DESJARDINS GROUP PENSION PLAN (DGPP) GRADUAL RETIREMENT
|
|
- Karen Owen
- 6 years ago
- Views:
Transcription
1 DESJARDINS GROUP PENSION PLAN (DGPP) GRADUAL RETIREMENT Gradual retirement enables employees aged 55 or over, pursuant to an agreement with their employer, to reduce their working hours (See: Section 8-13 of the DGPP Regulation). In order to compensate for the loss of income, members can request an annual lump sum payment from the DGPP not exceeding the limit set by law. This amount must be taken into consideration at the actual time of retirement (the lump sum payment is applicable only to Quebec members). During the gradual retirement period, the employee s plan contributions are calculated based on the new work schedule or, if the employee does not want to withdraw funds from the DGPP (to compensate for a lower salary), contributions can be made based on real hours worked, under the same terms and conditions as part-time employees. Under the Group Insurance Plan, the salary to be used for calculating insurance and premiums for the Life portion is the salary that the employee would have received if their number of working hours had not been reduced. For the Disability portion, the salary used to calculate the insurance and premiums is the salary that the employee actually earns based on the number of working hours and premiums will be adjusted to that salary. In addition, at the age of 60, an employee may receive their annuity for early retirement from the QPP but they must make a request directly to the QPP. In short, the eligibility conditions are: Be over 55 and under 71* Sign a gradual retirement agreement with the employer Reduce the number of working hours Have a planned date of retirement Lump sum withdrawals are made on a voluntary basis and are limited to one per year The following two documents must be completed: Request for a lump sum payment pursuant to a gradual retirement agreement, if any * Employees 65 years or over may receive their pension benefit from the DGPP while continuing to work. For additional information, please contact the DGPP Member Services Team at
2 GRADUAL RETIREMENT AGREEMENT BETWEEN: Name of employer Address of employer HEREINAFTER the EMPLOYER AND: Name of employee Address of employee HEREINAFTER the EMPLOYEE WHEREAS the Employee is 55 or over. WHEREAS the Employee s pay cycle is. weekly or bi-weekly WHEREAS, for each pay cycle (according to Section 6-1 of the DGPP Regulation), the Employee works hours and receives as regular compensation. gross amount per pay WHEREAS the parties hereto wish to modify their obligations relative to the Employee s work and establish an agreement setting the terms during the period of gradual retirement. Page 1 of 4
3 IT IS AGREED AS FOLLOWS: 1. DURATION OF THE AGREEMENT The Employee and the Employer enter into a gradual retirement agreement for the period from to. start date end date The Employee s job ends when this agreement expires. 2. REDUCED WORK SCHEDULE The number of hours worked shall be reduced by hours per pay cycle, for the period mentioned in point 1. The new work schedule shall therefore be hours per pay period. 3. REMUNERATION After reducing the number of hours worked, the Employee s benchmark salary is $ starting on the date specified in point 1. The Employer may modify this salary in the future based on applicable working conditions. 4. GROUP INSURANCE PLAN The payment of life insurance premiums (basic life insurance, compensatory life insurance and additional life insurance) shall be based on the salary that the Employee was receiving before the agreement. Disability premiums shall be calculated based on the salary earned for the hours worked (same terms and conditions as part-time employees). For other types of coverage, the rates are fixed. Group insurance premiums shall be shared between the Employee and the Employer, under the usual terms and conditions. During the term of the agreement, the Employee and the Employer shall be subject to any changes made to the Group Insurance Plan, including changes to rates, coverage and the shared portion of group insurance premiums. 5. DESJARDINS GROUP PENSION PLAN DGPP contributions are calculated based on the Employee s salary for their hours worked. The DGPP considers that the Employee becomes a part-time employee. Contributions shall be shared between the Employee and the Employer based on the share percentages in effect. During the term of the agreement, the Employee and the Employer shall be subject to any changes made to the Group Insurance Plan, including the contribution rate and changes to the DGPP Regulation. Page 2 of 4
4 6. LUMP SUM PAYMENT The Employee may request payment of an annual lump sum from the DGPP. The amount requested shall not exceed the following amounts, whichever is the least: 70% of the decrease in remuneration from the reduced number of working hours during the withdrawal year 40% of the maximum pensionable earnings for the withdrawal year adjusted in proportion to the number of months covered under the agreement Value of the pension accrued in the DGPP This agreement only allows for and covers one withdrawal per calendar year. The Employee shall make a request for each withdrawal. Withdrawals are optional. 7. TERMINATION OF AGREEMENT The agreement shall be terminated at the first pay cycle following the pay cycle during which one of the following events occurs: The number of hours specified in point 1 is modified. The employee becomes disabled. The employee no longer resides in Quebec under the terms of the Taxation Act. The employee s job is terminated. 8. INFORMATION The Employee declares having had the time to read this document and obtain all necessary information. The Employee further declares that they freely and voluntarily consent to this agreement. 9. TRANSACTION The Parties agree that this agreement shall constitute a transaction under the Civil Code, which is made without any admission of liability by the Parties and which cannot under any circumstances be used as a precedent. 10. CONFIDENTIALITY The Employee agrees not to use or disclose, directly or indirectly, any confidential information entrusted or revealed to them by the Employer insofar as the use or disclosure of such information could be prejudicial to the Employer or to any other organization it is affiliated with. The Employee further agrees to return to the Employer any documents or materials that belong to the Employer or that might contain confidential information concerning the Employer. Page 3 of 4
5 The undersigned agree to the conditions herein. Employee s signature Date Employer s signature Date A copy must be sent to EACH of the following addresses: Desjardins Financial Security Defined Benefit Plan Administration LEV e T 200 rue des Commandeurs Lévis, QC G6V 6R2 AND Desjardins Insurance Contract Administration, Group and Business Insurance 200 rue des Commandeurs Lévis, QC G6V 6R2 ADDITIONAL INFORMATION DGPP Member Services Team Monday to Friday, 8:00 a.m. to 5:00 p.m or Website: desjardinsgroupplans@desjardins.com Page 4 of 4
6 REQUEST FOR LUMP SUM PAYMENT UNDER THE GRADUAL RETIREMENT AGREEMENT (applicable only to Quebec members) As stipulated in the gradual retirement agreement signed with my Employer, I hereby request the following lump sum payment which shall not exceed the following amounts, whichever is the least: 70% of the decrease in remuneration from the reduced number of working hours during the withdrawal year 40% of the maximum pensionable earnings for the withdrawal year adjusted in proportion to the number of months covered under the agreement Value of the pension accrued in the DGPP PAYMENT AMOUNT Maximum amount allowed The amount of: $ PAYMENT AMOUNT Upon receipt of this request, following salary review. PAYMENT METHODS Cheque with tax deductions RRSP transfer (non-taxable) Enclose form T2151 or equivalent transfer form Name of financial institution: _ I understand that this request must be made annually for each year of the agreement in which I want a lump sum payment, as the case may be. I also understand that the payment that I receive from my retirement plan will consequently reduce my pension when I fully retire. Date Member s name: Member s address: ID: Member s signature IN PRINT 9 characters (See your DGPP annual statement) PLEASE SEND THIS FORM TO: Desjardins Financial Security Defined Benefit Plan Administration LEV e T 200, rue des Commandeurs Lévis, QC G6V 6R2 ADDITIONAL INFORMATION DGPP Member Services Team Monday to Friday, 8:00 a.m. to 5:00 p.m or Website: desjardinsgroupplans@desjardins.com
GRADUAL RETIREMENT. In addition, at the age of 60, an employee may receive his annuity for early retirement from the RRQ.
GRADUAL RETIREMENT Gradual retirement enables employees aged 55 or over, pursuant to an agreement with their employer, to reduce their hours of work (See: Section 8-13 of the DGPP Regulation). In ordrer
More informationGroup Retirement Savings Plan (RSP)
Page 1 of 3 Your opportunity to build a nest egg for retirement! Welcome to your Group Retirement Savings Plan (RSP) that your employer, through Desjardins Financial Security Life Assurance Company (DFS),
More informationApplication and Contract
Annuity January 2012 Application and Contract Information about this Contract The attached Application and Annuity Contract are intended to provide you with an income that best meets your needs. This Contract
More informationdesjardinsfinancialsecurity.com
savings january 2010 Contract Application Non-Registered Retirement Savings Plan (RSP) Locked-In Retirement Account (LIRA) Retirement Income Fund (RIF) Life Income Fund (LIF) Information about this Contract
More informationIf you wish to apply for a distribution at this time, please follow the instructions below:
Dear DC 401(a) Retirement Plan Participant: You recently contacted ING and requested a Distribution Package for the DC 401(a) Retirement Plan. Before completing the necessary forms, we recommend that you
More informationDESJARDINS GROUP PLANS
DESJARDINS GROUP PLANS Quick Reference Guide for New Employees The Desjardins Group Plans website lets employees enrol themselves in the group insurance plan, modify their group insurance coverage as needed
More informationAPPLICATION FOR FULL REFUND
Municipal Employees Annuity and Benefit Fund of Chicago 221 North LaSalle Street, Suite 500, Chicago, Illinois 60601 Telephone: 312-236-4700 Fax: 312-236-2383 www.meabf.org APPLICATION FOR FULL REFUND
More informationLast Name First Name Middle Initial. City State Zip Code
Application for Refund of Contributions This application should be completed if you are no longer employed in a position covered by the Teachers Retirement System of Georgia (TRS) and would like to receive
More informationDistribution Request Form. Instructions
Distribution Request Form (Applicable to Plans that do not include Annuity Distribution Options.) A Distribution Request Form must be completed, signed and returned to the Plan Administrator to request
More informationAPPLICATION AND SUBSCRIPTION FORM. québecers INNOVATING
APPLICATION AND SUBSCRIPTION FORM québecers INNOVATING 1 Select one plan only Choice of Plan 2175 boulevard De Maisonneuve Est, Suite 103 Montreal, Québec), H2K 4S3 Telephone : 514 525-5505 1 800 253-6665
More informationRollover Distribution Notice
Rollover Distribution Notice GENERAL INFORMATION This notice contains important information you need before you decide how to receive your retirement plan benefits. This notice is provided to you by your
More informationTRUST AGREEMENT DEFERRED PROFIT SHARING PLAN
TRUST AGREEMENT DEFERRED PROFIT SHARING PLAN AGREEMENT: Entered into in Quebec City, in the province of Quebec, as at the date of signature of the Application. hereinafter referred to as the Effective
More informationSavings Banks Employees Retirement Association
Savings Banks Employees Retirement Association WITHDRAWAL OF EMPLOYER PROVIDED BENEFIT UPON TERMINATION OF EMPLOYMENT Participant Name: (Please Print) SS No. Current Address (Required) Employer s Name:
More informationREQUEST FOR DISTRIBUTION OF BENEFITS
The Liberty National Life Insurance Company Defined Contribution Plan REQUEST FOR DISTRIBUTION OF BENEFITS INSTRUCTlONS: 1. Read the Retirement Annuity Explanation. 2. Read the Special Tax Notice Regarding
More informationWESTERN CONFERENCE OF TEAMSTERS PENSION PLAN ROLLOVER DISTRIBUTION ELECTION FORM
WESTERN CONFERENCE OF TEAMSTERS PENSION PLAN ROLLOVER DISTRIBUTION ELECTION FORM Participant s Name (First) (M.I.) (Last) Customer ID Social Security Number - - Benefit Effective Date Benefit Type Payable
More informationYour simplified pension plan. Contract
Your simplified pension plan Contract (insert plan name here) Plan administrator: (insert name of financial institution here) Standard contract recommended by Retraite Québec (January 2016) Part I 2 Summary
More informationLOCAL UNION 903 I.B.E.W. PENSION PLAN {the Plan}
LOCAL UNION 903 I.B.E.W. PENSION PLAN {the Plan} 414(K) ACCOUNT WITHDRAWAL PROCEDURE WITHDRAWAL BEFORE RETIREMENT Fund Office Alabama Administrators 1717 Old Shell Road Mobile, AL 36604 (251) 478-5412
More informationADMINISTRATIVE GUIDE FOR ADVISORS
ADMINISTRATIVE GUIDE FOR ADVISORS Individual Client Sector Advisor s document Investment Table of Contents 1. Introduction... 3 2. Summary of Changes Made... 3 3. Contact Us... 4 3.1 Administrative Offices
More informationDistribution Request Form. Instructions
Distribution Request Form (Applicable to Plans that do not include Annuity Distribution Options.) A Distribution Request Form must be completed, signed and returned to the Plan Administrator to request
More informationIntroduction. Please read and follow all instructions carefully. Incomplete paperwork may cause delays or prevent your request from being processed.
Introduction Please read and follow all instructions carefully. Incomplete paperwork may cause delays or prevent your request from being processed. Critical information to consider: The Hardship Withdrawal
More informationAnnuity Withdrawal Request - 403(b) and Roth 403(b) Tax Sheltered Annuities
Annuity Withdrawal Request - 403(b) and Roth 403(b) Tax Sheltered Annuities Your Plan Administrator's signature is required on this form prior to sending to LSW. A. Owner Information Owner: Owner's Social
More informationACCG 457 Deferred Compensation Plan Plan Distributions Payment Election Form Part 1
Payment Election Form Part 1 Participant Name: Social Security No.: Date of Birth: Mailing Address: Former Employer: Phone No.: E-mail Address: Benefit Election - Choose One of the following: A. Pay my
More informationTAX HOLIDAY FOR LARGE INVESTMENT PROJECTS THI INITIAL CERTIFICATE APPLICATION FORM
TAX HOLIDAY FOR LARGE INVESTMENT PROJECTS THI INITIAL CERTIFICATE APPLICATION FORM Tax Holiday for Large Investment Projects - THI Initial certificate application regarding an investment project Notice
More informationSavings Banks Employees Retirement Association
Savings Banks Employees Retirement Association RETIREMENT ELECTION FORM Participant Name: (Please Print) SSN or Cert. No. Current Address (Required) Employer's Name: Plan No. Important Notice: Under Federal
More informationPROVINCE OF BRITISH COLUMBIA ORDER OF THE LIEUTENANT GOVERNOR IN COUNCIL
PROVINCE OF BRITISH COLUMBIA ORDER OF THE LIEUTENANT GOVERNOR IN COUNCIL Order in Council No. 0127, Approved and Orderid VI. 31.1996 Executive Council Chambers, Victoria ffinge. Lieutenant Governor On
More informationEnroll in your Registered Retirement Savings Plan (RRSP) and your Deferred Profit Sharing Plan (DPSP).
Enroll in your Registered Retirement Savings Plan (RRSP) and your Deferred Profit Sharing Plan (DPSP). It s easy for you to sign-up, so why wait? Telecon Group Employees plan Join now. Here s what you
More informationSPECIAL TAX NOTICE REGARDING PAYMENTS FROM QUALIFIED PLANS Excerpted from IRS Notice
SPECIAL TAX NOTICE REGARDING PAYMENTS FROM QUALIFIED PLANS Excerpted from IRS Notice 2002-3 This notice explains how you can continue to defer federal income tax on your retirement savings in your Employer
More informationLoan Distribution Form
Loan Distribution Form READ THE ATTACHED IRS SPECIAL TAX NOTICE AND WRITTEN EXPLANATION OF QUALIFIED JOINT AND 50% CONTINGENT SUVIVIOR ANNUITY FORM OF BENEFIT BEFORE COMPLETING THIS FORM Please Note: Do
More informationSouth Carolina Deferred Compensation Program 457 Deferred Compensation Plan Beneficiary Distribution Claim Form
South Carolina Deferred Compensation Program 457 Deferred Compensation Plan Beneficiary Distribution Claim Form PARTICIPANT INFORMATION PLEASE PRINT OR TYPE IN DARK INK. Participant Name Participant Social
More informationNORTHWEST & ETHICAL INVESTMENTS L.P. Addendum for Locked-in Pension Transfers to the RETIREMENT SAVINGS PLAN RSP
NORTHWEST & ETHICAL INVESTMENTS L.P. Addendum for Locked-in Pension Transfers to the RETIREMENT SAVINGS PLAN RSP 145-723 Pursuant to the SUPPLEMENTAL PENSION PLANS ACT (QUÉBEC) Whereas the undersigned
More informationYou are entitled to a distribution from your retirement plan. We have enclosed the following forms:
Dear Former Employee: You are entitled to a distribution from your retirement plan. We have enclosed the following forms: Participant Distribution Election Form Special Tax Notice Regarding Plan Payments
More informationAGF INVESTMENTS LOCKED-IN ADDENDUM QUEBEC LIRA QUEBEC LIF
AGF INVESTMENTS LOCKED-IN ADDENDUM QUEBEC LIRA QUEBEC LIF LOCKED-IN RETIREMENT SAVINGS ACCOUNT FOR QUEBEC ADDENDUM SUPPLEMENTARY AGREEMENT ESTABLISHING A LOCKED-IN RETIREMENT SAVINGS PLAN UNDER THE AGF
More informationDEFERRED COMPENSATION REQUEST FOR DISTRIBUTION OF FUNDS - City of Costa Mesa, CA
CALIFORNIA 457 BENEFITS Plan Administration & Investment Advice DEFERRED COMPENSATION REQUEST FOR DISTRIBUTION OF FUNDS - City of Costa Mesa, CA IMPORTANT-REMEMBER TO PRINT LEGIBLY IN BLACK OR BLUE INK
More informationInstructions for Requesting an In-Service Withdrawal
Instructions for Requesting an In-Service Withdrawal Diocese of Metuchen 403(b) Plan Enclosed are the following items needed to request an In-Service Withdrawal from your retirement plan. Please review
More informationNOTICE TO PARTICIPANTS REQUESTING AN IN-SERVICE WITHDRAWAL
P.O. Box 2069 Woburn, MA 01801-1721 (781) 938-6559 NOTICE TO PARTICIPANTS REQUESTING AN IN-SERVICE WITHDRAWAL Under the terms of the SBERA 401(k) Plan, if you were hired prior to January 1, 2000 and you
More informationIf we receive request by 4:00pm ET on a business day, the transaction will be processed on that day unless you specify a future date below:
Jefferson National Life Insurance Company Regular Delivery: P.O. Box 36750, Louisville, KY 40233 Overnight: 9920 Corporate Campus Drive, Louisville, KY 40223 P: 866.667.0561 F: 866.667.0563 PARTIAL WITHDRAWAL
More informationInstructions Concerning the Conversion of a Defined Contribution Pension Plan into a Simplified Pension Plan
Number 17, June 2004 Instructions Concerning the Conversion of a Defined Contribution Pension Plan into a Simplified Pension Plan Among the amendments made to the regulations regarding supplemental pension
More informationCOLLIERS INTERNATIONAL USA, LLC And Affiliated Employers 401(K) Plan NOTICE OF DISTRIBUTION ELECTION
COLLIERS INTERNATIONAL USA, LLC And Affiliated Employers 401(K) Plan NOTICE OF DISTRIBUTION ELECTION To: (Participant) Date: As a terminated participant in the Colliers International USA, LLC and Affiliated
More information][STD FLNACC ][01/25/12 ][Page 1 of 5 ][A02: ][GP33/
Account Reduction Loan Application 403(b) Plan Use black or blue ink when completing this form. For questions regarding this form, contact Service Provider at 1-800-338-4015. 472565-01 Children s Home
More informationRequest for change without evidence
1, Complexe Desjardins Montréal (Québec) H5B 1E2 200, rue des Commandeurs Lévis (Québec) G6V 6R2 95 St. Clair Avenue West Toronto ON M4V 1N7 Contract: Request for change without evidence Important information
More informationSEGREGATED FUNDS. Savings and Retirement PIVOTAL SELECT TM. Application. Tax-Free Savings Account (TFSA)
SEGREGATED FUNDS Savings and Retirement PIVOTAL SELECT TM Application Tax-Free Savings Account (TFSA) As an Equitable Life policyholder you will have instant access to your policy information through Equitable
More informationSalary Deferral During Leave of Absence
HR 111 Classification: Responsible Authority: Executive Sponsor: Approval Authority: Date First Approved: Date Last Reviewed: Mandatory Review Date: Salary Deferral During Leave of Absence Human Resources
More informationSSN or Tax ID: Choose from one of the following distribution methods below. Please review the enclosed SPECIAL TAX NOTICE carefully.
Memorial Health System 401(k) Retirement Plan [Enter Group Name Here] Mutual Fund Distribution Request Form # [000000000] 43681006 l Group Group ID ID# l Group ID# [000000000] 1. CLIENT INFORMATION Name:
More informationZurich Superannuation Plan and Zurich Account-Based Pension
Issue date: 1 January 2017 Preparation date: 25 November 2016 Zurich Superannuation Plan and Zurich Account-Based Pension Product Disclosure Statement This Product Disclosure Statement (PDS) is a summary
More informationKEY FEATURES OF THE CIVIL SERVICE ADDITIONAL VOLUNTARY CONTRIBUTIONS (CSAVC) PLAN. Important information you need to read
KEY FEATURES OF THE CIVIL SERVICE ADDITIONAL VOLUNTARY CONTRIBUTIONS (CSAVC) PLAN Important information you need to read THE FINANCIAL CONDUCT AUTHORITY IS A FINANCIAL SERVICES REGULATOR. IT REQUIRES US,
More informationOur records show that you requested an Affidavit of Domestic Partner form. Please complete this form and return to us for verification.
DEPENDENT VERIFICATION CENTER P.O. BOX 1415 LINCOLNSHIRE, IL 60069-1415 Return Service Requested 0000-1-1 HAE5 1025277 11-18-2011 TEST, SALLY 5000 QUORUM RD SUITE 310 DALLAS, TX 75254 11/18/2011 Affidavit
More informationNORTHWESTERN UNIVERSITY VOLUNTARY SAVINGS PLAN SUMMARY PLAN DESCRIPTION
NORTHWESTERN UNIVERSITY VOLUNTARY SAVINGS PLAN SUMMARY PLAN DESCRIPTION Effective January 1, 2011 Table of Contents Introduction...1 Definitions...2 Plan Contributions...4 Before-Tax Contributions... 4
More informationSouthern California Pipe Trades Defined Contribution Fund
Southern California Pipe Trades Administrative Corporation 501 Shatto Place, 5th Floor Los Angeles, CA 90020 (800) 595-7473 (213) 385-6161 (213) 385-2767 (fax) Southern California Pipe Trades Defined Contribution
More informationSavings Banks Employees Retirement Association
Savings Banks Employees Retirement Association IN-PLAN ROTH CONVERSION ELECTION FORM PLEASE NOTE: Your Plan must allow In-Plan Roth Rollovers Participant Name: (Please Print) Certificate No. Current Address
More informationJUNE Retirement Savings Plan (RSP) Spousal RSP. Retirement Income Fund (RIF) Spousal RIF Life Income Fund (LIF) Locked-In RSP
GUARANTEED INVESTMENT FUNDS JUNE 2016 Contract Application Non-Registered Plans Registered Plans Retirement Savings Plan (RSP) Spousal RSP Locked-In Retirement Account (LIRA) Retirement Income Fund (RIF)
More informationDraft Regulations. Regulation respecting voluntary retirement savings plans
Part 2 GAZETTE OFFICIELLE DU QUÉBEC, March 12, 2014, Vol. 146, No. 11 651 Draft Regulations Voluntary Retirement Savings Plans Act (2013, chapter 26) Supplemental Pension Plans Act (chapter R-15.1) Voluntary
More informationSheet Metal Workers Local Union No. 292 Annuity Fund Benefit Distribution Application. Application Checklist
Sheet Metal Workers Local Union No. 292 Annuity Fund Benefit Distribution Application Application Checklist Please submit copies of the following documents with your application for benefits: Birth Certificate
More informationSAMPLE COMPANY, INC. DEFINED BENEFIT PENSION PLAN NOTICE ON TERMINATION, RETIREMENT OR DISABILITY
SAMPLE COMPANY, INC. DEFINED BENEFIT PENSION PLAN NOTICE ON TERMINATION, RETIREMENT OR DISABILITY NAME OF PARTICIPANT: DATE: RE: Distribution of Plan Benefits Immediate Distribution You may elect to receive
More informationrequest for withdrawal from 403(b )/ Tax-sheltered annuity ( tsa )
request for withdrawal from 403(b )/ Tax-sheltered annuity ( tsa ) Annuities are issued by Pruco Life Insurance Company, in New York, by Pruco Life Insurance Company of New Jersey and The Prudential Insurance
More informationDISTRIBUTION FORM INSTRUCTION BOOKLET
403(b)(7) DISTRIBUTION FORM INSTRUCTION BOOKLET Not FDIC Insured May Lose Value Not Bank Guaranteed CONTENTS 2 Instructions 2 l s ri u i 3 Pe lty Exe p s ri u i 4 Ad i i s ri u i p i 4 re s ri u i 4 Roth
More informationONTARIO LIFE INCOME FUND (LIF)
ONTARIO LIFE INCOME FUND (LIF) ADDENDUM TO DESJARDINS FINANCIAL SECURITY INVESTMENTS INC. RETIREMENT INCOME FUND DECLARATION OF TRUST FOR LOCKED-IN TRANSFERS TO A LIFE INCOME FUND (ONTARIO LIF) SCHEDULE
More informationSpecial Tax Notice for UC Retirement Plan Distributions
Special Tax Notice for UC Retirement Plan Distributions Special Tax Notice for UC Retirement Plan Distributions This notice explains how you can continue to defer federal income tax on your retirement
More informationcumulus echo retirement plan
cumulus echo retirement plan Working of the plan In order to receive the retirement annuity benefits, you must become a member of the Central Retirement Annuity Fund (the FUND). The FUND will take out
More informationElection Form for Retirement Benefit Cashout
Election Form for Retirement Benefit Cashout All Elections Are Final (Not Revocable) SECTION 1 - PARTICIPANT INFORMATION of Termination Daytime Phone (Area Code/Number) of Birth (mm/dd/yyyy) I certify
More informationWITHDRAWAL/SURRENDER REQUEST FORM
Member Companies: Great American Life Insurance Company Annuity Investors Life Insurance Company United Teacher Associates Insurance Company Administrator for Life Insurance and Annuities: Loyal American
More informationDISABILITY INSURANCE LOAN INSURANCE READY TO DRIVE LOAN PARTICIPANT S GUIDE. Loan Insurance Ready to Drive Loan is a group credit insurance product.
DISABILITY INSURANCE LOAN INSURANCE READY TO DRIVE LOAN IMPORTANT The borrower must enrol in this insurance to receive disability coverage. PARTICIPANT S GUIDE Loan Insurance Ready to Drive Loan is a group
More informationREQUEST FOR BENEFIT PAYMENT *
HOUSING AGENCY RETIREMENT TRUST NOTE: Any person completing this form must also receive: Options Available Upon Termination or Retirement Special Tax Notice Regarding Plan Payments FORM #150 - REQUEST
More informationAFPlanServ 403(b) Plan Distribution Authorization Form
AFPlanServ 403(b) Plan Distribution Authorization Form Participant Instructions The AFPlanServ 403(b) Distribution Authorization Form must be submitted to AFPlanServ to approve a distribution or plan-to-plan
More informationEMPLOYMENT AGREEMENT FOR POSITION OF GENERAL MANAGER
EMPLOYMENT AGREEMENT FOR POSITION OF GENERAL MANAGER This Employment Agreement ( Agreement ) is entered into by and between the Yorba Linda Water District ( District ), a county water district created
More informationLOCKED-IN RETIREMENT ACCOUNT ENDORSEMENT Quebec (LIRA)
LOCKED-IN RETIREMENT ACCOUNT ENDORSEMENT Quebec (LIRA) 1. What the Words Mean: Please remember that in this Endorsement, you and your mean the owner of the Contract and who is the annuitant as defined
More informationTransamerica Financial Life Insurance Company Home Office: Purchase, NY Administrative Office: 100-G Executive Drive Edgewood, NY
Transamerica Financial Life Insurance Company Home Office: Purchase, NY Administrative Office: 100-G Executive Drive Edgewood, NY 11717-8331 Hardship Withdrawal Form READ THE ATTACHED IRS SPECIAL TAX NOTICE
More informationF16A. RRSP Loan Application and Agreement. Application. January 2016 SAVINGS IMPORTANT
F16A Application SAVINGS F16A(16-01) PDF RRSP Loan Application and Agreement IMPORTANT January 2016 You must: Print 3 copies of this application Send the original copy to head office Give a copy to the
More informationEarly Retirement Incentive Plan for Paraprofessionals and School-Related Personnel (ERIP PSRP-PARA)
Early Retirement Incentive Plan for Paraprofessionals and School-Related Personnel (ERIP PSRP-PARA) 1 Overview Baltimore City Public Schools (City Schools) in collaboration with PSRP (Paraprofessionals
More informationapplication for separation refund
application for separation refund IMRF Form 5.10 (Rev. 01/08) separation refunds This application is for a total refund of your IMRF member contributions. You should file this form only if you are not
More informationGOVERNMENT OF GUYANA STANDARD REQUEST FOR PROPOSAL. SELECTION OF CONSULTANTS- Individual
GOVERNMENT OF GUYANA STANDARD REQUEST FOR PROPOSAL SELECTION OF CONSULTANTS- Individual Introduction This Standard Procurement Documentation has been prepared by the NPTA for use by the Procuring Entities
More informationDistribution in the form of a Lincoln Group Deferred Annuity i4life Advantage rider
Lincoln American Legacy Retirement SM Distribution in the form of a Lincoln Group Deferred Annuity i4life Advantage rider Instructions To apply for i4life Advantage, you must be under age 86 for single
More informationTotal Compensation Pension Pay and Incentives Benefits Health and Well-being. Your information booklet Defined contribution (DC)
Total Compensation Pension Pay and Incentives Benefits Health and Well-being Your information booklet Defined contribution (DC) March 2018 17718 Welcome to the Canada Post pension plan Defined Contribution
More informationREGISTERED PLAN APPLICATION FORM
REGISTERED PLAN APPLICATION FORM 1. CLIENT/ANNUITANT INFORMATION Last Name Street Address First Name and Initials Apt # Social Insurance Number City, Town or Post Office Province Postal Code Email Address
More informationCOUNTY OF SAN DIEGO TERMINAL PAY PLAN
COUNTY OF SAN DIEGO COUNTY OF SAN DIEGO TERMINAL PAY PLAN ABOUT THE PLAN The Terminal Pay Plan (TPP) is a retirement benefit program implemented to provide eligible employees who separate from County service
More informationBellevue MEBT Plan. In-Service Withdrawal - Non-Hardship Forms
Bellevue MEBT Plan In-Service Withdrawal - Non-Hardship Forms Return these forms to: MEBT Service Center 5446 California Ave. SW Suite 200 Seattle, WA 98136 Fax: 206-938-5987 The following forms are included
More informationLEAGUE SAVINGS & MORTGAGE (Addendum to RRIF) RETIREMENT INCOME FUND (DNR No. 210)
LEAGUE SAVINGS & MORTGAGE (Addendum to RRIF) RETIREMENT INCOME FUND (DNR No. 210) AGREEMENT UNDER THE PENSION BENEFITS STANDARDS ACT, 1985 FOR LOCKED-IN PENSION TRANSFERS TO A Restricted Life Income Fund
More informationSASKATCHEWAN BLUE CROSS EMPLOYEE PENSION PLAN
SASKATCHEWAN BLUE CROSS EMPLOYEE PENSION PLAN Your group number: G004481 Your plan, your way Your Saskatchewan Blue Cross Employee Pension Plan is a Defined Contribution Pension Plan (DCPP). Your Plan
More informationSavings Banks Employees Retirement Association
Savings Banks Employees Retirement Association 401(k) PLAN APPLICATION FOR WITHDRAWAL AT AGE 59 1/2 Participant Name: (Please Print) Current Address (required) SS No. (City, State Zip) Employer's Name:
More informationKEY FEATURES OF THE ADDITIONAL VOLUNTARY CONTRIBUTIONS (AVC) PLAN. Important information you need to read
KEY FEATURES OF THE ADDITIONAL VOLUNTARY CONTRIBUTIONS (AVC) PLAN Important information you need to read THE FINANCIAL CONDUCT AUTHORITY IS A FINANCIAL SERVICES REGULATOR. IT REQUIRES US, SCOTTISH WIDOWS,
More informationWITHDRAWAL/SURRENDER REQUEST FORM
Great American Life Insurance Co Annuity Investors Life Insurance Co Loyal American Life Insurance Co United Teacher Associates Manhattan National Life Insurance Co Great American Life Insurance Co Of
More informationMINNESOTA STATE LOTTERY SECURITY DEPOSIT REQUIREMENTS
MINNESOTA STATE LOTTERY SECURITY DEPOSIT REQUIREMENTS applicants who do not have a favorable credit history are required to maintain a security deposit for a minimum of six months. The security deposit
More informationBeneficiary Change and Predetermined Payout Election Form For PruSecure Fixed Indexed Annuity
Beneficiary Change and Predetermined Payout Election Form For PruSecure Fixed Indexed Annuity Annuities are issued by Prudential Annuities Life Assurance Corporation (PALAC), located in Shelton, CT (main
More informationEXECUTIVE ORDER NO. 004 OF 2017
EXECUTIVE ORDER NO. 004 OF 2017 On the Voluntary Assets and Income Declaration Scheme. Whereas the Constitution imposes a duty on every citizen to declare his/her income fully and honestly to appropriate
More informationINDUSTRIAL ALLIANCE GROUP SIMPLIFIED PENSION PLAN. Administered by Industrial Alliance Insurance and Financial Services Inc.
INDUSTRIAL ALLIANCE GROUP SIMPLIFIED PENSION PLAN Administered by Industrial Alliance Insurance and Financial Services Inc. Plan Text Amended on November 1, 2016 Registered Plan Numbers: Retraite Québec:
More informationDASSAULT SYSTEMES PRELIMINARY NOTIFICATION TO THE GENERAL MEETING OF THE SHAREHOLDERS
DASSAULT SYSTEMES Société européenne with a share capital of 127,708,193.50 Registered office: 10 rue Marcel Dassault 78140 Vélizy-Villacoublay France Registry of Commerce Number: 322 306 440 Versailles
More information401(K) PLAN ENROLLMENT FORM Employee Name Effective Date
401(K) PLAN ENROLLMENT FORM Employee Name _ Effective Address City St Zip Social Security No. of Birth of Hire Marital Status: Married Unmarried New Participant Election Change of Election SECTION I (A)
More informationLa Capitale HBP-RRSP Loan Procedure
La Capitale HBP-RRSP Loan Procedure Forms to be completed (PDF files) HBP-RRSP Loan Contract T129 Application/Instructions for RSP (for the HBP) T016 Home Buyers Plan (HBP) Request To Withdraw Funds From
More informationCONTRACT GREAT-WEST LIFE SEGREGATED FUNDS POLICIES PREFERRED SERIES 2 INDIVIDUAL VARIABLE ANNUITY POLICY
CONTRACT GREAT-WEST LIFE SEGREGATED FUNDS POLICIES PREFERRED SERIES 2 INDIVIDUAL VARIABLE ANNUITY POLICY Any amount allocated to a segregated fund is invested at your own risk and may increase or decrease
More informationDeferred Compensation Plan Request for Distribution of Funds
Deferred Compensation Plan Request for Distribution of Funds 1. Personal Information Name Social Security # Address City State Zip Code Date of Birth Telephone Number (day) (night) 2. Eligibility Termination
More informationHoneywell Savings and Ownership Plan. Distribution Options Guide
Honeywell Savings and Ownership Plan Distribution Options Guide June 2016 For more information on the Plan, visit the HR Direct Website through the Honeywell Intranet or www.honeywell.com, click on 'Employee
More informationMinimum Distribution Request
Section A. Employer Information Company/ Employer Name Contract/Account No. Affiliate No. Minimum Distribution Request Division No. Section B. Participant Information Last Name First Name/MI Mailing Address
More information625, rue St-Amable Québec (Québec) G1R 2G5 MANITOBA LOCKED-IN RETIREMENT ACCOUNT (LIRA) RIDER
625, rue St-Amable Québec (Québec) G1R 2G5 MANITOBA LOCKED-IN RETIREMENT ACCOUNT (LIRA) RIDER Nature of the rider This rider (hereinafter also referred to as the addendum ) applies only to the Contractholder
More informationAUTOMATIC IRA ROLLOVER PAC
Plan Year 1999-2000 AUTOMATIC IRA ROLLOVER PAC FOR OUR COMPANY 401(K) PLAN Use this Automatic IRA Rollover Pac to... Indicate your distribution choice in the event that your employment with our company
More informationReceipt Date. You must answer all questions in ink and the application must be signed and notarized, or it will be rejected.
Office of the New York State Comptroller New York State and Local Retirement System Mail completed form to: NEW YORK STATE AND LOCAL RETIREMENT SYSTEM 110 STATE STREET - MAIL DROP 5-9 ALBANY NY 12244-0001
More information][Form 11 ][C401K FDSTRQ ][09/23/07 ][Page 1 of 12 ][000: ][TT19][/
Distribution/Direct Rollover Request 401(k) Plan Refer to the Participant Distribution Guide while completing this form. Use blue or black ink only. CORNELL-HART PENSION PLAN EE ELECTIVE 401(K) 337773-01
More informationWithdrawal from the UBS vested benefits account for residential property for your own use
P.O. Box, CH-4002 Basel Tel. +4-6-226 75 75 www.ubs.com/vb P.O. Box CH-4002 Basel Withdrawal from the UBS vested benefits account for residential property for your own use Withdrawals for home ownership
More informationNOTES TO TRANSFER BENEFITS BY SCHEME MEMBER (for self-employed person, personal account holder or employee ceasing employment)
NOTES TO TRANSFER BENEFITS BY SCHEME MEMBER (for self-employed person, personal account holder or employee ceasing employment) Please read the following important information before you complete Form MPF(S)-P(M).
More informationNORTHWEST & ETHICAL INVESTMENTS L.P. RETIREMENT INCOME FUND, RIF 1503
NORTHWEST & ETHICAL INVESTMENTS L.P. RETIREMENT INCOME FUND, RIF 1503 Agreement Under the Province of Newfoundland and Labrador Pension Benefits Act, 1997 for Transfers to a LIFE INCOME FUND (LIF) Whereas
More informationSurvivor Benefits Request
Instructions For all claims, include a certified copy of the participant's death certificate, proof of claimant's age, and any other required information as indicated. If the claimant is a contingent beneficiary,
More informationEarly Retirement Incentive Plan for Paraprofessionals (ERIP-PARA)
Early Retirement Incentive Plan for Paraprofessionals (ERIP-PARA) 1 Overview Baltimore City Public Schools (City Schools) in collaboration with PSRP (Paraprofessionals and School- Related Personnel), Paraprofessional
More information