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2003-2004 Staff Benefits

1. Submit this format during reporting periods 2 and 3. There should be one of these records for each type of benefit the individual receives from the district. For an employee receiving more than one benefit of a certain type, combine the benefits and submit only one record for each benefit type.

2. SELECTED BENEFITS, FREQUENCY: The data reported in this element should indicate the number of times per year the district will contribute the value of the benefit reported. For example, if the value is contributed 26 times per year for the employee, 2600 should be reported in this element.

3. SELECTED BENEFITS, VALUE: The value for the benefit contribution should be reported in this element. For example, if a district contributes $65.00 per period, the value of $65.00 should be reported as 00006500. The amount reported should be the actual value of the benefit and should include only the employer's cost. Do not include any employee contributions.

4. KEY FIELDS: The key fields for this format are item numbers 1, 2, 3, 4, and 5. If a key field needs to be changed, the record must be deleted and re-submitted as an add.

*Field Characteristics

Item No. From-To Size Field Char. Field Description
1 1-2 2 N/R District Number
2 3-12 10 A/N/L Social Security Number
3 13-13 1 N Survey Period Code
4 14-17 4 N Fiscal Year
5 18-18 1 A Selected Benefits, Type
6 19-20 2 A/N Filler
7 21-28 8 N/R Selected Benefits, Value
8 29-29 1 A Transaction Code
9 30-33 4 N/R Selected Benefits, Frequency
10 34-80 47 A/N Filler