Commander Navy Installations Command Non Appropriated Fund Retirement Plan Retirement Application
|
|
- Justin Jackson
- 5 years ago
- Views:
Transcription
1 Commander Navy Installations Command Non Appropriated Fund Retirement Plan Retirement Application General Information To Be Completed By Local NAF Personnel Office (Please Type) Employee Name: Social Security (last four only): Other DoD NAF Service: Yes No NAFI Type: Prior Enrollment in FERS/CSRS: Yes No Regular Hire Date: Birth Date: (attach RP-12) Termination Date: Retirement Date: Number of unused Sick Leave Hours: Medical Plan: No Yes Date of enrollment: (Attach enrollment form) Authorized Representative Signature: Date: Contact Number:
2 Annuity Selection To Be Completed By Employee Marital Status: Married (Complete Section I) Single (Complete Section II) Section I Married Only Spouses Full Name: Birth Date: Unless you select annuity without survivors benefit below, your annuity will be paid with a survivors benefit to your spouse. Under the annuity with survivors benefit your spouse will receive 55% of your annuity should your spouse survive your death. Your spouse will continue to receive this payment until the spouse's death or remarriage before age 60. Your annuity will be reduced by 10% under annuity with survivor's benefit. Should you survive your spouse's death or you are no longer married, the 10% reduction will be removed after you notify Commander Navy Installations Command NAF Personnel and Benefits. Should you elect Annuity Without Survivor's Benefit. Your spouse will not receive an annuity after your death. Your designated beneficiary will receive the unpaid value of your contributions Selection of Survivor Benefits is a one time election and is not revocable. This election must be made prior to retirement processing. I have read and understand the explanation of my benefits above and I elect: (Please Initial Selection) Annuity Without Survivor's Benefit. Your spouse will not receive an annuity after your death. Your designated beneficiary will receive the unpaid value of your contributions. Complete RP-4 for beneficiary election. Spouse must complete Spousal Consent section. Annuity With Survivor's Benefit (not available to deferred annuitants)
3 Spousal Consent - This section must be completed by the spouse if the participant is married and made an election in Section III which did not designate the spouse as a beneficiary. I,, hereby acknowledge the effect and consent to the election made by my spouse to wave payment of her or his death benefit annuity. I understand by signing this consent, I may not receive any benefit from the Plan after death of my spouse. _ (Spouse signature/date) (Notary signature/date) (Date Commission Expires)
4 Section II Single Only Unless you select an annuity with survivor benefit to a named person having an interest, your designated beneficiary will receive the unpaid value of your contributions when you die. Should you select an annuity with survivor benefit to a named person having an interest; your designated beneficiary will receive 55% of your annuity if he/she survives your death. Your annuity will be reduced by 10% and will be further reduced by 5% for each full five years that your named recipient is younger than you. The maximum reduction is 40%. For example if your named person is five years younger than you your reduction is 15%, if the individual is eight years younger your reduction remains 15%, 11 years younger 20%, 30 years younger annuity reduction of 40%. Under certain conditions the full annuity may be restored, please see plan document. Selection of Survivor Benefits is a one time election and is not revocable. This election must be made prior to retirement processing. I have read and understand the explanation of my benefits above and I elect: (Please Initial Selection) Annuity With Survivor Benefit to A Named Person Having an Interest (not available to differed annuitants) Name of Individual (survivor): Full SSN: Address of Individual (survivor): Date of Birth of Individual (survivor): (must provide proof of age) Annuity Without Survivor Benefit: Your designated beneficiary will receive the unpaid value of your contributions. Complete RP-4 for beneficiary information for unused contributions.
5 Section III All Participants Social Security Offset. Your annuity is offset by a fraction of your Social Security benefit once you are age 62 or older. The payment you receive from the Social Security Administration is not impacted. You may elect to provide a copy of your Social Security Benefit estimate from the Social Security Administration. Should you not provide the benefit estimate we will calculate your Social Security Benefit using your last salary and the Social Security Administration calculator available on their web page. (Attach signed copy of SS Offset letter) I understand that I may elect to provide a Social Security Estimate from the Social Security Administration for use in the retirement benefit calculation. Required Documents Participants OPF Marriage Certificate - (if applicable) Verification of Age (birth certificate/dd-214 or RP-12) Social Security Administration Estimate (if provided) Copy of W-2s for High Three Earnings Proof of Age for Survivor Benefit to a Named Person Having an Interest (if applicable) Copy of Retirement Enrollment form Copy of Medical Enrollment form Copy of signed SS Offset Letter
PLUMBERS & 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 informationI.B.E.W. LOCAL 269 PENSION FUND C/O I.E. SHAFFER & CO. P.O. BOX 1028 TRENTON, NJ PHONE (800) FAX (609)
I.B.E.W. LOCAL 269 PENSION FUND C/O I.E. SHAFFER & CO. P.O. BOX 1028 TRENTON, NJ 08628-0230 PHONE (800) 792-3666 FAX (609) 883-7580 INSTRUCTIONS: Application For Benefits (Please Print or Type) a. Read
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 informationTRANSFERRING PENSION CONTRIBUTIONS
TRANSFERRING PENSION CONTRIBUTIONS When you work outside the jurisdiction of the North Central States Regional Council of Carpenters Pension Fund, your Employer may pay required pension contributions to
More informationRequired Minimum Distribution Form
Required Minimum Distribution Form Use this form only to request your Required Minimum Distribution (RMD) after age 70 1 / 2 or retirement. INSTRUCTIONS AND INFORMATION FOR COMPLETING THIS FORM THIS FORM
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 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 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 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 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 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 informationNV Energy Retirement Plan MPAT Employees January, [Type text] Page 1
NV Energy Retirement Plan MPAT Employees January, 2014 [Type text] Page 1 Who Do I Call and Where Do I Look? Contact Telephone Website Vanguard 1-800-523-1188 5:30 a.m. 6:00 p.m. PT Monday - Friday www.vanguard.com
More informationElection Form for Deferred Retirees
Election Form for Deferred Retirees Once Payment Begins, All Elections Are Final (Not Revocable) of Termination Daytime Phone (Area Code/Number) of Birth (mm/dd/yyyy) Marital Status Single Married SECTION
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 informationIntroduction Page 1. Part One A Guided Tour Page 2. Part Two Eligibility and Service Page 4. Part Three Retirement Benefits Page 8
Publication Date: JANUARY 2009 This booklet summarizes current provisions of the Timber Operators Council Retirement Plan and Trust (the Plan). It is designed to provide a general understanding about the
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 informationX Member s Signature. Social Security #: Address: Jurisdiction: Survivor Information: Name of Survivor: Address: City: State: Zip:
WRS-A5 Application-Judicial Page 1 of 2 (Revised 5/11) Judicial Plan Application for Retirement Member Information: Name: Social Security#: Phone #: Email: Check box if new address Final Date of Employment:
More informationUPS/IBT Full-Time Employee Pension Plan and Central States Pension Fund Retirement Processing Request Form
1. Retirement Processing Request Form Instructions This document provides information to help with your request for personalized retirement information. Please review the information in this document to
More informationDepartment of Defense INSTRUCTION
Department of Defense INSTRUCTION NUMBER 1332.42 June 23, 2009 USD(P&R) SUBJECT: Survivor Annuity Program Administration References: See Enclosure 1 1. PURPOSE. This Instruction: a. Reissues DoD Instruction
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 informationTimber Operators Council Retirement Plan & Trust Summary Plan Description
Timber Operators Council Retirement Plan & Trust Summary Plan Description 91184532.7 0073962-00001 This booklet summarizes current provisions of the Timber Operators Council Retirement Plan and Trust (the
More informationSpouse and Child SBP Coverage
This fact sheet provides information to help you understand the provisions of the Survivor Benefit Plan (SBP), but is not a contract document. The basic statutory provisions of the SBP law are in Chapter
More informationIBEW LOCAL 269 ANNUITY FUND PO BOX 1028 TRENTON NJ Application for Benefits (Please Print or Type)
IBEW LOCAL 269 ANNUITY 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 you and your spouse
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 informationSchedule SB attachments
Schedule SB attachments Schedule SB, Part V Summary of Principal Plan Provisions Plan Sponsor BorgWarner Diversified Transmission Products, Plan Retirement Income Program of BorgWarner Diversified Transmission
More informationRESTRICTED BENEFICIARY DESIGNATION
RESTRICTED BENEFICIARY DESIGNATION CONTRACT NUMBER This Beneficiary Designation supersedes any and all previous Beneficiary designations and is to be: Revocable with proper written notification Irrevocable
More informationAPPLICATION FOR PENSION BENEFITS. This is your application for Pension Benefits.
Alaska Carpenters Defined Contribution Trust Fund Physical Address 375 W. 36th Avenue Suite 200 Anchorage, Alaska 99503 Mailing Address PO Box 93870 Anchorage, Alaska 99509 Phone (800) 478-4431 Fax (907)
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 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 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 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 informationRetirement Application
Form # 245 Revised 04/2018 (501) 682-1517 or (800) 666-2877 Fax: (501) 682-1812 Website: www.artrs.gov Retirement Application This application is for retirement from the Arkansas Teacher Retirement System
More informationRE: Pension Application Member ID #: XXX-XX. Dear Participant,
2357 59 th Street St. Louis, MO 63110 (314) 644-2777 ext. 3 1-800-489-0228 Fax: (314) 645-6226 RE: Pension Application Member ID #: XXX-XX Dear Participant, Congratulations! Our office was recently notified
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 informationGRAPHIC ARTS INDUSTRY JOINT PENSION TRUST 25 LOUISIANA AVENUE, N.W. WASHINGTON, D.C (202)
GRAPHIC ARTS INDUSTRY JOINT PENSION TRUST 25 LOUISIANA AVENUE, N.W. WASHINGTON, D.C. 20001 (202) 508-6670 PENSION APPLICATION- LOCAL 235M (Former Local 60B) Instructions: Please read this application and
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 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 information1199SEIU Health Care Employees Pension Fund
1199SEIU Health Care Employees Pension Fund 330 West 42nd Street New York, NY 10036-6977 Tel: (646) 473-8666 Outside NYC area codes: (800) 575-7771 www.1199seiubenefits.org Application for Normal or Early
More informationAPPLICATION FOR PENSION (PLEASE PRINT ALL INFORMATION CLEARLY)
ASBESTOS WORKERS LOCAL 24 PENSION FUND Carday Associates, Inc. 7130 Columbia Gateway Drive, Suite A Columbia, MD 21046 Pension Department APPLICATION FOR PENSION (PLEASE PRINT ALL INFORMATION CLEARLY)
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 informationAPPLICATION FOR SERVICE OR DISABILITY RETIREMENT
MARYLAND STATE RETIREMENT AGENCY 120 EAST BALTIMORE STREET BALTIMORE, MARYLAND 21202-6700 APPLICATION FOR SERVICE OR DISABILITY RETIREMENT IMPORTANT: If you are applying for disability, this form must
More informationSUMMARY PLAN DESCRIPTION
SUMMARY PLAN DESCRIPTION PENSION PLAN FOR HOSPITAL AND HEALTH CARE EMPLOYEES PHILADELPHIA AND VICINITY Sponsored by The Board of Trustees of The Pension Fund for Hospital and Health Care Employees Philadelphia
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 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 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 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 informationIPF PENSION APPLICATION
Bricklayers & Trowel Trades International Pension Fund 620 F Street, Suite 700, NW; Washington, DC 20004 Phone: 202/638-1996 Fax: 202/347-7339 www.ipfweb.org IPF PENSION APPLICATION 1. IMPORTANT DIRECTIONS:
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 informationBeneficiary Designation and Spousal Consent Form
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
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 informationNational Electrical Annuity Plan Disability Benefit Application
National Electrical Annuity Plan Disability Benefit Application To avoid delays in the processing and payment of your benefit, please follow these instructions carefully and completely. 1. Print all information
More informationA GUIDE TO YOUR PAYMENT OPTIONS
A GUIDE TO YOUR PAYMENT OPTIONS MASTER RETIREMENT PLAN PAYMENT OPTIONS Several payment options are available to you from your Master Retirement Plan benefit. Each, paid monthly, is called an annuity. It
More informationThe Toledo Edison Company Bargaining Unit Retirement Plan for FirstEnergy Employees Represented by IBEW Local 245
The Toledo Edison Company Bargaining Unit Retirement Plan for FirstEnergy Employees Represented by IBEW January 2011 The Toledo Edison Company Bargaining Unit Retirement Plan for FirstEnergy Employees
More informationSurvivor Benefits: Plan for the Future
Survivor Benefits: Plan for the Future A NARFE Federal Benefits Institute Webinar Presented by Tammy Flanagan 1 Different Decisions at Different Stages of Your Career: Employee Pre-retirement Post-retirement
More informationFORM MUST BE SIGNED BY EMPLOYER
ERP NOTICE OF CHANGE/NEW PARTICIPANT ENROLLMENT (To Be Completed By Employer) Return this form to: Christian Brothers Retirement Services 1205 Windham Parkway Romeoville, IL 60446-1679 Fax: 630-378-2507
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 informationSummary Plan Description National Cargo Bureau Pension Plan
Summary Plan Description National Cargo Bureau Pension Plan Table of Contents Introduction... i Index to Defined Terms... ii Section 1 Eligibility to Join the Plan... 1 Section 2 Contributions And Funding
More informationLiberty Mutual Retirement Benefit Plan Summary Plan Description (For U.S. Employees Only) Effective January 1, 2018 Section L BEN 67
Liberty Mutual Retirement Benefit Plan Summary Plan Description (For U.S. Employees Only) Effective January 1, 2018 Section L BEN 67 About This Summary Plan Description The following Summary Plan Description
More informationGREYHOUND WESTERN EMPLOYEES RETIREMENT INCOME PLAN YOUR PENSION PLAN SUMMARY
GREYHOUND WESTERN EMPLOYEES RETIREMENT INCOME PLAN YOUR PENSION PLAN SUMMARY November 2003 GREYHOUND WESTERN EMPLOYEES RETIREMENT INCOME PLAN PENSION PLAN SUMMARY YOUR RETIREMENT PLAN The Greyhound Western
More informationSUMMARY PLAN DESCRIPTION FOR PRE-7/1/1976 DEFINED BENEFIT PROGRAM. (As in effect on January 1, 2011)
COLUMBIA UNIVERSITY RETIREMENT PLAN FOR SUPPORTING STAFF ASSOCIATION AT THE COLLEGE OF PHYSICIANS AND SURGEONS SUMMARY PLAN DESCRIPTION FOR PRE-7/1/1976 DEFINED BENEFIT PROGRAM (As in effect on January
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 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 informationSECTION 8 ACCOUNT WITHDRAWAL
SECTION 8 ACCOUNT WITHDRAWAL Contents ACCOUNT WITHDRAWAL...1 Defined Benefit Plan...1 Defined Contribution Plan...1 Combined Plan...2 Withdrawal Payments...2 Defined Benefit Plan...2 Defined Contribution
More informationMASTER RETIREMENT PLAN FREQUENTLY ASKED QUESTIONS
150 Social Hall Avenue, Suite 170 P.O. Box 45530 Salt Lake City, UT 84145 Telephone: 801-578-5600 Toll free: 800-777-3622 Fax: 801-578-5904 Website: www.dmba.com MASTER RETIREMENT PLAN FREQUENTLY ASKED
More informationApplying for Immediate Retirement Under the Civil Service Retirement System
Applying for Immediate Retirement Under the Civil Service Retirement System This pamphlet is for you if you are currently a Federal employee covered by the Civil Service Retirement System (CSRS) and you
More informationPension Plan 1. Offers Financial Security to Your Family in Case of Your Death
Pension Plan 1 PLAN HIGHLIGHTS The Employees Retirement Plan of USEC Inc. (the Pension Plan ) helps build financial security and provide you with a dependable source of income throughout your retirement
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 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 informationAnnuitant s Name (Please print) Social Insurance Number RIF Account Number. Act means the Income Tax Act (Canada), as amended from time to time;
PRESCRIBED RETIREMENT INCOME FUND (RIF) ADDENDUM PROVINCE OF SASKATCHEWAN Steadyhand Investment Funds Inc. 1747 West 3 rd Avenue Vancouver, BC V6J 1K7 www.steadyhand.com 1-888-888-3147 Annuitant s Name
More informationPHILLIPS 66 RETIREMENT PLAN
PHILLIPS 66 RETIREMENT PLAN Retirement Plan of Conoco This is the summary plan description ( SPD ) for the Retirement Plan of Conoco ( plan ), and provides an overview of certain terms and conditions of
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 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 informationLABOR UNIONS 401(k) PLAN
3444 Camino del Rio North Suite 101 * San Diego, California 92108 * (855) 958-4015 Participant LABOR UNIONS 401(k) PLAN Re: Enrollment Information Dear Participant: Your Collective Bargaining Agreement
More informationPRINCIPAL PROVISIONS of the PARK EMPLOYEES' ANNUITY and BENEFIT FUND
PRINCIPAL PROVISIONS of the PARK EMPLOYEES' ANNUITY and BENEFIT FUND A summary of Fund benefits in effect for the employees of the Chicago Park District The Park Employees' and Retirement Board Employees'
More informationOverview of HMEPS Benefit Changes
The Houston Municipal Employees Pension System (HMEPS) and the City of Houston (City) negotiated pension reforms that strengthen the pension system for the long term. The Texas Legislature passed legislation
More informationBENEFIT APPLICATION INSTRUCTIONS PART A. PERSONAL DATA SOCIAL SECURITY NUMBER NAME (LAST) FIRST MIDDLE STREET ADDRESS CITY STATE ZIP CODE
L a b o r e r s A n n u i t y P l a n f o r N o r t h e r n C a l i f o r n i a 220 Campus Lane, Fairfield, CA 94534-1498 Telephone: (707) 864-2800 Toll Free: 1-(800) 244-4530 A. Read each question carefully
More informationAPPLICATION FOR PENSION
ASBESTOS WORKERS UNION LOCAL 42 PENSION FUND 7130 Columbia Gateway Drive, Suite A Columbia, MD 21046 TELEPHONE (410) 872-9500 FAX (410) 872-1275 APPLICATION FOR PENSION (PLEASE PRINT ALL INFORMATION CLEARLY)
More informationAFFILIATES OFFICERS AND EMPLOYEES PENSION FUND Service Employees International Union, CTW, CLC PENSION APPLICATION
SECTION 2 SECTION 1 AFFILIATES OFFICERS AND EMPLOYEES PENSION FUND Service Employees International Union, CTW, CLC 1800 MASSACHUSETTS AVE., NW, SUITE 301 WASHINGTON, DC 20036 (202) 730-7500 or (800) 458-1010
More informationIn order to be eligible for a Disability Pension you are required to meet all of the following requirements;
(314) 644-2777 ext. 3 1-800-489-0228 Fax: (314) 645-6226 RE: Pension Application Member ID #: XXX-XX Dear Participant, Our office was recently notified of your possible upcoming retirement as a result
More informationOHIO PUBLIC EMPLOYEES RETIREMENT SYSTEM 277 East Town Street, Columbus, Ohio PERS (7377)
OHIO PUBLIC EMPLOYEES RETIREMENT SYSTEM 277 East Town Street, Columbus, Ohio 43215 1-800-222-PERS (7377) www.opers.org MEMORANDUM DATE: June 9, 2006 TO: FROM: OPERS Retirement Board Members Julie E. Becker,
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 informationCONNECTICUT MUNICIPAL EMPLOYEES RETIREMENT SYSTEM SUMMARY PLAN DESCRIPTION
CONNECTICUT MUNICIPAL EMPLOYEES RETIREMENT SYSTEM SUMMARY PLAN DESCRIPTION Revised to July 1, 2007 YOUR RETIREMENT PLAN RETIREMENT...IT'S NOT SO FAR AWAY Regardless of your age, it is never too early
More informationApplication for Pension
UNITED FOOD AND COMMERCIAL WORKERS UNIONS AND EMPLOYERS MIDWEST PENSION FUND 18861 90 th Ave, Suite A Mokena, IL 60448 800-621-5133 FAX 847-384-0188 www.ufcwmidwest.org Application for Pension First Name
More informationSMART BOOK. Survivor Benefit. Guide. Survivor Benefit Entitlement Counseling of Family Members of Inactive Duty for Training Deaths
SMART BOOK Survivor Benefit Guide Survivor Benefit Entitlement Counseling of Family Members of Inactive Duty for Training Deaths Army Retirement Services December 2017 TABLE OF CONTENTS a--purpose/scope/references
More informationMember Handbook. Your PERA Basic Plan Benefits
Member Handbook Your PERA Basic Plan Benefits Public Employees Retirement Association of Minnesota February 2009 To Our Members: We are pleased to present you with this publication, describing the benefits
More informationCITY OF LAUDERHILL POLICE OFFICERS RETIREMENT PLAN DROP APPLICATION PACKAGE
CITY OF LAUDERHILL POLICE OFFICERS RETIREMENT PLAN DROP APPLICATION PACKAGE DROP APPLICATION PACKAGE City of Lauderhill Police Officer s Retirement Plan Index Pages Application for Deferred Retirement
More information1199SEIU Home Care Employees Pension Fund
1199SEIU Home Care Employees Pension Fund 330 West 42nd Street New York, NY 10036-6977 Tel: (646) 473-8666 Outside NYC area codes: (800) 575-7771 www.1199seiubenefits.org Application for Normal, Early
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 informationCOMMANDER, NAVY INSTALLATIONS COMMAND RETIREMENT PLAN. Amended and Restated Effective Upon Execution Except as Indicated
COMMANDER, NAVY INSTALLATIONS COMMAND RETIREMENT PLAN Amended and Restated Effective Upon Execution Except as Indicated M PRO 2237663 v2 2787782-000001 06/20/2011 TABLE OF CONTENTS ARTICLE I APPLICATION...
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 informationHardship Withdrawal Form
Hardship Withdrawal 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 SURVIVIOR ANNUITY FORM OF
More informationRIF LIF LRIF PRIF Application
RIF LIF LRIF PRIF Application to The Manufacturers Life Insurance Company Before submitting your application, please include: A complete RIF/LIF/LRIF/PRIF application for each account type Photocopy of
More informationLife Event Change (Retirees, Survivors & Inactive Plan Members)
Life Event Change (Retirees, Survivors & Inactive Plan Members) Please print, complete, and mail, fax, or email this form to the Board of Pensions. Use this form to report life events (such as getting
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 informationAnnuitant s Name (Please print) Social Insurance Number RIF Account Number
PRESCRIBED RETIREMENT INCOME FUND (RIF) ADDENDUM PROVINCE OF MANITOBA Steadyhand Investment Funds Inc. 1747 West 3 rd Avenue Vancouver, BC V6J 1K7 www.steadyhand.com 1-888-888-3147 Annuitant s Name (Please
More informationPage/Collins Class Action Settlement Director
Page/Collins Class Action Settlement Director 1-800-316-8857 RE: Final Benefit Distribution for PARTICIPANT NAME PARTICIPANT ID # Attached are the forms required to re-issue the final distribution check
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 informationElevator Constructors Union Local No. 1 Annuity & 401(k) Fund 140 Sylvan Avenue, Suite 303, Englewood Cliffs, NJ (201) (855)
Elevator Constructors Union Local No. 1 Annuity & 401(k) Fund 140 Sylvan Avenue, Suite 303, Englewood Cliffs, NJ 07632 (201) 592-6800 (855) 521-6111 Section 6.2 of the Rules and Regulations of the Elevator
More informationSocial Security number(s) and birth date(s) of your beneficiary(ies).
RETIREMENT APPLICATION SUPPORTING DOCUMENTS Please provide the following when applying for retirement: Application for Service Retirement: Your completed Application for Service Retirement can be submitted
More information