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USPS Reports Guide
USPS Reports by Number

Report 575 ERS Retiree/FMLA Report

This report lists all retirees and employees on FMLA on ERS Online for whom an agency is contributing toward insurance. This report is run by USPS Production Support after the file is received from ERS. This report updates the HNKBA – "RPT 575 LAST PRCSD ON" field with the date that this report was last run.

Report Criteria

Category Benefits Administration
Distribution Agency
Frequency Monthly
Form 111
Sort Sequence Fund Number, Employee Number
Page Break  
Parameters  
Databases Used  
Selection Criteria Lists retirees and employees on FMLA reported from ERS Online.
Produce Output? Yes
Request Screen Not requestable by agencies.
Posting Report? No
Additional Notes Set up on H0XCR is not required for this report to run.

Report Headings

BILLING PERIOD BEGIN DATE
Displays the beginning date of the billing period.
EMP SSN
Displays the retiree's SSN.
EMPLOYEE NAME
Displays the employee/retiree's name.
FUND NO
Displays the fund number reported for the employee/retiree's fund.
STATE CONTRIBUTION
Displays the state's contribution for the employee/retiree's insurance, including the Basic Life premium.
SKIP CONTRIBUTION
Displays the state's contribution for SKIP for the employee/retiree's insurance.
RETIREE/FMLA
Displays if the person is a retiree or an employee on FMLA.
FUND TOTAL
Displays the total contribution for the FUND NO.

Sample Report

    REPORT:   575                             UNIFORM STATEWIDE PAYROLL/PERSONNEL SYSTEM                             PAGE:     1    
    AGENCY:   XXX                                 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                              RUN DATE: XX/XX/20XX
                                                       ERS RETIREES/FMLA REPORT                                  RUN TIME: 23:02:02 
                                                 BILLING PERIOD BEGIN DATE 07/01/20XX                                               
 EMP SSN       EMPLOYEE NAME                 FUND NO   STATE CONTRIB   SKIP CONTRIB     RETIREE/FMLA                                
 -------       -------------                 -------   -------------   ------------     ------------                                
                                                                                                                                    
 XXXXXXXXX     XXXXX, XXXXXXXXX X                             586.39           0.00       FMLA                                      
 XXXXXXXXX     XXXXXXX, XXXXXXXX X                            415.02          89.74       FMLA                                      
 XXXXXXXXX     XXXXX, XXXXXXXXX X                             471.65           0.00       FMLA                                      
 XXXXXXXXX     XXXXXXXX, XXXXX X                              415.02           0.00       FMLA                                      
                                                       -------------   ------------                                                 
   *****FUND TOTAL*****                                      1888.08          89.74                                                 
                                                                                                                                    
 XXXXXXXXX     XXXXXXXX, XXXXXX X             0222            300.27           0.00       RETIREE                                   
 XXXXXXXXX     XXXXXXX, XXXXX X               0222            300.27           0.00       RETIREE                                   
 XXXXXXXXX     XXXXXXXXXXX, XXXX X            0222            300.27           0.00       RETIREE                                   
 XXXXXXXXX     XXXX, XXXXX X                  0222              0.00           0.00       RETIREE                                   
 XXXXXXXXX     XXXXX, XXXX X                  0222            300.27           0.00       RETIREE                                   
 XXXXXXXXX     XXXXXX, XXXXXXX X              0222            300.27           0.00       RETIREE                                   
                                                       -------------   ------------                                                 
   *****FUND TOTAL*****                                      1501.35           0.00