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Are You Eligible for the GASB 75 Self-Serve Model?
Please Answer All Questions
Please enter the fiscal year start date for your OPEB valuation.
What postemployment benefits (other than pension) are offered?
Medical/Rx
Medical/Rx/Dental
Medical/Rx/Vision
Medical/Rx/Dental/Vision
None
Are all retirees required to contribute the full premium for OPEB benefits?
Yes
No
Do retirees pay premium rates for their coverage that are NOT age-based?
Yes
No
Are all OPEB benefits fully insured?
Yes
No
Does your entity cover fewer than 100 plan members?
Plan members are defined as all actives eligible for medical
benefits and all retirees receiving medical benefits.
Yes
No
Is the OPEB plan a Defined Benefit Plan or Defined Contribution Plan?
Defined Benefit Plan
– An OPEB plan having terms that specify the benefits to be provided at or after separation from employment.
Defined Contribution
– An OPEB plan having terms that
(a) provide an individual account for each plan member and
(b) specify how contributions to an active plan member’s account are to be determined, rather than the income or other benefits the member or his or her beneficiaries are to receive at or after separation from employment.
Defined Benefit
Defined Contribution
Please identify entity type.
Sole Employer
plans cover current and retired employees of a single employer. Beneficiaries may be covered as well.
Agent Employer
plans consist of two or more sole employer plans joined together.
Sole Employer
Agent Employer
Neither
If you have any questions please contact us at gasbcustomer@gallagherbenefits.com
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Gallagher Benefit Services, Inc. 2009