/13/15 3/13/15 3/13/15 682108 EAST COAST ORTHO. &, 204484976 0247365 024 X99651 01 WC MED MCO00139832. 682108 EAST COAST ORTHO. &, 204484976 0247365 012 Z07456 01 WC MED MCO00144132. 682108 EAST COAST ORTHO. &, 204484976 0247365 037 Z07931 01 WC MED MCO00144392. 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 682109 682110 682111 682112 682113 682114 JERSEY JERSEY JERSEY JERSEY IME IME IME IME ASSOC ASSOC ASSOC ASSOC MDS MEDICAL DEVICE S INSPIRA MEDICAL CENT ATLANTICARE REGIONAL CAPE REGIONAL MEDICA NORTH WILDWOOD CITY LINWOOD CITY 141867044 141872046 204959083 210634484 210634549 210662542 214000944 216000800 0247365 0247365 0247365 0247365 0247365 0247365 008 036 006 038 022 042 X79964 Z07457 Z09891 Z11300 X73306 X52140 148 01 01 02 01 01 01 WC WC WC WC WC WC MED MED MED MED IND IND MCO00096364. MCO00116493. MCO00146172. MCO00146249. MCO00146298. MCO00146244. MCO00146247. MCO00146294. MCO00146349. MCO00146314. MCO00146296. MCO00146384. MCO00096693. MCO00112875. MCO00114540. MCO00114613. MCO00124315. MCO00114540. MCO00124565. MCO00146053. MCO00122656. MCO201103168 MCO00093680. MCO00140045. MCO00140045. MCO00140045. MCO00140045. MCO00140045. MCO00129514. MCO00144168. MCO00145535. MCO00146289. MCO00125565. MCO00115029. RUN DATE: 4/01/2015 PAGE 8 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 130.00 10.00 10.00 10.00 10.00 40.00 1,512.00 697.30 3,550.00 2,366.41 90.00 414.00 972.16 759.64 880.00 1,711.36 1,120.00 63.00 63.00 63.00 63.00 63.00 315.00 550.00 550.00 550.00 750.00 2,400.00 111.62 147.55 936.36 1,195.53 704.92 1,215.10 2,511.00 795.00 1,652.00 1,534.00 EXP 12/29/11 EXP 2/10/13 EXP 2/18/15 EXP 2/22/15 EXP 2/23/15 EXP 2/23/15 EXP 2/21/15 EXP 2/23/15 EXP 7/30/14 EXP 2/24/15 EXP 2/21/15 EXP 2/23/15 EXP 2/20/15 TOTAL CHECK#: EXP 7/23/13 EXP 1/25/15 EXP 2/23/15 EXP 1/29/15 TOTAL CHECK#: LOSS 1/08/12 LOSS 11/24/12 LOSS 4/01/12 LOSS 1/07/13 EXP 8/19/13 LGL 4/01/12 LOSS 8/23/13 LOSS 2/16/15 LOSS 7/08/13 LOSS 3/16/11 LOSS 10/17/11 LOSS 9/12/14 LOSS 9/12/14 LOSS 9/12/14 LOSS 9/12/14 LOSS 9/12/14 TOTAL CHECK#: EXP 8/09/13 EXP 3/24/14 EXP 5/04/14 EXP 8/05/14 TOTAL CHECK#: LOSS 9/06/14 LOSS 1/06/15 LOSS 1/09/15 TOTAL CHECK#: LOSS 12/16/13 LOSS 1/06/15 LOSS 2/04/15 LOSS 2/20/15 LOSS 9/20/13 LOSS 1/15/13 11 13 15 15 15 15 15 15 14 15 15 15 15 038-5509NJ 021-9430NJ 036-7720NJ 003-7720NJ 021-9430NJ 026-7711NJ 035-5509NJ 045-7720NJ 026-5509NJ 017-7720NJ 022-7711NJ 023-9403NJ 036-7720NJ 682093 13 038-9053NJ 15 038-9410NJ 15 015-5509NJ 15 022-5509NJ 682094 12 008-7711NJ 12 023-5509NJ 12 037-5509NJ 13 023-9403NJ 13 006-7711NJ 12 037-5509NJ 13 001-5509NJ 15 043-7520NJ 13 009-7720NJ 11 023-5509NJ 11 023-9403NJ 14 014-7720NJ 14 014-7720NJ 14 014-7720NJ 14 014-7720NJ 14 014-7720NJ 682106 13 021-5509NJ 14 011-9430NJ 14 014-7720NJ 14 044-5509NJ 682107 14 024-7720NJ 15 012-7720NJ 15 037-7720NJ 682108 13 008-7720NJ 15 036-9430NJ 15 006-7711NJ 15 038-7720NJ 13 022-7711NJ 13 042-7720NJ LR0503685 ACCOUNT:002 PERIOD:03/2015 QUAL-LYNX PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV CLIENT# 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 682115 682116 682117 682118 682119 682120 682121 682122 682123 682124 682125 682126 682126 682126 682126 682126 682126 682126 682126 682126 682126 682126 682126 682126 682126 682126 682126 682126 682126 682126 682126 682126 MARGATE CITY MILLVILLE CITY NORTHFIELD CITY NORTHFIELD CITY PLEASANTVILLE CITY SOMERS POINT CITY UPPER TOWNSHIP VENTNOR CITY LOWER TOWNSHIP GEMMEL, TODD & MEREN TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T 216000828 216000875 216000945 216000945 216001018 216001196 216001324 216001326 216005700 222046544 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 044 036 005 005 006 010 039 008 024 023 037 008 008 008 037 037 005 005 009 009 021 021 021 021 009 009 009 009 026 026 026 026 Z07817 X73094 X78968 Z03152 X88172 Z02841 Z06101 X79964 Z08071 X48204 Z04906 X79964 X79964 X79964 X81753 X81753 X86239 X86239 X87368 X87368 X98251 X98251 X98251 X98251 Z00080 Z00080 Z00080 Z00080 Z02843 Z05819 Z05819 Z05819 01 01 01 01 03 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 WC WC WC WC WC WC WC WC WC AL WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC IND IND IND IND IND IND IND IND IND BI MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MCO00144295. MCO00125478. MCO00128802. MCO00141989. MCO00133944. MCO00141784. MCO00143632. MCO00129514. MCO00144540. 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 682127 682128 682129 682130 682131 682131 682131 682131 682131 682131 ATLANTIC PULMONARY & ATLANTIC PULMONARY C BOB'S AUTO BODY SHORE ORTHOPAEDIC UN SHORE ORTHOPAEDIC UN SHORE ORTHOPAEDIC UN SHORE ORTHOPAEDIC UN SHORE ORTHOPAEDIC UN SHORE ORTHOPAEDIC UN SHORE ORTHOPAEDIC UN 222409225 222409225 222420309 222540040 222540040 222540040 222540040 222540040 222540040 222540040 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 008 014 043 026 008 005 003 027 027 043 X74634 Z07103 Z11939 Z09084 X79964 X86239 Z05652 Z06585 Z06585 Z10933 01 01 01 01 01 01 01 01 01 01 WC WC PR WC WC WC WC WC WC WC MED MED COL MED MED MED MED MED MED MED MCO00126325. MCO00144003. WILDWOOD CIT MCO00145118. MCO00129514. MCO00132909. MCO00143378. MCO00143911. MCO00143911. MCO00146053. 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 682132 682133 682134 682135 682136 682136 682136 ELLIOT L AMES DO THE MEDICAL CENTER O FERNANDO J. DELASOTT COURTNEY VANDERSLICE QUALCARE, INC. QUALCARE, INC. QUALCARE, INC. 222620270 222649838 222711719 222803078 223129563 223129563 223129563 0247365 0247365 0247365 0247365 0247365 0247365 0247365 009 037 009 009 036 009 009 X94524 X51435 Z00080 X44466 Z11993 Z12671 Z12824 01 01 01 01 01 01 01 WC WC WC GL WC WC WC MED IND MED BI MED MED MED MCO00137519. MCO00114540. MCO00140147. 149 MCO00142983. MCO00129514. MCO00129514. MCO00129514. MCO00130428. MCO00130428. MCO00132909. MCO00132909. MCO00133503. MCO00133503. MCO00139155. MCO00139155. MCO00139155. MCO00139155. MCO00140147. MCO00140147. MCO00140147. MCO00140147. MCO00141786. MCO00143500. MCO00143500. MCO00143500. MCO00146698. MCO00146994. MCO00147024. RUN DATE: 4/01/2015 PAGE 9 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 1,710.00 1,652.00 1,652.00 1,686.00 1,686.00 1,686.00 608.04 1,652.00 1,465.71 2,454.50 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 1,323.00 32.00 193.20 1,997.80 373.61 1,347.80 35.75 66.00 259.33 1,234.44 212.52 3,155.84 800.00 400.00 80.00 175,000.00 472.00 472.00 472.00 LOSS 1/09/15 LOSS 9/19/13 LOSS 12/09/13 LOSS 10/13/14 LOSS 3/27/14 LOSS 10/23/14 LOSS 12/16/14 LOSS 12/16/13 LOSS 1/08/15 LGL 11/24/12 LOSS 11/26/14 LOSS 12/16/13 LOSS 12/16/13 LOSS 12/16/13 LOSS 1/13/14 LOSS 1/13/14 LOSS 3/04/14 LOSS 3/04/14 LOSS 3/16/14 LOSS 3/16/14 LOSS 8/18/14 LOSS 8/18/14 LOSS 8/18/14 LOSS 8/18/14 LOSS 9/14/14 LOSS 9/14/14 LOSS 9/14/14 LOSS 9/14/14 LOSS 10/24/14 LOSS 12/12/14 LOSS 12/12/14 LOSS 12/12/14 TOTAL CHECK#: EXP 10/07/13 LOSS 1/03/15 LOSS 2/25/15 LOSS 1/26/15 LOSS 12/16/13 LOSS 3/04/14 LOSS 12/10/14 LOSS 12/28/14 LOSS 12/28/14 LOSS 2/16/15 TOTAL CHECK#: LOSS 6/26/14 LOSS 4/01/12 LOSS 9/14/14 LOSS 7/20/12 LOSS 2/27/15 LOSS 3/06/15 LOSS 3/02/15 15 13 13 14 14 14 14 13 15 12 14 13 13 13 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 044-7720NJ 036-7720NJ 005-7720NJ 005-7720NJ 006-7720NJ 010-7720NJ 039-5509NJ 008-7720NJ 024-7720NJ 023-5509NJ 037-5509NJ 008-7720NJ 008-7720NJ 008-7720NJ 037-5509NJ 037-5509NJ 005-9106NJ 005-9106NJ 009-7720NJ 009-7720NJ 021-5509NJ 021-5509NJ 021-5509NJ 021-5509NJ 009-7711NJ 009-7711NJ 009-7711NJ 009-7711NJ 026-7720NJ 026-5509NJ 026-5509NJ 026-5509NJ 682126 13 008-7720NJ 15 014-7720NJ 15 043-7720NJ 15 026-5509NJ 13 008-7720NJ 14 005-9106NJ 14 003-7720NJ 14 027-7720NJ 14 027-7720NJ 15 043-7520NJ 682131 14 009-9053NJ 12 037-5509NJ 14 009-7711NJ 12 009-5509NJ 15 036-7720NJ 15 009-9102NJ 15 009-8810NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE INC. INC. INC. INC. INC. INC. CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV CLIENT# 223129563 223129563 223129563 223129563 223129563 223129563 0247365 0247365 0247365 0247365 0247365 0247365 027 008 024 026 036 043 Z12827 Z12986 Z12987 Z12988 Z12990 Z12991 01 01 01 01 01 01 WC WC WC WC WC WC MED MED MED MED MED MED MCO00147041. MCO00147212. MCO00147232. MCO00147173. MCO00147202. MCO00147238. 223218521 223218521 223265214 223579200 223700669 223752318 223752318 223752318 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 003 037 008 037 005 021 021 033 Z05652 Z07931 X88175 X51435 X78968 X77237 X77237 Z07107 01 01 01 01 01 01 02 01 WC WC WC WC WC WC WC WC MED MED MED IND MED MED MED MED MCO00143378. MCO00144392. MCO00133828. MCO00114540. MCO00128802. MCO00127753. MCO00127753. MCO00144001. 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 682136 682136 682136 682136 682136 682136 QUALCARE, QUALCARE, QUALCARE, QUALCARE, QUALCARE, QUALCARE, 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 682137 682138 682139 682140 682141 682142 682142 682142 ONE CALL MEDICAL INC ONE CALL MEDICAL, IN ATLANTICARE CLINICAL D'ARCY JOHNSON DAY, ROTHMAN INSTITUTE OF ANDREA BLOCH D.O. ANDREA BLOCH D.O. ANDREA BLOCH D.O. 3/13/15 3/13/15 3/13/15 682143 FOX OUTPATIENT REHAB 223822612 0247365 017 X93675 01 WC MED MCO00136979. 682143 FOX OUTPATIENT REHAB 223822612 0247365 017 X93675 01 WC MED MCO00136979. 682143 FOX OUTPATIENT REHAB 223822612 0247365 024 X99651 01 WC MED MCO00139832. 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 682144 682145 682146 682147 682147 DJS ASSOCIATES, INC. NOVACARE REHABILITAT REHAB CLINICS (SPT) AD PREMIER ORTHO AND AD PREMIER ORTHO AND 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 682148 682149 682150 682150 682150 682150 ADVANCED RELIEVUS NICOLAPT NICOLAPT NICOLAPT NICOLAPT 3/13/15 3/13/15 3/13/15 682151 ATLANTIC RADIOLOGIST 264036315 0247365 025 X99652 01 WC MED MCO00139820. 682151 ATLANTIC RADIOLOGIST 264036315 0247365 025 X99652 01 WC MED MCO00139820. 682151 ATLANTIC RADIOLOGIST 264036315 0247365 025 X99652 01 WC MED MCO00139820. 3/13/15 3/13/15 3/13/15 682152 LEO PETETTI, LLC. 682152 LEO PETETTI, LLC. 682152 LEO PETETTI, LLC. 270005874 0247365 006 Z12114 01 PR COL PLEASANTVILL 270005874 0247365 006 Z12116 01 PR COL PLEASANTVILL 270005874 0247365 006 Z12261 01 PR COL PLEASANTVILL 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 3/13/15 682153 682154 682155 682156 682157 682158 682159 682160 682161 682162 272248055 382084239 382084239 542091537 621770924 710884319 999999999 999999999 999999999 999999999 232208440 232736153 232736153 232866529 232866529 0247365 0247365 0247365 0247365 0247365 043 007 007 009 009 X10123 Z01712 Z01712 X94524 X94524 01 01 01 01 01 GL WC WC WC WC BI MED MED MED MED MCO00141117. MCO00141117. MCO00137519. MCO00137519. RADIOLOGY S 261212464 262043323 LLC 262230453 LLC 262230453 LLC 262230453 LLC 262230453 0247365 0247365 0247365 0247365 0247365 0247365 021 027 003 003 003 003 Z07303 X33192 Z05652 Z05652 Z05652 Z05652 01 01 01 01 01 01 WC WC WC WC WC WC MED MED MED MED MED MED MCO00144056. MCO00106060. MCO00143378. MCO00143378. MCO00143378. MCO00143378. MEDIKINE GROUP, LLC QUEST DIAGNOSTICS QUEST DIAGNOSTICS GREYSTONE APPRAISALS STONERIVER PHARMACY LISA REAGAN CITY OF PLEASANTVILL CITY OF PLEASANTVILL CITY OF PLEASANTVILL CITY OF VENTNOR 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 0247365 008 023 037 043 027 021 006 006 006 008 X79964 Z04016 Z07931 Z11939 Z06585 X24691 Z12114 Z12116 Z12261 Z08632 150 01 01 01 01 01 01 01 01 01 01 WC WC WC PR WC GL PR PR PR PR MED MED MED COL MED BI COL COL COL COL MCO00129514. MCO00142442. MCO00144392. WILDWOOD CIT MCO00143911. PLEASANTVILL PLEASANTVILL PLEASANTVILL VENTNOR CITY RUN DATE: 4/01/2015 PAGE 10 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 472.00 472.00 472.00 472.00 472.00 472.00 4,248.00 1,445.00 350.00 55.34 1,050.00 160.90 300.00 600.00 250.00 1,150.00 63.00 63.00 63.00 189.00 6,843.33 80.63 417.00 238.00 308.00 546.00 53.01 90.00 63.00 63.00 63.00 63.00 252.00 15.89 15.89 15.89 47.67 225.00 225.00 225.00 675.00 1,019.93 43.85 23.14 110.00 55.75 68.50 3,199.00 2,383.94 4,218.63 6,554.88 LOSS 3/08/15 LOSS 3/11/15 LOSS 3/10/15 LOSS 3/10/15 LOSS 3/09/15 LOSS 3/10/15 TOTAL CHECK#: LOSS 12/10/14 LOSS 1/09/15 LOSS 3/25/14 LOSS 4/01/12 LOSS 12/09/13 LOSS 11/07/13 LOSS 11/07/13 LOSS 12/20/14 TOTAL CHECK#: LOSS 6/14/14 LOSS 6/14/14 LOSS 9/06/14 TOTAL CHECK#: EXP 6/23/11 LOSS 10/08/14 LOSS 10/08/14 LOSS 6/26/14 LOSS 6/26/14 TOTAL CHECK#: LOSS 1/06/15 LOSS 6/26/12 LOSS 12/10/14 LOSS 12/10/14 LOSS 12/10/14 LOSS 12/10/14 TOTAL CHECK#: LOSS 9/06/14 LOSS 9/06/14 LOSS 9/06/14 TOTAL CHECK#: EXP 2/26/15 EXP 2/16/15 EXP 2/25/15 TOTAL CHECK#: LOSS 12/16/13 LOSS 11/08/14 LOSS 1/09/15 EXP 2/25/15 LOSS 12/28/14 EXP 1/28/12 LOSS 2/26/15 LOSS 2/16/15 LOSS 2/25/15 LOSS 1/15/15 15 15 15 15 15 15 027-9430NJ 008-7720NJ 024-9430NJ 026-7720NJ 036-7720NJ 043-5509NJ 682136 14 003-7720NJ 15 037-7720NJ 14 008-7720NJ 12 037-5509NJ 13 005-7720NJ 13 021-7720NJ 13 021-7720NJ 14 033-7720NJ 682142 14 017-9053NJ 14 017-9053NJ 14 024-7720NJ 682143 11 043-5509NJ 14 007-5509NJ 14 007-5509NJ 14 009-9053NJ 14 009-9053NJ 682147 15 021-5509NJ 12 027-5509NJ 14 003-7720NJ 14 003-7720NJ 14 003-7720NJ 14 003-7720NJ 682150 14 025-9430NJ 14 025-9430NJ 14 025-9430NJ 682151 15 006-5509NJ 15 006-5509NJ 15 006-5509NJ 682152 13 008-7720NJ 14 023-7720NJ 15 037-7720NJ 15 043-7720NJ 14 027-7720NJ 12 021-5509NJ 15 006-5509NJ 15 006-5509NJ 15 006-5509NJ 15 008-9410NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE OCEAN CITY SOUTH JERSEY GAS UPPER DEERFIELD TOWN ATLANTICARE PHYSICIA BAYFRONT EMERGENCY P BAYFRONT EMERGENCY P ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL 999999999 999999999 999999999 020701782 030436345 030436345 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 0247365 0247365 0247365 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 009 044 011 008 006 009 006 008 023 042 036 014 043 006 006 008 021 038 001 014 024 043 006 009 043 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 682163 682164 682165 682166 682167 682168 682169 682169 682169 682169 682169 682169 682169 682169 682169 682169 682169 682169 682169 682169 682169 682169 682169 682169 682169 3/17/15 3/17/15 682170 ISO SERVICES, INC. 682170 ISO SERVICES, INC. 133973142 0247404 045 Z00830 01 GL BI 133973142 0247404 043 Z10631 01 GL BI 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 682171 682172 682173 682174 682175 682175 REGIONAL OTOLARYNGOL THOMAS FLICKLINGER ARTHUR TRAIN MCMC IIC PIETRAS, SARACINO, S PIETRAS, SARACINO, S 134233377 0247404 0247404 0247404 141847542 0247404 141872046 0247404 141872046 0247404 012 026 014 003 006 006 X85030 X74106 X48594 Z05652 X50121 X82058 01 01 01 01 01 01 WC WC WC WC WC WC MED IND IND MED IND IND MCO00132269. MCO00125948. MCO00112728. MCO00143378. MCO00113968. MCO00130595. 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 682176 682177 682178 682179 682180 682181 682182 682183 682184 682185 682186 682187 682188 682189 682190 JAIME PIRCHIO RODGER LEEDS DONNA BROWN DONALD MABRY THOMAS WITTLAND THOMAS WITTLAND COLLIN MCCLORY JAMES FREELAND JOHN BARBIERI JOSEPH IANNUZZELLI STRIVE PHYSICAL THER CAPE URGENT CARE CAPE URGENT CARE CAPE URGENT CARE CAPE URGENT CARE 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 008 009 026 027 006 006 023 006 010 008 014 022 035 024 043 X90114 X82549 X70522 X76154 X50121 X82058 X51756 X69867 X00420 X42161 X99960 Z10012 Z11298 Z11572 Z11573 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC IND IND IND IND IND IND IND IND IND IND MED MED MED MED MED MCO00134997. MCO00130887. MCO00124178. MCO00127172. MCO00113968. MCO00130595. MCO00114803. MCO00123908. MCO201105260 MCO00108596. MCO00140045. MCO00145606. MCO00146247. MCO00146416. MCO00146463. 151 PR GL PR WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC B/C PD I/M MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED CLIENT# 3/13/15 3/13/15 3/13/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 201901714 202896034 202896034 202896034 202896034 X98646 Z00825 X97914 Z09082 X96318 Z11029 X19963 X42161 X51756 X52140 X55993 X63049 X63050 X70873 X72846 X86680 X94614 Z11300 Z11570 Z11571 Z11572 Z11573 Z11690 Z11692 Z11697 COV OCEAN CITY UPPER DEERFI MCO00145101. MCO00138244. MCO00146115. MCO00097921. MCO00108596. MCO00114803. MCO00115029. MCO00116355. MCO00120171. MCO00120169. MCO00124315. MCO00125284. MCO00133108. MCO00137549. MCO00146289. MCO00146493. MCO00146422. MCO00146416. MCO00146463. MCO00146454. MCO00146563. MCO00146558. RUN DATE: 4/01/2015 PAGE 11 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 1,050.00 871.54 459.70 63.37 819.00 518.00 10.00 10.00 10.00 10.00 10.00 9.20 9.20 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 188.40 10.00 10.00 20.00 1,490.00 972.16 985.44 6.00 943.50 906.00 1,849.50 5,315.63 900.00 880.00 880.00 22,400.00 21,751.77 946.00 880.00 1,480.00 1,513.00 63.00 86.87 164.60 130.52 130.38 LOSS 8/23/14 LOSS 8/14/14 LOSS 8/11/14 LOSS 1/25/15 LOSS 7/22/14 LOSS 2/18/15 EXP 2/06/12 EXP 9/05/12 EXP 1/10/13 EXP 1/15/13 EXP 2/07/13 EXP 5/07/13 EXP 5/06/13 EXP 8/19/13 EXP 9/16/13 EXP 3/05/14 EXP 6/26/14 EXP 2/20/15 EXP 2/23/15 EXP 2/23/15 EXP 2/22/15 EXP 2/22/15 EXP 2/25/15 EXP 2/24/15 EXP 2/25/15 TOTAL CHECK#: EXP 7/06/14 EXP 12/05/14 TOTAL CHECK#: LOSS 2/20/14 LOSS 10/01/13 LOSS 11/27/12 EXP 12/10/14 LGL 12/10/12 LGL 1/19/14 TOTAL CHECK#: LOSS 4/25/14 LOSS 1/25/14 LOSS 8/15/13 LOSS 10/28/13 LOSS 12/10/12 LOSS 1/19/14 LOSS 1/10/13 LOSS 8/08/13 LOSS 5/26/11 LOSS 9/05/12 LOSS 9/12/14 LOSS 2/06/15 LOSS 2/21/15 LOSS 2/22/15 LOSS 2/22/15 14 14 14 15 14 15 12 12 13 13 13 13 13 13 13 14 14 15 15 15 15 15 15 15 15 009-9410NJ 044-5509NJ 011-5509NJ 008-7720NJ 006-5509NJ 009-7711NJ 006-7720NJ 008-7711NJ 023-9403NJ 042-7720NJ 036-7580NJ 014-5509NJ 043-5509NJ 006-7711NJ 006-7720NJ 008-5509NJ 021-7715NJ 038-7720NJ 001-5509NJ 014-7711NJ 024-7720NJ 043-7580NJ 006-7720NJ 009-7720NJ 043-7520NJ 682169 14 045-5509NJ 14 043-5509NJ 682170 14 012-5509NJ 13 026-7520NJ 12 014-7720NJ 14 003-7720NJ 12 006-7711NJ 14 006-7711NJ 682175 14 008-7720NJ 14 009-9403NJ 13 026-8810NJ 13 027-9403NJ 12 006-7711NJ 14 006-7711NJ 13 023-9403NJ 13 006-5509NJ 11 010-7720NJ 12 008-7711NJ 14 014-7720NJ 15 022-7580NJ 15 035-5509NJ 15 024-7720NJ 15 043-7580NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV CLIENT# 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 682191 682192 682193 682194 682195 682196 682197 682198 682199 682200 682201 682202 682203 682204 682205 682206 682207 682208 682209 682209 682209 682209 682209 682209 682209 682209 682209 682209 682209 682209 CAPE URGENT CARE CAPE URGENT CARE REGIONAL DIAGNOSTIC, REGIONAL DIAGNOSTIC, EAST COAST ORTHO. &, INSPIRA MEDICAL CENT ATLANTICARE REGIONAL CAPE REGIONAL MEDICA CAPE REGIONAL MEDICA CAPE REGIONAL MEDICA CAPE REGIONAL MEDICA BRIGANTINE CITY BRIGANTINE CITY TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T 202896034 202896034 203232397 203232397 204484976 210634484 210634549 210662542 210662542 210662542 210662542 216000384 216000384 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 043 024 046 036 024 011 027 024 024 024 024 026 026 037 037 037 037 006 014 014 014 037 005 005 009 026 006 008 008 008 Z11697 Z11855 Z00460 Z07108 Z08071 Z08546 Z06585 Z12162 Z12162 Z12162 Z08071 Z02923 Z02923 Z04906 Z04906 Z04906 Z04906 Z08544 X14840 X14840 X14840 X81753 X86239 X86239 X87368 Z02843 Z09891 Z10788 Z10788 Z10788 01 01 01 01 01 01 01 01 02 03 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MED MED MED IND IND MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MCO00146558. MCO00146618. MCO00140351. MCO00144048. MCO00144540. MCO00144817. MCO00143911. MCO00146803. MCO00146803. MCO00146803. MCO00144540. MCO00141850. MCO00141850. MCO00142983. MCO00142983. MCO00142983. MCO00142983. MCO00144841. MCO00095253. MCO00095253. MCO00095253. MCO00130428. MCO00132909. MCO00132909. MCO00133503. MCO00141786. MCO00145535. MCO00146024. MCO00146024. MCO00146024. 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 682210 682210 682210 682210 682210 682210 682210 SHORE SHORE SHORE SHORE SHORE SHORE SHORE 222540040 222540040 222540040 222540040 222540040 222540040 222540040 0247404 0247404 0247404 0247404 0247404 0247404 0247404 026 037 021 034 008 008 008 X70522 X81753 Z06724 Z07304 Z10717 Z10717 Z10788 01 01 01 01 01 01 01 WC WC WC WC WC WC WC MED MED MED MED MED MED MED MCO00124178. MCO00130428. MCO00143965. MCO00144051. MCO00145996. MCO00145996. MCO00146024. 3/17/15 3/17/15 3/17/15 682211 HAND SURGERY AND REH 222545917 0247404 036 X90026 01 WC MED MCO00134969. 682211 HAND SURGERY AND REH 222545917 0247404 036 X90026 01 WC MED MCO00134969. 682211 HAND SURGERY AND REH 222545917 0247404 036 X90026 01 WC MED MCO00134969. 3/17/15 3/17/15 3/17/15 3/17/15 682212 682213 682214 682214 3/17/15 3/17/15 3/17/15 682215 MEDICAL ONE MULTISPE 222923985 0247404 026 Z07929 01 WC MED MCO00144433. 682216 QUALCARE, INC. 223129563 0247404 043 Z13084 01 WC MED MCO00147264. 682216 QUALCARE, INC. 223129563 0247404 009 Z13208 01 WC MED MCO00147277. ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC CAPE MAY GALLER & FERNANDO FERNANDO UN UN UN UN UN UN UN COURT HOUSE FEINBERG SU J. DELASOTT J. DELASOTT 222671500 222696987 222711719 222711719 0247404 0247404 0247404 0247404 043 026 023 009 Z11033 Z02843 Z04088 Z10520 152 01 02 01 01 WC WC WC WC MED MED MED MED MCO00146102. MCO00141786. MCO00142475. MCO00145922. RUN DATE: 4/01/2015 PAGE 12 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 186.04 249.29 21.80 59.38 1,295.31 920.56 721.00 795.00 795.00 795.00 3,975.00 1,686.00 1,686.00 63.00 63.00 63.00 63.00 63.00 90.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 90.00 63.00 90.00 63.00 837.00 259.00 84.00 84.00 37.42 84.00 132.00 254.17 934.59 68.00 68.00 68.00 204.00 28.00 92.73 115.00 300.00 415.00 118.06 472.00 472.00 LOSS 2/25/15 LOSS 2/24/15 LOSS 9/13/14 LOSS 1/04/15 LOSS 1/08/15 LOSS 1/16/15 LOSS 12/28/14 LOSS 3/02/15 LOSS 3/02/15 LOSS 3/02/15 LOSS 1/08/15 LOSS 10/25/14 LOSS 10/25/14 LOSS 11/26/14 LOSS 11/26/14 LOSS 11/26/14 LOSS 11/26/14 LOSS 1/17/15 LOSS 11/26/11 LOSS 11/26/11 LOSS 11/26/11 LOSS 1/13/14 LOSS 3/04/14 LOSS 3/04/14 LOSS 3/16/14 LOSS 10/24/14 LOSS 2/04/15 LOSS 2/16/15 LOSS 2/16/15 LOSS 2/16/15 TOTAL CHECK#: LOSS 8/15/13 LOSS 1/13/14 LOSS 12/30/14 LOSS 1/05/15 LOSS 2/09/15 LOSS 2/09/15 LOSS 2/16/15 TOTAL CHECK#: LOSS 4/16/14 LOSS 4/16/14 LOSS 4/16/14 TOTAL CHECK#: LOSS 2/18/15 LOSS 10/24/14 LOSS 11/12/14 LOSS 2/12/15 TOTAL CHECK#: LOSS 1/05/15 LOSS 3/11/15 LOSS 2/22/15 15 15 14 15 15 15 14 15 15 15 15 14 14 14 14 14 14 15 11 11 11 14 14 14 14 14 15 15 15 15 043-7520NJ 024-7711NJ 045-5509NJ 036-7711NJ 024-7720NJ 011-8810NJ 027-7720NJ 024-9430NJ 024-9430NJ 024-9430NJ 024-7720NJ 026-7720NJ 026-7720NJ 037-5509NJ 037-5509NJ 037-5509NJ 037-5509NJ 006-7711NJ 014-7720NJ 014-7720NJ 014-7720NJ 037-5509NJ 005-9106NJ 005-9106NJ 009-7720NJ 026-7720NJ 006-7711NJ 008-7720NJ 008-7720NJ 008-7720NJ 682209 13 026-8810NJ 14 037-5509NJ 14 021-9403NJ 15 034-5509NJ 15 008-7720NJ 15 008-7720NJ 15 008-7720NJ 682210 14 036-7720NJ 14 036-7720NJ 14 036-7720NJ 682211 15 043-7720NJ 14 026-7720NJ 14 023-5509NJ 15 009-7720NJ 682214 15 026-9403NJ 15 043-8810NJ 15 009-7711NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE IRS# BATCH# CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB GRP FILE# CL COV CLIENT# 3/17/15 682216 QUALCARE, INC. 223129563 0247404 007 Z13351 01 WC MED MCO00147451. 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 682217 682218 682219 682220 682221 682222 682223 682224 682225 682226 682227 682228 682229 682229 682229 ONE CALL MEDICAL, IN ONE CALL MEDICAL, IN ONE CALL MEDICAL, IN ONE CALL MEDICAL, IN PACE ORTHOPEDICS AND PACE ORTHOPEDICS AND PACE ORTHOPEDICS AND MCALLISTER, HYBERG, MCALLISTER, HYBERG, MCALLISTER, HYBERG, MCALLISTER, HYBERG, BARKER, GELFAND & JA FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB 223218521 223218521 223218521 223218521 223319594 223319594 223319594 223476019 223476019 223476019 223476019 223573411 223822612 223822612 223822612 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247404 008 023 026 027 023 006 021 006 006 006 006 027 012 012 009 Z10717 Z04088 Z09084 Z09374 Z04015 Z08544 Z11032 X50121 X82058 X82058 X82058 X91222 Z05059 Z05059 Z10520 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC GL WC WC WC MED MED MED MED MED MED MED IND IND IND IND BI MED MED MED 3/17/15 3/17/15 3/17/15 3/17/15 682230 682231 682232 682232 PERCISION REPORTING REHAB CLINICS (SPT) NOVACARE REHABILITAT NOVACARE REHABILITAT 232625814 232736153 232736153 232736153 0247404 0247404 0247404 0247404 006 007 036 036 X19262 Z01712 X73094 X73094 01 01 01 01 GL WC WC WC PPBI MED MCO00141117. MED MCO00125478. MED MCO00125478. 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 682233 682234 682235 682235 682235 682235 682235 SOCRATES, INC. ADVANCED RADIOLOGY ADVANCED RADIOLOGY ADVANCED RADIOLOGY ADVANCED RADIOLOGY ADVANCED RADIOLOGY ADVANCED RADIOLOGY 251886816 261212464 261212464 261212464 261212464 261212464 261212464 0247404 0247404 0247404 0247404 0247404 0247404 0247404 006 044 009 009 009 009 009 X82058 Z07817 Z10520 Z10520 Z10520 Z10520 Z10520 01 01 01 01 01 01 01 WC WC WC WC WC WC WC IND MED MED MED MED MED MED 3/17/15 3/17/15 3/17/15 682236 LEO PETETTI, LLC. 682237 DAVID S. DEWEESE 682237 DAVID S. DEWEESE 270005874 0247404 021 X90291 01 PR COL EHT 272802400 0247404 021 X11126 01 PR COL EGG HARBOR T 272802400 0247404 006 X19611 01 PR COL PLEASANTVILL 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/17/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 682238 682239 682240 682241 682242 682243 682244 682245 682246 682247 682248 682249 682249 682249 274211365 455388778 455564717 455564717 472344815 999999999 999999999 3/20/15 682250 ADMINISTRATIVE CLAIM 043174375 0247486 012 Z05059 01 WC MED MCO00143022. S S S S S S SHORE URGENT CARE MEDEXPRESS URGENT CA THE DEWEESE LAW FIRM THE DEWEESE LAW FIRM BIRCHMEIER & POWELL, LOWER TOWNSHIP THOMPSON REALTY CO SUSAN REEVES MRO CORPORATION ATLANTICARE PHYSICIA ATLANTICARE URGENT C ADMINISTRATIVE CLAIM ADMINISTRATIVE CLAIM ADMINISTRATIVE CLAIM 010661910 020701782 020701782 043174375 043174375 043174375 0247404 0247404 0247404 0247404 0247404 0247404 0247404 0247486 0247486 0247486 0247486 0247486 0247486 0247486 003 036 016 045 009 024 026 036 014 010 037 006 006 043 Z11291 Z11151 W48335 W13735 X64830 Z10475 Z02301 X34147 X34622 Z09247 Z09893 Z09891 Z09891 Z10933 153 01 01 01 01 01 01 01 01 01 01 01 01 02 01 WC WC PR PR GL PR GL WC GL WC WC WC WC WC MED MED B/C I/M BI COL PD IND BI MED MED MED MED MED MCO00145996. MCO00142475. MCO00145118. MCO00145225. MCO00142436. MCO00144841. MCO00146120. MCO00113968. MCO00130595. MCO00130595. MCO00130595. MCO00143022. MCO00143022. MCO00145922. MCO00130595. MCO00144295. MCO00145922. MCO00145922. MCO00145922. MCO00145922. MCO00145922. MCO00146249. MCO00146172. BUENA VISTA ABSECON CITY MCO00145147. MCO00145544. MCO00145535. MCO00145535. MCO00146053. RUN DATE: 4/01/2015 PAGE 13 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 472.00 1,416.00 445.00 635.00 485.00 485.00 91.93 240.28 247.70 5,600.00 5,724.00 400.00 209.61 121.50 63.00 63.00 90.00 216.00 853.75 417.00 185.00 80.63 265.63 848.62 70.48 76.63 71.81 53.01 11.40 53.01 265.86 220.00 20.36 30.00 50.36 175.00 160.00 5.35 44.68 1,981.50 2,320.40 2,374.93 3,240.00 57.66 63.37 99.78 3.00 3.00 3.00 9.00 3.00 LOSS 3/14/15 TOTAL CHECK#: LOSS 2/09/15 LOSS 11/12/14 LOSS 1/26/15 LOSS 1/29/15 LOSS 11/05/14 LOSS 1/17/15 LOSS 2/19/15 LOSS 12/10/12 LOSS 1/19/14 LOSS 1/19/14 LOSS 1/19/14 LGL 5/10/14 LOSS 11/27/14 LOSS 11/27/14 LOSS 2/12/15 TOTAL CHECK#: EXP 10/18/11 LOSS 10/08/14 LOSS 9/19/13 LOSS 9/19/13 TOTAL CHECK#: LOSS 1/19/14 LOSS 1/09/15 LOSS 2/12/15 LOSS 2/12/15 LOSS 2/12/15 LOSS 2/12/15 LOSS 2/12/15 TOTAL CHECK#: EXP 4/21/14 LGL 9/25/11 LGL 1/25/12 TOTAL CHECK#: LOSS 2/22/15 LOSS 2/18/15 LGL 6/02/10 LGL 1/26/10 LGL 5/04/13 LOSS 2/10/15 LOSS 7/05/14 LOSS 7/08/12 EXP 5/12/12 LOSS 1/27/15 LOSS 2/04/15 EXP 2/04/15 EXP 2/04/15 EXP 2/16/15 TOTAL CHECK#: EXP 11/27/14 15 007-9420NJ 682216 15 008-7720NJ 14 023-5509NJ 15 026-5509NJ 15 027-5509NJ 14 023-5509NJ 15 006-7711NJ 15 021-7720NJ 12 006-7711NJ 14 006-7711NJ 14 006-7711NJ 14 006-7711NJ 14 027-7715NJ 14 012-7715NJ 14 012-7715NJ 15 009-7720NJ 682229 11 006-7720NJ 14 007-5509NJ 13 036-7720NJ 13 036-7720NJ 682232 14 006-7711NJ 15 044-7720NJ 15 009-7720NJ 15 009-7720NJ 15 009-7720NJ 15 009-7720NJ 15 009-7720NJ 682235 14 021-9430NJ 11 021-7720NJ 12 006-9410NJ 682237 15 003-7720NJ 15 036-7720NJ 10 016-5509NJ 10 045-5509NJ 13 009-5509NJ 15 024-7720NJ 14 026-7580NJ 12 036-7720NJ 12 014-5509NJ 15 010-9403NJ 15 037-7720NJ 15 006-7711NJ 15 006-7711NJ 15 043-7520NJ 682249 14 012-7715NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE CLAIM CLAIM CLAIM CLAIM CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV CLIENT# 043174375 043174375 043174375 043174375 0247486 0247486 0247486 0247486 027 024 009 008 Z06585 Z08071 Z10520 Z10788 01 01 01 01 WC WC WC WC MED MED MED MED MCO00143911. MCO00144540. MCO00145922. MCO00146024. MCO00107859. MCO00108494. MCO00124539. MCO00130946. MCO00133622. MCO00138831. MCO00139832. MCO00146618. MCO00146697. MCO00146605. MCO00146699. MCO00146741. MCO00146803. MCO00146803. MCO00146803. 3/20/15 3/20/15 3/20/15 3/20/15 682250 682250 682250 682250 ADMINISTRATIVE ADMINISTRATIVE ADMINISTRATIVE ADMINISTRATIVE 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 682251 682252 682252 682252 682252 682252 682252 682252 682252 682252 682252 682252 682252 682252 682252 682252 ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 037 021 006 027 009 008 038 024 024 008 009 014 012 024 024 024 X90841 X40541 X42017 X71380 X82698 X87599 X97516 X99651 Z11855 Z11985 Z11986 Z11990 Z12161 Z12162 Z12162 Z12162 02 01 01 01 01 01 03 01 01 01 01 01 01 01 02 03 AL WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC BI MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 682253 682253 682253 682253 682253 ISO ISO ISO ISO ISO SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, INC. INC. INC. INC. INC. 133973142 133973142 133973142 133973142 133973142 0247486 0247486 0247486 0247486 0247486 037 043 009 021 045 X71479 X74462 X97172 Z11927 Z11930 01 01 01 01 01 GL GL GL GL GL BI BI BI BI BI 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 682254 682255 682256 682257 682258 682259 682260 682261 682262 682263 682264 682265 682266 682267 682268 682269 682269 682269 682269 THOMAS WEBB LEA MARIE SACCO RICHARD JONES DIANE HORNBECK BRIAN TENNANT JOHN HALLQUIST SAMUEL STEEVER DOUGLAS KROGER FREDRICK CRESS AARON FINCKE PATRICK FOX JOHN BLAIR ERIC MCEWEN STACY KUSKO STRIVE PHYSICAL THER EAST COAST ORTHO. &, EAST COAST ORTHO. &, EAST COAST ORTHO. &, EAST COAST ORTHO. &, 201901714 204484976 204484976 204484976 204484976 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 021 012 002 034 037 036 007 037 037 017 035 026 022 009 014 009 024 043 043 X75966 Z05059 X68379 X70759 X78767 X70760 X70118 X81753 X15390 X93675 Z08072 X91893 X95338 X94524 X99960 X87368 X99651 Z11033 Z11033 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC IND IND IND IND IND IND IND IND IND IND IND IND IND IND MED MED MED MED MED 3/20/15 3/20/15 3/20/15 682270 SHORE MEDICAL CENTER 210660835 0247486 009 Z11029 01 WC MED MCO00146115. 682271 SHORE MEDICAL CENTER 210660835 0247486 042 X52140 01 WC MED MCO00115029. 682271 SHORE MEDICAL CENTER 210660835 0247486 037 X81753 01 WC MED MCO00130428. 154 MCO00127081. MCO00143022. MCO00123122. MCO00124253. MCO00128655. MCO00124272. MCO00123995. MCO00130428. MCO00095531. MCO00136979. MCO00144503. MCO00135994. MCO00137810. MCO00137519. MCO00140045. MCO00133503. MCO00139832. MCO00146102. MCO00146102. RUN DATE: 4/01/2015 PAGE 14 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 3.00 3.00 3.00 3.00 15.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 150.00 10.00 10.00 10.00 10.00 10.00 50.00 880.00 1,362.84 880.00 880.00 880.00 1,040.16 880.00 1,059.40 1,686.08 815.14 1,710.00 900.00 3,768.75 535.50 63.00 93.76 111.62 93.76 329.77 628.91 998.40 7,701.45 1,201.20 8,902.65 EXP 12/28/14 EXP 1/08/15 EXP 2/12/15 EXP 2/16/15 TOTAL CHECK#: EXP 3/19/14 EXP 8/03/12 EXP 9/04/12 EXP 8/23/13 EXP 1/27/14 EXP 3/19/14 EXP 8/06/14 EXP 9/06/14 EXP 2/24/15 EXP 3/01/15 EXP 2/27/15 EXP 3/01/15 EXP 3/02/15 EXP 3/02/15 EXP 3/02/15 EXP 3/02/15 TOTAL CHECK#: EXP 12/18/12 EXP 8/17/13 EXP 7/13/14 EXP 11/27/14 EXP 2/06/15 TOTAL CHECK#: LOSS 10/24/13 LOSS 11/27/14 LOSS 7/07/13 LOSS 7/31/13 LOSS 12/05/13 LOSS 8/15/13 LOSS 8/12/13 LOSS 1/13/14 LOSS 12/03/11 LOSS 6/14/14 LOSS 1/11/15 LOSS 5/21/14 LOSS 7/08/14 LOSS 6/26/14 LOSS 9/12/14 LOSS 3/16/14 LOSS 9/06/14 LOSS 2/18/15 LOSS 2/18/15 TOTAL CHECK#: LOSS 2/18/15 LOSS 1/15/13 LOSS 1/13/14 TOTAL CHECK#: 14 15 15 15 027-7720NJ 024-7720NJ 009-7720NJ 008-7720NJ 682250 14 037-5509NJ 12 021-7720NJ 12 006-7720NJ 13 027-5509NJ 14 009-7711NJ 14 008-5509NJ 14 038-9053NJ 14 024-7720NJ 15 024-7711NJ 15 008-7720NJ 15 009-8810NJ 15 014-7720NJ 15 012-7720NJ 15 024-9430NJ 15 024-9430NJ 15 024-9430NJ 682252 12 037-7720NJ 13 043-5509NJ 14 009-5509NJ 14 021-5509NJ 15 045-7720NJ 682253 13 021-5509NJ 14 012-7715NJ 13 002-7720NJ 13 034-7720NJ 13 037-7720NJ 13 036-9430NJ 13 007-5509NJ 14 037-5509NJ 11 037-5509NJ 14 017-9053NJ 15 035-9430NJ 14 026-5509NJ 14 022-7720NJ 14 009-9053NJ 14 014-7720NJ 14 009-7720NJ 14 024-7720NJ 15 043-7720NJ 15 043-7720NJ 682269 15 009-7711NJ 13 042-7720NJ 14 037-5509NJ 682271 LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE IRS# BATCH# CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB GRP FILE# CL COV CLIENT# 3/20/15 3/20/15 682272 CAPE REGIONAL MEDICA 210662542 0247486 043 Z11033 01 WC MED MCO00146102. 682272 CAPE REGIONAL MEDICA 210662542 0247486 043 Z11033 01 WC MED MCO00146102. 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 682273 682274 682275 682276 682277 682278 682279 682280 682281 682282 682283 682284 682285 682286 682287 682288 682289 682290 682291 682292 682293 682294 682295 682295 682295 682295 682295 BRIGANTINE CITY BRIGANTINE CITY CAPE MAY CITY CAPE MAY CITY CAPE MAY CITY CAPE MAY CITY EGG HARBOR TOWNSHIP EGG HARBOR TOWNSHIP EGG HARBOR TOWNSHIP HAMILTON TOWNSHIP HAMILTON TOWNSHIP HAMILTON TOWNSHIP STATE OF NEW JERSEY NORTHFIELD CITY OCEAN CITY PLEASANTVILLE CITY PLEASANTVILLE CITY WILDWOOD CITY WILDWOOD CITY DYLAN YOUNG GEMMEL, TODD & MEREN HEARTLAND REHABILITA TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 682296 682297 682297 682297 682297 682297 682297 682297 SHORE SHORE SHORE SHORE SHORE SHORE SHORE SHORE 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 682298 682299 682300 682301 682302 682302 682302 682302 682302 682302 026 026 038 038 038 038 021 021 021 014 014 014 003 005 009 006 006 043 043 012 023 039 006 026 026 026 026 Z02843 Z05819 X88710 Z05471 Z11300 Z11300 X94614 X94614 X98251 X14840 X90115 X99960 Z05652 X86239 Z04848 Z05390 Z09891 Z11033 Z11033 Z07456 X50931 Z06101 Z05390 Z05819 Z05819 Z05819 Z05819 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC GL WC WC WC WC WC WC IND IND IND IND IND IND IND IND IND IND IND IND MED IND IND IND IND IND IND IND PD MED MED MED MED MED MED MCO00141786. MCO00143500. MCO00134236. MCO00143263. MCO00146289. MCO00146289. MCO00137549. MCO00137549. MCO00139155. MCO00095253. MCO00134990. MCO00140045. MCO00143378. MCO00132909. MCO00142921. MCO00143236. MCO00145535. MCO00146102. MCO00146102. MCO00144132. 222046544 222137595 222248597 222248597 222248597 222248597 222248597 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 UN UN UN UN UN UN UN UN 222540040 222540040 222540040 222540040 222540040 222540040 222540040 222540040 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 006 044 044 008 008 008 026 023 Z09891 W98372 W98372 X82547 X82547 X82547 Z02923 Z09083 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MCO00145535. MCO201105015 MCO201105015 MCO00130905. MCO00130905. MCO00130905. MCO00141850. MCO00145091. CAPE MAY COURT HOUSE FERNANDO J. DELASOTT CAPE EMERGENCY PHYSI CAPE EMERGENCY PHYSI QUALCARE, INC. QUALCARE, INC. QUALCARE, INC. QUALCARE, INC. QUALCARE, INC. QUALCARE, INC. 222671500 222711719 222775331 222775331 223129563 223129563 223129563 223129563 223129563 223129563 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 012 026 038 027 036 037 039 045 006 036 Z07926 Z05819 X94068 Z06585 Z13599 Z13600 Z13602 Z13603 Z13713 Z13715 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MED MED MCO00144361. MCO00143500. MCO00137306. MCO00143911. MCO00147578. MCO00147551. MCO00147555. MCO00147547. MCO00147596. MCO00147602. ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC 216000384 216000384 216000429 216000429 216000429 216000429 216000547 216000547 216000547 216000690 216000690 216000690 216000928 216000945 216000952 216001018 216001018 216001360 216001360 155 MCO00143632. MCO00143236. MCO00143500. MCO00143500. MCO00143500. MCO00143500. RUN DATE: 4/01/2015 PAGE 15 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 795.00 1,903.20 2,698.20 1,686.00 1,686.00 1,070.08 1,686.00 1,710.00 1,343.56 450.00 450.00 948.94 1,584.00 1,686.00 1,686.00 1.15 450.00 963.43 1,445.15 1,710.00 610.70 1,710.00 805.46 9,000.00 153.00 90.00 63.00 63.00 63.00 63.00 342.00 121.80 300.00 84.00 119.75 132.00 66.00 110.00 119.75 931.50 34.61 60.80 413.12 240.00 472.00 472.00 472.00 472.00 472.00 472.00 2,832.00 LOSS 2/18/15 LOSS 2/18/15 TOTAL CHECK#: LOSS 10/24/14 LOSS 12/12/14 LOSS 4/03/14 LOSS 12/07/14 LOSS 2/20/15 LOSS 2/20/15 LOSS 6/26/14 LOSS 6/26/14 LOSS 8/18/14 LOSS 11/26/11 LOSS 4/25/14 LOSS 9/12/14 EXP 12/10/14 LOSS 3/04/14 LOSS 11/24/14 LOSS 12/05/14 LOSS 2/04/15 LOSS 2/18/15 LOSS 2/18/15 LOSS 1/06/15 LGL 11/08/11 LOSS 12/16/14 LOSS 12/05/14 LOSS 12/12/14 LOSS 12/12/14 LOSS 12/12/14 LOSS 12/12/14 TOTAL CHECK#: LOSS 2/04/15 LOSS 5/01/11 LOSS 5/01/11 LOSS 1/27/14 LOSS 1/27/14 LOSS 1/27/14 LOSS 10/25/14 LOSS 1/26/15 TOTAL CHECK#: LOSS 1/09/15 LOSS 12/12/14 LOSS 6/17/14 LOSS 12/28/14 LOSS 3/18/15 LOSS 4/04/13 LOSS 3/17/15 LOSS 3/17/15 LOSS 3/19/15 LOSS 3/12/15 TOTAL CHECK#: 15 043-7720NJ 15 043-7720NJ 682272 14 026-7720NJ 14 026-5509NJ 14 038-5509NJ 14 038-9402NJ 15 038-7720NJ 15 038-7720NJ 14 021-7715NJ 14 021-7715NJ 14 021-5509NJ 11 014-7720NJ 14 014-7720NJ 14 014-7720NJ 14 003-7720NJ 14 005-9106NJ 14 009-7711NJ 14 006-7720NJ 15 006-7711NJ 15 043-7720NJ 15 043-7720NJ 15 012-7720NJ 11 023-9410NJ 14 039-5509NJ 14 006-7720NJ 14 026-5509NJ 14 026-5509NJ 14 026-5509NJ 14 026-5509NJ 682295 15 006-7711NJ 11 044-7720NJ 11 044-7720NJ 14 008-5509NJ 14 008-5509NJ 14 008-5509NJ 14 026-7720NJ 15 023-5509NJ 682297 15 012-7720NJ 14 026-5509NJ 14 038-9053NJ 14 027-7720NJ 15 036-7580NJ 13 037-7720NJ 15 039-5509NJ 15 045-9430NJ 15 006-9403NJ 15 036-7720NJ 682302 LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV CLIENT# 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 682303 682304 682305 682306 682307 682308 682309 682310 682311 682312 682312 ONE CALL MEDICAL, IN ONE CALL MEDICAL, IN ONE CALL MEDICAL, IN ONE CALL MEDICAL, IN ATLANTICARE CLINICAL ATLANTICARE SURGERYC COASTAL PHYSICIANS & ROTHMAN INSTITUTE OF ROTHMAN INSTITUTE OF ANDREA BLOCH D.O. ANDREA BLOCH D.O. 223218521 223218521 223218521 223218521 223265214 223491867 223584828 223700669 223700669 223752318 223752318 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 0247486 008 044 014 008 037 027 026 037 007 006 021 X82547 W98372 X58070 X82547 X97282 Z06585 Z02923 Z09085 Z01712 X75620 X77237 01 01 01 01 01 01 01 01 01 01 02 WC WC WC WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MED MED MED MCO00130905. MCO201105015 MCO00117428. MCO00130905. MCO00138683. MCO00143911. MCO00141850. MCO00145087. MCO00141117. MCO00126897. MCO00127753. 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 682313 682314 682314 682314 682314 682314 682314 SHORE AMBULATORY SUR FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB 223778333 223822612 223822612 223822612 223822612 223822612 223822612 0247486 0247486 0247486 0247486 0247486 0247486 0247486 039 005 005 017 017 017 017 Z06101 X04668 X04668 X93675 X93675 X93675 X93675 01 01 01 01 01 01 01 WC WC WC WC WC WC WC MED MED MED MED MED MED MED MCO00143632. MCO00081212. MCO00081212. MCO00136979. MCO00136979. MCO00136979. MCO00136979. 3/20/15 3/20/15 3/20/15 3/20/15 682315 682316 682317 682317 NOVACARE REHABILITAT REHAB CLINICS (SPT) ATLANTIC SECURITY IN ATLANTIC SECURITY IN 232736153 232736153 233024656 233024656 0247486 0247486 0247486 0247486 007 007 002 034 Z01712 Z01712 X15950 X84680 01 01 01 01 WC WC WC WC MED MED MED MED MCO00141117. MCO00141117. MCO00095809. MCO00132008. 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 682318 682319 682320 682321 682322 682322 682322 ADVANCED RADIOLOGY S TRICARE MEDICAL TRAN SHORE URGENT CARE MEDEXPRESS URGENT CA THE DEWEESE LAW FIRM THE DEWEESE LAW FIRM THE DEWEESE LAW FIRM 261212464 272378550 274211365 455388778 455564717 455564717 455564717 0247486 0247486 0247486 0247486 0247486 0247486 0247486 037 006 045 036 037 006 023 X81753 Z09891 Z11302 Z11462 X18295 X20408 X51540 01 02 01 01 01 01 01 WC WC WC WC WC WC WC MED MED MED MED IND IND IND MCO00130428. MCO00145535. MCO00146294. MCO00146386. MCO00097011. MCO00098265. MCO00114613. 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 3/20/15 682323 682324 682325 682326 682326 682326 RVICE DOCTORS PATHOL CAPE ANESTHESIA & PA DJO LLC PRIME PHYSICAL THERA PRIME PHYSICAL THERA PRIME PHYSICAL THERA 521855441 522156746 522165554 522344261 522344261 522344261 0247486 0247486 0247486 0247486 0247486 0247486 009 024 037 009 009 009 X87368 Z08071 X81753 X94190 X94190 X94190 01 01 01 01 01 01 WC WC WC WC WC WC MED MED MED MED MED MED MCO00133503. MCO00144540. MCO00130428. MCO00137338. MCO00137338. MCO00137338. 3/20/15 3/20/15 3/20/15 3/20/15 682327 682327 682327 682327 STONERIVER STONERIVER STONERIVER STONERIVER 621770924 621770924 621770924 621770924 0247486 0247486 0247486 0247486 021 008 008 023 X77237 X79964 X79964 Z04088 02 01 01 01 WC WC WC WC MED MED MED MED MCO00127753. MCO00129514. MCO00129514. MCO00142475. 3/20/15 3/24/15 3/24/15 3/24/15 682328 682329 682329 682329 SARA SCHEIMREIF ATLANTICARE PHYSICIA ATLANTICARE PHYSICIA ATLANTICARE PHYSICIA 999999999 020701782 020701782 020701782 0247486 0247533 0247533 0247533 045 014 008 008 Z11075 Z07103 Z10717 Z10788 01 01 01 01 AL WC WC WC PD MED MCO00144003. MED MCO00145996. MED MCO00146024. 3/24/15 682330 ISO SERVICES, INC. PHARMACY PHARMACY PHARMACY PHARMACY 133973142 0247533 037 Z12277 01 GL BI 156 RUN DATE: 4/01/2015 PAGE 16 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 535.00 485.00 500.00 560.00 81.51 1,396.10 378.58 73.90 73.90 300.00 300.00 600.00 8,860.40 63.00 63.00 63.00 63.00 63.00 63.00 378.00 80.63 292.00 225.00 151.50 376.50 13.56 720.00 199.00 160.00 50.00 370.85 295.00 715.85 64.00 720.00 3,138.00 280.00 280.00 280.00 840.00 443.32 26.44 168.92 45.04 683.72 354.94 11.17 298.90 63.37 373.44 10.00 LOSS 1/27/14 LOSS 5/01/11 LOSS 3/06/13 LOSS 1/27/14 LOSS 8/05/14 LOSS 12/28/14 LOSS 10/25/14 LOSS 1/24/15 LOSS 10/08/14 LOSS 10/21/13 LOSS 11/07/13 TOTAL CHECK#: LOSS 12/16/14 LOSS 7/19/11 LOSS 7/19/11 LOSS 6/14/14 LOSS 6/14/14 LOSS 6/14/14 LOSS 6/14/14 TOTAL CHECK#: LOSS 10/08/14 LOSS 10/08/14 EXP 12/06/11 EXP 2/18/14 TOTAL CHECK#: LOSS 1/13/14 LOSS 2/04/15 LOSS 2/23/15 LOSS 2/20/15 LGL 1/17/12 LGL 2/09/12 LGL 1/07/13 TOTAL CHECK#: LOSS 3/16/14 LOSS 1/08/15 LOSS 1/13/14 LOSS 6/21/14 LOSS 6/21/14 LOSS 6/21/14 TOTAL CHECK#: LOSS 11/07/13 LOSS 12/16/13 LOSS 12/16/13 LOSS 11/12/14 TOTAL CHECK#: LOSS 2/17/15 LOSS 1/03/15 LOSS 2/09/15 LOSS 2/16/15 TOTAL CHECK#: EXP 3/04/15 14 11 13 14 14 14 14 15 14 13 13 008-5509NJ 044-7720NJ 014-7720NJ 008-5509NJ 037-7720NJ 027-7720NJ 026-7720NJ 037-7720NJ 007-5509NJ 006-7720NJ 021-7720NJ 682312 14 039-5509NJ 11 005-7720NJ 11 005-7720NJ 14 017-9053NJ 14 017-9053NJ 14 017-9053NJ 14 017-9053NJ 682314 14 007-5509NJ 14 007-5509NJ 11 002-7720NJ 14 034-9403NJ 682317 14 037-5509NJ 15 006-7711NJ 15 045-7720NJ 15 036-7520NJ 12 037-7720NJ 12 006-7711NJ 13 023-9403NJ 682322 14 009-7720NJ 15 024-7720NJ 14 037-5509NJ 14 009-9053NJ 14 009-9053NJ 14 009-9053NJ 682326 13 021-7720NJ 13 008-7720NJ 13 008-7720NJ 14 023-5509NJ 682327 15 045-5509NJ 15 014-7720NJ 15 008-7720NJ 15 008-7720NJ 682329 15 037-9015NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, INC. INC. INC. INC. INC. INC. INC. INC. INC. CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV CLIENT# 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 682331 682332 682332 682332 682332 682332 682332 682332 682332 ISO ISO ISO ISO ISO ISO ISO ISO ISO 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 010 038 009 036 024 005 015 036 034 Z00833 X69046 X90482 Z11462 Z12162 Z12290 Z12291 Z12294 Z12392 01 01 01 01 04 01 01 01 01 GL WC WC WC WC WC WC WC WC PPPI MED MCO00123483. MED MCO00135192. MED MCO00146386. MED MCO00146803. MED MCO00146904. MED MCO00146711. MED MCO00146891. MED MCO00146918. 3/24/15 3/24/15 3/24/15 3/24/15 682333 682334 682335 682335 MICHAEL GIUFFRIDA JOSE RUIZ PIETRAS, SARACINO, S 141872046 PIETRAS, SARACINO, S 141872046 0247533 0247533 0247533 0247533 024 006 044 006 X93253 X77067 X46645 X70873 01 01 01 01 WC WC WC WC IND IND IND IND MCO00136725. MCO00127678. MCO00111594. MCO00124315. 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 682336 682337 682338 682339 682340 682341 682342 682343 682344 682345 682346 682347 682348 682349 682350 682351 682352 682353 682354 682355 682356 682357 682358 682359 682360 682361 682362 682362 682362 682362 682362 682362 682362 682362 682362 682362 MARVIN BELL ANGEL ORTIZ VALERIE DAVIS PATRICK FOX DAVID ROESCH STEWART SEGIN NEW JERSEY IME ASSOC CAPE URGENT CARE CAPE URGENT CARE EAST COAST ORTHO. &, HATHAWAY ABSTRACT CO LOWE GREENWOOD ZERBO INSPIRA HEALTH NETWO ATLANTICARE REGIONAL ATLANTICARE REGIONAL ATLANTICARE REGIONAL ATLANTICARE REGIONAL CAPE REGIONAL MEDICA CAPE MAY CITY EMCWC MILLVILLE CITY WILDWOOD CREST BOROU TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 021 002 009 035 006 039 044 038 024 027 022 006 011 006 037 014 021 012 038 036 012 037 037 006 006 006 014 014 014 005 005 021 021 021 009 026 W99406 X79605 W84056 Z08072 X70873 X78973 X46645 Z11300 Z12162 Z09374 X36165 X72846 X86241 Z09891 Z07931 Z07103 Z06674 Z12161 Z11300 Z12294 Z12161 Z04906 Z04906 Z08544 Z08544 Z08544 X14840 X14840 X14840 X86239 X86239 X98251 X98251 X98251 Z00080 Z02843 01 01 01 01 01 01 01 01 04 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 WC WC WC WC WC WC WC WC WC WC GL WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC IND IND IND IND IND IND MED MED MED MED BI MED MED MED MED MED MED MED MED IND IND MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MCO201105095 MCO00129231. MCO201102083 MCO00144503. MCO00124315. MCO00128784. MCO00111594. MCO00146289. MCO00146803. MCO00145225. 202197146 202896034 202896034 204484976 204987683 205558784 210634484 210634549 210634549 210634549 210634549 210662542 216000429 216000875 216001361 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 157 MCO00125284. MCO00132886. MCO00145535. MCO00144392. MCO00144003. MCO00143953. MCO00146741. MCO00146289. MCO00146891. MCO00146741. MCO00142983. MCO00142983. MCO00144841. MCO00144841. MCO00144841. MCO00095253. MCO00095253. MCO00095253. MCO00132909. MCO00132909. MCO00139155. MCO00139155. MCO00139155. MCO00140147. MCO00141786. RUN DATE: 4/01/2015 PAGE 17 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 80.00 900.00 880.00 167.50 1,545.23 1,712.73 2,112.00 880.00 3,168.00 1,710.00 4,000.00 880.00 550.00 86.87 204.94 93.76 910.00 65.00 422.80 2,511.00 1,030.00 22,810.00 2,511.00 795.00 532.50 1,692.18 1,710.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 EXP 8/12/13 EXP 7/29/13 EXP 5/01/14 EXP 2/20/15 EXP 3/02/15 EXP 3/04/15 EXP 3/01/15 EXP 3/01/15 EXP 3/04/15 TOTAL CHECK#: LOSS 6/10/14 LOSS 11/07/13 LGL 11/05/12 LGL 8/19/13 TOTAL CHECK#: LOSS 5/09/11 LOSS 12/08/13 LOSS 2/08/11 LOSS 1/11/15 LOSS 8/19/13 LOSS 12/09/13 LOSS 11/05/12 LOSS 2/20/15 LOSS 3/02/15 LOSS 1/29/15 EXP 7/27/12 LOSS 9/16/13 LOSS 3/01/14 LOSS 2/04/15 LOSS 1/09/15 LOSS 1/03/15 LOSS 12/30/14 LOSS 3/02/15 LOSS 2/20/15 LOSS 3/01/15 LOSS 3/02/15 LOSS 11/26/14 LOSS 11/26/14 LOSS 1/17/15 LOSS 1/17/15 LOSS 1/17/15 LOSS 11/26/11 LOSS 11/26/11 LOSS 11/26/11 LOSS 3/04/14 LOSS 3/04/14 LOSS 8/18/14 LOSS 8/18/14 LOSS 8/18/14 LOSS 9/14/14 LOSS 10/24/14 13 13 14 15 15 15 15 15 15 010-7720NJ 038-5509NJ 009-7711NJ 036-7520NJ 024-9430NJ 005-7711NJ 015-7720NJ 036-5509NJ 034-5509NJ 682332 14 024-9403NJ 13 006-7720NJ 12 044-8810NJ 13 006-7711NJ 682335 11 021-5509NJ 13 002-5509NJ 11 009-5509NJ 15 035-9430NJ 13 006-7711NJ 13 039-5509NJ 12 044-8810NJ 15 038-7720NJ 15 024-9430NJ 15 027-5509NJ 12 022-9053NJ 13 006-7720NJ 14 011-9430NJ 15 006-7711NJ 15 037-7720NJ 15 014-7720NJ 14 021-7720NJ 15 012-7720NJ 15 038-7720NJ 15 036-5509NJ 15 012-7720NJ 14 037-5509NJ 14 037-5509NJ 15 006-7711NJ 15 006-7711NJ 15 006-7711NJ 11 014-7720NJ 11 014-7720NJ 11 014-7720NJ 14 005-9106NJ 14 005-9106NJ 14 021-5509NJ 14 021-5509NJ 14 021-5509NJ 14 009-7711NJ 14 026-7720NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE BORO BORO BORO BORO BORO BORO BORO BORO BORO BORO BORO BORO PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL PHYSICAL CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV CLIENT# T T T T T T T T T T T T 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 026 026 026 006 006 037 037 037 037 037 021 021 Z02843 Z02843 Z02843 Z05390 Z05390 Z07931 Z07931 Z07931 Z07931 Z07931 Z11032 Z11032 02 02 02 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MED MED MED MED MCO00141786. MCO00141786. MCO00141786. MCO00143236. MCO00143236. MCO00144392. MCO00144392. MCO00144392. MCO00144392. MCO00144392. MCO00146120. MCO00146120. 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 682362 682362 682362 682362 682362 682362 682362 682362 682362 682362 682362 682362 TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN TWIN 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 682363 682363 682363 682363 682363 682363 SHORE SHORE SHORE SHORE SHORE SHORE UN UN UN UN UN UN 222540040 222540040 222540040 222540040 222540040 222540040 0247533 0247533 0247533 0247533 0247533 0247533 023 006 044 009 043 012 X00875 X77067 Z07817 Z10520 Z10933 Z12161 01 01 01 01 01 01 WC WC WC WC WC WC MED MED MED MED MED MED MCO201106024 MCO00127678. MCO00144295. MCO00145922. MCO00146053. MCO00146741. 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 682364 682365 682366 682367 682368 682369 682370 682371 682371 682371 682371 HAND SURGERY AND REH HAND SURGERY AND REH CAPE MAY COURT HOUSE FERNANDO J. DELASOTT CAPE EMERGENCY PHYSI QUALCARE, INC. ONE CALL MEDICAL, IN ONE CALL MEDICAL, IN ONE CALL MEDICAL, IN ONE CALL MEDICAL, IN ONE CALL MEDICAL, IN 222545917 222545917 222671500 222711719 222775331 223129563 223218521 223218521 223218521 223218521 223218521 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 010 036 012 009 027 009 006 026 038 027 006 Z02841 X90026 Z07456 X72481 Z07930 Z13714 Z08544 X70522 Z05471 Z09374 Z09891 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MED MED MED MCO00141784. MCO00134969. MCO00144132. MCO00125119. MCO00144358. MCO00147627. MCO00144841. MCO00124178. MCO00143263. MCO00145225. MCO00145535. 3/24/15 3/24/15 3/24/15 682372 PACE ORTHOPEDICS AND 223319594 0247533 023 X88178 01 WC MED MCO00133926. 682372 PACE ORTHOPEDICS AND 223319594 0247533 021 Z11032 01 WC MED MCO00146120. 682372 PACE ORTHOPEDICS AND 223319594 0247533 023 Z11460 01 WC MED MCO00146296. 3/24/15 3/24/15 682373 COASTAL PHYSICIANS & 223584828 0247533 021 X98251 01 WC MED MCO00139155. 682373 COASTAL PHYSICIANS & 223584828 0247533 005 Z03152 01 WC MED MCO00141989. 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 682374 682375 682376 682377 682378 682378 682378 682378 682378 682378 682378 682378 ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC DWYER & DUNNIGAN ROTHMAN INSTITUTE OF SHORE AMBULATORY SUR SHORE AMBULATORY SUR FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB 223626977 223700669 223778333 223778333 223822612 223822612 223822612 223822612 223822612 223822612 223822612 223822612 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 006 014 037 008 038 038 038 017 017 024 024 024 X70873 X14840 X81753 X79964 X17061 X17061 X17061 X93675 X93675 X99651 X99651 X99651 158 01 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC IND MED MED MED MED MED MED MED MED MED MED MED MCO00124315. MCO00095253. MCO00130428. MCO00129514. MCO00096364. MCO00096364. MCO00096364. MCO00136979. MCO00136979. MCO00139832. MCO00139832. MCO00139832. RUN DATE: 4/01/2015 PAGE 18 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 90.00 63.00 63.00 90.00 1,440.00 84.00 84.00 247.41 84.00 66.00 331.03 896.44 1,613.88 68.00 10.84 300.00 413.12 472.00 485.00 900.00 485.00 75.00 485.00 1,945.00 194.43 91.93 132.63 418.99 89.82 89.82 179.64 1,000.00 1,034.81 419.65 8,860.40 63.00 63.00 153.00 63.00 63.00 63.00 63.00 63.00 LOSS 10/24/14 LOSS 10/24/14 LOSS 10/24/14 LOSS 12/05/14 LOSS 12/05/14 LOSS 1/09/15 LOSS 1/09/15 LOSS 1/09/15 LOSS 1/09/15 LOSS 1/09/15 LOSS 2/19/15 LOSS 2/19/15 TOTAL CHECK#: LOSS 6/02/11 LOSS 11/07/13 LOSS 1/09/15 LOSS 2/12/15 LOSS 2/16/15 LOSS 3/02/15 TOTAL CHECK#: LOSS 10/23/14 LOSS 4/16/14 LOSS 1/06/15 LOSS 9/07/13 LOSS 1/12/15 LOSS 3/17/15 LOSS 1/17/15 LOSS 8/15/13 LOSS 12/07/14 LOSS 1/29/15 LOSS 2/04/15 TOTAL CHECK#: LOSS 3/27/14 LOSS 2/19/15 LOSS 2/23/15 TOTAL CHECK#: LOSS 8/18/14 LOSS 10/13/14 TOTAL CHECK#: LOSS 8/19/13 LOSS 11/26/11 LOSS 1/13/14 LOSS 12/16/13 LOSS 12/29/11 LOSS 12/29/11 LOSS 12/29/11 LOSS 6/14/14 LOSS 6/14/14 LOSS 9/06/14 LOSS 9/06/14 LOSS 9/06/14 14 14 14 14 14 15 15 15 15 15 15 15 026-7720NJ 026-7720NJ 026-7720NJ 006-7720NJ 006-7720NJ 037-7720NJ 037-7720NJ 037-7720NJ 037-7720NJ 037-7720NJ 021-7720NJ 021-7720NJ 682362 11 023-5509NJ 13 006-7720NJ 15 044-7720NJ 15 009-7720NJ 15 043-7520NJ 15 012-7720NJ 682363 14 010-7720NJ 14 036-7720NJ 15 012-7720NJ 13 009-7720NJ 15 027-9015NJ 15 009-7720NJ 15 006-7711NJ 13 026-8810NJ 14 038-9402NJ 15 027-5509NJ 15 006-7711NJ 682371 14 023-9403NJ 15 021-7720NJ 15 023-9403NJ 682372 14 021-5509NJ 14 005-7720NJ 682373 13 006-7711NJ 11 014-7720NJ 14 037-5509NJ 13 008-7720NJ 11 038-5509NJ 11 038-5509NJ 11 038-5509NJ 14 017-9053NJ 14 017-9053NJ 14 024-7720NJ 14 024-7720NJ 14 024-7720NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE IRS# BATCH# CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB GRP FILE# CL COV CLIENT# 3/24/15 3/24/15 3/24/15 682378 FOX OUTPATIENT REHAB 223822612 0247533 024 X99651 01 WC MED MCO00139832. 682378 FOX OUTPATIENT REHAB 223822612 0247533 012 Z05059 01 WC MED MCO00143022. 682378 FOX OUTPATIENT REHAB 223822612 0247533 009 Z10520 01 WC MED MCO00145922. 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 682379 682380 682381 682381 682381 THE PHILADELPHIA HAN MCBREARTY & ASSOCIAT MAIN LINE MEDICAL SU MAIN LINE MEDICAL SU MAIN LINE MEDICAL SU 231896300 232095018 232275517 232275517 232275517 0247533 0247533 0247533 0247533 0247533 009 036 036 036 036 X94524 Z10817 X73094 X73094 X73094 01 01 01 01 01 WC PR WC WC WC MED B/C MED MED MED MCO00137519. MILLVILLE CI MCO00125478. MCO00125478. MCO00125478. 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 682382 682382 682382 682382 682382 682382 682382 682382 NOVACARE NOVACARE NOVACARE NOVACARE NOVACARE NOVACARE NOVACARE NOVACARE REHABILITAT REHABILITAT REHABILITAT REHABILITAT REHABILITAT REHABILITAT REHABILITAT REHABILITAT 232736153 232736153 232736153 232736153 232736153 232736153 232736153 232736153 0247533 0247533 0247533 0247533 0247533 0247533 0247533 0247533 036 033 033 033 033 033 033 007 X73094 Z00459 Z00459 Z00459 Z00459 Z00459 Z00459 Z01712 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MCO00125478. MCO00140300. MCO00140300. MCO00140300. MCO00140300. MCO00140300. MCO00140300. MCO00141117. 3/24/15 3/24/15 3/24/15 3/24/15 682383 682383 682383 682383 PREMIER PREMIER PREMIER PREMIER ORTHOPAEDICS ORTHOPAEDICS ORTHOPAEDICS ORTHOPAEDICS 232866529 232866529 232866529 232866529 0247533 0247533 0247533 0247533 009 009 009 009 X94524 X94524 X94524 X94524 01 01 01 01 WC WC WC WC MED MED MED MED MCO00137519. MCO00137519. MCO00137519. MCO00137519. 3/24/15 3/24/15 3/24/15 3/24/15 682384 682385 682386 682386 M. JODY WHITEHOUSE, DAVID S. DEWEESE DAVID S. DEWEESE DAVID S. DEWEESE 261540860 272802400 272802400 272802400 0247533 0247533 0247533 0247533 008 006 022 022 X91331 Z08347 Z10506 Z13532 01 01 01 01 WC GL GL GL MED EPL POL POL 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 682387 682388 682389 682390 682391 682391 COMPREHENSIVE MEDICA CLIFF GRAY APPRAISAL JERSEY SPINE ASSOCIA THE DEWEESE LAW FIRM AFFANATO MARUT, LLC AFFANATO MARUT, LLC 371558333 431958510 452889776 455564717 463266146 463266146 0247533 0247533 0247533 0247533 0247533 0247533 007 043 037 021 007 037 X44748 Z13470 X81753 X26953 X21631 X81753 01 01 01 01 01 01 WC AL WC PR WC WC MED PD MED COL IND IND MCO00110385. 3/24/15 3/24/15 3/24/15 3/24/15 3/24/15 682392 682392 682392 682392 682392 STONERIVER STONERIVER STONERIVER STONERIVER STONERIVER 621770924 621770924 621770924 621770924 621770924 0247533 0247533 0247533 0247533 0247533 006 006 002 037 014 X75620 X75620 X79605 X81753 X90115 01 01 01 01 01 WC WC WC WC WC MED MED MED MED MED MCO00126897. MCO00126897. MCO00129231. MCO00130428. MCO00134990. 3/24/15 3/24/15 3/27/15 3/27/15 3/27/15 3/27/15 682393 682394 682395 682396 682397 682397 CITY OF SOMERS POINT OCEAN CITY ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. 999999999 999999999 133973142 133973142 133973142 133973142 0247533 0247533 0247617 0247617 0247617 0247617 010 009 007 036 021 034 X96271 Z10681 X99395 Z10154 Z06724 Z08882 01 01 01 01 01 01 PR PR AL GL WC WC COL COL BI PI MED MED SOMERS POINT OCEAN CITY 3/27/15 3/27/15 682398 ISO SERVICES, INC. 682398 ISO SERVICES, INC. PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY MCO00130428. EGG HARBOR T MCO00099062. MCO00130428. MCO00143965. MCO00144993. 133973142 0247617 006 X08695 01 WC MED MCO00082985. 133973142 0247617 027 X27002 01 WC MED MCO00102468. 159 RUN DATE: 4/01/2015 PAGE 19 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 63.00 63.00 63.00 783.00 220.00 839.85 95.00 95.00 95.00 285.00 80.63 80.63 80.63 80.63 80.63 80.63 80.63 80.63 645.04 238.00 238.00 238.00 238.00 952.00 140.00 750.00 750.00 750.00 1,500.00 1,200.00 90.00 86.11 3,831.00 141.00 246.00 387.00 103.70 36.78 82.67 123.89 564.98 912.02 1,000.00 8,462.50 10.00 10.00 8.15 8.15 16.30 10.00 10.00 LOSS 9/06/14 LOSS 11/27/14 LOSS 2/12/15 TOTAL CHECK#: LOSS 6/26/14 EXP 1/28/15 LOSS 9/19/13 LOSS 9/19/13 LOSS 9/19/13 TOTAL CHECK#: LOSS 9/19/13 LOSS 9/19/14 LOSS 9/19/14 LOSS 9/19/14 LOSS 9/19/14 LOSS 9/19/14 LOSS 9/19/14 LOSS 10/08/14 TOTAL CHECK#: LOSS 6/26/14 LOSS 6/26/14 LOSS 6/26/14 LOSS 6/26/14 TOTAL CHECK#: LOSS 9/23/13 LGL 1/07/15 LGL 1/20/15 LGL 2/06/15 TOTAL CHECK#: LOSS 10/09/12 EXP 3/05/15 LOSS 1/13/14 LGL 4/23/12 LGL 2/28/12 LGL 1/13/14 TOTAL CHECK#: LOSS 10/21/13 LOSS 10/21/13 LOSS 12/08/13 LOSS 1/13/14 LOSS 4/25/14 TOTAL CHECK#: LOSS 7/16/14 LOSS 2/12/15 EXP 8/20/14 EXP 9/27/14 EXP 12/30/14 EXP 1/22/15 TOTAL CHECK#: EXP 9/03/11 EXP 4/18/12 14 024-7720NJ 14 012-7715NJ 15 009-7720NJ 682378 14 009-9053NJ 15 036-9015NJ 13 036-7720NJ 13 036-7720NJ 13 036-7720NJ 682381 13 036-7720NJ 14 033-5509NJ 14 033-5509NJ 14 033-5509NJ 14 033-5509NJ 14 033-5509NJ 14 033-5509NJ 14 007-5509NJ 682382 14 009-9053NJ 14 009-9053NJ 14 009-9053NJ 14 009-9053NJ 682383 13 008-7720NJ 15 006-7720NJ 15 022-9410NJ 15 022-9410NJ 682386 12 007-5509NJ 15 043-7720NJ 14 037-5509NJ 12 021-7720NJ 12 007-7715NJ 14 037-5509NJ 682391 13 006-7720NJ 13 006-7720NJ 13 002-5509NJ 14 037-5509NJ 14 014-7720NJ 682392 14 010-9430NJ 15 009-9410NJ 14 007-7720NJ 14 036-7720NJ 14 021-9403NJ 15 034-5509NJ 682397 11 006-7711NJ 12 027-5509NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO ISO SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, IRS# BATCH# GRP FILE# CL 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 024 021 021 021 008 009 014 036 005 011 023 036 009 034 027 01 01 02 04 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED 3/27/15 3/27/15 682399 ISO SERVICES, INC. 682399 ISO SERVICES, INC. 133973142 0247617 037 Z12559 01 GL PPPI 133973142 0247617 027 Z12718 01 GL PPPI 3/27/15 3/27/15 3/27/15 3/27/15 682400 682400 682400 682400 ISO ISO ISO ISO 133973142 133973142 133973142 133973142 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 682401 682402 682403 682404 682405 682406 682407 682408 682409 682410 682410 682410 682410 ANDREW MATTERN GARY SMILEY DANIEL GLEASON JERSEY SHORE REPORTI PIETRAS, SARACINO, S KEVIN OLSON JOHN ANDREWS DANIEL CASEY CAPE URGENT CARE CAPE URGENT CARE CAPE URGENT CARE CAPE URGENT CARE CAPE URGENT CARE 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 682411 682412 682413 682414 682415 682416 682417 682418 682419 682420 682421 682422 682423 ARMC FACULTY PRACTIC ATLANTICARE REGIONAL ATLANTICARE REGIONAL ATLANTICARE REGIONAL BACHARACH INSTITUTE CAPE REGIONAL MEDICA NORTH WILDWOOD CITY EGG HARBOR TOWNSHIP HAMILTON TOWNSHIP MARGATE CITY MILLVILLE CITY NORTHFIELD CITY NORTHFIELD CITY CLIENT# 682398 682398 682398 682398 682398 682398 682398 682398 682398 682398 682398 682398 682398 682398 682398 INC. INC. INC. INC. X55550 X61139 X61139 X61139 X61435 X64302 X99960 Z11993 Z12289 Z12471 Z12472 Z12474 Z12671 Z12672 Z12827 COV 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 SERVICES, SERVICES, SERVICES, SERVICES, INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. INC. CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB MCO00116184. MCO00119006. MCO00119006. MCO00119006. MCO00119184. MCO00120892. MCO00140045. MCO00146698. MCO00146848. MCO00146942. MCO00146947. MCO00146979. MCO00146994. MCO00147009. MCO00147041. 0247617 0247617 0247617 0247617 043 043 036 036 X71172 X99567 X99887 Z00794 01 01 01 01 GL GL GL GL BI BI BI BI 202896034 202896034 202896034 202896034 202896034 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 023 037 045 009 009 043 009 009 043 043 043 043 043 X48720 X11298 X15392 X34889 X34889 Z10933 X34889 X94190 Z13084 Z11573 Z11697 Z11697 Z12991 01 01 02 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC IND IND IND MED IND IND IND IND MED MED MED MED MED MCO00112875. MCO00093322. MCO00095556. MCO00106782. MCO00106782. MCO00146053. MCO00106782. MCO00137338. MCO00147264. MCO00146463. MCO00146558. MCO00146558. MCO00147238. 210634549 210634549 210634549 210634549 210634964 210662542 214000944 216000547 216000690 216000828 216000875 216000945 216000945 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 006 006 005 014 034 043 022 021 014 044 036 005 005 Z09891 Z09891 Z03152 X14840 X44750 Z10521 X73306 X94614 X99960 Z07817 X73094 Z03152 Z12289 02 02 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC MED MED MED MED MED MED IND IND IND IND IND IND IND MCO00145535. MCO00145535. MCO00141989. MCO00095253. MCO00110343. MCO00145901. MCO00125565. MCO00137549. MCO00140045. MCO00144295. MCO00125478. MCO00141989. MCO00146848. 141867044 141872046 160 RUN DATE: 4/01/2015 PAGE 20 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 170.00 10.00 10.00 20.00 10.00 10.00 10.00 10.00 40.00 697.30 1,034.86 1,480.00 90.00 392.50 1,519.28 6,621.00 1,715.63 86.87 142.03 86.87 86.87 198.59 514.36 17.00 1,562.60 401.70 1,673.47 396.00 795.00 1,652.00 450.00 1,686.00 1,710.00 1,652.00 1,686.00 456.00 EXP 2/05/13 EXP 4/12/13 EXP 4/12/13 EXP 4/12/13 EXP 4/16/13 EXP 5/24/13 EXP 9/12/14 EXP 2/27/15 EXP 3/02/15 EXP 3/06/15 EXP 3/06/15 EXP 3/06/15 EXP 3/06/15 EXP 3/07/15 EXP 3/08/15 TOTAL CHECK#: EXP 1/27/15 EXP 9/20/14 TOTAL CHECK#: EXP 7/10/13 EXP 7/07/14 EXP 6/14/14 EXP 8/12/14 TOTAL CHECK#: LOSS 11/24/12 LOSS 10/06/11 LOSS 12/03/11 EXP 7/14/12 LGL 7/14/12 LOSS 2/16/15 LOSS 7/14/12 LOSS 6/21/14 LOSS 3/11/15 LOSS 2/22/15 LOSS 2/25/15 LOSS 2/25/15 LOSS 3/10/15 TOTAL CHECK#: LOSS 2/04/15 LOSS 2/04/15 LOSS 10/13/14 LOSS 11/26/11 LOSS 10/09/12 LOSS 2/11/15 LOSS 9/20/13 LOSS 6/26/14 LOSS 9/12/14 LOSS 1/09/15 LOSS 9/19/13 LOSS 10/13/14 LOSS 3/02/15 13 13 13 13 13 13 14 15 15 15 15 15 15 15 15 024-9403NJ 021-7720NJ 021-7720NJ 021-7720NJ 008-9403NJ 009-9015NJ 014-7720NJ 036-7720NJ 005-9106NJ 011-9403NJ 023-5509NJ 036-9102NJ 009-9102NJ 034-7720NJ 027-9430NJ 682398 15 037-7720NJ 14 027-7720NJ 682399 13 043-9410NJ 14 043-5509NJ 14 036-5509NJ 14 036-9410NJ 682400 12 023-5509NJ 11 037-5509NJ 11 045-7720NJ 12 009-9403NJ 12 009-9403NJ 15 043-7520NJ 12 009-9403NJ 14 009-9053NJ 15 043-8810NJ 15 043-7580NJ 15 043-7520NJ 15 043-7520NJ 15 043-5509NJ 682410 15 006-7711NJ 15 006-7711NJ 14 005-7720NJ 11 014-7720NJ 12 034-9403NJ 15 043-5509NJ 13 022-7711NJ 14 021-7715NJ 14 014-7720NJ 15 044-7720NJ 13 036-7720NJ 14 005-7720NJ 15 005-9106NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV CLIENT# 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 682424 682425 682426 682427 682428 682429 682430 682431 682431 682431 682431 682431 682431 682431 682431 682431 682431 682431 682431 682431 682431 682431 682431 682431 682431 682431 682431 682431 SOMERS POINT CITY GOLDENBERG MACKLER & HEARTLAND REHABILITA ATLANTIC MEDICAL IMA TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T 216001196 221980737 222137595 222222502 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 222248597 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 010 009 039 021 037 037 037 014 014 014 008 008 021 021 021 009 009 009 026 026 006 006 037 008 008 008 021 021 Z02841 X34889 Z06101 X24691 Z04906 Z04906 Z04906 X14840 X14840 X14840 X79964 X79964 X98251 X98251 X98251 Z00080 Z00080 Z00080 Z02843 Z02843 Z05390 Z05390 Z07931 Z10788 Z10788 Z10788 Z11032 Z11032 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 02 01 01 01 01 01 01 01 01 WC WC WC GL WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC IND IND MED BI MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MCO00141784. MCO00106782. MCO00143632. 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 682432 682433 682434 682434 682434 682434 682434 SHORE SHORE SHORE SHORE SHORE SHORE SHORE 222540040 222540040 222540040 222540040 222540040 222540040 222540040 0247617 0247617 0247617 0247617 0247617 0247617 0247617 044 034 034 010 014 026 005 X83693 Z07304 X44750 X89935 X99960 Z06186 Z12290 01 01 01 01 01 01 01 WC WC WC WC WC WC WC MED MED MED MED MED MED MED MCO00131507. MCO00144051. MCO00110343. MCO00134920. MCO00140045. MCO00143674. MCO00146904. 3/27/15 3/27/15 682435 HAND SURGERY AND REH 222545917 0247617 036 X90026 01 WC MED MCO00134969. 682435 HAND SURGERY AND REH 222545917 0247617 036 X90026 01 WC MED MCO00134969. 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 682436 682437 682438 682438 682438 682438 682438 3/27/15 3/27/15 3/27/15 682439 CAPE PHYSICIANS ASSO 223172481 0247617 024 X93459 01 WC MED MCO00136903. 682440 KINEMATIC CONSULTANT 223211494 0247617 017 X74153 01 WC MED MCO00126020. 682441 ONE CALL MEDICAL, IN 223218521 0247617 034 X44750 01 WC MED MCO00110343. ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC ORTHOPAEDIC UN UN UN UN UN UN UN CAPE EMERGENCY PHYSI 222775331 0247617 027 Z08308 01 WC CAPE EMERGENCY PHYSI 222775331 0247617 043 Z08796 01 WC QUALCARE, INC. 223129563 0247617 006 Z13964 01 WC QUALCARE, INC. 223129563 0247617 043 Z13968 01 WC QUALCARE, INC. 223129563 0247617 039 Z14087 01 WC QUALCARE, INC. 223129563 0247617 036 Z14212 01 WC QUALCARE, INC. 223129563 0247617 006 Z14298 01 WC 161 MED MED MED MED MED MED MED MCO00142983. MCO00142983. MCO00142983. MCO00095253. MCO00095253. MCO00095253. MCO00129514. MCO00129514. MCO00139155. MCO00139155. MCO00139155. MCO00140147. MCO00140147. MCO00140147. MCO00141786. MCO00141786. MCO00143236. MCO00143236. MCO00144392. MCO00146024. MCO00146024. MCO00146024. MCO00146120. MCO00146120. MCO00144689. MCO00144941. MCO00147717. MCO00147712. MCO00147793. MCO00147823. MCO00147875. RUN DATE: 4/01/2015 PAGE 21 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 1,686.00 1,925.00 189.00 217.00 63.00 63.00 63.00 63.00 63.00 63.00 90.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 1,350.00 102.38 37.42 84.00 84.00 241.23 84.00 301.00 794.23 68.00 68.00 136.00 248.00 248.00 472.00 472.00 472.00 472.00 472.00 2,360.00 22.00 720.00 1,150.00 LOSS 10/23/14 LOSS 7/14/12 LOSS 12/16/14 EXP 1/28/12 LOSS 11/26/14 LOSS 11/26/14 LOSS 11/26/14 LOSS 11/26/11 LOSS 11/26/11 LOSS 11/26/11 LOSS 12/16/13 LOSS 12/16/13 LOSS 8/18/14 LOSS 8/18/14 LOSS 8/18/14 LOSS 9/14/14 LOSS 9/14/14 LOSS 9/14/14 LOSS 10/24/14 LOSS 10/24/14 LOSS 12/05/14 LOSS 12/05/14 LOSS 1/09/15 LOSS 2/16/15 LOSS 2/16/15 LOSS 2/16/15 LOSS 2/19/15 LOSS 2/19/15 TOTAL CHECK#: LOSS 2/06/14 LOSS 1/05/15 LOSS 10/09/12 LOSS 4/22/14 LOSS 9/12/14 LOSS 12/17/14 LOSS 3/04/15 TOTAL CHECK#: LOSS 4/16/14 LOSS 4/16/14 TOTAL CHECK#: LOSS 1/15/15 LOSS 1/21/15 LOSS 3/23/15 LOSS 3/17/15 LOSS 3/24/15 LOSS 3/23/15 LOSS 3/26/15 TOTAL CHECK#: EXP 6/11/14 LOSS 10/01/13 LOSS 10/09/12 14 12 14 12 14 14 14 11 11 11 13 13 14 14 14 14 14 14 14 14 14 14 15 15 15 15 15 15 010-7720NJ 009-9403NJ 039-5509NJ 021-5509NJ 037-5509NJ 037-5509NJ 037-5509NJ 014-7720NJ 014-7720NJ 014-7720NJ 008-7720NJ 008-7720NJ 021-5509NJ 021-5509NJ 021-5509NJ 009-7711NJ 009-7711NJ 009-7711NJ 026-7720NJ 026-7720NJ 006-7720NJ 006-7720NJ 037-7720NJ 008-7720NJ 008-7720NJ 008-7720NJ 021-7720NJ 021-7720NJ 682431 14 044-9403NJ 15 034-5509NJ 12 034-9403NJ 14 010-9403NJ 14 014-7720NJ 14 026-7715NJ 15 005-7711NJ 682434 14 036-7720NJ 14 036-7720NJ 682435 15 027-5509NJ 15 043-7720NJ 15 006-9403NJ 15 043-7720NJ 15 039-9403NJ 15 036-9430NJ 15 006-7720NJ 682438 14 024-5509NJ 13 017-9102NJ 12 034-9403NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE CALL CALL CALL CALL MEDICAL, MEDICAL, MEDICAL, MEDICAL, CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV CLIENT# 3/27/15 3/27/15 3/27/15 3/27/15 682441 682441 682441 682441 ONE ONE ONE ONE IN IN IN IN 223218521 223218521 223218521 223218521 0247617 0247617 0247617 0247617 026 037 027 043 Z06186 Z07931 Z08547 Z11033 01 01 01 01 WC WC WC WC MED MED MED MED MCO00143674. MCO00144392. MCO00144830. MCO00146102. 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 682442 682443 682444 682445 682446 682447 682448 682449 682450 682450 682450 JOSEPH T. SCHWARTZ, PACE ORTHOPEDICS AND PROFESSIONAL PAIN MA I.C.U. INVESTIGATION EMERGENCY PHYSICIAN, SOUTH JERSEY HS EMG ROTHMAN INSTITUTE OF ROTHMAN INSTITUTE OF ROTHMAN INSTITUTE OF ROTHMAN INSTITUTE OF ROTHMAN INSTITUTE OF 223275385 223319594 223351986 223492387 223586506 223589282 223700669 223700669 223700669 223700669 223700669 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 024 005 037 021 007 036 002 017 022 005 005 X93459 Z12289 W86835 Z11084 Z02920 Z05062 X41650 X74153 X73306 X78968 Z03152 01 01 01 01 01 01 01 01 01 01 01 WC WC WC PR WC WC WC WC WC WC WC MED MED MED COL MED MED MED MED MED MED MED MCO00136903. MCO00146848. MCO201103101 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 682451 682451 682451 682451 682451 682451 682451 682451 682451 ANDREA ANDREA ANDREA ANDREA ANDREA ANDREA ANDREA ANDREA ANDREA 223752318 223752318 223752318 223752318 223752318 223752318 223752318 223752318 223752318 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 015 023 021 021 006 006 006 006 033 X45469 X48720 X77237 X77237 X88172 X88172 X88172 X88172 Z07107 02 01 01 02 01 02 03 03 01 WC WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MED MCO00110918. MCO00112875. MCO00127753. MCO00127753. MCO00133944. MCO00133944. MCO00133944. MCO00133944. MCO00144001. 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 682452 682453 682453 682453 682453 682453 FOX FOX FOX FOX FOX FOX REHAB REHAB REHAB REHAB REHAB REHAB 223822612 223822612 223822612 223822612 223822612 223822612 0247617 0247617 0247617 0247617 0247617 0247617 009 038 024 027 027 027 X72481 X17061 X99651 Z08547 Z08547 Z08547 01 01 01 01 01 01 WC WC WC WC WC WC MED MED MED MED MED MED MCO00125119. MCO00096364. MCO00139832. MCO00144830. MCO00144830. MCO00144830. 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 682454 682455 682456 682457 682458 682458 682458 682458 682458 682458 DJS ASSOCIATES, INC. RT ENVIRONMENTAL SER ERIC W. FINE, M.D. REHAB CLINICS (SPT) NOVACARE REHABILITAT NOVACARE REHABILITAT NOVACARE REHABILITAT NOVACARE REHABILITAT NOVACARE REHABILITAT NOVACARE REHABILITAT 232208440 232534548 232552654 232736153 232736153 232736153 232736153 232736153 232736153 232736153 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 024 023 044 007 036 007 038 024 043 043 X05467 X50931 X45657 Z01712 X73094 Z01712 Z05471 Z08071 Z11033 Z11033 01 01 01 01 01 01 01 01 01 01 GL GL GL WC WC WC WC WC WC WC BI PD BI MED MED MED MED MED MED MED MCO00141117. MCO00125478. MCO00141117. MCO00143263. MCO00144540. MCO00146102. MCO00146102. 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 682459 682460 682461 682462 682462 ATLANTIC SECURITY IN NICOLAPT LLC CAPE REGIONAL URGENT GLOBAL ANESTHESIA AS GLOBAL ANESTHESIA AS 233024656 262230453 272584205 273776592 273776592 0247617 0247617 0247617 0247617 0247617 009 003 027 026 026 X87368 Z05652 Z08547 Z02843 Z02843 01 01 01 02 02 WC WC WC WC WC MED MED MED MED MED MCO00133503. MCO00143378. MCO00144830. MCO00141786. MCO00141786. BLOCH BLOCH BLOCH BLOCH BLOCH BLOCH BLOCH BLOCH BLOCH D.O. D.O. D.O. D.O. D.O. D.O. D.O. D.O. D.O. OUTPATIENT OUTPATIENT OUTPATIENT OUTPATIENT OUTPATIENT OUTPATIENT 162 MCO00141886. MCO00143055. MCO00108313. MCO00126020. MCO00125565. MCO00128802. MCO00141989. RUN DATE: 4/01/2015 PAGE 22 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 1,150.00 1,100.00 485.00 485.00 4,370.00 120.50 203.53 91.93 150.00 163.29 266.89 73.90 500.00 90.00 73.90 6,852.93 7,016.83 275.00 275.00 300.00 300.00 300.00 300.00 300.00 300.00 250.00 2,600.00 63.00 63.00 63.00 90.00 126.00 63.00 405.00 2,750.00 287.62 2,000.00 292.00 80.63 80.63 80.63 80.63 80.63 80.63 483.78 240.75 63.00 156.30 38.00 38.00 76.00 LOSS 12/17/14 LOSS 1/09/15 LOSS 1/15/15 LOSS 2/18/15 TOTAL CHECK#: EXP 6/11/14 LOSS 3/02/15 LOSS 3/10/11 EXP 2/08/15 LOSS 10/27/14 LOSS 11/29/14 LOSS 8/25/12 LOSS 10/01/13 LOSS 9/20/13 LOSS 12/09/13 LOSS 10/13/14 TOTAL CHECK#: LOSS 8/17/12 LOSS 11/24/12 LOSS 11/07/13 LOSS 11/07/13 LOSS 3/27/14 LOSS 3/27/14 LOSS 3/27/14 LOSS 3/27/14 LOSS 12/20/14 TOTAL CHECK#: LOSS 9/07/13 LOSS 12/29/11 LOSS 9/06/14 LOSS 1/15/15 LOSS 1/15/15 LOSS 1/15/15 TOTAL CHECK#: EXP 7/22/11 EXP 11/08/11 EXP 7/24/12 LOSS 10/08/14 LOSS 9/19/13 LOSS 10/08/14 LOSS 12/07/14 LOSS 1/08/15 LOSS 2/18/15 LOSS 2/18/15 TOTAL CHECK#: EXP 3/16/14 LOSS 12/10/14 LOSS 1/15/15 LOSS 10/24/14 LOSS 10/24/14 TOTAL CHECK#: 14 15 15 15 026-7715NJ 037-7720NJ 027-7720NJ 043-7720NJ 682441 14 024-5509NJ 15 005-9106NJ 11 037-8810NJ 15 021-7720NJ 14 007-7720NJ 14 036-7711NJ 12 002-7720NJ 13 017-9102NJ 13 022-7711NJ 13 005-7720NJ 14 005-7720NJ 682450 12 015-7720NJ 12 023-5509NJ 13 021-7720NJ 13 021-7720NJ 14 006-7720NJ 14 006-7720NJ 14 006-7720NJ 14 006-7720NJ 14 033-7720NJ 682451 13 009-7720NJ 11 038-5509NJ 14 024-7720NJ 15 027-7720NJ 15 027-7720NJ 15 027-7720NJ 682453 11 024-5509NJ 11 023-9410NJ 12 044-9410NJ 14 007-5509NJ 13 036-7720NJ 14 007-5509NJ 14 038-9402NJ 15 024-7720NJ 15 043-7720NJ 15 043-7720NJ 682458 14 009-7720NJ 14 003-7720NJ 15 027-7720NJ 14 026-7720NJ 14 026-7720NJ 682462 LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL COV CLIENT# 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 682463 682464 682465 682466 682467 682467 SHORE URGENT CARE SYSTEM SUPPORT SERVI MEDEXPRESS URGENT CA MEDEXPRESS URGENT CA MEDEXPRESS URGENT CA MEDEXPRESS URGENT CA 274211365 274404037 455388778 455388778 455388778 455388778 0247617 0247617 0247617 0247617 0247617 0247617 005 006 036 036 036 036 Z12290 X21424 Z11993 Z12474 Z11462 Z11993 01 01 01 01 01 01 WC GL WC WC WC WC MED MCO00146904. PPBI MED MCO00146698. MED MCO00146979. MED MCO00146386. MED MCO00146698. 3/27/15 3/27/15 3/27/15 3/27/15 682468 682469 682469 682469 THE DEWEESE LAW FIRM BIRCHMEIER & POWELL, BIRCHMEIER & POWELL, BIRCHMEIER & POWELL, 455564717 472344815 472344815 472344815 0247617 0247617 0247617 0247617 006 043 038 043 X12964 X10123 X18811 X45844 01 01 01 01 WC GL GL GL MED MCO00094266. BI BI BI 3/27/15 3/27/15 3/27/15 3/27/15 682470 682470 682470 682470 STONERIVER STONERIVER STONERIVER STONERIVER 621770924 621770924 621770924 621770924 0247617 0247617 0247617 0247617 023 006 006 037 X48720 X88172 X88172 Z09085 01 03 03 01 WC WC WC WC MED MED MED MED MCO00112875. MCO00133944. MCO00133944. MCO00145087. 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 682471 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 682472 IOD INCORPORATED EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC EBIX.COM, INC 650765287 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 770021975 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 0247617 006 037 006 022 006 006 036 037 036 036 034 036 027 021 026 014 021 036 036 021 023 009 021 017 036 037 021 014 022 022 045 017 034 012 X84677 X81753 X89719 X95338 Z00271 Z02563 Z03943 Z04906 Z05062 Z05063 Z05111 Z05112 Z05233 Z05548 Z06186 Z06331 Z06332 Z06456 Z06456 Z06674 Z06675 Z06723 Z06724 Z07105 Z07108 Z07109 Z07303 Z07647 Z07649 Z07650 Z07651 Z07815 Z07816 Z07926 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC WC MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MCO00132009. MCO00130428. MCO00134785. MCO00137810. MCO00140213. MCO00141602. MCO00142402. MCO00142983. MCO00143055. MCO00143061. MCO00143066. MCO00143083. MCO00143126. MCO00143311. MCO00143674. MCO00143835. MCO00143808. MCO00143890. MCO00143890. MCO00143953. MCO00143947. MCO00143989. MCO00143965. MCO00144040. MCO00144048. MCO00144000. MCO00144056. MCO00144236. MCO00144198. MCO00144201. MCO00144219. MCO00144306. MCO00144287. MCO00144361. PHARMACY PHARMACY PHARMACY PHARMACY 163 RUN DATE: 4/01/2015 PAGE 23 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 118.00 905.00 160.00 160.00 112.80 112.80 225.60 100.00 5,193.00 308.00 3,020.50 8,521.50 616.66 201.41 36.78 48.94 903.79 92.17 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 1.75 LOSS 3/04/15 EXP 12/06/11 LOSS 2/27/15 LOSS 3/06/15 LOSS 2/20/15 LOSS 2/27/15 TOTAL CHECK#: EXP 9/11/11 LGL 6/23/11 LGL 10/29/11 LGL 9/26/12 TOTAL CHECK#: LOSS 11/24/12 LOSS 3/27/14 LOSS 3/27/14 LOSS 1/24/15 TOTAL CHECK#: EXP 2/17/14 EXP 1/13/14 EXP 4/15/14 EXP 7/08/14 EXP 8/14/14 EXP 10/18/14 EXP 11/06/14 EXP 11/26/14 EXP 11/29/14 EXP 11/26/14 EXP 12/01/14 EXP 11/29/14 EXP 12/03/14 EXP 12/08/14 EXP 12/17/14 EXP 12/22/14 EXP 12/21/14 EXP 12/23/14 EXP 12/23/14 EXP 12/30/14 EXP 12/24/14 EXP 8/30/14 EXP 12/30/14 EXP 1/05/15 EXP 1/04/15 EXP 1/03/15 EXP 1/06/15 EXP 1/08/15 EXP 1/06/15 EXP 1/07/15 EXP 1/08/15 EXP 1/08/15 EXP 1/09/15 EXP 1/09/15 15 11 15 15 15 15 005-7711NJ 006-7720NJ 036-7720NJ 036-9102NJ 036-7520NJ 036-7720NJ 682467 11 006-7720NJ 11 043-5509NJ 11 038-5509NJ 12 043-5509NJ 682469 12 023-5509NJ 14 006-7720NJ 14 006-7720NJ 15 037-7720NJ 682470 14 006-7720NJ 14 037-5509NJ 14 006-9106NJ 14 022-7720NJ 14 006-7720NJ 14 006-7720NJ 14 036-7720NJ 14 037-5509NJ 14 036-7711NJ 14 036-7720NJ 14 034-5509NJ 14 036-7720NJ 14 027-5509NJ 14 021-7720NJ 14 026-7715NJ 14 014-7720NJ 14 021-7715NJ 14 036-7720NJ 14 036-7720NJ 14 021-7720NJ 14 023-9430NJ 14 009-9053NJ 14 021-9403NJ 15 017-5509NJ 15 036-7711NJ 15 037-9430NJ 15 021-5509NJ 15 014-5509NJ 15 022-7720NJ 15 022-7720NJ 15 045-9430NJ 15 017-8810NJ 15 034-9403NJ 15 012-7720NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE IRS# BATCH# GRP FILE# CL COV 770021975 770021975 770021975 770021975 770021975 0247617 0247617 0247617 0247617 0247617 021 027 026 036 036 Z07927 Z07930 Z11381 Z11462 Z11993 01 01 01 01 01 WC WC WC WC WC MED MED MED MED MED 999999999 999999999 999999999 999999999 999999999 999999999 010661910 020701782 020701782 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 133973142 0247617 0247617 0247617 0247617 0247617 0247617 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 036 042 021 043 026 022 014 006 014 045 008 034 009 008 024 026 036 043 043 Z06631 Z11903 X26953 Z13470 Z02301 Z08705 X34622 Z09081 Z11571 X71468 X65399 X70759 Z12824 Z12986 Z12987 Z12988 Z12990 Z12991 Z13084 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 GL AL PR AL GL GL GL WC WC GL WC WC WC WC WC WC WC WC WC PD PD COL PD PD PD BI MED MED PI MED MED MED MED MED MED MED MED MED CLIENT# 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 682472 682472 682472 682472 682472 EBIX.COM, EBIX.COM, EBIX.COM, EBIX.COM, EBIX.COM, 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/27/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 682473 682474 682475 682476 682477 682478 682479 682480 682481 682482 682483 682483 682483 682483 682483 682483 682483 682483 682483 ARLENE SUTCLIFFE DENNIS PICCONE EGG HARBOR TOWNSHIP JASON MOHR RAMAN BEACH RESORT C ROSE HOLLIDAY MRO CORPORATION ATLANTICARE PHYSICIA ATLANTICARE URGENT C ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. ISO SERVICES, INC. 3/31/15 3/31/15 682484 ISO SERVICES, INC. 682484 ISO SERVICES, INC. 133973142 0247663 021 X76975 01 GL PPBI 133973142 0247663 015 Z00508 01 GL PPBI 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 682485 682485 682485 682485 682485 682485 682485 133973142 133973142 133973142 133973142 133973142 133973142 133973142 3/31/15 3/31/15 682486 JERSEY SHORE REPORTI 141867044 0247663 006 X43298 01 WC MED MCO00109303. 682486 JERSEY SHORE REPORTI 141867044 0247663 004 X70872 01 WC MED MCO00124334. 3/31/15 3/31/15 3/31/15 682487 PIETRAS, SARACINO, S 141872046 0247663 024 X81602 01 WC IND MCO00130379. 682487 PIETRAS, SARACINO, S 141872046 0247663 037 X94617 01 WC IND MCO00137584. 682487 PIETRAS, SARACINO, S 141872046 0247663 037 X95571 01 WC IND MCO00137935. 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 682488 682489 682490 682491 682492 682493 682494 ISO ISO ISO ISO ISO ISO ISO INC INC INC INC INC CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, SERVICES, INC. INC. INC. INC. INC. INC. INC. 0247663 0247663 0247663 0247663 0247663 0247663 0247663 009 043 033 038 010 037 017 ALLEN MAGNAVITA 0247663 024 LUKE DONAHUE 0247663 012 MICHAEL COSTELLO 0247663 009 GEORGE BARGER 0247663 024 EAST COAST ORTHO. &, 204484976 0247663 043 INSPIRA MEDICAL CENT 210634484 0247663 036 ATLANTICARE REGIONAL 210634549 0247663 014 X72165 X72768 X81537 X88419 Z06447 Z11218 Z12880 X81602 Z12161 X35537 X93459 Z11033 X73094 X90115 164 01 01 01 01 01 01 01 01 01 01 01 01 01 01 GL GL GL GL GL GL GL WC WC WC WC WC WC WC MCO00144370. MCO00144358. MCO00146386. MCO00146698. EGG HARBOR T MCO00145130. MCO00146422. MCO00124253. MCO00147024. MCO00147212. MCO00147232. MCO00147173. MCO00147202. MCO00147238. MCO00147264. BI BI BI BI BI BI BI IND IND IND IND MED MED MED MCO00130379. MCO00146741. MCO00107163. MCO00136903. MCO00146102. MCO00125478. MCO00134990. RUN DATE: 4/01/2015 PAGE 24 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 1.75 1.75 1.75 1.75 1.75 66.50 924.23 524.47 1,000.00 4,778.55 2,374.93 368.00 103.92 219.29 66.94 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 90.00 10.00 10.00 20.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 70.00 90.00 90.00 180.00 407.50 160.50 160.00 728.00 159.00 2,565.00 954.84 900.00 93.76 118.06 1,364.47 EXP 1/07/15 EXP 1/12/15 EXP 7/30/14 EXP 2/20/15 EXP 2/27/15 TOTAL CHECK#: LOSS 12/25/14 LOSS 2/26/15 LOSS 4/23/12 LOSS 3/05/15 LOSS 7/05/14 LOSS 1/16/15 EXP 5/12/12 LOSS 1/10/15 LOSS 2/23/15 EXP 6/05/13 EXP 4/16/13 EXP 7/31/13 EXP 3/02/15 EXP 3/11/15 EXP 3/10/15 EXP 3/10/15 EXP 3/09/15 EXP 3/10/15 EXP 3/11/15 TOTAL CHECK#: EXP 11/07/13 EXP 6/20/14 TOTAL CHECK#: EXP 6/13/13 EXP 8/31/13 EXP 10/27/13 EXP 1/04/14 EXP 5/23/14 EXP 1/25/15 EXP 1/07/15 TOTAL CHECK#: EXP 9/18/12 EXP 8/20/13 TOTAL CHECK#: LGL 1/13/14 LGL 6/27/14 LGL 7/10/14 TOTAL CHECK#: LOSS 1/13/14 LOSS 3/02/15 LOSS 7/25/12 LOSS 6/11/14 LOSS 2/18/15 LOSS 9/19/13 LOSS 4/25/14 15 15 14 15 15 021-9430NJ 027-9015NJ 026-5509NJ 036-7520NJ 036-7720NJ 682472 14 036-5509NJ 15 042-5509NJ 12 021-7720NJ 15 043-7720NJ 14 026-7580NJ 15 022-5509NJ 12 014-5509NJ 15 006-7720NJ 15 014-7711NJ 13 045-9410NJ 13 008-5509NJ 13 034-7720NJ 15 009-8810NJ 15 008-7720NJ 15 024-9430NJ 15 026-7720NJ 15 036-7720NJ 15 043-5509NJ 15 043-8810NJ 682483 13 021-7720NJ 14 015-7720NJ 682484 13 009-5509NJ 13 043-9410NJ 13 033-5509NJ 14 038-5509NJ 14 010-5509NJ 15 037-5509NJ 15 017-5509NJ 682485 12 006-5509NJ 13 004-7720NJ 682486 14 024-5509NJ 14 037-5509NJ 14 037-5509NJ 682487 14 024-5509NJ 15 012-7720NJ 12 009-5509NJ 14 024-5509NJ 15 043-7720NJ 13 036-7720NJ 14 014-7720NJ LR0503685 QUAL-LYNX ACCOUNT:002 PERIOD:03/2015 PAYMENT REGISTER AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB IRS# BATCH# GRP FILE# CL 216000945 216001361 222248597 222248597 222540040 222540040 222540040 222540040 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 005 012 008 008 039 021 006 006 X86239 Z12161 Z11985 Z11985 Z06101 X79478 Z09081 Z09081 COV CLIENT# 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 682495 682496 682497 682498 682499 682500 682500 682500 NORTHFIELD CITY WILDWOOD CREST BOROU TWIN BORO PHYSICAL T TWIN BORO PHYSICAL T SHORE ORTHOPAEDIC UN SHORE ORTHOPAEDIC UN SHORE ORTHOPAEDIC UN SHORE ORTHOPAEDIC UN 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC IND IND MED MED MED MED MED MED MCO00132909. MCO00146741. MCO00146697. MCO00146697. MCO00143632. MCO00129113. MCO00145130. MCO00145130. 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 682501 682502 682503 682503 682503 682503 HAND SURGERY AND REH 222545917 0247663 036 X90026 01 HAND SURGERY AND REH 222545917 0247663 036 X90026 01 QUALCARE, INC. 223129563 0247663 037 Z14398 01 QUALCARE, INC. 223129563 0247663 009 Z14545 01 QUALCARE, INC. 223129563 0247663 017 Z14546 01 QUALCARE, INC. 223129563 0247663 024 Z14547 01 WC WC WC WC WC WC MED MED MED MED MED MED MCO00134969. MCO00134969. MCO00147898. MCO00147964. MCO00147999. MCO00147958. 3/31/15 3/31/15 682504 ONE CALL MEDICAL, IN 223218521 0247663 002 X41650 01 WC MED MCO00108313. 682504 ONE CALL MEDICAL, IN 223218521 0247663 044 Z07817 01 WC MED MCO00144295. 3/31/15 3/31/15 3/31/15 682505 PACE ORTHOPEDICS AND 223319594 0247663 006 X98348 01 WC MED MCO00139185. 682505 PACE ORTHOPEDICS AND 223319594 0247663 005 Z12289 01 WC MED MCO00146848. 682505 PACE ORTHOPEDICS AND 223319594 0247663 023 Z12472 01 WC MED MCO00146947. 3/31/15 3/31/15 3/31/15 682506 C S R ASSOCIATES 223409929 0247663 021 X07030 01 GL BI 682507 ATLANTICARE SURGERYC 223491867 0247663 014 X90115 01 WC MED MCO00134990. 682507 ATLANTICARE SURGERYC 223491867 0247663 005 Z03152 01 WC MED MCO00141989. 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 682508 682509 682510 682511 682512 682513 682514 682514 682514 682514 682514 682514 682514 PETRO-COHEN, ESQS. COASTAL PHYSICIANS & FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB FOX OUTPATIENT REHAB REHAB CLINICS (SPT) NOVACARE REHABILITAT NOVACARE REHABILITAT NOVACARE REHABILITAT NOVACARE REHABILITAT NOVACARE REHABILITAT NOVACARE REHABILITAT NOVACARE REHABILITAT 223579970 223584828 223822612 223822612 223822612 232736153 232736153 232736153 232736153 232736153 232736153 232736153 232736153 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 024 008 038 038 027 007 036 005 005 007 038 024 043 X81602 Z09082 X17061 Z03495 Z08547 Z01712 X73094 X78968 X78968 Z01712 Z05471 Z08071 Z11033 01 01 01 01 01 01 01 01 01 01 01 01 01 WC WC WC WC WC WC WC WC WC WC WC WC WC IND MED MED MED MED MED MED MED MED MED MED MED MED MCO00130379. MCO00145101. MCO00096364. 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 682515 682516 682517 682518 682519 682520 682521 682521 682521 IMX MEDICAL MANAGEME PREMIER ORTHO ASSOCS LEO PETETTI, LLC. SHORE URGENT CARE SHORE URGENT CARE MEDEXPRESS URGENT CA AFFANATO MARUT, LLC AFFANATO MARUT, LLC AFFANATO MARUT, LLC 232804615 263527324 270005874 274211365 274211365 455388778 463266146 463266146 463266146 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 0247663 041 036 014 045 005 036 014 004 014 X55173 X73094 Z12360 Z11302 Z12290 Z12294 X68719 X70872 X71485 01 01 01 01 01 01 01 01 01 WC WC PR WC WC WC WC WC WC MED MED COL MED MED MED IND IND IND MCO00115876. MCO00125478. HAMILTON TWP MCO00146294. MCO00146904. MCO00146891. MCO00123343. MCO00124334. MCO00124579. 165 MCO00144830. MCO00141117. MCO00125478. MCO00128802. MCO00128802. MCO00141117. MCO00143263. MCO00144540. MCO00146102. RUN DATE: 4/01/2015 PAGE 25 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 96.43 610.71 63.00 90.00 237.80 84.00 165.00 110.00 359.00 213.14 68.00 472.00 472.00 472.00 472.00 1,888.00 485.00 485.00 970.00 135.61 91.93 203.53 431.07 222.50 3,131.16 4,102.88 7,234.04 2,228.00 89.82 63.00 63.00 63.00 417.00 80.63 80.63 80.63 80.63 80.63 161.26 80.63 645.04 1,475.00 8,960.50 35.00 110.00 185.00 160.00 186.00 529.00 186.00 901.00 LOSS 3/04/14 LOSS 3/02/15 LOSS 3/01/15 LOSS 3/01/15 LOSS 12/16/14 LOSS 12/12/13 LOSS 1/10/15 LOSS 1/10/15 TOTAL CHECK#: LOSS 4/16/14 LOSS 4/16/14 LOSS 3/26/15 LOSS 3/29/15 LOSS 3/25/15 LOSS 3/23/15 TOTAL CHECK#: LOSS 8/25/12 LOSS 1/09/15 TOTAL CHECK#: LOSS 8/15/14 LOSS 3/02/15 LOSS 3/06/15 TOTAL CHECK#: EXP 8/07/11 LOSS 4/25/14 LOSS 10/13/14 TOTAL CHECK#: LOSS 1/13/14 LOSS 1/25/15 LOSS 12/29/11 LOSS 10/27/14 LOSS 1/15/15 LOSS 10/08/14 LOSS 9/19/13 LOSS 12/09/13 LOSS 12/09/13 LOSS 10/08/14 LOSS 12/07/14 LOSS 1/08/15 LOSS 2/18/15 TOTAL CHECK#: LOSS 1/31/13 LOSS 9/19/13 EXP 3/01/15 LOSS 2/23/15 LOSS 3/04/15 LOSS 3/01/15 LGL 7/24/13 LGL 8/20/13 LGL 8/28/13 TOTAL CHECK#: 14 15 15 15 14 13 15 15 005-9106NJ 012-7720NJ 008-7720NJ 008-7720NJ 039-5509NJ 021-7720NJ 006-7720NJ 006-7720NJ 682500 14 036-7720NJ 14 036-7720NJ 15 037-7720NJ 15 009-9102NJ 15 017-9403NJ 15 024-9430NJ 682503 12 002-7720NJ 15 044-7720NJ 682504 14 006-9102NJ 15 005-9106NJ 15 023-5509NJ 682505 11 021-7720NJ 14 014-7720NJ 14 005-7720NJ 682507 14 024-5509NJ 15 008-7720NJ 11 038-5509NJ 14 038-5509NJ 15 027-7720NJ 14 007-5509NJ 13 036-7720NJ 13 005-7720NJ 13 005-7720NJ 14 007-5509NJ 14 038-9402NJ 15 024-7720NJ 15 043-7720NJ 682514 13 041-8810NJ 13 036-7720NJ 15 014-7720NJ 15 045-7720NJ 15 005-7711NJ 15 036-5509NJ 13 014-7720NJ 13 004-7720NJ 13 014-7720NJ 682521 LR0503685 ACCOUNT:002 PERIOD:03/2015 QUAL-LYNX AJF-ATL.JOINT INS.FUND BANK-> CHECK NUMBER ORDER DATE CHECK# PAYEE 3/31/15 3/31/15 3/31/15 3/31/15 3/31/15 682522 682523 682524 682525 682526 PAYMENT REGISTER IRS# PRIME PHYSICAL THERA ANTHONY VENUTO STONERIVER PHARMACY CITY OF NORTHFIELD HAMILTON TOWNSHIP BATCH# 522344261 0247663 0247663 621770924 0247663 999999999 0247663 999999999 0247663 ACCOUNT TOTALS: # CHECKS SPOILED: CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB GRP FILE# CL 009 021 017 005 014 01 03 01 01 01 X94190 X62430 Z11458 Z06609 Z12360 COV WC WC WC PR PR # OF CHECKS: # OF VOIDS.: 166 MED IND MED I/M COL 612 CLIENT# MCO00137338. MCO00119842. MCO00146349. NORTHFIELD C HAMILTON TWP RUN DATE: 4/01/2015 PAGE 26 RUN TIME: 14:03:43 POLICY AMOUNT DOL YR LOCATION 280.00 1,984.00 27.95 1,000.00 395.91 887925.04 744088.88 57136.07 86700.09 LOSS 6/21/14 14 LOSS 4/30/13 13 LOSS 2/24/15 15 LOSS 12/22/14 14 LOSS 3/01/15 15 LOSS PYMT EXPENSE LEGAL 009-9053NJ 021-7720NJ 017-7720NJ 005-9102NJ 014-7720NJ LR0503685 ACCOUNT:002 AJF-ATL.JOINT INS.FUND VALUED AS OF: 3/01/2015 THRU 3/31/2015 POLICY PERIOD: 00/00/0000 TO 00/00/0000 QUAL-LYNX ADJUSTMENT REGISTER BANK-> CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB ENTRY ADJST CHECK AMT DATE AMOUNT ADJUSTED CHECK DATE/NUMBER ADJUSTMENT DESCRIPTION GROUP FILE ID CLAIMANT NAME RUN DATE: 4/01/2015 RUN TIME: 14:03:46 PAGE 1 ADJ DATE PLCY LOCATION LOSS DATE YEAR COVR ACNT 1/12/2010 644149 VOID CHECK KJG 036 E77970 01 GRIFFITHS ,IAIN ADJS 3/16/2015 13.87- 13.87 LOS 3/16/2015 2009 03-6--7520 NJ 11/04/2009 WCMED 002 6/04/2010 646999 VOID CHECK KJG 014 E60870 02 ALCOTT ,ANTHONY ADJS 3/16/2015 1,703.75- 1,703.75 LOS 3/16/2015 2008 01-4--7720 NJ 02/13/2008 WCMED 002 8/31/2010 648992 VOID CHECK KJG 045 E80575 01 LYONS ,JENNIFER ADJS 3/16/2015 107.57- 107.57 LOS 3/16/2015 2010 04-5--7720 NJ 02/26/2010 WCMED 002 9/24/2010 649561 VOID CHECK KJG 014 E60870 02 ALCOTT ,ANTHONY ADJS 3/16/2015 83.00- 83.00 LOS 3/16/2015 2008 01-4--7720 NJ 02/13/2008 WCMED 002 9/24/2010 649561 VOID CHECK KJG 021 E81973 01 VONELLINGTON ,VINCENT ADJS 3/16/2015 90.50- 90.50 LOS 3/16/2015 2010 02-1--9403 NJ 04/30/2010 WCMED 002 11/02/2010 650484 VOID CHECK KJG 006 E68398 01 ORTIZ ,JOHN ADJS 3/16/2015 3,168.00- 3,168.00 LOS 3/16/2015 2008 00-6--9403 NJ 11/14/2008 WCIND 002 3/25/2011 653486 VOID CHECK KJG 036 E78710 01 LOPEZ ,ANGEL ADJS 3/16/2015 150.00- 150.00 EXP 3/16/2015 2009 03-6--7720 NJ 12/09/2009 WCMED 002 12/27/2011 659240 VOID CHECK KJG 006 X08951 01 VALENTIN ,ANGEL ADJS 3/16/2015 23.71- 23.71 LOS 3/16/2015 2011 00-6--7720 NJ 08/30/2011 WCMED 002 1/27/2012 659805 VOID CHECK KJG 036 W87273 01 AUSBURN ,CHARLES ADJS 3/16/2015 798.78- 798.78 LOS 3/16/2015 2011 03-6--5509 NJ 03/16/2011 WCMED 002 2/10/2012 660024 VOID CHECK KJG 010 W73328 01 GANDY ,LEROY R ADJS 3/16/2015 130.63- 130.63 LOS 3/16/2015 2010 01-0--7720 NJ 11/17/2010 WCMED 002 2/21/2012 660196 VOID CHECK KJG 002 X17203 01 SACCO ,PAUL ADJS 3/16/2015 135.94- 135.94 LOS 3/16/2015 2011 00-2--7720 NJ 12/29/2011 WCMED 002 4/19/2012 661215 VOID CHECK KJG 042 W70681 01 CROMPTON ,DEBRA ADJS 3/16/2015 1,000.00- 1,000.00 LOS 3/16/2015 2010 04-2--9106 NJ 11/12/2010 WCMED 002 8/10/2012 663374 VOID CHECK KJG 021 X27082 01 FRAZIN ,LYNNE ADJS 3/16/2015 12.43- 12.43 LOS 3/16/2015 2012 02-1--7711 NJ 04/25/2012 WCMED 002 8/14/2012 663397 VOID CHECK KJG 006 E83217 01 GRAVES ,ANDRE ADJS 3/16/2015 934.64- 934.64 LOS 3/16/2015 2010 00-6--7720 NJ 06/20/2010 WCIND 002 9/11/2012 664116 VOID CHECK KJG 014 W85909 01 DARE ,NICHOLAS ADJS 3/16/2015 359.00- 359.00 EXP 3/16/2015 2011 01-4--7720 NJ 02/26/2011 WCMED 002 9/21/2012 664266 VOID CHECK KJG 043 X40884 01 STOCKS ,STEVEN ADJS 3/16/2015 13.50- 13.50 LOS 3/16/2015 2012 04-3--9053 NJ 08/14/2012 WCMED 002 10/05/2012 664563 VOID CHECK KJG 024 X40978 01 ERAZMUS ,RICHARD ADJS 3/16/2015 15.00- 15.00 EXP 3/16/2015 2012 02-4--9430 NJ 08/18/2012 WCMED 002 167 LR0503685 QUAL-LYNX ACCOUNT:002 AJF-ATL.JOINT INS.FUND VALUED AS OF: 3/01/2015 THRU 3/31/2015 POLICY PERIOD: 00/00/0000 TO 00/00/0000 ADJUSTMENT REGISTER BANK-> CB002 00100NJ ATL.CO.MUNICIPAL JIF-CB ENTRY ADJST CHECK AMT DATE AMOUNT ADJUSTED CHECK DATE/NUMBER ADJUSTMENT DESCRIPTION GROUP FILE ID CLAIMANT NAME RUN DATE: 4/01/2015 RUN TIME: 14:03:46 PAGE 2 ADJ DATE PLCY LOCATION LOSS DATE YEAR COVR ACNT 11/20/2012 665494 VOID CHECK KJG 036 X43856 01 MATOS ,SHAWN ADJS 3/16/2015 89.94- 89.94 LOS 3/16/2015 2012 03-6--7720 NJ 09/21/2012 WCMED 002 3/01/2013 667562 VOID CHECK KJG 036 X34147 02 SEIDEL ,JOHNATHAN ADJS 3/16/2015 11.77- 11.77 LOS 3/16/2015 2012 03-6--7720 NJ 07/08/2012 WCMED 002 3/22/2013 667961 VOID CHECK KJG 034 X22764 01 ALLEN ,RAYMOND ADJS 3/16/2015 77.00- 77.00 EXP 3/16/2015 2012 03-4--5509 NJ 03/14/2012 WCMED 002 4/05/2013 668267 VOID CHECK KJG 037 X52387 01 GAWLE ,JOHN ADJS 3/16/2015 59.80- 59.80 LOS 3/16/2015 2013 03-7--5509 NJ 01/17/2013 WCMED 002 5/03/2013 668878 VOID CHECK KJG 006 X42017 01 VALENTIN ,ANGEL ADJS 3/16/2015 1,620.00- 1,620.00 LOS 3/16/2015 2012 00-6--7720 NJ 09/04/2012 WCIND 002 5/28/2013 669351 VOID CHECK KJG 037 E71070 01 TARTAGLIO ,ROBERT ADJS 3/16/2015 9.20- 9.20 EXP 3/16/2015 2009 03-7--5509 NJ 03/03/2009 WCMED 002 5/28/2013 669351 VOID CHECK KJG 014 X63049 01 JENSEN ,JAMES ADJS 3/16/2015 9.20- 9.20 EXP 3/16/2015 2013 01-4--5509 NJ 05/07/2013 WCMED 002 5/28/2013 669351 VOID CHECK KJG 043 X63050 01 GREGG ,SCOTT ADJS 3/16/2015 9.20- 9.20 EXP 3/16/2015 2013 04-3--5509 NJ 05/06/2013 WCMED 002 6/21/2013 669825 VOID CHECK KJG 027 X12966 01 FIORE ,CAROL ADJS 3/16/2015 400.00- 400.00 LOS 3/16/2015 2011 02-7--8810 NJ 10/31/2011 WCIND 002 7/05/2013 670156 VOID CHECK KJG 043 X62959 01 MATTEO ,JOHN ADJS 3/16/2015 35.00- 35.00 EXP 3/16/2015 2013 04-3--7720 NJ 05/06/2013 WCMED 002 11/08/2013 672777 VOID CHECK KJG 024 E83313 01 BAILEY JR. ,ROBERT ADJS 3/16/2015 308.00- 308.00 LGL 3/16/2015 2010 02-4--9403 NJ 06/23/2010 WCIND 002 11/08/2013 672777 VOID CHECK KJG 009 E83796 01 OVES ,ALEXANDER ADJS 3/16/2015 364.00- 364.00 LGL 3/16/2015 2010 00-9--7711 NJ 07/13/2010 WCIND 002 11/08/2013 672777 VOID CHECK KJG 024 X05966 01 KIRK ,DOLORES ADJS 3/16/2015 91.00- 91.00 LGL 3/16/2015 2011 02-4--8810 NJ 08/03/2011 WCIND 002 12/03/2013 673144 VOID CHECK KJG 039 X74155 01 LLOYD ,JOEL ADJS 3/16/2015 27.00- 27.00 LOS 3/16/2015 2013 03-9--9403 NJ 10/01/2013 WCMED 002 12/03/2013 673144 UNVOID 039 X74155 01 LLOYD ,JOEL ADJS 3/20/2015 27.00 27.00 LOS 3/20/2015 2013 03-9--9403 NJ 10/01/2013 WCMED 002 8/01/2014 677900 VOIDED CHECK/STOP PAY PLACED 042 X62854 01 JASPE ,CHRISTIAN ADJS 3/09/2015 550.00- 550.00 LOS 3/09/2015 2013 04-2--9430 NJ 05/03/2013 WCMED 002 2/13/2015 681625 VOIDED CHECK/PER:ADJ 043 X69721 01 MURAVENA ,LIUDMILA ADJS 3/12/2015 3,592.32- 3,592.32 LGL 3/12/2015 2011 04-3--7720 NJ 08/05/2011 GLPPPI 002 DMC 168 LOSS ADJS: POSTED TOTAL 10,947.83- PRIOR CHECKS 10,947.83- CURRENT CHECKS LEGAL....: ACCOUNT TOTALS: # OF ADJS: 34 169 4,355.3215,966.75- 4,355.3215,966.75- LR0503685 ACCOUNT:002 VALUED AS OF: QUAL-LYNX RECOVERY REGISTER AJF-ATL.JOINT INS.FUND 3/01/2015 THRU 3/31/2015 RUN DATE: 4/01/2015 PAGE RUN TIME: 14:03:46 CHECK DATE/NUMBER GROUP FILE ID CLAIMANT NAME ENTRY DATE 3/20/2015 172843526 SUBROGATION 005 Z06609 01 NORTHFIELD CITY , BAP CHECK AMT 1 CHK DATE PLCY LOCATION LOSS DATE YEAR TYPE COVR SUBR 3/26/2015 2,623.79 2014 00-5--9102 NJ 12/22/2014 PRI/M 3/12/2015 095065 SUBROGATION BAP 006 X20408 01 KETSCHEK ,JACOB SUBR 3/24/2015 12,018.82 2012 00-6--7711 NJ 02/09/2012 WCIND 3/12/2015 095065 SUBROGATION 006 X20408 01 KETSCHEK ,JACOB SUBR 3/24/2015 7,981.18 2012 00-6--7711 NJ 02/09/2012 WCMED BAP 3/03/2015 81493792 SUBROGATION 010 X00420 01 BARBIERI ,JOHN BAP SUBR 3/17/2015 13.00 2011 01-0--7720 NJ 05/26/2011 WCMED 3/03/2015 11490960 SUBROGATION 010 X47931 01 SAMBUCCI ,GINA BAP SUBR 3/19/2015 49.00 2012 01-0--7720 NJ 11/17/2012 WCMED 3/03/2015 11490960 SUBROGATION 010 X47931 02 MILLER ,JOHN BAP SUBR 3/19/2015 49.00 2012 01-0--7720 NJ 11/17/2012 WCMED 3/12/2015 300022193 SUBROGATION 010 X96271 01 SOMERS POINT , BAP SUBR 3/19/2015 13,435.90 2014 01-0--9430 NJ 07/16/2014 PRCOL SUBR 3/12/2015 459.70 2014 01-1--5509 NJ 08/11/2014 PRI/M SUBR 3/19/2015 98.00 2013 01-2--7720 NJ 06/02/2013 WCMED 3/05/2015 485258216 SUBROGATION 011 X97914 01 UPPER DEERFIELD , BAP 3/03/2015 51492822 SUBROGATION 012 X64777 01 DONAHUE ,LUKE BAP 3/03/2015 11490963 SUBROGATION 014 X68719 01 MILLER ,BRIAN BAP SUBR 3/17/2015 40.00 2013 01-4--7720 NJ 07/24/2013 WCMED 2/11/2015 151690 SUBROGATION 021 T02587 01 EGG HARBOR TWP , BAP SUBR 3/17/2015 86.60 2002 02-1--7720 NJ 02/17/2002 PRCOMP 3/14/2015 000209 SUBROGATION 021 U76470 01 EGG HARBOR TWP , BAP SUBR 3/24/2015 50.00 2009 02-1--7720 NJ 02/09/2009 PRCOL 3/02/2015 000213 SUBROGATION 021 U76470 01 EGG HARBOR TWP , BAP SUBR 3/10/2015 50.00 2009 02-1--7720 NJ 02/09/2009 PRCOL SUBR 3/20/2015 11,504.60 2012 02-1--7720 NJ 04/23/2012 PRCOL SUBR 3/02/2015 71,957.46 2012 02-1--7720 NJ 04/23/2012 WCIND SUBR 3/17/2015 962.00 2013 02-1--7720 NJ 04/30/2013 WCMED SUBR 3/17/2015 962.00 2013 02-1--7720 NJ 04/30/2013 WCMED 3/13/2015 172718868 SUBROGATION 021 X26953 01 EGG HARBOR TWP , 2/18/2015 031618 SUBROGATION 021 X26999 01 REED ,WILLIAM 3/03/2015 11490962 SUBROGATION 021 X62430 02 ROCCO ,THOMAS BAP BAP 3/03/2015 11490962 SUBROGATION BAP 021 X62430 03 VENUTO ,ANTHONY 170 LR0503685 ACCOUNT:002 VALUED AS OF: QUAL-LYNX RECOVERY REGISTER AJF-ATL.JOINT INS.FUND 3/01/2015 THRU 3/31/2015 RUN DATE: 4/01/2015 PAGE RUN TIME: 14:03:46 CHECK DATE/NUMBER GROUP FILE ID CLAIMANT NAME ENTRY DATE 2/25/2015 103734929 SUBROGATION 021 X99845 01 EGG HARBOR TWP , CHECK AMT 2 CHK DATE PLCY LOCATION LOSS DATE YEAR TYPE COVR BAP SUBR 3/04/2015 431.59 2014 02-1--7720 NJ 08/30/2014 PRCOL 2/11/2015 151713 SUBROGATION BAP 023 X43020 01 BRADSHAW ,WILLIAM SUBR 3/17/2015 90.73 2012 02-3--7720 NJ 09/16/2012 WCMED 3/03/2015 51492823 SUBROGATION 024 X64896 01 EDWARDS ,EDWARD BAP SUBR 3/13/2015 49.00 2013 02-4--7720 NJ 05/31/2013 WCIND 3/03/2015 51492823 SUBROGATION 024 X64896 02 FESSLER ,ROBERT BAP SUBR 3/13/2015 49.00 2013 02-4--7720 NJ 05/31/2013 WCIND 1/31/2015 000116 SUBROGATION BAP 036 X14540 01 KAVANAGH ,BRANDON SUBR 3/02/2015 100.00 2011 03-6--7720 NJ 11/19/2011 WCMED 3/03/2015 000116 SUBROGATION 036 X30762 01 MOONEY ,CINDI SUBR 3/13/2015 200.00 2012 03-6--7720 NJ 05/16/2012 WCMED BAP 3/03/2015 11491022 SUBROGATION 037 X08156 01 GOEHRINGER ,RYAN BAP SUBR 3/17/2015 102.00 2011 03-7--7720 NJ 08/30/2011 WCMED 3/03/2015 11491021 SUBROGATION 042 X21494 01 DEVINE ,TIMOTHY BAP SUBR 3/23/2015 50.50 2012 04-2--7720 NJ 02/27/2012 WCMED 3/03/2015 11491021 SUBROGATION 042 X21494 02 OLSON ,JAMES BAP SUBR 3/23/2015 50.50 2012 04-2--7720 NJ 02/27/2012 WCMED 3/03/2015 41492491 SUBROGATION 045 X61784 01 WILLIAMS ,MARK BAP SUBR 3/19/2015 5.00 2013 04-5--7720 NJ 04/19/2013 WCMED 3/03/2015 41492491 SUBROGATION 045 X61784 02 KRAUSE ,DANIEL BAP SUBR 3/19/2015 5.00 2013 04-5--7720 NJ 04/19/2013 WCMED RECOVERIES EXCESS RECOVERIES ACCOUNT TOTALS: # OF CHKS: ACCOUNT TOTALS: # OF CHKS: 28 171 POSTED TOTAL 123,474.37 LR0503685 ACCOUNT:002 VALUED AS OF: LOSS YEAR QUAL-LYNX RECOVERY REGISTER AJF-ATL.JOINT INS.FUND 3/01/2015 THRU 3/31/2015 FILE TYPE DESCRIPTION RUN DATE: 4/01/2015 PAGE RUN TIME: 14:03:46 RECOVERY GROUP Period Beginning: 01 01 2002 Ending...: 12 31 2002 PR PROPERTY 045 86.60 Period Beginning: 01 01 2009 Ending...: 12 31 2009 PR PROPERTY 045 100.00 Period Beginning: 01 01 2011 Ending...: 12 31 2011 WC WORKERS COMPENSATION 045 215.00 Period Beginning: 01 01 2012 Ending...: 12 31 2012 PR PROPERTY 045 11,504.60 Period Beginning: 01 01 2012 Ending...: 12 31 2012 WC WORKERS COMPENSATION 045 92,447.19 Period Beginning: 01 01 2013 Ending...: 12 31 2013 WC WORKERS COMPENSATION 045 2,170.00 Period Beginning: 01 01 2014 Ending...: 12 31 2014 PR PROPERTY 045 16,950.98 EXCESS TOTALS: 172 RECOVERY TOTALS: 123,474.37 TOTALS: 123,474.37 1 173 SUMMARY OF CASH TRANSACTIONS FUND YEAR 2015 Month Ending: March Prop OPEN BALANCE 167,813.08 RECEIPTS Assessments 8,238.47 Refunds 0.00 Invest Pymnts 72.40 Invest Adj 0.00 Subtotal Invest 72.40 Other * 0.00 TOTAL 8,310.87 Liab 76,745.01 Auto 99,364.78 WC 1,797,346.99 Ded 504,109.92 48,221.95 0.00 64.50 0.00 64.50 0.00 48,286.45 4,397.73 0.00 43.17 0.00 43.17 0.00 4,440.90 79,109.22 0.00 776.92 0.00 776.92 0.00 79,886.14 2,728.00 0.00 0.00 2,728.00 122,303.46 5,767.96 0.00 0.00 5,767.96 98,037.72 Liab 2,731,460.11 Cont EJIF MEL (919,813.43) Admin 1,239,441.02 TOTAL 2,966,007.01 0.00 72,273.61 0.00 0.00 0.00 0.00 0.00 510.89 0.00 510.89 625.00 73,409.50 233,211.00 0.00 1,688.34 0.00 1,688.34 625.00 235,524.34 0.00 204,788.86 0.00 204,788.86 1,108,061.66 176,427.67 204,788.86 0.00 381,216.53 2,820,314.82 MEL 199,211.72 Admin 260,838.53 TOTAL 11,692,955.53 0.00 0.00 0.00 20.20 0.00 20.20 0.00 20.20 0.00 0.00 0.00 0.00 0.00 130.96 0.00 130.96 0.00 130.96 2,526.06 0.00 2,526.06 0.00 2,526.06 0.00 16,950.98 16,570.67 0.00 16,570.67 0.00 33,521.65 0.00 0.00 0.00 0.00 30,754.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 199,342.68 0.00 11,590.31 0.00 11,590.31 251,774.28 228,842.20 11,590.31 0.00 240,432.51 11,486,044.67 999.64 0.00 20,970.02 0.00 0.00 219.80 0.00 219.80 0.00 21,189.82 0.66 0.00 0.66 0.00 0.66 0.00 0.00 0.00 0.00 0.00 131,437.44 0.00 0.00 131,437.44 1,745,795.69 0.00 0.00 0.00 0.00 525,299.74 0.00 0.00 0.00 0.00 1,000.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (919,813.43) Auto 379,324.82 WC 5,896,240.94 Ded 2,287,704.01 Cont 30,733.96 0.00 0.00 0.00 2,367.04 0.00 2,367.04 0.00 2,367.04 0.00 0.00 502.57 0.00 502.57 0.00 502.57 0.00 0.00 8,066.62 0.00 8,066.62 0.00 8,066.62 0.00 0.00 2,903.12 0.00 2,903.12 0.00 2,903.12 7,514.43 0.00 0.00 7,514.43 2,726,312.72 30.00 0.00 0.00 30.00 379,797.39 203,154.21 0.00 0.00 203,154.21 5,701,153.35 0.00 0.00 0.00 0.00 2,290,607.13 EXPENSES Claims Transfers Expenses Other * TOTAL END BALANCE 36,494.27 0.00 0.00 36,494.27 139,629.68 SUMMARY OF CASH TRANSACTIONS FUND YEAR 2014 Month Ending: March Prop OPEN BALANCE (92,558.56) RECEIPTS Assessments 0.00 Refunds 16,950.98 Invest Pymnts 54.10 Invest Adj 0.00 Subtotal Invest 54.10 Other * 0.00 TOTAL 17,005.08 EJIF EXPENSES Claims Transfers Expenses Other * TOTAL END BALANCE 2015 CIR_ACM.xls 18,143.56 0.00 0.00 18,143.56 (93,697.04) SCT_REPORTS Page 1 174 4/3/2015 11:04 AM SUMMARY OF CASH TRANSACTIONS FUND YEAR 2013 Month Ending: March Prop OPEN BALANCE 105,440.36 RECEIPTS Assessments 0.00 Refunds 0.00 Invest Pymnts 134.21 Invest Adj 0.00 Subtotal Invest 134.21 Other * 0.00 TOTAL 134.21 Liab 2,567,565.00 Auto 322,176.54 WC 4,674,504.36 Ded 2,352,236.31 0.00 0.00 3,473.65 0.00 3,473.65 0.00 3,473.65 0.00 0.00 433.66 0.00 433.66 0.00 433.66 0.00 2,170.00 6,654.66 0.00 6,654.66 0.00 8,824.66 2,081.50 0.00 0.00 2,081.50 2,568,957.15 20.00 0.00 0.00 20.00 322,590.20 Liab 2,106,449.69 Cont 0.00 EJIF 0.00 MEL 167,131.06 Admin 102,535.98 TOTAL 10,291,589.61 0.00 0.00 0.00 0.00 0.00 3,153.63 0.00 3,153.63 0.00 3,153.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 225.39 0.00 225.39 0.00 225.39 169.44 0.00 169.44 0.00 169.44 0.00 2,170.00 14,244.64 0.00 14,244.64 0.00 16,414.64 93,776.41 0.00 0.00 93,776.41 4,589,552.61 0.00 0.00 0.00 0.00 2,355,389.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 167,356.45 0.00 1,000.00 0.00 1,000.00 101,705.42 95,877.91 1,000.00 0.00 96,877.91 10,211,126.34 Auto 268,703.94 WC 4,545,602.77 Ded 1,409,769.84 0.00 0.00 MEL 241,180.06 Admin 122,022.94 TOTAL 8,759,192.38 0.00 0.00 2,886.79 0.00 2,886.79 0.00 2,886.79 0.00 0.00 369.81 0.00 369.81 0.00 369.81 0.00 92,447.19 6,163.62 0.00 6,163.62 0.00 98,610.81 0.00 0.00 0.00 0.00 0.00 1,942.58 0.00 1,942.58 0.00 1,942.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 324.38 0.00 324.38 0.00 324.38 172.41 0.00 172.41 0.00 172.41 0.00 103,951.79 11,902.82 0.00 11,902.82 0.00 115,854.61 194,312.19 0.00 0.00 194,312.19 1,915,024.29 2,454.50 0.00 0.00 2,454.50 266,619.25 108,943.89 0.00 0.00 108,943.89 4,535,269.69 0.00 0.00 0.00 0.00 1,411,712.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241,504.44 0.00 0.00 0.00 0.00 122,195.35 310,571.58 0.00 0.00 310,571.58 8,564,475.41 EXPENSES Claims Transfers Expenses Other * TOTAL END BALANCE 0.00 0.00 0.00 0.00 105,574.57 SUMMARY OF CASH TRANSACTIONS FUND YEAR 2012 Month Ending: March Prop OPEN BALANCE 65,463.14 RECEIPTS Assessments 0.00 Refunds 11,504.60 Invest Pymnts 43.23 Invest Adj 0.00 Subtotal Invest 43.23 Other * 0.00 TOTAL 11,547.83 Cont EJIF EXPENSES Claims Transfers Expenses Other * TOTAL END BALANCE 2015 CIR_ACM.xls 4,861.00 0.00 0.00 4,861.00 72,149.97 SCT_REPORTS Page 1 175 4/3/2015 11:04 AM SUMMARY OF CASH TRANSACTIONS FUND YEAR 2011 Month Ending: March Prop OPEN BALANCE 95,110.31 RECEIPTS Assessments 0.00 Refunds 0.00 Invest Pymnts 127.01 Invest Adj 0.00 Subtotal Invest 127.01 Other * 0.00 TOTAL 127.01 Liab 799,158.23 Auto 59,423.27 WC 2,601,004.57 Ded 2,123,576.60 0.00 0.00 1,221.80 0.00 1,221.80 0.00 1,221.80 0.00 0.00 80.47 0.00 80.47 0.00 80.47 0.00 215.00 3,603.29 0.00 3,603.29 0.00 3,818.29 40,397.90 0.00 0.00 40,397.90 759,982.13 0.00 0.00 0.00 0.00 59,503.74 27,425.30 0.00 0.00 27,425.30 2,577,397.56 Cont EJIF Admin 157,313.02 TOTAL 5,835,585.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.09 0.00 211.09 0.00 211.09 0.00 215.00 8,088.04 0.00 8,088.04 0.00 8,303.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (0.54) 0.00 0.00 0.00 0.00 157,524.11 68,000.56 0.00 0.00 68,000.56 5,775,887.94 0.00 0.00 0.00 0.00 0.00 2,844.38 0.00 2,844.38 0.00 2,844.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2,126,420.98 0.00 0.00 0.00 0.00 0.00 MEL (0.54) EXPENSES Claims Transfers Expenses Other * TOTAL END BALANCE 177.36 0.00 0.00 177.36 95,059.96 SUMMARY OF CASH TRANSACTIONS FUND YEAR Closed Month Ending: March Prop OPEN BALANCE 108.86 RECEIPTS Assessments 0.00 Refunds 0.00 Invest Pymnts 0.07 Invest Adj 0.00 Subtotal Invest 0.07 Other * 186.60 TOTAL 186.67 Liab 0.00 Auto 0.00 WC 0.00 Ded 0.00 Cont 0.00 EJIF 0.00 MEL 0.00 Admin 8,858,301.79 TOTAL 8,858,410.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8,063.16 0.00 0.00 0.00 0.00 8,063.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14,501.34 0.00 14,501.34 0.00 14,501.34 0.00 8,063.16 14,501.41 0.00 14,501.41 186.60 22,751.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8,063.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8,872,803.13 0.00 301.53 0.00 301.53 8,880,860.29 EXPENSES Claims Transfers Expenses Other * TOTAL END BALANCE 2015 CIR_ACM.xls 0.00 301.53 0.00 301.53 (6.00) SCT_REPORTS Page 1 176 4/3/2015 11:05 AM CERTIFICATION AND RECONCILIATION OF CLAIMS PAYMENTS AND RECOVERIES ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND Month Current Fund Year Policy Year 2015 2014 2013 2012 2011 Coverage Prop Liab Auto WC Total Prop Liab Auto WC Total Prop Liab Auto WC Total Prop Liab Auto WC Total Prop Liab Auto WC Total TOTAL March 2015 1. 2. 3. 4. 5. 6. Calc. Net Monthly Monthly Calc. Net TPA Net Variance Paid Thru Net Paid Recoveries Paid Thru Paid Thru To Be Last Month March March March March Reconciled 30,238.39 36,494.27 0.00 66,732.66 66,732.66 1,565.20 2,728.00 0.00 4,293.20 4,293.20 6,355.16 5,767.96 0.00 12,123.12 12,123.12 104,417.78 131,437.44 0.00 235,855.22 235,855.22 142,576.53 176,427.67 0.00 319,004.20 319,004.20 886,293.32 18,143.56 16,950.98 887,485.90 887,485.90 67,288.94 7,514.43 0.00 74,803.37 74,803.37 69,785.82 30.00 0.00 69,815.82 69,815.82 2,991,611.80 203,154.21 0.00 3,194,766.01 3,194,766.01 4,014,979.88 228,842.20 16,950.98 4,226,871.10 4,226,871.10 645,568.95 0.00 0.00 645,568.95 645,568.95 251,342.40 2,081.50 0.00 253,423.90 253,423.90 98,075.00 20.00 0.00 98,095.00 98,095.00 4,638,290.53 93,776.41 2,170.00 4,729,896.94 4,729,896.94 5,633,276.88 95,877.91 2,170.00 5,726,984.79 5,726,984.79 1,510,260.26 4,861.00 11,504.60 1,503,616.66 1,503,616.66 382,632.74 194,312.19 0.00 576,944.93 576,944.93 104,780.25 2,454.50 0.00 107,234.75 107,234.75 4,778,524.92 108,943.89 92,447.19 4,795,021.62 4,795,021.62 6,776,198.17 310,571.58 103,951.79 6,982,817.96 6,982,817.96 873,221.79 177.36 0.00 873,399.15 873,399.15 1,300,650.17 40,397.90 0.00 1,341,048.07 1,341,048.07 400,371.60 0.00 0.00 400,371.60 400,371.60 6,642,561.95 27,425.30 215.00 6,669,772.25 6,669,772.25 9,284,591.07 9,284,591.07 9,216,805.51 68,000.56 215.00 25,783,836.97 879,719.92 123,287.77 26,540,269.12 26,540,269.12 2015 CIR_ACM.xls CRC_REPORTS Page 1 177 7. Delinquent Unreconciled Variance From 0.00 0.00 (0.00) 0.00 (0.00) 0.00 0.00 (0.00) 0.00 (0.00) (0.00) 0.00 (0.00) (0.00) (0.00) (0.00) (0.00) (0.00) (0.00) (0.00) 0.00 (0.00) 0.00 (0.00) (0.00) (0.00) 8. Change This Month 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (0.00) 0.00 (0.00) (0.00) 0.00 (0.00) (0.00) (0.00) (0.00) 0.00 (0.00) (0.00) (0.00) 0.00 (0.00) 0.00 (0.00) (0.00) (0.00) 0.00 0.00 (0.00) 0.00 (0.00) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (0.00) 0.00 (0.00) (0.00) 0.00 (0.00) 0.00 0.00 (0.00) (0.00) 4/3/2015 11:05 AM 178 ATLANTIC COUNTY MUNICIPAL JIF BILL LIST - APRIL 2015 Payable To: The DeWeese Law Firm, P.C. Qual-Lynx Tracy Forlenza J.A. Montgomery Risk Control Services John Hansen Conner Strong & Buckelew Joyce Media Valerie Smith Debby Schiffer FY 2015 69,986.00 327.87 9,773.00 64,015.00 487.00 15,647.00 1,875.00 925.00 311.00 7,812.00 2,499.00 12 Apex Insurance Services c/o XL Insurance 1,060,966.50 1 2 3 4 5 6 7 8 9 10 11 Arthur J. Gallagher Risk Management Services, Inc. Arthur J. Gallagher Risk Management Services, Inc. 13 Apex Insurance Services c/o XL Insurance 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Apex Insurance Services c/o XL Insurance MEL MEL MEL PRIMA 4imprint Inc. ARC Reprographics Armando Riccio, LLC Brownies Squared Charley's Other Brother OfficeMax Contract, Inc. JIF BILL LIST TOTAL Appropriation Prof Services/Administration Misc/Postage/Copies/Faxes Prof Services/Attorney Prof Services/Claims Administration Misc/Recording Secretary Prof Services/Safety Director Prof Services/Treasurer Prof Services/Underwriting Mgr Misc/JIF Website Wellness Wellness EPL/POL Policy - XL Insurance 7,658.00 EPL/POL Policy - XL Insurance 12,300.00 681,632.40 232,355.91 4,825.12 570.00 212.15 197.84 140.00 200.00 2,152.80 EPL/POL Policy - XL Insurance MEL Property Claims and Premium 435.48 Faithful Performance Bond Misc/AGRIP/PRIMA Misc/Office Supplies EPL Consulting & Training EPL Consulting & Training Misc/Meeting Expense EPL Consulting & Training Misc/Office Supplies Safety Incentive Program Safety Incentive Program Safety Incentive Program Safety Incentive Program Optional Safety Budget 1,250.00 Safety Incentive Program 3,836.00 86.00 1,000.00 750.00 750.00 Paul's Custom Awards and Trophies Buena Borough Cape May Point Borough Folsom Borough Sea Isle City Somers Point City Subtotals FY 2014 722.82 2,178,026.89 2,181,862.89 179 Description April 2015 Fees March 2015 Fees April 2015 Fees April 2015 Fees April 2015 Fees April 2015 Fees April 2015 Fees April 2015 Fees April 2015 Fees Director - March 19-31 and April 2015 Fees Consultant - March 19-31 and April 2015 Fees EPL/POL coverage;Policy #PJA9519005-04; 1/1//15-1/1/16; 2nd instmt; Inv#1918897 VDO coverage;Policy #VJA9519005-03; 1/1//15-1/1/16; 2nd instmt; Inv#1921290 Cyber coverage;Policy #MTP0039477-02; 1/1//15-1/1/16; 2nd instmt; Inv#1929520 MEL 2015 WC & Excess Liability - 2nd installment MEL 2015 Property claims & prem. -2nd installment MEL 2015 Fidelity Bond - 2nd installment PRIMA June 6-10/2015 Conf. Reg-Ed Beck JIF pens; split by 3; Inv#3825270 3/11/15 Elected Officials Handout; split by 3 3/11/15 Elected Officials Presenter (eastampton); split by 3 Claims Meeting 04/9/15 F&B 3/11/15 Elected Officials Dinner; split by 3 Acct#228332; PO#164631700(CC binders/tabs); Inv#28075(LR binders/tabs); PO#16475419 (Finance wkbks) Engraving for awards; Inv#30439 Direct check for safety monies Direct check for safety monies Direct check for safety monies Reimbursement for safety monies Direct check for safety monies 180 ATLANTIC COUNTY MUNICIPAL JIF ACCOUNT ACTIVITY RECONCILIATION FY 2015 January Opening Balance for the Period: RECEIPTS: Interest Income ( Cash ) Premium Assessment Receipts Prior Yr. Premium Assessment Receipts Subrogation & Reimb. Receipts: Fund Year 2015 Fund Year 2014 Fund Year 2013 Fund Year 2012 Fund Year 2011 Closed Fund Year Total Subrogation & Reimb.Receipts FY 2015 Appropriation Refunds FY 2014 Appropriation Refunds FY 2013 Appropriation Refunds Closed Fund Year Retrospective Program DUE ATLANTIC COUNTY VOID STALE DATED CHECKS TOTAL RECEIPTS: 46,613,374.40 47,099.66 646,608.00 February 45,595,905.31 (12,227.97) 4,959,913.75 Year To Date Total March 48,403,741.36 66,995.89 233,211.00 5,565.88 1,539.00 191,735.80 48.00 2,427.63 2,410.00 784.00 148.00 16,950.98 2,170.00 103,951.79 215.00 198,888.68 8.90 5,778.53 123,287.77 100.00 7,573.00 186.60 625.00 8,063.16 900,269.34 4,953,464.31 432,369.42 101,867.58 5,839,732.75 0.00 0.00 24,944.49 6,119.00 296,471.59 411.00 0.00 8.90 327,954.98 0.00 0.00 0.00 286.60 7,573.00 625.00 8,063.16 0.00 0.00 6,286,103.07 DISBURSEMENTS: Net Claim Payments: Fund Year 2015 Fund Year 2014 Fund Year 2013 Fund Year 2012 Fund Year 2011 Closed Fund Year Total Net Claim Payments Exp.& Admin Bill List Payments: Exp. & Cont. Charges FY 2015 Exp. & Cont. Charges FY 2014 Exp. & Cont. Charges FY 2013 Exp. & Cont. Charges FY 2012 RELEASE OF AELCF CLOSED FUND YEAR Closed Fund Year MISC. Total Bill List Payments Auditor's 2012 Audit Adjustments TOTAL DISBURSEMENTS: Closing Balance for the Period: Account Net Cash Change During the Period: Loss Account Loss Account:other;see above Expense & Contingency Account Investment Account TD Wealth Management Account Exp & Contin Reconciliation Account Claims Imprest Reconciliation Account "Line of Coverage" Accounts Total Change in Account Net Cash: 47,771.28 360,761.70 148,990.56 101,573.98 83,277.59 94,805.25 294,350.62 152,227.09 121,637.18 72,695.73 176,427.67 228,842.20 95,877.91 310,571.58 68,000.56 742,375.11 735,715.87 301.53 880,021.45 1,093,940.81 14,631.94 9,369.56 1,383,404.80 2,441.38 4,000.00 204,788.86 11,590.31 1,000.00 20,066.20 57,421.00 0.01 1,175,363.32 0.01 1,409,912.39 217,379.17 1,917,738.43 2,145,628.26 1,097,400.62 45,595,905.31 48,403,741.36 47,738,710.16 (1,065,068.74) (2,175,952.19) (5,728,715.32) (19,200.00) 5,003,488.24 5,017,820.00 45,864.12 44,200.00 2,899.65 500.00 (1,017,469.09) (500.00) 2,807,836.05 Proof: 0.00 0.00 file:\\C:\Users\Kkristie\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\Y0LF9D5A\ACM RECONCILIATION REPORT 2015.xls\2015 181 (665,031.20) 0.00 319,004.20 883,954.52 397,095.56 533,782.74 223,973.88 0.00 301.53 2,358,112.43 2,682,134.47 28,663.63 14,369.56 0.00 20,066.20 57,421.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.02 2,802,654.88 0.00 5,160,767.31 -8,969,736.25 0.00 0.00 5,042,820.00 5,052,252.01 0.00 0.00 0.00 1,125,335.76 4/3/2015 ANALYSIS OF NON ASSESSMENT RECEIPTS 2012 Subrogation Salvage & Reimbursements subtotal 366,375.79 $ $ $ 2014 907,442.56 79,499.23 986,941.79 563.08 $ 25,207.36 $ 1,000,000.00 $ 260,985.88 750.00 $ 4,431.25 1,313.08 $ 1,290,624.49 $ $ $ $ $ 11,847.22 599,229.08 258,565.98 14,769.35 884,411.63 $ 585,292.73 $ 2013 Reimbursments Storm related MEL Other subtotal $ Total $ 586,605.81 $ 1,657,000.28 $ $ $ 1,871,353.42 Information from 2012 & 2013 Year End Reports/2014~current file:ANALYSIS OF NON ASSESSMENT COLLECTIONS 2015.xlsx//2015 182 4/3/2015