2021 Universal Availability Survey

Please complete the survey below to properly document your organization has satisfactorily met the IRS requirements to notify all eligible employees of their ability to participate in the 403(b) Plan (and, if applicable the 457(b) Plan) for 2021, please carefully read through the survey questions and use them as a guide for distribution of the 2021 Eligibility and Limits Announcement to employees.

Please feel free to call CCC at 503-968-8961 or toll free at 877-222-3090 if you have questions regarding the announcement or this questionaire.

(Please note: if your organization's name is followed by a * in the dropdown list below, CCC has not received a response for last year's survey. If your organization has yet to do so, please complete the 2020 Universal Availability Survey in addition to the questionnaire below.)

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* 1. Choose your employer from this drop-down list:

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* 2. What is your name?

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* 3. Are any employees ineligible to make 403(b) TSA elective deferrals under your plan?

(Note: Eligibility rules and any exclusions to eligibility appear in the 403(b) Plan Document and are explained in the 2021
Universal Availability Notice provided by CCC. For the vast majority of CCC clients, all employees are eligible to participate in the plan.)

No, all employees who receive paychecks for services rendered are eligible to make 403(b) elective deferrals.

Yes, explanation of exclusions:

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* 4. CCC made available for download draft Eligibility and Limits Announcements in email messages in November 2020 with subject “CCC CLIENT ACTION REQUIREMENT: 2021 Announcement - Eligibility and Limits.” Was a version of this announcement distributed to your employees?

Yes, a version of the 2021 Eligibility and Limits Announcement was distributed.

No, please exit the Survey and return after Announcement has been distributed.

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* 5. Please indicate all distribution methods used to distribute the announcement (use of multiple methods recommended):

Email (if certain employees do not use email as a part of their job, additional methods are required)

Employee Handbook

New Hire Packet

Paycheck Stub Envelope Stuffers (anyone not paid during the month of distribution must be contacted using another method)

Office Mail Boxes

USPS Mail

Substitute Communication

Worksite Handouts

Orientation materials

Notice posted on District website

Public posting in work areas/Bulletin Board

Other (please explain)

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* 6. Please check all of the following employee categories to which announcements were distributed (note: for most CCC clients all employees should receive the announcement per the rules in your 403(b) Plan Document and will also appear on your 2021 Announcement):

Administrators

Administrative Support Staff (Classified)

Teachers (Certified)

Substitute Teachers

Part-Time Staff

Coaches

Nutritional Staff

Transportation Staff (Bus Drivers)

Information Technology (IT) Staff

Teaching Assistants

On-Site Health Professionals

Please explain why any unchecked employee categories were excluded. Examples might be:
• Substitute Teachers are employed by the district’s ESD, not by the district;
• Bus Drivers are contract workers, not district employees; or
• We don't employ Teacher Assistants.

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* 7. Was the announcement distributed to ALL employees of ALL employee groups using the same distribution method(s)?

Yes, the same distribution method was used for all employees in all employee groups.

No, different distribution methods were used for different employee groups.

It no, please provide further information.

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* 8. On what date or dates (up to three) were the announcements distributed?

First date

Date

Second date, if any

Date

Third date, if any

Date

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* 9. Please check all of the following approaches that are being utilized to supplement the initial distribution of the written announcements for 2021 and make sure all eligible employees are notified:

Included in New Employee Packets (this is important to inform new hires of their eligibility for the 403(b) Plan)

Included in Benefits Handbooks (strongly recommended)

Included in Substitute Teacher Sign-up Materials (strongly recommended)

Presented on the Employer’s Website

Discussed in New Employee Orientation Video

Posted to Bulletin Boards in Work Areas

Other (please specify)

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* 10. If the employer's website includes pages that provide information about the 403(b) plan and the 457(b) plan (if applicable), please provide web addresses (URLs) for up to four such pages below:

First URL:

Second URL:

Third URL:

Fourth URL:

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* 11. Was the draft announcement provided by CCC distributed with no edits?

Yes, the draft announcement was distributed with no edits.

No, the draft announcement was edited before distribution. (If an edited version was circulated, please upload a copy to the CCC website here: www.ncompliance.com/upload.aspx (Please include the comment "2020 UA Notice" and your employer's name.)