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Communications Division

RESOLUTION T-17321

Consumer Programs Branch

July 14, 2011

California LifeLine is composed of the service elements set forth below. All California LifeLine subscribers are entitled to receive every one of the service elements of California LifeLine, and every California LifeLine Service Provider is required to offer all of the service elements of California LifeLine to each of its subscribers. The service elements of California LifeLine are as follows:

Universal LifeLine Telephone Service is composed of the service elements set forth below. All LifeLine customers are entitled to receive every one of the service elements of LifeLine, and every utility is required to offer all of the service elements of LifeLine to each of its LifeLine customers. The service elements of LifeLine are as follows:

*Claimed amounts should be net of the subsidies, if any, which the LifeLine provider expects to receive from the federal Lifeline and Link-up programs.

1 Utilities shall submit the Report and Claim Form ("LifeLine Claim Form) no later than 30 days after the close of the monthly or biannual period for which a claim is made. If the 30th day falls on a weekend or holiday, the LifeLine Claim Form shall be submitted on the next business day. The LifeLine Claim Form must be submitted to the Communications Division. Any LifeLine Claim Forms received after the 30-day deadline will be processed during the next claim period.

2 Utilities have the burden of supporting and justifying any costs they claim. Workpapers should be provided for all claimed costs. Such workpapers, as identified in Paragraph 9 of these instructions, must be unambiguous and show how all claimed items on the Claim Form were derived. ETC carriers should include a copy of Federal Lifeline and Link-up Worksheet (Form 497). To facilitate timely process of the Claim Form, supporting documents should be made available to CD, upon request, within 5 business days. Failure to provide supporting workpapers for all claimed items will constitute reasonable grounds for rejection of such claims.

PROPER ASSESSMENT AND BILLING OF SURCHARGES/SURCREDITS, TAXES, AND FEES

   
         
 

Assess on LifeLine services billed to LifeLine customers

Assess on LifeLine services billed to federal programs

Assess on LifeLine services billed to LifeLine Fund *

Assess on Other Elements

ILEC's Bill & Keep / Rate Case Surcharge / Surcredit

Yes - Paid by Customers

Yes - Paid by LifeLine

Yes - Paid by LifeLine

None

Public Programs Surcharges **

No

No

No

None

PUC User Fee

Yes - Paid by Customers

Yes - Paid by LifeLine

Yes - Paid by LifeLine

ILEC's Bill & Keep/Rate Case Surcharge/Surcredit - Paid by LifeLine

Federal Excise Tax

Yes, except for new service connection charges - Paid by Customers

Yes, except for new service connection charges - Paid by LifeLine

Yes, except for new service connection charges - Paid by LifeLine

EUCL, ILEC's Bill & Keep/Rate Case Surcharge/Surcredit, PUC User Fee, and City & Local Taxes - Paid by LifeLine

911 Tax

No

No

No

None

City & Local Taxes

If LifeLine services are not exempted - Paid by Customers

If LifeLine services are not exempted - Paid by LifeLine

If LifeLine services are not exempted - Paid by LifeLine

None

* LifeLine services billed to the LifeLine Fund include (i) LifeLine connection charges, (ii) LifeLine conversion charges, (iii) discounted monthly rates for local service, and (iv) untimed local calls.

** Public Program Surcharges include California High-Cost Fund-A, California High-Cost Fund-B, California Relay Service and Communications Device Fund, California Teleconnect Fund, and Universal LifeLine Telephone Service.

Carriers should report and bill the LifeLine Fund for items identified as "Paid by LifeLine".

Workpapers for Lost Revenues Reported in Line 1 thru 12 of the Claim Form

(Col A)

(Col B)

(Col C)

(Col D)

(Col E)

(Col F)

(Col G)

(Col H)

(Col I)

(Col J)

For Period _____________________

         

Claim Form Line #

Service Description

ILEC Territory

ILEC's Tariffed Rate Charge

Lower of Utility or ILEC's Rate

Quantity

Total Expected Revenue

Amount Billed to LifeLine Customers

Amount Billed to Federal USF

Amount Billed to Fund

                   

1

Connection Charges

               
 

True-up*

               
 

TOTAL LINE 1

               

2

Conversion Charges

               
 

True-up*

               
 

TOTAL LINE 2

               

3

(Measured Service)

               
 

True-up*

               
 

TOTAL LINE 3

               

4

Untimed Calls

               
 

True-up*

               
 

TOTAL LINE 4

               

5

Flat Rate Charges

               
 

True-up*

               
 

TOTAL LINE 5

               

6

EUCL Charge

               
 

True-up*

               
 

TOTAL LINE 6

               

7

Connection Charges (Disabled 1st & 2nd)

               
 

True-up*

               
 

TOTAL LINE 7

               

8

Conversion Charges (Disabled 1st & 2nd)

               
 

True-up*

               
 

TOTAL LINE 8

               

9

Measured Services (Dis 1st & 2nd)

               
 

True-up*

               
 

TOTAL LINE 9

               

10

Measured Services (Dis 1st & 2nd)

               
 

True-up*

               
 

TOTAL LINE 10

               

11

Flat Rate Svcs (Dis 1st & 2nd)

               
 

True-up*

               
 

TOTAL LINE 11

               

12

EUCL Charge

               
 

(Dis 1st & 2nd)

               
 

True-up*

               
 

TOTAL LINE 12

               
 

               
 

GRAND TOTAL

               

Workpapers for Lost Revenues Reported in Lines 16-22 and 26-30 of the Claim Form

 

(Col A)

(Col B)

(Col C)

(Col D)

(Col E)

(Col F)

Row 1

Claim Form Line #

Cost Description

Direct Labor

Direct Material

Equipment or Depreciation Expense

Overhead Indirect or Shared Costs

 

 

 

 

 

 

 

Workpapers for the recovery of bad debt costs in Line 23 of the Claim Form

 

(Col A)

(Col B)

(Col C)

(Col D)

(Col E)

(Col F)

(Col G)

(Col H)

(Col I)

Row 1

Claim Form Line #

Customer Info (Name, Tel. #, Address)

CertA Approval Date

Customer LifeLine Balance owed

Customer Service Disconnect Date

Bad Debts claim based on the lowest amount using either method below

Repayment of Previously Claimed Bad Debts

LifeLine Bad Debt billed or credit to Fund

Amount of Deposit

Actual Unpaid LifeLine charges

                   

PROPER ASSESSMENT AND BILLING OF SURCHARGES/SURCREDITS, TAXES, AND FEES

   
         
 

Assess on LifeLine services billed to LifeLine subscribers

Assess on LifeLine services billed to federal programs

Assess on LifeLine services billed to LifeLine Fund *

Assess on Other Elements

ILEC's Bill & Keep / Rate Case Surcharge / Surcredit

Yes - Paid by Subscriber

Yes - Paid by LifeLine

Yes - Paid by LifeLine

None

Public Programs Surcharges **

No

No

No

None

Federal Excise Tax

Yes, except for new service connection charges - Paid by Subscriber

Yes, except for new service connection charges - Paid by LifeLine

Yes, except for new service connection charges - Paid by LifeLine

EUCL, ILEC's Bill & Keep/Rate Case Surcharge/Surcredit, PUC User Fee, and City & Local Taxes - Paid by LifeLine

911 Tax

No

No

No

None

City & Local Taxes

If LifeLine services are not exempted - Paid by Subscriber

If LifeLine services are not exempted - Paid by LifeLine

If LifeLine services are not exempted - Paid by LifeLine

None

* California LifeLine services billed to the California LifeLine Fund include (i) California LifeLine Service Connection Charges, (ii) California LifeLine Service Conversion Charges, (iii) discounted monthly rates for local service, and (iv) untimed local calls.

** Public Program Surcharges include California High-Cost Fund-A, California High-Cost Fund-B, California Relay Service and Communications Device Fund, California Teleconnect Fund, the California Advanced Services Fund, and Universal LifeLine Telephone Service.

California LifeLine Service Providers should report and bill the California LifeLine Fund for items identified as "Paid by California LifeLine".

Reimbursement for 1st LifeLine line (Figures shown to demonstrate calculation methodology only)

(Col A)

(Col B)

(Col C)

(Col D)

(Col E)

(Col F)

(Col G)

(Col H)

(Col I)

(Col J)

Type of Service

Regular Basic Service Rate

Rate Group

Lifeline Rate*

Federal Tiers 2 & 3

Lost Revenue (Col B-D-E)

Maximum SSA - $11.50

Amount of SSA Eligilble for Reimbursement (Lesser of Col F or G)

EAS Additional Support - If Lost Revenue is greater than Max SSA (Col F-G)

Total State Reimburse-ment Amount (Col H+I)

Flat

$19.95

1

$6.84

$3.50

$9.61

$11.50

$9.61

$0.00

$9.61

Flat

$26.98

15

$10.36

$3.50

$13.12

$11.50

$11.50

$1.62

$13.12

Measured

$12.37

1

$3.66

$3.50

$5.21

$11.50

$5.21

$0.00

$5.21

Measured

$19.40

15

$7.17

$3.50

$8.73

$11.50

$8.73

$0.00

$8.73

SSA Calculation for 2nd Lifeline Line for TTY

(Figures shown to demonstrate calculation methodology only)

     

(Col A)

(Col B)

(Col C)

(Col D)

(Col E)

(Col F)

(Col G)

(Col H)

(Col I)

(Col J)

Type of Service

Regular Basic Service Rate

Rate Group

Lifeline Rate

Federal Tiers 2 & 3*

Lost Revenue (Col B-D-E)

Maximum SSA - $11.50

Amount of SSA Eligible for Reimbursement (Lesser of Col F or G)

EAS Additional Support - If Lost Revenue is greater than Max SSA (Col F-G)

Total State Reimbursement Amount (Col E+H+I)

Flat

$19.95

1

$6.84

$3.50

$9.61

$11.50

$9.61

$0.00

$13.11

Flat

$26.98

15

$10.36

$3.50

$13.12

$11.50

$11.50

$1.62

$16.62

Measured

$12.37

1

$3.66

$3.50

$5.21

$11.50

$5.21

$0.00

$8.71

Measured

$19.40

15

$7.17

$3.50

$8.73

$11.50

$8.73

$0.00

$12.23

                   

Allowable Recovery Untimed Calls

Calls

Count

Rate

Amount

31-40

100,000

$0.10

$10,000.00

41-60

125,000

$0.15

$18,750.00

Total

   

$28,750.00

(Col A)

(Col B)

(Col C)

(Col D)

(Col E)

(Col F)

(Col G)

(Col H)

(Col I)

(Col J)

 
 

         

Claim Form Line #

Service Description

For non-ILEC

(ILEC Service Territory)

ILEC Rate

CLEC Rate

For non-ILEC

(Use the lesser of CLECor ILEC Rate)

Quantity

Total Expected Revenue

(Col D or F x Col G)

Amount Billed to LifeLine Subscribers

($10 x Col G)

Amount Billed to Federal USF (Link-up)

(From Form 497)

Amount Billed to Fund

(Col H - Col G - Col J)

                     

3

Connection Charges

                 

4

Conversion Charges

                 

3.5

Connection Charges (Disabled 2nd Line)

                 

4.5

Conversion Charges (Disabled 2nd Line)

                 

Claim Form Line #

Service Description

Total State Reimbursement Amount

Weighted Average Subscriber Count

Total

(Total State Reimbursement Amount X Weighted Average)

1

Flat Rate

     

1.5

Flat Rate (Disabled 2nd)

     

2

Measured Rate

     

2.5

Measured Rate (Disabled 2nd)

     
         

Claim Form Line #

Service Description

EUCL Rate

Number of Subscribers

Total

(EUCL X No. of Subscribers)

6

(until 12/31/12)

EUCL Charge ( subscriber with 1st Line)

     

6.5

EUCL Charge (Disabled with 2nd Line)

     

Claim Form Line #

Type of Expense

Amount Remitted to Taxing/Surcharge Authority

7

Bill and Keep / Rate Case Surcharge

 
 

Federal Excise Tax

 
 

Local Tax

 
 

Total

 

YES____________ NO___________

1 ILECs consist of AT&T, Verizon, SureWest and Frontier and they collectively represent 1,626,852, or about 91% of the total California LifeLine subscribers as of October, 2010.

2 Traditional carriers and wireless carriers must comply with General Order 96-B industry noticing requirements.

3 D. 10-11-033, pg. 56-57.

4 Opening comments were submitted by _____________________

5 Reply comments were submitted by _______________________

6 Income limits are updated and published annually on the Commission website at ( http://www.cpuc.ca.gov/PUC/Telco/Public+Programs/LifeLinedetails.htm#qualify), and notices sent to all carriers and Non-Traditional Carriers, per Section 5.2.1, below.

7 Income limits were updated in a Notice to All Carriers, dated March 25, 2008, in conformance with Resolution T-17140. See Section 5.2.1.

8 May be adjusted annually pursuant to G. 153 §9.3.12.

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