"With respect to the reporting standards for defined benefit retirement plans or systems contained in Section 112.664(1), F.S., the actuarial disclosures required under this section were 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, meet the requirements of Section 112.664(1), F.S., and Section 60T-1.0035, F.A.C."
Signature
Name
Enrollment Number
Date
Cover letter attached
Electronic Reporting Format - Must be submitted as a semi-colon delimited file in the following layout: | |||
Reference | Field Name | Field Value | Field Layout Variable length with the maximum number of characters (v#) or Fixed Length with the number of characters (f#) (Negative values indicated with dashes) |
(a) | City/District | v25 | |
(b) | Plan Name | v50 | |
(c) | Plan Type | v25 | |
(d) | Valuation Date | f8 using MMDDYYYY format | |
(e) | Interest Rate: | ||
(e)(1) | Discount Rate, net of investment fees | v5 using xx.xx format | |
(e)(2) | Long-Term Expected Rate of Return, net of investment fees | v5 using xx.xx format | |
(f) | Certification Statement | ||
(f)(1) | Signature | Y / N | f1 |
(f)(2) | Actuary's Name | v50 | |
(f)(3) | Enrollment Number | v10 | |
(f)(4) | Signature Date | f8 using MMDDYYYY format | |
(f)(5) | Cover letter attached (pdf)? | Y / N | f1 |
Section 112.664(1)(a), F.S. | (descriptive separator, not part of the electronic file) | ||
(g) | Total pension liability: | Place responses in paragraphs (g)(1)-(10) | Leave blank |
(g)(1) | Service cost | $_______________ | v20 rounded to the nearest whole dollar, exclude "$" in beginning of field and exclude commas; example 12313445 |
(g)(2) | Interest | $_______________ | Use paragraph (g)(1) field layout |
(g)(3) | Benefit changes | $_______________ | Use paragraph (g)(1) field layout |
(g)(4) | Difference between expected and actual experience | $_______________ | Use paragraph (g)(1) field layout |
(g)(5) | Changes in assumptions | $_______________ | Use paragraph (g)(1) field layout |
(g)(6) | Benefit payments | $_______________ | Use paragraph (g)(1) field layout |
(g)(7) | Contribution refunds | $_______________ | Use paragraph (g)(1) field layout |
(g)(8) | Net change in total pension liability | $_______________ | Use paragraph (g)(1) field layout |
(g)(9) | Total pension liability - beginning of year | $_______________ | Use paragraph (g)(1) field layout |
(g)(10) | Total pension liability - ending of year | $_______________ | Use paragraph (g)(1) field layout |
(h) | Plan fiduciary net position: | Place responses in paragraphs (h)(1)-(11) | Leave blank |
(h)(1) | Contributions - Employer | $_______________ | Use paragraph (g)(1) field layout |
(h)(2) | Contributions - State | $_______________ | Use paragraph (g)(1) field layout |
(h)(3) | Contributions - Member | $_______________ | Use paragraph (g)(1) field layout |
(h)(4) | Net investment income | $_______________ | Use paragraph (g)(1) field layout |
(h)(5) | Benefit payments | $_______________ | Use paragraph (g)(1) field layout |
(h)(6) | Contributions refunds | $_______________ | Use paragraph (g)(1) field layout |
(h)(7) | Administrative expense | $_______________ | Use paragraph (g)(1) field layout |
(h)(8) | Other | $_______________ | Use paragraph (g)(1) field layout |
(h)(9) | Net change in plan fiduciary net position | $_______________ | Use paragraph (g)(1) field layout |
(h)(10) | Plan fiduciary net position - beginning of year | $_______________ | Use paragraph (g)(1) field layout |
(h)(11) | Plan fiduciary net position - ending of year | $_______________ | Use paragraph (g)(1) field layout |
(i) | Net pension liability/(asset) [paragraph (g)(10) minus (h)(11)] | $_______________ | Use paragraph (g)(1) field layout |
Section 112.664(1)(b), F.S. | (descriptive separator, not part of the electronic file) | ||
(j) | Total pension liability: | Place responses in paragraphs (j)(1)-(10) | Leave blank |
(j)(1) | Service cost | $______________ | Use paragraph (g)(1) field layout |
(j)(2) | Interest | $______________ | Use paragraph (g)(1) field layout |
(j)(3) | Benefit changes | $______________ | Use paragraph (g)(1) field layout |
(j)(4) | Difference between expected and actual experience | $______________ | Use paragraph (g)(1) field layout |
(j)(5) | Changes in assumptions | $______________ | Use paragraph (g)(1) field layout |
(j)(6) | Benefit payments | $______________ | Use paragraph (g)(1) field layout |
(j)(7) | Contribution refunds | $______________ | Use paragraph (g)(1) field layout |
(j)(8) | Net change in total pension liability | $______________ | Use paragraph (g)(1) field layout |
(j)(9) | Total pension liability - beginning of year | $______________ | Use paragraph (g)(1) field layout |
(j)(10) | Total pension liability - ending of year | $______________ | Use paragraph (g)(1) field layout |
(k) | Plan fiduciary net position: | Place responses in paragraphs (k)(1)-(11) | Leave blank |
(k)(1) | Contributions - Employer | $______________ | Use paragraph(g)(1) field layout |
(k)(2) | Contributions - State | $______________ | Use paragraph (g)(1) field layout |
(k)(3) | Contributions - Member | $______________ | Use paragraph (g)(1) field layout |
(k)(4) | Net investment income | $______________ | Use paragraph (g)(1) field layout |
(k)(5) | Benefit payments | $______________ | Use paragraph (g)(1) field layout |
(k)(6) | Contributions refunds | $______________ | Use paragraph (g)(1) field layout |
(k)(7) | Administrative expense | $______________ | Use paragraph (g)(1) field layout |
(k)(8) | Other | $______________ | Use paragraph (g)(1) field layout |
(k)(9) | Net change in plan fiduciary net position | $______________ | Use paragraph (g)(1) field layout |
(k)(10) | Plan fiduciary net position - beginning of year | $______________ | Use paragraph (g)(1) field layout |
(k)(11) | Plan fiduciary net position - ending of year | $______________ | Use paragraph (g)(1) field layout |
(l) | Net pension liability/(asset) [paragraph (j)(10) minus (k)(11)] | $______________ | Use paragraph (g)(1) field layout |
Section 112.664(1)(c), F.S. (on last valuation basis) | (descriptive separator, not part of the electronic file) | ||
(m) | Number of Years, and fractional parts of Years, for which the Market Value of Assets are adequate to sustain expected retirement benefits | v6 using xxx.xx format | |
Section 112.664(1)(c), F.S. (on Section 112.664(1)(a), F.S. basis) | (descriptive separator, not part of the electronic file) | ||
(n) | Number of Years, and fractional parts of Years, for which the Market Value of Assets are adequate to sustain expected retirement benefits | v6 using xxx.xx format | |
Section 112.664(1)(c), F.S. (on Section 112.664(1)(b), F.S. basis) | (descriptive separator, not part of the electronic file) | ||
(o) | Number of Years, and fractional parts of Years, for which the Market Value of Assets are adequate to sustain expected retirement benefits | v6 using xxx.xx format | |
Section 112.664(1)(d), F.S. (on last valuation basis) | (descriptive separator, not part of the electronic file) | ||
(p) | Recommended Plan contributions in Annual Dollar Value | $______________ | Use (g)(1) field layout |
(q) | Recommended Plan contributions as a Percentage of Valuation Payroll | v6 using xxx.xx format | |
Section 112.664(1)(d), F.S. (on Section 112.664(1)(a), F.S. basis) | (descriptive separator, not part of the electronic file) | ||
(r) | Recommended Plan contributions in Annual Dollar Value | $______________ | Use paragraph (g)(1) field layout |
(s) | Recommended Plan contributions as a Percentage of Valuation Payroll | v6 using xxx.xx format | |
Section 112.664(1)(d), F.S. (on Section 112.664(1)(b), F.S. basis) | (descriptive separator, not part of the electronic file) | ||
(t) | Recommended Plan contributions in Annual Dollar Value | $______________ | Use paragraph (g)(1) field layout |
(u) | Recommended Plan contributions as a Percentage of Valuation Payroll | v6 using xxx.xx format |
1. | Total pension liability: | |
a. | Service cost | $________________ |
b. | Interest | $________________ |
c. | Benefit changes | $________________ |
d. | Difference between expected and actual experience | $________________ |
e. | Changes in assumptions | $________________ |
f. | Benefit payments | $________________ |
g. | Contribution refunds | $________________ |
h. | Net change in total pension liability | $________________ |
i. | Total pension liability - beginning | $________________ |
j. | Total pension liability - ending | $________________ |
2. | Plan fiduciary net position: | |
a. | Contributions - Employer | $________________ |
b. | Contributions - State | $________________ |
c. | Contributions - Member | $________________ |
d. | Net investment income | $________________ |
e. | Benefit payments | $________________ |
f. | Contributions refunds | $________________ |
g. | Administrative expense | $________________ |
h. | Other | $________________ |
i. | Net change in plan fiduciary net position | $________________ |
j. | Plan fiduciary net position - beginning | $________________ |
k. | Plan fiduciary net position - ending | $________________ |
3. | Net pension liability/(asset) [subp-subparagraph (3)(a)1.j. minus (3)(a)2.k.] | $________________ |
1. | Total pension liability: | ||
a. | Service cost | $________________ | |
b. | Interest | $________________ | |
c. | Benefit changes | $________________ | |
d. | Difference between expected and actual experience | $________________ | |
e. | Changes in assumptions | $________________ | |
f. | Benefit payments | $________________ | |
g. | Contribution refunds | $________________ | |
h. | Net change in total pension liability | $________________ | |
i. | Total pension liability - beginning | $________________ | |
j. | Total pension liability - ending | $________________ | |
2. | Plan fiduciary net position: | ||
a. | Contributions - Employer | $________________ | |
b. | Contributions - State | $________________ | |
c. | Contributions - Member | $________________ | |
d. | Net investment income | $________________ | |
e. | Benefit payments | $________________ | |
f. | Contributions refunds | $________________ | |
g. | Administrative expense | $________________ | |
h. | Other | $________________ | |
i. | Net change in plan fiduciary net position | $________________ | |
j. | Plan fiduciary net position - beginning | $________________ | |
k. | Plan fiduciary net position - ending | $________________ | |
3. | Net pension liability/(asset) | [sub-subpararaphs (3)(b)1.j. - (3)(b)2.k.] | $________________ |
Add: Month/Year Market value of assets Investment return Subtract: Projected benefit payments.
Fla. Admin. Code Ann. R. 60T-1.0035
Rulemaking Authority 112.665 FS. Law Implemented 112.664 FS.
New 4-29-15.