Beneficiary Designation and Spousal Consent Form
|
|
- Kerry Watson
- 6 years ago
- Views:
Transcription
1 Beneficiary Designation and Spousal Consent Form Lockheed Martin Corporation Salaried Savings Plan Qualified Pre-Retirement Survivor Notice This notice explains certain rights you have with respect to the Money Purchase Component of the Salaried Savings Plan (the SSP or the Plan ). Part 1 Important Information for Participant and Spouse Regarding Qualified Pre-Retirement Survivor What is the Money Purchase Component of the Plan? The Money Purchase Component of the Plan generally consists of Company Matching Contributions and associated earnings, made after January 1, 1997, or the date you entered the Plan, if later, which are not invested in the ESOP Fund. For Heritage Lockheed Participants, the Money Purchase Component may also include Company Matching Contributions and the associated earnings made between January 2, 1992 and January 1, 1997, which are not invested in the ESOP Fund. Any balances from the ORINCON Corporation International 401(k) Profit Sharing Plan are also considered part of the Money Purchase Component. What happens with the Money Purchase Component upon my death? If you die before your benefits under the SSP commence, the Money Purchase Component (if any) of your SSP account will be used to purchase a Pre-Retirement Survivor (often called a QPSA ) for your surviving spouse, unless you have waived with spousal consent. If you are not married at the time of your death, or have been married less than one year at the time of your death, no QPSA is payable, and the Money Purchase Component, if any, will be paid in accordance with your Beneficiary Designation Form for the non- Money Purchase Component. Note: Death benefits under the non-money Purchase Component of the SSP will be paid in accordance with Plan provisions to the beneficiary(ies) designated on your Beneficiary Designation Form for the SSP. What is QPSA? The QPSA is an annuity providing for a level monthly payment for the life of your surviving spouse. The Plan will purchase this annuity from a commercial insurance company using the Money Purchase Component (if any) of your account. All costs associated with the purchase of the annuity are charged against your account. The size of each annuity payment depends on your spouse s age, the amount of your vested benefit in the Money Purchase Component, the insurance company s annuity purchase interest rates and the mortality tables used. Payment of will commence within a reasonable time after you would have reached normal retirement age (or your date of death, if later), unless your spouse consents to an earlier commencement. S09FOR230
2 Are there other payment options available to my surviving spouse? Your surviving spouse may elect to receive an alternative form of distribution permitted under the Plan, such as a lump sum. This election can only be made after your death. For example, the spouse of a deceased Participant who is entitled to may elect to receive the balance in the Money Purchase Component, if any, in a lump sum instead of an annuity under. If your total account balance in the Plan (including any non- money purchase components) does not exceed $5,000, the Plan will pay in a lump sum, even without the spouse s consent. How does compare to other payment methods available under the Plan? Let s assume that your account balance in the Money Purchase Component is $165,760 at your death and your surviving spouse who has just attained age 55 wants to begin payments at age 55. The insurance company who assumes a QPSA uses an interest rate assumption of 5.5% and the applicable mortality table under Section 417(e)(3) of the Internal Revenue Code. For this purpose, let s assume the Plan earns an investment return of 6% a year. Here is a comparison of to other payment forms in the Plan: Lump Sum Benefit $165,760 Approximately the same value as 300 Months (Installment Method) $1,000 per month Approximately the same value as QPSA 50% Joint and Survivor $946 per month N/A 75% Joint and Survivor $921 per month Approximately the same value as If your spouse didn t start taking any benefits until age 60, and assuming the Money Purchase Component grew to $221,824, here is what the comparison would look like: Lump Sum Benefit $221,824 Approximately the same value as 300 Months (Installment Method) $1,338 per month Approximately the same value as QPSA 50% Joint and Survivor $1,366 per month N/A 75% Joint and Survivor $1,322 per month Approximately the same value as If your spouse didn t start taking any benefits until age 65, and assuming the Money Purchase Component grew to $296,851, here is what the comparison would look like: Lump Sum Benefit $296,851 Approximately the same value as 300 Months (Installment Method) $1,791 per month Approximately the same value as QPSA 50% Joint and Survivor $2,011 per month N/A 75% Joint and Survivor $1,934 per month Approximately the same value as 2
3 Note: If your spouse decides to take the Money Purchase Component in an optional form other than, all Plan benefits must be taken in that form. Upon request, the Plan Administrator will provide your surviving spouse with the approximate size of the annuity payment. Can I waive? If you are married, you may waive and name a non-spouse beneficiary (with spousal consent) any time after the first of the year in which you turn age 35. You may also do this at an earlier time, but in that event the waiver and beneficiary designation will become void on the first day of the year in which you turn age 35. If you terminate from service before the first day of the year in which you turn age 35, you may waive and name a non-spouse beneficiary (with spousal consent) at any time after your termination of service. A waiver of and designation of a non-spouse beneficiary will not be valid unless your spouse consents. If you waive (with spousal consent) and retain your spouse as beneficiary, then the vested balance of the Money Purchase Component (if any) will be paid in a lump sum to your spouse if you die before retirement benefits have commenced under the Plan. If you waive and name a beneficiary other than your spouse, and your spouse consents, then no QPSA is payable, and the vested balance in the Money Purchase Component (if any) will be paid to a beneficiary(ies) you designated (and to which your spouse has consented) if you die before retirement benefits have commenced under the Plan. If you remarry, your previous spouse s consent will no longer apply. If you become legally separated or divorced, your previous spouse might be able to get a court order (which is called a Qualified Domestic Relations Order or QDRO ) that specifically protects your spouse s rights to receive or that gives your spouse other benefits under this plan. What is Spousal Consent? A Participant s spouse can give written consent to the Participant s designation of a non-spousal beneficiary and waive his or her rights to. The spouse must give the consent on the attached form. The spouse s signature must be witnessed by a notary public. The consent is valid only for the beneficiary designation for which it was given. If the Participant makes a subsequent beneficiary designation, a new spousal consent will be required to give effect to the new designation. If the Participant waives or designates a non-spouse beneficiary and the Participant will not attain age 35 by the last day of the year in which the designation is made, then the spousal consent given with respect to this designation shall become void on the first day of the year in which the Participant attains age 35 and a new spousal consent must be obtained to give full effect to the waiver and beneficiary designation. A participant may revoke a waiver of by simply naming his or her spouse as beneficiary. However, a spouse cannot revoke his or her consent to a non-spouse beneficiary. How do I waive? If you want to waive and designate a beneficiary other than your spouse, you should complete Parts 2 and 3 of this form and return to Voya at the address provided at the bottom of Part 3. This form, S09FOR230, is also available on the Savings Plan Web Tool at Whatever you do with respect to the QPSA, your Beneficiary Designation Form for the non-money Purchase Component will remain in effect unless you submit a new Beneficiary Designation Form with spousal consent. It is important you understand your rights and obligations under. Failure to follow proper procedures could result in serious consequences to you and the Plan. Please contact the Plan Administrator with any questions. The foregoing notice is intended only as a summary of certain provisions of the Plan. In all cases where this notice may be interpreted to conflict with the Plan, the provisions of the Plan will control. 3
4 Part 2 - Money Purchase Component Beneficiary Designation and Election to Waive QPSA (to be completed by the participant) I have read Part 1 of this form, and I understand the information therein, including the terms and conditions of the Qualified Pre-Retirement Survivor ( ). I wish to waive and name the following beneficiary(ies) to receive the balance (if any) in the Money Purchase Component of my SSP account if I die before I begin receiving retirement benefits under the SSP: Beneficiary: Name/Organization Address Social Security Number or Tax ID Number Relationship Code* %** * P= Primary Beneficiary C= Contingent Beneficiary ** If you list more than one beneficiary, the total for all the Primary Beneficiaries (Code P) must equal 100% and the total for all the Contingent Beneficiaries (Code C) must equal 100%. I understand that if I have named my spouse as beneficiary above, the Money Purchase Component (if any) will be paid to my surviving spouse in a lump sum, unless he/she chooses another form permitted under the Plan, if I die before retirement benefits have commenced under the Plan. I understand that if I am married and have named a beneficiary above who is not my spouse (and my spouse has consented) then the Money Purchase Component (if any) will be paid in a lump sum to that beneficiary(ies) if I die before retirement benefits commence under the Plan. I understand that I cannot impede my spouse s right to without his or her consent, and that a nonspouse beneficiary designation above is invalid and will not be effective unless my spouse has consented to my waiver of and designation of a non-spouse beneficiary by completing Part 3 of this form and having his or her signature witnessed by a notary public. I understand that any such consent is limited to the beneficiary designation made in this Part 2. I further understand that if I am not married at my death, or have been married less than one year at my death, no QPSA is payable, and the vested balance of the Money Purchase Component will be paid in accordance with my Beneficiary Designation Form for the non-money Purchase Component if I die before retirement benefits commence under the Plan. If I am making an election to waive during a year in which I have not attained or will not attain age 35, I understand that this election and beneficiary designation will become invalid as of the first day of the year in which I reach age 35. I will have to make a new election at that time, if I desire, and obtain my spouses consent. Participant s name (Please Print): Participant s Social Security Number: Participant s signature: Date: 4
5 Part 3 - Spousal Consent (must be completed by participant s spouse) I, _, am the spouse of. I have read and understand Part 1 of this form. I understand that if my spouse dies before retirement benefits commence under the Salaried Savings Plan, the Money Purchase Component (if any) of his/her SSP account will be used to purchase a Pre-Retirement Survivor (or QPSA ) for me, unless he/she has waived with my consent. I understand the terms and conditions of as described in Part 1 of this form. I have also read and understand Part 2 of this form, where my spouse has elected to waive and has named a beneficiary(ies) to receive the Money Purchase Component (if any) of his/her SSP account if he/she dies before retirement benefits have commenced under the Plan. I agree to give up my right to benefit, and instead have the Money Purchase Component (if any) of my spouse s SSP account paid to the beneficiary or beneficiaries specified in Part 2 of this form if my spouse dies before retirement benefits have commenced under the Plan. I understand that my spouse cannot select a different beneficiary for the Money Purchase Component than that specified in Part 2 unless I agree to the change. I understand that by signing this Part 3, I may receive less money than I would have received under the special QPSA payment form and I may receive nothing from the Money Purchase Component after my spouse dies. I understand that I do not have to sign this Part 3, and I am signing this form voluntarily. I understand that if I do not sign this form, then the vested portion of the Money Purchase Component, if any, of my spouse s SSP account will be used to purchase benefit for me (or, if I so choose, paid to me in a lump sum) should my spouse die before his/her retirement benefits have commenced under the Plan. I also understand that if the value of the benefit is $5000 or less, the Plan will pay the benefit to me in one lump sum payment (provided my spouse did not waive with my consent). Spouse s Signature: Spouse s Social Security No. Date Signed: Notary (print name): Notary s signature: Date signed: (Notary stamp/seal) Complete and return to: Voya, Attn: Lockheed Martin Savings Plan Information Center, P.O. Box Jacksonville, FL
Instructions. If your spouse consents to waive the Qualified Joint and Survivor Annuity, please have a Notary Public witness, sign and date.
09/01/2014 LO720001DISTSCN Instructions 1. Please read this document carefully. 2. Fill in the appropriate blanks. 3. Sign and date. If your spouse consents to waive the Qualified Joint and Survivor Annuity,
More informationIBEW LOCAL NO. 812 ANNUITY PLAN QUALIFIED PRE-RETIREMENT SURVIVOR ANNUITY NOTICE. Participant s Name: Date:
s Name: Date: IBEW LOCAL NO. 812 ANNUITY PLAN QUALIFIED PRE-RETIREMENT SURVIVOR ANNUITY NOTICE This notice explains the Qualified Pre-Retirement Survivor Annuity under the IBEW Local No. 812 Annuity Plan
More informationDESIGNATION OF BENEFICIARY FORM FOR PRE-RETIREMENT DEATH BENEFITS ONLY
DESIGNATION OF BENEFICIARY FORM FOR PRE-RETIREMENT DEATH BENEFITS ONLY Please read these instructions before completing the form. Use this form to designate or change a beneficiary only for Pre-Retirement
More information*XXXXXXXXXXXXXX *
Vanguard Retirement Plan Enrollment and Change Form for 403(b) Custodial Accounts Columbia University Voluntary Retirement Savings Plan Plan # 096141 1. Account Information Check one: New Enrollment Re-Enrollment
More informationBeneficiary Designation
Beneficiary Designation INSTRUCTIONS To designate a beneficiary or to change your existing beneficiary designation on your plan, complete all applicable sections of this form, obtain any required signatures,
More informationSpouse's Consent to Waive a Qualified Joint and Survivor Annuity
Spouse's Consent to Waive a Qualified Joint and Survivor Annuity Instruction: The sample language does not address the one-year-of-marriage rule under section 417(d); if a plan applies the one-year rule,
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 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 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 informationBENEFIT APPLICATION FORM
BENEFIT APPLICATION FORM NAME OF APPLICANT PHONE NO. ( ) ADDRESS SOC. SEC. NO. NAME OF PARTICIPANT (If different from applicant) DATE OF BIRTH SOC. SEC. NO. Under and subject to the provisions of the HAWAII
More informationFunds Flash New Pension Designation of Beneficiary Form and Instructions for non-retired Participants
Michael G. Morash John T. Fultz Chairman Secretary Ronnie L. Traxler Vice Chairman Lawrence J. McManamon Assistant Secretary DATE: December 2017 TO: All Business Managers and International Staff FROM:
More informationNew Orleans Employers - International Longshoremen s Association, AFL-CIO Pension Plan ( Plan )
New Orleans Employers - International Longshoremen s Association, AFL-CIO Pension Plan ( Plan ) NOTICE OF PRERETIREMENT SURVIVOR ANNUITY TO: PLAN PARTICIPANTS Preretirement Survivor Annuity For Married
More informationLast Name First Name M.I. City State Zip Code I certify that I am:
. Midwest Pipe Trades Pension Plan DISTRIBUTION FORM 1-877-864-6644 To request a distribution because of death or as an alternate payee under the terms of a qualified domestic relations order you must
More informationSavings Banks Employees Retirement Association 401(k) PLAN RETIREMENT ELECTION FORM (for retirees hired prior to January 1, 2000 only)
Savings Banks Employees Retirement Association 401(k) PLAN RETIREMENT ELECTION FORM (for retirees hired prior to January 1, 2000 only) Participant Name: (Please Print) Cert. No. Current Address (required)
More informationImportant Beneficiary Information
Important Beneficiary Information When you complete your Designation of Beneficiary Form ( Beneficiary Form ), you are naming a person or persons who will receive, upon your death, any remaining account
More informationBENEFITS TO SURVIVORS
BENEFITS TO SURVIVORS 33 Does the Fund pay any benefits to my Surviving Spouse upon my death? Yes. If you are married and meet certain additional requirements stated in the Plan, federal law requires that
More informationMutual Fund Rollover/Transfer Out Form 403(b) Plan Types Only: ERISA
1. client Information Name: SSN or Tax ID: Daytime Phone: ( ) of Birth: Group #: Plan Name: Plan #: 2. ROLLOVER/TRANSFER OUT REQUEST Indicate if you are requesting a Rollover or a Transfer by checking
More informationRetirement Plan for Michigan Credit Union Employees - 401(k) Savings Plan Distribution Form
CUNA Mutual Retirement Solutions P.O. Box 2978 5910 Mineral Point Road Madison, WI 53701-2978 Phone: 800.999.8786 Fax: 608.236.8017 Email: DCBenefitAdmin@cunamutual.com www.benefitsforyou.com Retirement
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 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 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 informationREQUEST FOR WITHDRAWAL FROM A DEFERRED ACCOUNT
Pentegra Retirement Services REQUEST FOR WITHDRAWAL FROM A DEFERRED ACCOUNT IMPORTANT NOTICE: Please carefully review the Special Tax Notice Regarding Plan Payments, which you previously received, prior
More information1. GENERAL INSTRUCTIONS
Fidelity Investments Enrollment Form and Beneficiary Designation for the Evangelical Presbyterian Church 403(b)(9) Plan Account 1. GENERAL INSTRUCTIONS Opening a new account: Please complete this form
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 informationTransamerica Life Insurance and Annuity Company Home Office: Charlotte, NC Administrative Office: 100 G Executive Drive, Edgewood, NY
Transamerica Life Insurance and Annuity Company Home Office: Charlotte, NC Administrative Office: 100 G Executive Drive, Edgewood, NY 11717-8331 Distribution Request Form READ THE ATTACHED IRS SPECIAL
More informationMutual Fund Systematic Withdrawal Form Group ID# Group ID# Group ID#
Mutual Fund Systematic Withdrawal Form Group ID# 53677001 Group ID# 53924001 Group ID# 54107001 1. CLIENT INFORMATION Name: SSN or Tax ID: Age: Under 59½ 59½ or older Daytime Phone: ( ) Date of Birth:
More informationNOTICE OF BENEFIT WITHDRAWAL (Complete Entire Set of Forms and Return)
NOTICE OF BENEFIT WITHDRAWAL (Complete Entire Set of Forms and Return) TO: SSN: On, your account balance in the Southwestern Illinois Laborers Annuity Fund was. Normally, the Trustee will compute the value
More informationIMPORTANT INFORMATION ABOUT YOUR PENSION
IMPORTANT INFORMATION ABOUT YOUR PENSION This booklet contains important information about your rights under the Plan, including descriptions of the forms of payment that may be available to you and information
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 informationName of Plan: Name: Date of Birth: Home Address: Phone: City: State: Zip:
PLAN INFORMATION PARTICIPANT INFORMATION DISTRIBUTION FROM A QUALIFIED PLAN SUBJECT TO QUALIFIED JOINT AND SURVIVOR ANNUITY This form must be preceded by or accompanied by QJSA Notices and Rollover Distribution
More informationDistribution Request Termination of Employment/Retirement
Distribution Request Termination of Employment/Retirement Instructions To request a distribution, complete all applicable sections of this form, obtain any required signatures, and return the form to Diversified
More informationTRUSTEE-TO-TRUSTEE TRANSFER TO THE ICMA RETIREMENT CORPORATION PACKET
TRUSTEE-TO-TRUSTEE TRANSFER TO THE ICMA RETIREMENT CORPORATION PACKET Use this packet to: Transfer From an Account at Another Financial Organization (Non ICMA-RC Account) to a 457 Plan or 401 Plan Account
More informationIn-Service Withdrawal Form PLEASE TYPE OR PRINT Signature Required
In-Service Withdrawal Form PLEASE TYPE OR PRINT Signature Required Company Name: PARTICIPANT INFORMATION Employee Name: Employee Address: Date of Birth: (Street) (City) (State) (Zip) Social Security Number:
More information403(b)(7) Distribution Form
403(b)(7) Distribution Form 800-525-1093 Use this form for one-time distributions and direct rollovers from your Janus Henderson 403(b)(7) account. If there has been a purchase or transfer into your Janus
More informationSurvivor Benefits Request
Instructions Survivor Benefits Request To request payment of survivor benefits, complete all applicable sections of this form and return it to Diversified at the above address (Attn: Retirement Analysis
More informationFirst Name: MI Last Name: Address: City, State & Zip Code: Telephone Number: Date of Birth:
Plan No. 003514 WD 20 IBEW LOCAL 400 ANNUITY FUND C/O I.E. SHAFFER & CO. 830 BEAR TAVERN RD 2 ND FLOOR PO BOX 1028 TRENTON NJ 08628-0230 WITHDRAWAL REQUEST Participant Data (Please Print) Social Security
More informationThe enclosed materials are to assist you with your request for an in-service withdrawal from the IUE-CWA 401(k) Retirement Savings and Security Plan.
The enclosed materials are to assist you with your request for an in-service withdrawal from the IUE-CWA 401(k) Retirement Savings and Security Plan. To request a withdrawal from your plan account, please
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 informationQUALIFIED RETIREMENT PLAN AND 403(b)(7) CUSTODIAL ACCOUNT DISTRIBUTION REQUEST FORM
QUALIFIED RETIREMENT PLAN AND 403(b)(7) CUSTODIAL ACCOUNT DISTRIBUTION REQUEST FORM The Employee Retirement Income Security Act of 1974 (ERISA) requires that you receive the information contained in this
More informationPaul Hastings LLP Defined Contribution Retirement Plan (401k) Beneficiary Designation Form
Paul Hastings LLP Defined Contribution Retirement Plan (401k) Beneficiary Designation Form Print Name: Job Title: Social Security Number: (Optional) I understand that benefits are paid out in a lump sum.
More informationSection 5 Pre-retirement Survivor Benefits
Section Contents 5 Pre-retirement Survivor Benefits 5.1 When are pre-retirement survivor benefits payable? 3 5.2 Reporting a plan member s death 3 5.3 Who is the beneficiary(ies)? 4 5.4 Survivor benefit
More informationI.B.E.W. Local 910 Annuity Fund
Fund Office: (315) 782-5941 FAX Number: 315-782-7343 I.B.E.W. Local 910 Annuity Fund 25001 Water St. Watertown, NY 13601 Dear Participant: Enclosed is our Annuity Fund Termination application. The first
More informationQualified DISTRIBUTION NOTICE Retirement Plan Important Information About Your Qualified Retirement Plan Distribution
Qualified DISTRIBUTION NOTICE Retirement Plan Important Information About Your Qualified Retirement Plan Distribution INTRODUCTION As a participant in your employer s qualified retirement plan, you have
More information( ) ( ) Daytime Telephone Number Evening Telephone Number Address
TMC 401(k) Savings Plan IN-SERVICE WITHDRAWAL FORM Use this form to request a withdrawal from the Plan while you are still employed. Your choices on this form may affect your taxes. You may want to consult
More informationLouisiana Sheriffs Pension and Relief Fund
BENEFICIARY DESIGNATION FOR REFUNDS MEMBER S NAME: ADDRESS: PARISH: MARITAL STATUS: Married Divorced Single Louisiana law permits you to designate a beneficiary for your employee contributions if you die
More informationWithdrawals from annuity contracts
Withdrawals from annuity contracts Allianz Life Insurance Company of New York If you need to access money from your annuity contract, please consider the following before making any decisions: Withdrawals
More informationConsolidated Public Retirement Board
Consolidated Public Retirement Board 4101 MacCorkle Avenue, SE Charleston, WV 25304 304-558-3570 or 800-654-4406 www.wvretirement.com PRE-RETIREMENT BENEFICIARY DESIGNATION PUBLIC EMPLOYEES RETIREMENT
More informationMembers Guide to: Annuity Payment Plans
Members Guide to: Annuity Payment Plans At retirement, you are faced with the important decision of choosing an annuity payment plan that can directly affect the amount of your monthly after your death.
More informationU.S. Retirement Program
U.S. Retirement Program The purpose of the U.S. Retirement Program is to provide income for your retirement based on eligible salary and length of service with the Company. Benefits may be payable from
More informationHRSA-ILA Annuity & Savings Plan Participant Hardship Statement
Submit this form to HRSA-ILA. HRSA-ILA Annuity & Savings Plan Participant Hardship Statement Important: Use this form for or hardship withdrawals when the safe harbor determination of hardship is used
More informationSavings Banks Employees Retirement Association RETIREMENT ELECTION FORM
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 informationLoan Application Form
Loan Application Form READ THE ATTACHED IRS SPECIAL TAX NOTICE BEFORE COMPLETING THIS FORM INSTRUCTIONS AND INFORMATION FOR COMPLETING THIS FORM THIS FORM MUST BE COMPLETED AND SIGNED BY THE PARTICIPANT
More informationRETIREMENT ACCOUNT DISTRIBUTION FORM
RETIREMENT ACCOUNT DISTRIBUTION FORM 4010 Boy Scout Blvd., Suite 450 Tampa, Florida 33607 www.aspireonline.com RETIREMENT ACCOUNT DISTRIBUTION REQUEST CHECKLIST A Distribution Request Form must be completed,
More informationQRP Distribution Notice
QRP Distribution Notice Important Information About Your Qualified Retirement Plan Distribution INTRODUCTION As a participant in your employer s qualified retirement plan, you have accumulated a vested
More informationWestern Washington U.A. Supplemental Pension Plan Request for Distribution Form
PERSONAL INFORMATION Western Washington U.A. Supplemental Pension Plan Request for Distribution Form Participant Name (if new, must include documentation of name change) Social Security number Mailing
More informationCash Distribution Form For VALIC Annuity Accounts Only All Plan Types
1. Client Information Name: SSN or Tax ID: Daytime Phone: ( ) Date of Birth: 2. DISTRIBUTION REQUEST Please select either OPTION A or OPTION B below. Selecting both options will delay processing your distribution
More informationAPPLICATION FOR PENSION
THE NATIONAL ASBESTOS WORKERS PENSION FUND 7130 COLUMBIA GATEWAY DRIVE, SUITE A COLUMBIA, MD 21046 TELEPHONE: 1(800) 386-3632 (410) 872-9500 APPLICATION FOR PENSION Please read instructions before completing
More informationrollover/transfer out form
1. Client Information rollover/transfer out form For VALIC Annuity 403(b) Plan Accounts Only Original Form Required for Processing The Variable Annuity Life Insurance Company (VALIC), Houston, Texas Mail
More informationconsisting of 100% of your vested account balance to your surviving spouse (if any) as beneficiary.
Instructions and PESP Rules for Beneficiary Designations RETAIN FOR YOUR RECORDS Participant s Federal law provides certain rights and death benefits to spouses of participants in qualified retirement
More informationINLAND. Distribution Election Form Application, Spouse s Consent & Authorization
INLAND Refrigeration & Air Conditioning Retirement Trust Fund 501 Shatto Place, 5 th Floor, Los Angeles, CA 90020 (213) 385-6161 (800) 595-7473 (213) 385-2767 (fax) Distribution Election Form Application,
More informationROLLOVER/TRANSFER OUT FORM
1. CLIENT INFORMATION ROLLOVER/TRANSFER OUT FORM For VALIC Annuity 403(b) Plan Accounts Only Original Form Required for Processing The Variable Annuity Life Insurance Company (VALIC), Houston, Texas Mail
More informationQualified Retirement Accounts Distribution Form
Qualified Retirement Accounts Distribution Form 800-525-1093 Use this form for a distribution from your qualified retirement account. Note: Do not use this form for distributions from an IRA or 403(b)(7).
More informationYour Pension Benefit Payments. An Explanation of the Standard and Optional Forms of Payment Available to You as Shown on Your Participant s Statement
Your Pension Benefit Payments An Explanation of the Standard and Optional Forms of Payment Available to You as Shown on Your Participant s Statement Your Pension Benefit Payments The Standard and Optional
More informationFOOD & BEVERAGE WORKERS UNION LOCAL 23 & EMPLOYERS PENSION FUND 7130 Columbia Gateway Drive, Suite A Columbia, MD (410)
FOOD & BEVERAGE WORKERS UNION LOCAL 23 & EMPLOYERS PENSION FUND 7130 Columbia Gateway Drive, Suite A Columbia, MD 21046 (410) 872-9500 PENSION APPLICATION INSTRUCTIONS: PLEASE READ ALL QUESTIONS CAREFULLY
More informationLoan Application Form
Loan Application Form READ THE ATTACHED IRS SPECIAL TAX NOTICE BEFORE COMPLETING THIS FORM INSTRUCTIONS AND INFORMATION FOR COMPLETING THIS FORM THIS FORM MUST BE COMPLETED AND SIGNED BY THE PARTICIPANT
More informationCASH DISTRIBUTION FORM
1. CLIENT INFORMATION Name: Daytime Phone: ( ) Date of Birth: 2. DISTRIBUTION REQUEST SSN or Tax ID: Please select either OPTION A or OPTION B below. Selecting both options will delay processing your distribution
More informationSystematic Withdrawal
Systematic Withdrawal The Variable Annuity Life Insurance Company (VALIC), Houston, Texas 1. client Information Name: SSN or Tax ID: Age: Under 59½ 59½ or older Daytime Phone: ( ) Date of Birth: Account
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 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 informationDeath Benefit Distribution Claim Form Spousal Beneficiary
Death Benefit Distribution Claim Form Spousal Beneficiary READ THE ATTACHED IRS SPECIAL TAX NOTICE: IF THE PLAN ALLOWS FOR AN ANNUITY OPTION, READ THE WRITTEN EXPLANATION OF QUALIFIED JOINT AND 50% CONTINGENT
More informationBENEFICIARY DISTRIBUTION FORM
Marsh & McLennan Companies 401(k) Savings & Investment Plan BENEFICIARY DISTRIBUTION FORM Use this form to request a distribution as a beneficiary following the death of a participant. IMPORTANT. If you
More informationSouthern California Pipe Trades
Southern California Pipe Trades LO56050514 (Retired) Defined Contribution Fund Retirement/Disability/Termination Distribution LO56050517 (Disabled) Application Complete all applicable sections and return
More informationStreet Address. ( ) ( ) Marital Status: Daytime Telephone Number Evening Telephone Number Married Not Married
Marsh & McLennan Agency 401(k) Savings & Investment Plan REQUIRED MINIMUM DISTRIBUTION FORM Use this form to request a required minimum distribution following the attainment of age 70½ and your termination
More informationThe kit contains the following material: Beneficiary and Alternate Payee Distribution Form Legal Notices Regarding Plan Benefits
The enclosed materials are to assist you with your request for a distribution from the Local No. 8 IBEW Retirement Plan and Trust as a beneficiary of a deceased participant or as an alternate payee under
More informationMailing Address: P.O. Box 9394 Des Moines, IA FAX (866)
Mailing Address: P.O. Box 9394 Des Moines, IA 50306-9394 FAX (866) 704-3481 Principal Life Insurance Company Complete this form to withdraw part of your retirement funds while still employed. Participant
More informationAPPLICATION FOR PENSION
PRINTING LOCAL 72 INDUSTRY PENSION FUND 7130 COLUMBIA GATEWAY DR SUITE A COLUMBIA, MARYLAND 21046 (410) 872-9500 FAX (410) 872-1275 APPLICATION FOR PENSION (PLEASE PRINT ALL INFORMATION CLEARLY) (Please
More informationDistribution Request Form
Distribution Request Form READ THE ATTACHED IRS SPECIAL TAX NOTICE: IF YOUR PLAN ALLOWS FOR AN ANNUITY OPTION, READ THE WRITTEN EXPLANATION OF QUALIFIED JOINT AND 50% CONTINGENT SURVIVOR ANNUITY FORM OF
More informationDISTRIBUTION CHECK LIST
DISTRIBUTION CHECK LIST To ensure timely processing of your distribution request, please go through the following checklist prior to sending the forms to CRS: o Sections 1 through 4 (Page 1) of the Application
More informationCASH DISTRIBUTION FORM Alternate Benefit Program
1. CLIENT INFORMATION Name: SSN or Tax ID: Daytime Phone: ( ) Date of Birth: Member No.: 2. DISTRIBUTION REQUEST Please select either OPTION A or OPTION B below. Selecting both options will delay processing
More informationDirect Rollover Request
Direct Rollover Request Instructions To request a direct rollover to an eligible retirement plan (including an IRA), complete all applicable sections of this form, obtain any required signatures, and return
More informationDesignation of Beneficiary
Employees Retirement System Designation of Beneficiary There are a number of times throughout employment when a beneficiary selection should be made: Upon Employment. At the time of hire, you will designate
More informationCASH DISTRIBUTION FORM
1. CLIENT INFORMATION Name: Daytime Phone: ( ) Date of Birth: SSN or Tax ID: 2. DISTRIBUTION REQUEST Please select either OPTION A or OPTION B below. Selecting both options will delay processing your distribution
More informationSUGARLAND APPENDIX WINDSTREAM PENSION PLAN SUMMARY PLAN DESCRIPTION. (January 1, 2016)
SUGARLAND APPENDIX WINDSTREAM PENSION PLAN SUMMARY PLAN DESCRIPTION () Table of Contents Appendix II Sugarland: Special Vesting and Service Crediting 1 Vesting Years of Service 1 Benefit Service 1 Appendix
More informationSPECIAL TAX NOTICE REGARDING PAYMENTS FROM THE PLAN
SPECIAL TAX NOTICE REGARDING PAYMENTS FROM THE PLAN This notice contains important information you will need should you decide to receive your retirement benefits under the Lockheed Martin Savings Plans.
More informationDistribution Request Form Distribution of Traditional 401(k) to Roth IRA Request Form
Distribution Request Form Distribution of Traditional 401(k) to Roth IRA Request Form READ THE ATTACHED IRS SPECIAL TAX NOTICE: IF YOUR PLAN ALLOWS FOR AN ANNUITY OPTION, READ THE WRITTEN EXPLANATION OF
More informationRETIREMENT PLAN LUMP SUM PAYMENT CALCULATION EXPLANATION
RETIREMENT PLAN LUMP SUM PAYMENT CALCULATION EXPLANATION The NKCH RETIREMENT PLAN is designed to provide participants with a monthly benefit at retirement, payable for their lifetime. The benefit is determined
More informationDISTRIBUTION OPTIONS GENERAL INFORMATION ABOUT ROLLOVERS
PLUMBERS LOCAL UNION NO. 68 PLAN OF DEFINED CONTRIBUTION BENEFITS P.O. Box 8726 Houston, Texas 77249 713.869.2592 Fax: 713.862.4877 Toll Free: 800.833.2980 DISTRIBUTION OPTIONS You are receiving this notice
More informationSouthern California Pipe Trades
Southern California Pipe Trades LO56050514 (Retired) Defined Contribution Fund Retirement/Disability/Termination Distribution LO56050517 (Disabled) Application Complete all applicable sections and return
More informationGENERAL INSTRUCTIONS FOR QUALIFIED PLAN DISTRIBUTIONS
GENERAL INSTRUCTIONS FOR QUALIFIED PLAN DISTRIBUTIONS IMPORTANT INFORMATION Before proceeding, contact your employer s Plan Administrator to discuss your distribution options and to obtain their authorization
More informationRetirement Plan Distribution Request Form
CUNA Mutual Retirement Solutions Phone: 800.999.8786 Fax: 608.236.8017 BenefitsForYou.com Retirement Plan Distribution Request Form DEFINED CONTRIBUTION PLANS INCLUDING 401(K), PROFIT SHARING, AND 403(B)
More informationWestern Washington U.A. Supplemental Pension Plan In-service Withdrawal Request Form
Western Washington U.A. Supplemental Pension Plan In-service Withdrawal Request Form PERSONAL INFORMATION My Name (if new, must include documentation of name change) Social Security number Mailing Address
More informationI hereby apply for (check one) to become effective 1st, 20. Disability Benefit Nature of Disability. Date Total Disability Started
REFRIGERATION, AIR CONDITIONING & SERVICE DIVISION (U.A. - N.J.) ANNUITY FUND C/O I.E. SHAFFER & CO. 830 BEAR TAVERN RD 2 ND FLOOR PO BOX 1028 TRENTON NJ 08628 PHONE (800)792-3666 FAX (609) 883-7580 Application
More informationROLLOVER/TRANSFER OUT FORM
The Variable Annuity Life Insurance Company (VALIC), Houston, Texas ROLLOVER/TRANSFER OUT FORM For VALIC Annuity 403(b) Plan Accounts Only Original Form Required for Processing Mail Completed Forms to:
More informationSAG-PRODUCERS PENSION PLAN
Pension Application Guide for All Participants Regarding: Basic, required information Understanding work restrictions during retirement If you choose the Five-Year or Ten-Year Certain Option Submit the
More informationDISTRIBUTION REQUEST FORM
q NOTICE OF TERMINATION AND/OR q CURRENT DISTRIBUTION CHANGE q ALTERNATE PAYEE DISTRIBUTION PER QUALIFIED INITIAL DISTRIBUTION DOMESTIC RELATIONS ORDER (QDRO) 1. PARTICIPANT INFORMATION (OR ALTERNATE PAYEE
More informationARTICLE VI DISTRIBUTIONS UPON SEPARATION FROM SERVICE
ARTICLE VI DISTRIBUTIONS UPON SEPARATION FROM SERVICE 1.01 Eligibility for Distribution. A Participant may elect to commence distribution of benefits at any time after the date on which the Participant
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 informationRetirement Benefit Choices Guide
THE INFORMATION AND FORMS YOU REQUESTED ARE ENCLOSED Retirement Benefit Choices Guide WE LL GIVE YOU AN EDGE Your Choices Before making a decision, you may want to consult with your tax advisor. Description
More informationPLUMBERS & PIPEFITTERS LOCAL 9 PENSION FUND PO Box 1028 Trenton, NJ Application For Benefits (Please Print or Type)
PLUMBERS & PIPEFITTERS LOCAL 9 PENSION FUND PO Box 1028 Trenton, NJ 08628-0230 INSTRUCTIONS: Application For Benefits (Please Print or Type) a. Read and complete all sections of this application. b. Both
More informationDistribution Request Form
Distribution Request Form READ THE ATTACHED IRS SPECIAL TAX NOTICE: IF YOUR PLAN ALLOWS FOR AN ANNUITY OPTION, READ THE WRITTEN EXPLANATION OF QUALIFIED JOINT AND 50% CONTINGENT SURVIVOR ANNUITY FORM OF
More information