YOUR INVITATION TO JOIN

Document Sample
YOUR INVITATION TO JOIN Powered By Docstoc
					    Knowledge is Power!                                         Exclusive for NCIL Members!
    We offer you the chance to network with some of             Save big $$Money$$ by using our group
    the best in the IL field nationwide, improve your           insurance options only available to NCIL
    entire center from finances to consumer services,           members
    and increase your skills and knowledge.
                                                                   Group Long-Term Disability Plan!
         Annual Independent Living Conference!                     Save big with NCIL’s group rates
          Join 800 other Independent Living advocates
          and people with and without disabilities for             Group Life Insurance Plan! Free up your
          workshops, congressional visits, a march &                center’s money for more important things.
          rally, board elections, and FUN. Members
          receive a big discount on the conference
          registration fee!                                        Group Liability and Casualty Coverage
                                                                    from Philadelphia, Inc.! You can’t afford
                                                                    NOT to be covered. Let Philadelphia, Inc.,
         IL NET Trainings!                                         help you take a load off.
          Through the IL Net grant, NCIL and ILRU
          offer you national teleconferences, webcasts,
          on-site trainings, and much, much more.
                                                                NCIL Publications
                                                                We are also dedicated to getting you
         NCIL Teleconferences!                                 the most up-to-date information on the
          We work hard to put together valuable                 legislation that matters to you the most.
          trainings with exceptional trainers at
          reduced, members-only rates.                             The WhAM, a weekly publication that
                                                                    provides timely news and advocacy
 NCIL is Run by YOU: Let your voice be heard!                       updates from a national perspective
 NCIL Members Direct NCIL'S Advocacy Agenda                        about legislation, litigation, and policy
   and YOU set NCIL's priorities through the                        implementation;
   biannual advocacy survey!
                                                                   Action Alerts to give you the information
       By nominating and voting for our board of                   you need to fire up consumers and
        directors, YOU choose who represents YOU                    advocates when it is time to act quickly
        throughout the year!                                        on particular issues;

       YOU have the opportunity to serve on and work              NCIL Advocacy and Public Policy Staff
        directly with legislativecommittees/subcommittees           when you have questions or need
        to ensure that NCIL continues to fulfill its mission!       additional information about advocacy
                                                                    issues.
       Through developing, presenting, and voting on all
        NCIL resolutions and bylaw amendments, YOU
        control the policies that drive the organization!
                          NATIONAL COUNCIL ON INDEPENDENT LIVING
                             2006 CIL/ SILC Membership Application Form
                             Membership Year: January 1, 2006 - December 31, 2006
Memberships are renewable annually and payment is due by January 31. Dues must be paid in full by April 22, 2006, 30 business
days prior to the commencement of NCIL’s annual conference to insure voting privileges at the Annual Council Meeting. Upon
payment of appropriate dues, it shall be assumed that a member automatically supports NCIL’s mission, goals,
advocacy priorities, and the IL philosophy; copies of which shall be forwarded to all members annually by the
NCIL office with a notation that they are what the dues and membership support.
  In order to be considered for CIL/SILC membership, CILs/SILCs shall submit a copy of the CIL or SILC grant award notification
  from the U.S. Department of Education or a letter from your state funding agency saying that you receive funding as a CIL or SILC
  with its application and dues.

  _____Check here if you DO NOT receive or wish to submit a grant award notification letter from the U.S. Department of Education
  or a letter from a state agency showing you are funded as a CIL or SILC, and would like to petition the NCIL membership
  committee to review additional documents as proof that your application meets NCIL’s criteria as a CIL/ SILC member.

INFORMATION: Please fill out all applicable information as legibly as possible. Please PRINT.

   Name___________________________________ Date__________                                         Region ( if known)

   Title________________________________________________________________________

   Name of Organization (if applicable) _________________________________________________
     1                                               (Please spell out entire name, i.e., no acronyms)

   Mailing Address _______________________________________________________________

   City _____________________________________ State____________ Zip ______________

   Voice ___________________ TTY _____________________ Fax ______________________

   E-Mail Address _____________________________ Web Site ___________________________
                   1
   Amount of the CIL’s, SILC’s or Organization’s Budget (minus pass-through funds) $___________
MEMBERSHIP TYPE: Please choose your membership type
      CIL                                          SILC
MATERIALS: Please indicate the ONE format that you want to receive all NCIL material.
           E-Mail                                      Standard Print                            Braille
           Disk (Text format)                          Large Print                               Tape
CIL & SILC MEMBERSHIP DUES
   Budget                  Dues                                                    DON’T FORGET!
<100,000                  $143.00
100,001 - 200,000         $286.00
200,001 - 300,000         $429.00
                                                                                    25% Discount
300,001 - 400,000         $572.00
400,001 - 500,000         $715.00                                                      NEW
500,001 - 600,000         $858.00                                              CIL & SILC MEMBERS
600,001 - 700,000         $1,001.00
700,001 - 800,000         $1,144.00

                                                                            NCIL HAS MOVED!
800,001 - 900,000         $1,287.00
900,001 - 1,000,000       $1,573.00
1,000,001 - 3,000,000     $1,859.00                         Effective 12/1/2005 PLEASE MAIL COMPLETED APPLICATIONS TO:
3,000,001 - 5,000,000     $2,145.00
5,000,001 - 8,000,000     $2,503.00                                      1710 Rhode Island Avenue, NW
8,000,001 - 11,000,000
11,000,001 - 15,000,000
                          $3,500.00
                          $5,000.00
                                                                                  Fifth Floor
15,000,001 - 20,000,000   $7,500.00                                         Washington, D.C. 20036
               NATIONAL COUNCIL ON INDEPENDENT LIVING
          2006 Individual/ Organizational Membership Application Form
                     Membership Year: January 1, 2006 - December 31, 2006

Memberships are renewable annually and payment is due by January 31. Dues must be paid in full by
April 22, 2006, 30 business days prior to the commencement of NCIL’s annual conference to insure voting
privileges at the Annual Council Meeting. Upon payment of appropriate dues, it shall be
assumed that a member automatically supports NCIL’s mission, goals, advocacy
priorities, and the IL philosophy; copies of which shall be forwarded to all members
annually by the NCIL office with a notation that they are what the dues and membership
support.

INFORMATION: Please fill out all applicable information as legibly as possible. Please PRINT.

  Name ___________________________________ Date__________                       Region ( if known)

  Name of Organization (if applicable)__________________________________________________
     1                                              (Please spell out entire name, i.e., no acronyms)
  Mailing Address _______________________________________________________________

  City _____________________________________ State____________ Zip ______________

  Voice ___________________ TTY _____________________ Fax ______________________

  E-Mail Address _____________________________ Web Site ___________________________
             1

MEMBERSHIP TYPE: Please choose your membership type
     INDIVIDUAL ($35.00)                 ORGANIZATION                 YOUTH RATE $10.00 (Age 14-22)

MATERIALS: Please indicate the ONE format that you want to receive all NCIL material.
        E-Mail                              Standard Print                    Braille
        Disk (Text format)                  Large Print                       Tape

ORGANIZATIONAL DUES

                                                  Make your mark and join a NCIL advocacy
                                                  committee now!
   Budget                     Dues
                                                  ______Civil Rights              _____ Education
<300,000                     $286.00              ______Technology                _____ Transportation
300,001- 600,000             $572.00              ______Health Care/PASS          _____ Employment
600,001 – 900,000            $1,144.00            ______Housing
900,001 – 2,000,000          $1,716.00
2,000,001 – 5,000,000
                                                              NCIL HAS MOVED!
                             $2,860.00
>5,000,000                   $5,720.00
                                                Effective 12/1/2005 PLEASE MAIL COMPLETED APPLICATIONS TO:
                                                             1710 Rhode Island Avenue, NW
                                                                      Fifth Floor
                                                                Washington, D.C. 20036
    Coverage can be provided for sexual harassment,                   Defense costs outside the limits of liability may be
     wrongful termination, and discrimination claim                     provided
    True entity coverage recognizing that the organization            Flexibility in the claims handling enables the insured to
     may be the only defendant named in a lawsuit                       choose the most efficient means to handle the claim.
    Policy provides coverage for defense costs up to $25,000          Coverage may be provided to address actual or alleged
     for any actual or alleged breach of contract agreements            personal injury, mental anguish, and emotional distress
     other then breach of employment contract claims                   Coverage may be provided for outside directorship of any
    Per diem payments for expenses incurred as coverage can            other non-profit entity
     be provided for sexual harassment, wrongful termination,          Loss Control Assistance Hotline for program members
     and discrimination claim                                          Competitively Priced
    Spousal Coverage                                                  Fiduciary liability
    Workplace violence maybe included                                 Internet Liability may be include
    Key Individual Replacement Coverage where available



               COMPREHENSIVE PROPERTY & CASUALTY INSURANCE
  Liability:                                                           Property:
       Comprehensive General Liability                                    Special Form on Building and Contents
       Premise Liability, Personal Injury Liability                       Property Enhancement Endorsement, including:
       Abuse and Molestation Coverage available                               Property of Other, Accounts Receivable,
       Employee Benefits Liability                                            Valuable Papers, EPD Equipment, Property OFF
       Coverage for Special Events available                                  Premises, Reward Reimbursement, and Personal
       Social Workers Professional Liability                                  Effects
       Umbrella Liability – LIP to $10,000,000 limits                     Business Income/Extra Expense
                                                                           Replacement Cost or actual cash value
  Crime and Fidelity:
      Employee Dishonesty – Form A (Blanket Fidelity) +               Automobile:
         Forgery                                                           Liability and Physical Damage
      Theft, Dishonesty, and Destruction – Inside/Outside                 Hired and Non-Owned Automobile Exposures
         Premises                                                          Owned Automobile




                Group Life Insurance Plan
                                                                           Group Long-Term Disability Plan Highlights
                       Highlights
                                                                               Three-Month & Six-Month Waiting Period
        Option of either a flat $15,000 plan or 100% of annual                 Options Before Commencement of Benefits.
         salary plan.                                                          Benefits are payable to a participant who is
        Includes a 35% reduction at age 65 and an additional                   unable to perform the duties of his/her
         25% reduction at age 70.                                               occupation for the first two years, and thereafter
        Basic benefit for annual salary plan is up to $50,000.                 duties of any occupation for which the
        A payment equal to either 50% or 100% of the basic                     participant with the disability has education,
         benefit will, depending on the extent of the injury, be                training or experience.
         made to participants who suffer a severe impairment.                  Schedule of benefits is 60% of covered payroll,
         A payment equal to 100% of the basic benefit will be                   less any SSDI, Worker’s Comp or any other
         added to the amount paid because of accidental death.                  plan.
        Monthly rate per $1,000 of coverage is $0.35 for the                  Minimum benefit is $50 per month; maximum
         annual salary plan and $0.38 for the flat payment plan.                benefit is $5,000 per month.
                                                                               Cost for $100 covered payroll is $0.45 with a
                                                                                six-month wait period, and $0.55 with a three-
                                                                                month waiting period.



*Note: This is a general overview. Please read your policy carefully and call BABB with any questions pertaining to coverage.
For more information, please contact Lori Clements, Leon Williams, or Dan Gass at BABB, Inc. 800/245-6102 or
lic@babbins.com

				
DOCUMENT INFO
Categories:
Tags:
Stats:
views:3
posted:5/27/2012
language:English
pages:5