Scheme certificate

Unique identifier

Name of scheme [insert name]

Are you certifying a section/part of a scheme: Yes/No

If yes give details:

Name and Address of employer(s): [insert employer name] [insert employer address]

Effective Date of certificate: [insert date]

Certification period: [insert]

If the certification period is changed at any time, give below the new date of expiry and

brief reasons for the change

Type of scheme that the certificate covers (one certificate for each scheme): the certificate relates to
A personal pension scheme
A stakeholder pension scheme
An occupational money purchase scheme

Does the certificate cover all jobholders who are active members: Yes/No

If “no” please print off a list of those members including details such as names, grade, job, pay band etc of those covered by certificate and attach to the certificate.

Have you excluded any jobholders because they are receiving contributions of at least the minimum required by law: Yes/No

If “yes”, please print off a list of those membersand attach to the certificate.

Have you excluded any jobholders because they have chosen to pay contributions below the qualifying level? Yes/No

If “yes”, please print off a list of those membersand attach to the certificate.

Does the scheme operate a contribution or earnings cap yes/no.

If yes please give details

Relevant Quality Requirement:

I pay pension contributions on pensionable pay from £1 of earnings and my scheme provides for contributions for each jobholder at least equivalent to:

From staging date to 5 April 2018a 3% contribution of basic pay (inclusive of at least a 2% employer contribution)
From 6 April 2018 to 5 April 2019a 6% contribution of basic pay (inclusive of at least a 3% employer contribution of
From 6 April 2019 a 9% contribution of basic pay (inclusive of at least a 4% employer contribution);

Please confirm the jobholders to which this tier applies - name and role (eg job, grade, pay band etc) .

From staging date to 5 April 2018 a 2% contribution of basic pay (inclusive of at least a 1% employer contribution) and basic pay constitutes at least 85% of total pay for all jobholders collectively.
From 6 April 2018 to 5 April 2019 a 5% contribution of basic pay (inclusive of at least a 2% employer contribution) and basic pay constitutes at least 85% of total pay for all jobholders collectively.
From 6 April 2019 an 8% contribution on basic pay (inclusive of at least a 3% employer contribution) and basic pay constitutes at least 85% of total pay for all jobholders collectively.

Please confirm the jobholders to which this tier applies - name and role (eg job, grade, pay band etc) .

From staging date to 5 April 2018a 2% contribution of total pay (inclusive of at least a 1% employer contribution)
From 6 April 2018 to 5 April 2019a 5% contribution of total pay (inclusive of at least a 2% employer contribution)
From 6 April 2019 a 7% contribution of total pay (with at least a 3% employer contribution), and all pay is pensionable.

Please confirm the jobholders to which this tier applies - name and role (eg job, grade, pay band etc) .
If you are certifying that your scheme provides for a contribution equivalent to 8% of qualifying earnings:

an 8% contribution of qualifying earnings (inclusive of at least a 3% employer contribution)
First transitional period a 2% contribution of qualifying earnings inclusive of at least a 1% employer contribution).
Second transitional period a 5% contribution of qualifying earnings inclusive of at least a 2% employer contribution).

Satisfaction of the relevant quality requirement:

I certify that, in my opinion, the above scheme is able to satisfy the quality requirement in sections 20, 26 or 24 the Act/at least one of the alternative quality requirements set out in section 28 of the Pensions Act 2008 and Part 7A of the Occupational and Personal Pension Schemes (Automatic Enrolment Regulations 2010) throughout the certification period in relation to the relevant jobholders that I employ and who are active members of the scheme.

In giving this certificate, I confirm that I have complied with the requirements contained in the relevant legislation and have had regard to the position of the relevant jobholders who are active members of the scheme on the effective date of the certificate and the current Guidance on Certification issued by the Secretary of State for Work and Pensions under section 28(6)(d) of the Pensions Act 2008.

Signature of employer/person authorised by employer:

Name:

Position:

Date:

Notes

Basic pay is

Eligible worker

Qualifying pay