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Actuarial Valuation under GASB 43/45 <br />Data Request <br />Data format: Preferred delivery by computer CD, disk, or email. <br />Data in Excel spreadsheets is preferred. <br />General List of items needed to perform a GASB 43/45 Actuarial Valuation <br />• Employee/Participant Data <br />• Medical and Dental Claims Costs <br />• Medical and Dental Employee Premium/Contribution information <br />• Employee Group Contracts <br />• Plan Asset information <br />• Retiree Communications or any OPEB communications <br />Specific List of items needed for Employee/Participant Data <br />Active Employees -one row of data per participant, please <br />• Employee ID or Social Security Number <br />• Gender <br />• Date of Birth (MMDDYYYY) <br />• Date of Hire (MMDDYYYY) <br />• Pre-Calculated Service Field <br />• Contract Group <br />• Current Salary <br />- please include the definition of Salary that is being used in the benefits being valued <br />• Current Daily Rate of Pay <br />• Accumulated Unused Sick Leave Days <br />• Health Plan Code <br />• Health Plan Coverage Code (none, single, family) <br />Retired Employees -one row of data per participant. please <br />• Employee ID or Social Security Number <br />• Gender <br />• Date of Birth (MMDDYYYY) <br />Date of Retirement (MMDDYYYY) <br />• Contract Group <br />• Annual Amount of Severance Payment <br />• Remaining Severance Balance <br />• Date of Severance Start (MMDDYYYY) <br />• Date that Severance Ends (MMDDYYYY) <br />• **Separate information will be needed for Medical and Dental below, if both are provided** <br />• Annual City/County Paid Health Benefits, if any <br />• Remaining City/County Paid Health Benefits Balance <br />• Date City/County Paid Benefits Start (MMDDYYYY) <br />• Date City/County Paid Benefits End (MMDDYYYY) <br />• Monthly Retiree Contribution for Health Premiums <br />• Health Plan Code <br />Health Plan Coverage Code (none, single, family) <br />Hildi Incorporated 11 <br />