REMITTANCE INFORMATION -
Employer Number: Enter the Employer number assigned to you by MEBP. It is used for identification purposes.
Employer Name: Enter the Name of Employer.
Contributions deducted for the month of: Record the month and year for which the contributions were deducted. This is Mandatory.
Due Date: The Due Date for this remittance will automatically update to the last day of the month following the month in which the contributions were deducted for. e.g. contributions were deducted in March, due date is April 30.
REGULAR CONTRIBUTIONS -
Do not include any prior period adjustments in this section.
Pension Contributions: Enter the employee Pension Plan contributions deducted for this period. Enter the employer Pension Plan contributions deducted for this period. (employee and employer contributions to the pension plan must match) The on-line fillable form will automatically TOTAL the contributions for you.
Disability Contributions*: (if applicable) Enter the employee Disability Income Plan contributions deducted for this period. Enter the employer Disability Income Plan contributions, if any, deducted for this period. The on-line fillable form will automatically TOTAL the contributions for you.
Insurance Contribtuions*: (if applicable)
Basic Life: Enter the employee Basic Life contributions deducted for this period. Enter the employer Basic Life contributions deducted for this period. The on-line fillable form will automatically TOTAL the contributions for you.
Optional Life: Enter the number of employees participating in Optional Life this period. Enter the TOTAL Optional Life contributions deducted for this period.
Family Life: Enter the number of employees participating in Family Life this period. Enter the TOTAL Family Life contributions deducted for this period.
Voluntary AD & D: Enter the number of employees participating in AD&D Employee Only for this period. Enter the number of employees participating in AD&D Family Plan for this period. Enter the TOTAL Voluntary AD& D contributions deducted for this period.
Manitoba Retail Sales Tax on Insurance Contributions: Enter the TOTAL Retail Sales Tax remitted on Insurance Benefits for this period.
This section will automatically Total (A).
ADJUSTMENTS -
Use this section to report adjustments for prior Month/Year ONLY,
DO NOT send revised remittance reports to make adjustments.
Report any adjustments to remittances made in the current year or prior year, in this section. Indicate the period which you are adjusting and complete the appropriate section (pension, disability, insurance). Each adjustment period must be listed separately. If you wish to send an explanation, please attach a note to the remittance report. This section will automatically Total (B).
INTEREST CHARGED FOR LATE REMITTANCE -
If you have received a notice that you are required to pay a penalty for a prior late remittance, enter the period that this penalty applies to. Enter the TOTAL amount of the penalty charged. This section will automaticlaly Total (C).
GRAND TOTAL -
This will include the contribution totals, adjustments, and any late penalty charges (A)+(B)+(C). This must match Cheque or Direct Deposit amount.
PAYMENT INSTRUCTION -
Please review the information on the form carefully before sending to MEBP.
Check off if payment will be submitted via Cheque or Direct Deposit. Remittance Report must accompany Cheque or be emailed in advance of Direct Deposit (EFT).
Direct Depsoit Date or Cheque Number is to be entered along with Contact Person and information.
Contact Name, Phone Number and Date Completed.
*Note : Members on Leave of Absence or Layoff: For Members on leave of absence or layoff who are paying both shares of the required Group Insurance Plan contributions and/or Disability Income Plan contributions, include these payments in the regular and insurance contribution sections, dividing the Members' payment between employee and employer contributions.
Example: Joe is on layoff and has provided his Employer with postdated cheques to cover the full cost of his Basic Life while he is away from work. Joe is required to pay the total required contributions while on layoff.
His bi-weekly payment is $14.00. When Joe is at work 50% of the required contributions are paid by the Employer. The Employer reports this payment on the MEBP Monthly Remittance Report as follows: Basic Life Insurance: Employee Contributions $7.00 Employer Contributions $7.00
IMPORTANT: Please ensure that the information reported on the remittance report is accurate. If the remittance report does not balance to the cheque amount, the MEBP Administration Office will have no choice but to return the payment. If a revised remittance report or payment is not received by the due date, it will be considered to be a late remittance and interest charges will be applied.