9-Exhibit D - Fiduciary.pdf

This document is a Fiduciary Liability Coverage Application from Travelers Casualty and Surety Company of America for Gregg County, Texas, submitted as a Designated Benefit Plan insurance application. The application is for a Claims-Made policy with a proposed effective date of 10/29/2025, specifically for a Governmental Plan covering government employees. The applicant, Gregg County, was established in 1873 and is seeking fiduciary liability coverage with a $1,000,000 limit of liability and $0.00 retention. The application includes details about the county's current insurance program, with the existing fiduciary liability coverage set to expire on 10/29/25 and an expiring premium of $5,522.00.

The application provides additional context about Gregg County's self-insurance plan, which currently has 483 participants and a latest FYE annual contribution of $7,376,544. The county has engaged several professional service firms, including Patillo, Brown & Hill (CPA), Flowers Davis PLLC (Attorney), Hause Monnin Consulting (Actuary), and has not changed outside auditors in the last 12 months. The application indicates that the trust or plan is periodically reviewed to ensure compliance with ERISA regulations, and there are no known investigations, tax issues, or pending legal actions that would impact the coverage. The document requires submission of various supporting documents, including financial statements, ERISA plan information, and a schedule of trust and plan trustees.