Section 1
Employer Number: Enter the Employer number assigned to you by MEBP. It is used for identification purposes.
Employer Name: Enter the Name of Employer Record your employer number and name at the top of the form.
Contributions deducted for the month of: Record the month and year for which the contributions were deducted.
Due Date: Record the Due Date for this remittance (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)
Section 2 – 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.
Section 3 – Insurance Contributions
(if applicable) Do not include any prior period adjustments in this section
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.
Section 4 - Additional Contributions & Payments
Interest Charged for Late Remittance: If you received 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.
* refer to Note on the next page
Section 5 - Adjustments
Use this section to report adjustments to prior period remittances,
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. The on-line fillable form will automatically Total the adjustments for you. If an explanation of the adjustment(s) is required, attach a note to the remittance report.
Section 6 – Grand Total
The Grand Total includes the contribution totals, retail sales tax, additional contributions and payments, and any adjustments. This total must be equal to the cheque amount.
Section 7 – Contact Information
Complete the contact information and date the form. Please review the information on the form carefully before printing and sending to MEBP.
The REMITTANCE REPORT and a cheque made payable to the Manitoba Municipal Employees Clearing Account, are to be sent to the MEBP Administration office.
*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.