Cash
Bonds
Stocks
Other (specify)
Disclose the derivation of the actuarial asset value used in determining the annual funding requirement.
Statement by Enrolled Actuary "This actuarial valuation and/or cost determination was prepared and completed by me or under my direct supervision, and I acknowledge responsibility for the results. To the best of my knowledge, the results are complete and accurate, and in my opinion, the techniques and assumptions used are reasonable and meet the requirements and intent of Part VII, Chapter 112, Florida Statutes. There is no benefit or expense to be provided by the plan and/or paid from the plan's assets for which liabilities or current costs have not been established or otherwise taken into account in the valuation. All known events or trends which may require a material increase in plan costs or required contribution rates have been taken into account in the valuation."
_____________________ | |
Signature | |
_____________________ | |
Date | |
_____________________ | |
Enrollment Number |
1. | Total unfunded actuarial accrued liability for the immediately prior actuarial valuation date (state date) | $______ |
2. | Plan sponsor normal cost for this plan year | $______ |
3. | Interest accrued on 1. and 2. | $______ |
4. | Plan sponsor contributions for this plan year (including amounts expected to be paid) | $______ |
5. | Interest on 4. | $______ |
6. | Changes due to a. + b. + c. + d | $______ |
a. | assumptions | $______ |
b. | funding method | $______ |
c. | plan amendments | $______ |
d. | actuarial gain/loss | $______ |
7. | Total current unfunded actuarial accrued liability 1. + 2. + 3. - 4. - 5. + 6. | $______ |
Contributions by source
Interest and dividends
Realized gains (losses)
Increase (decrease) in unrealized appreciation, if applicable (net)
Pension payments
Contribution refunds
Expenses
Other receipts (identify)
Other disbursements (identify)
COMPARATIVE SUMMARY OF PRINCIPAL VALUATION RESULTS | |||
(Not a required format - to be used as a guide only) | |||
Actuarial Valuation Prepared as of | |||
1. | Participant Data | Current Date | Prior Date |
Active members | #_________ | #_________ | |
Total annual payroll | $_________ | $_________ | |
Retired members and beneficiaries (other than disabled) | #_________ | #_________ | |
Total annualized benefit | $_________ | $_________ | |
Disabled members receiving benefits | #_________ | #_________ | |
Total annualized benefit | $_________ | $_________ | |
Terminated vested members | #_________ | #_________ | |
Total annualized benefit | $_________ | $_________ | |
2. | Assets | $_________ | $_________ |
Actuarial value of assets | $_________ | $_________ | |
Market value of assets | $_________ | ||
3. | Liabilities | ||
Present value of all future expected benefit payments: | |||
Active members | $_________ | $_________ | |
Retirement benefits | $_________ | $_________ | |
Vesting benefits | $_________ | $_________ | |
Disability benefits | $_________ | $_________ | |
Death benefits | $_________ | $_________ | |
Return of contribution | $_________ | $_________ | |
Total | $_________ | $_________ | |
Terminated vested members | $_________ | $_________ | |
Retired members and beneficiaries: | |||
Retired (other than disabled) and beneficiaries | $_________ | $_________ | |
Disabled members | $_________ | $_________ | |
Total | $_________ | $_________ | |
Total present value of all future expected benefit | $_________ | $_________ | |
Payments | $_________ | $_________ | |
Liabilities due and unpaid | $_________ | $_________ | |
*Actuarial accrued liability | $_________ | $_________ | |
*Unfunded actuarial | |||
*Refers to liabilities not funded by future normal cost contributions. Show amount, date and amortization period at establishment, and current amount of each such liability not amortized | |||
4. | Actuarial present value of accrued benefits (to be determined in accordance with a. and b. below) | ||
Statement of actuarial present value of all accrued benefits | |||
Vested accrued benefits | $_________ | $_________ | |
Inactive members and beneficiaries | $_________ | $_________ | |
Active members (includes nonforfeitable accumulated member contributions in the amount of _____) | $_________ | $_________ | |
Total value of all vested accrued benefits | $_________ | $_________ | |
Non-vested accrued benefits | $_________ | $_________ | |
Total actuarial present value of all accrued benefits | $_________ | $_________ | |
Statement of changes in total actuarial present value of all accrued benefits | $_________ | $_________ | |
Actuarial present value of accrued benefits at beginning of year | $_________ | $_________ | |
Increase (decrease) during year attributable to (where applicable): | |||
Plan amendment | $_________ | $_________ | |
Changes in actuarial assumptions | $_________ | $_________ | |
Increase for interest and probability of payment due to decrease in discount period and benefits accrued | $_________ | $_________ | |
Benefits paid | $_________ | $_________ | |
Other changes (identify and state amount) | $_________ | $_________ | |
Net increase (decrease) | $_________ | $_________ | |
Actuarial present value of accrued benefits at end of year | $_________ | $_________ |
5. | Pension cost (specify applicable funding period) | ||
Normal cost (show cost for each benefit if so calculated and amount for administrative expenses, if applicable) | $_________ | $_______ | |
Payment to amortize unfunded liability | $_________ | $_______ | |
Expected plan sponsor contribution (including normal cost, amortization payment and interest, as applicable) | $_________ | $_______ | |
As % of payroll | __________% | ________% | |
Amount to be contributed by members | $_________ | $_______ | |
As % of payroll | __________% | ________% | |
6. | Past contributions For each plan year since last report: | ||
Required plan sponsor contribution | $_________ | $_________ | |
Required member contribution | $_________ | $_________ | |
Actual contributions made by: | |||
Plan's sponsor | $_________ | $_________ | |
Members | $_________ | $_________ | |
Other (e.g., Chapters 175 or 185, F.S.) | $_________ | $_________ | |
7. | Net actuarial gain (loss) (if applicable) | $_________ | $_________ |
8. | Other disclosures (where applicable) | $_________ | $_________ |
Present value of active member: | |||
Future salaries at attained age | $_________ | $_________ | |
at entry age | $_________ | $_________ | |
Future contributions at attained age | $_________ | $_________ | |
at entry age | $_________ | $_________ | |
Present value of future | $_________ | $_________ | |
contributions from other sources (identify) | $_________ | $_________ | |
Present value of future expected benefit payments for active members at entry age | $_________ | $_________ |
The funding method utilized for the actuarial report and the resulting recommendation for contributions required to fund the retirement plan shall minimally provide a contribution sufficient to meet the normal cost and to amortize the unfunded liability, if any, in accordance with Section 112.64, F.S.
Fla. Admin. Code Ann. R. 60T-1.003
Rulemaking Authority 112.665(1) FS. Law Implemented 112.63 FS.
New 5-6-81, Amended 9-19-83, 8-15-84, Formerly 22D-1.03, Amended 11-14-91, Formerly 22D-1.003, Amended 2-23-95, 7-16-15.