Many with experience-rated benefits or a trust filing are unsure how the Summary Annual Report (SAR) totals are calculated. The Code of Federal Regulations (eCFR) mandate provisions for the SAR provide the formulas. The key details to clarify are listed below.
Scroll to the bottom to see Table 1:
Experience-Rated
Because it is a so- called âexperience-ratedâ contract(s), the premium costs are affected by, among other things, the number and size of claims. Of the total insurance premiums paid for the plan year ending (date), the premiums paid under such âexperience-ratedâ contract(s) were ($) [All Schs. A-9a (1)] and the total of all benefit claims paid under the(se) experience-rated contract(s) during the plan year was ($). [All Schs. A-9b (4)]


Side note:
Do some carriers provide the data for experience rating even if the contract is not set up that way? If yes, how does Wrangle handle the 5500?
- Yes, some carriers do provide extra data. For the liability of the data to remain with the carrier, the data is to be reported as the carrier provides it.
- If Wrangle receives confirmation from the carrier that, even though additional data points were provided and the contract is not experience- rated, Wrangle will only list the premium amount under 10a (data point for non- experience rated) on Schedule A.
Trust:Â
Basic financial statement
The value of plan assets, after subtracting liabilities of the plan, was ($) [Sch. H-1l [Col. (b)] as of (the end of the plan year), compared to ($) [Sch. H-1l [Col. (a)] as of (the beginning of the plan year). During the plan year, the plan experienced an (increase) (decrease) in its net assets of [Sch. HâSubtract 1l [Col. (a)] from 1l [Col. (b)]]
($). This (increase) (decrease) includes unrealized appreciation and depreciation in the value of plan assets; that is, the difference between the value of the plan’s assets at the end of the year and the value of the assets at the beginning of the year or the cost of assets acquired during the year. During the plan year, the plan had a total income of ($) [Sch. H-2d], including employer contributions of ($), [Sch. H-2a(1)(A) & 2a (2) if applicable] employee contributions of ($), [Sch. H-2a(1)(B) & 2a (2)] ifapplicable realized (gains) (losses) of ($) [Sch. H-2b(4)(C)] from the sale of assets, and earnings from investments of ($) [Sch. HâSubtract the sum of 2a (3), 2b (4)(C), and 2c from 2d]. Plan expenses were ($) [Sch. H-2j]. These expenses included ($) in administrative expenses, ($) [Sch. H-2i (5)] in benefits paid to participants and beneficiaries, and ($) in other expenses [Sch. HâSubtract the sum of 2e (4) & 2i (5) from 2j.



If you have additional questions, feel free to email  info@wrangle5500.com for further assistance.Â