Unclaimed Property Relating to Insurance Companies
|
|
|
- Rosemary Gibbs
- 10 years ago
- Views:
Transcription
1 Unclaimed Property Relating to Insurance Companies The following information corresponds to Article VII and Section 1316 of New York s Abandoned Property Law. For more information, refer to Article VII and Section 1316 of the statute. This document includes the following sections: Unclaimed Property Important Dates Applicable Property Types Statutory Considerations in Addition to Article VII and Section 1316 Schedule of Events for Article VII and Section 1316 Important Issues Due Diligence Mailing Requirements Publications Report Samples Publication Sample Unclaimed Property Unclaimed property subject to Article VII of the Abandoned Property Law includes:
2 Matured endowments Life insurance proceeds when the insured reached the limiting age Death benefits Policy dividends, distributions, and refunds Annuity payments Section 1316 provides statutory coverage for all types of insurance proceeds other than life, including but not limited to amounts on: Health insurance Property/Casualty Insurance (Fire, Home, Liability, etc.) An unclaimed deposit made in anticipation of issuance of a policy, which is subsequently not issued, is also subject to Article VII and Section 1316.
3 Important Dates - Unclaimed Property Relating to Insurance Companies December 31 Cut-off Date for Limiting Age Contracts (Superannuated Policies) January 1 Cut-off Date for All Other Policies May 1 Publication Notice Due Date May 10 Proof of Publication Due Date June 10 First Class Mailing Completed July 10 Certified Mailing Completed September 10 Final Report and Remittance Due Date
4 Applicable Property Types - Unclaimed Property Relating to Insurance Companies All dormancy periods are as noted. 5D 6A 6B 6C 6D 6E 6F 6G 8X Refunds due by insurance companies (three-year dormancy) Limiting age (superannuated) contracts (no dormancy) Matured endowments (three-year dormancy) Death claims (three-year dormancy) Amounts due under policies of insurance other than life (three-year dormancy) Refunds and other amounts due under policy terms (three-year dormancy) Annuities (three-year dormancy) Retained Asset Accounts, Benefits Access Accounts or similar distribution accounts (three-years dormancy) Late filing interest
5 Statutory Considerations in Addition to Article VII and Section Unclaimed Property Relating to Insurance Companies Article V and Section 1315 of New York s Abandoned Property Law In addition to Article VII and Section 1316, insurance companies are subject to the statutory requirements of Article V and Section 1315 of New York s Abandoned Property Law, this means that a separate Abandoned Property Report is required to be filed on or before March 10. For more information, refer to Article V and Section 1315 of the statute and to OUF s General Corporations document. Section 3214 of New York s Insurance Law Amounts reportable as abandoned property pursuant to Section 700.1(a) (matured endowments) and Section 700.1(c) (proceeds of death claims) include statutory interest payable on matured endowments and death claims as provided in Section 3214 of New York s Insurance Law. Interest pursuant to Section 3214 is to be credited from the date of maturity of an endowment contract, or from the date of death of the insured, until the date that the proceeds of such matured endowment or death claims are deemed abandoned and must be reported as abandoned property together with the principal amounts. Holders Not Authorized to Conduct Business in New York State Section 1312 of New York s Abandoned Property Law extends statutory coverage to any insurance company that: Is chartered or organized in another state and not authorized to do business in New York Holds unclaimed property payable to a person whose last known address is within New York Such reporting organizations are subject to the same statutory reporting requirements as organizations doing business in New York. However, the publication requirement does not apply. Section 1422 of New York s Abandoned Property Law Section 1422 of the APL requires that, at least 90 days prior to your final report, a first class mailing be made to each person whose name is expected to appear on the report unless the address is unknown or the holder can demonstrate that the address it has for the owner is not the owner s current address. In addition, at least sixty days prior to your final report, a certified mailing, return receipt requested, must be made to each person whose name is expected to appear on the report whose abandoned property is valued in excess of $
6 unless a claim has been initiated since the first class mailing was sent, or the first class mailing was returned as undeliverable.
7 Schedule of Events for Article VII and Section Unclaimed Property Relating to Insurance Companies December 31 and January 1 For reporting purposes, an insurance company s year runs from January 1 through December 31 for superannuated policies and January 2 through January 1 for all other policies. December 31 is the cut-off date for superannuated policies, and January 1 is the cut-off date for all other policies. Use these parameters when identifying abandoned insurance accounts/items. January 2 through May 1st During this period: Review your records and collect data relative to any account/item that may be dormant and subject to reporting. If you have an account/item subject to reporting: Compile the data in one of our reporting formats, so that you may submit it as your final report. If you do not have any items subject to reporting, no further action is required. May 1 By this date: Publish all items that have NOT been reactivated. May 10 By this date: File proof of publication, including an invoice, a copy of the advertisement, and an affidavit. May 11 through August 31 During this period: Annotate publication charges. Complete report removals based on contact with owners. June 10
8 By this date: Send a first class mailing to each person or entity whose name appears on your report of abandoned property and request a signed written statement that acknowledges the property s existence. This requirement does not apply to those accounts that meet the exclusionary provisions of Section Reactivate all owners who respond to the mailing. Their property will no longer be dormant, and you should remove them from reporting consideration. July 10 By this date: If an owner hasn t responded to the first class mailing, or if the first class mailing was not returned as undeliverable, and the value of all unclaimed property held for the owner exceeds $1000, you are required to send a second notification via certified mail, return receipt requested. You may charge the cost of the certified mailing against the property s value. Reactivate all owners who respond to the mailing. Their property will no longer be dormant, and you should remove them from reporting consideration. Please note that we consider a return receipt to be customer contact if the receipt bears the signature of the account owner. Therefore you should verify return receipt signatures against the other signature records you may have for an account owner. September 1 through September 10 During this period: Finalize the report. Arrange for payment. Submit the report, payment, and a Verification and Checklist. We need to receive them by the close of business on September 10.
9 Important Issues - Unclaimed Property Relating to Insurance Companies Beneficiary Information Drafts Group Insurance Policies Insurers Not Doing Business in New York State IRA and Keogh Accounts Pension Payments Reporting Residency Requirements Retained Asset Accounts Roth IRA Two-Party Checks Beneficiary Information With respect to insurance/annuity proceeds payable upon the death of the insured, the report should include identifying information for both the insured and the beneficiary. Drafts Section 1316 does not apply to amounts that the insurance company can prove are offers, unaccepted by payee (the obligation is not liquidated), to settle a claim prior to establishment of liability under the terms of its policies. The issue of drafts is complex, and you should consult our legal staff. Group Insurance Policies Article VII and Section 1316 apply to unclaimed amounts on group plans established as employee benefits. Such amounts are not subject to the preemption provision of the Employee Retirement Income Security Act (ERISA). Insurers Not Doing Business in New York State
10 Article VII and Section 1316 apply to all insurance companies, including insurers not doing business in New York but holding unclaimed amounts due to a New York resident. Reinsurers are subject to the same requirements as insurers. IRA and Keogh Accounts If you cannot contact the account s owner, the law requires you to report an individual retirement account (IRA) or Keogh account in the cut-off year in which the account s owner reached age 70 ½. If you cannot reasonably obtain the owner s date of birth, presume the owner was twenty-one on the account s opening date. In reporting, use the property type that reflects the nature of the account. For example, use 6F if the proceeds represent an annuity distribution. In the date field, enter the date on which the owner reached age 70 ½. In the Description of Security field, enter IRA. This clarifies that you are not reporting the account prematurely. Pension Payments Article VII and Section 1316 do not apply to pension payments. Such payments are reportable by the corporation, which offers the pension plan under the definition of wages. Reporting Residency Requirements Article VII and Section 1316 require reporting amounts owed to New York residents. If you cannot determine the address of the person apparently entitled to proceeds under Article VII or if you are uncertain which person is entitled to the funds, presume that the last known address of the entitled person is the same as the last known address of the insured according to the insurance company s records. Furthermore, Article VII requires that insurers organized under New York laws report amounts held for unknowns. Under the provisions of Section 1316, amounts held by an insurance company incorporated in New York for individuals whose last known address is unknown are reportable to New York, as well. Retained Asset Accounts Many insurance companies provide for payment distributions on life insurance policies in the form of a Retained Asset Account (RAA) option. It is the position of this Office that the RAA s represent an insurance distribution. A three year dormancy period applies from the date of distribution or written contact with the beneficiary/recipient, whichever is later. Property type 6G was established for RAAs to differentiate them from other types of policy distributions. If your organization is holding any dormant RAA s and has not reported them in previous years, contact us to file a voluntary compliance report. If your company has already been reporting these accounts to New York, they should now be reported separately using property type 6G.
11 Roth IRA We recognize that while the Roth IRA is not subject to the mandatory distribution rules during the original owner s lifetime, confusion may exist among both the public and the holder community as to the treatment of this product with respect to the Abandoned Property Law. Accordingly, for the purpose of consistency, OUF has as a matter of policy determined not to penalize reporting organizations for treating the Roth IRA in the same manner as the traditional IRA and reporting them in the year the owner reaches the age of 70 ½. Two-Party Checks Proceeds of insurance other than life, payable to the insured and another person, who is not insured under the policy, are also abandoned property.
12 Due Diligence - Unclaimed Property Relating to Insurance Companies Insurers are required to conduct due diligence in the form of mailings and publication. The associated costs for completing publication and certified mailing due diligence may be charged individually to the abandoned accounts involved in the due diligence effort, while the costs for completing the first class mailing requirement cannot be offset. You may not take a bulk deduction against the report s total value. A positive customer response to any due diligence attempt negates the need for further due diligence actions on an account. You should exercise due caution in attempting to contact entitled owners who reside in politically sensitive countries. Also, please note that certified mailing requirements do not apply to residents of foreign countries. Address any questions pertaining to this subject to our Director of Audits.
13 Publication - Insurance Companies The law requires Insurance Companies to: Publish a notice of unclaimed property that consists of the names and last known addresses, sorted alphabetically by last name, of all persons appearing to be entitled to abandoned property amounting to fifty dollars or more. The notice shall state that: A report of unclaimed amounts of money or other property has been made to the State Comptroller and that a listing of names of persons appearing to be entitled is on file and open to public inspection at (insurance company name). Such held amounts of money or other property will be paid or delivered to proven entitled parties by (insurance company name) through August 31. On or before September 10, any remaining unclaimed monies or other properties will be paid or delivered to the State Comptroller. Publish the notice by May 1st. Publish the notice in the county in which the last known address of the policyholder is located or the adjacent county if no newspaper is published in such county. Publish the notice in a newspaper printed in English and any other newspaper that will substantially serve to inform the public of such abandoned property. File proof by affidavit of publication with the State Comptroller on or before May 10. As primary publications should be in English, the cost of subsequent publications is not deductible. Items to Disqualify When determining what items to publish, disqualify any item for which one of the following is true: The item is less than $50. You don t know the address or it is in a foreign country. There are special circumstances the holder feels make it desirable to withhold the name and address from publication, as in the case of well-known entities and individuals (IRS, GM, celebrities, etc.). After applying the above criteria, disqualify all items if: They are payable within a New York City county (New York, Kings, Queens, Richmond, or Bronx) and the sum of the account value of all items to be advertised in the county is less than $10,
14 They are payable in a county outside of New York City and the sum of the account value of all items to be advertised in the county is less than $2, You should publish any items remaining after disqualifications. Remember that you should only list an individual s name once. Allocation of Publication Costs Allocations of publication costs are on a pro rata basis. Use one of the following two methods to determine the cost that can be allocated to each item published. Percentage Method With the percentage method, you divide the amount of the item you are publishing by the total amount of the items you are publishing by county and multiply the quotient by the total advertising expense. For example: You are publishing a $ item along with other items (in the same county). The total for all items is $10,000.00, and the total advertising expense for this county is estimated at $ $ or.010 X $50.00 = $.50 $10, Cost Per Dollar Method With the cost per dollar method, you divide the estimated total advertising expense for a particular county by the total amount of the items to be published in that county. The resulting percentage is then multiplied by the face value of the item being advertised to determine the amount of advertising charges to be applied to that item. Using the example above, the calculation is: $50.00 or.005 X $ = $.50 $10, For the example above, regardless of the method applied, the publication cost you could deduct is $.50. You may not make a bulk deduction for publication against the total value of the report.
15 Mailing Requirements First Class and Certified Mailings The law requires that all organizations do the following: And At least 90 days prior to their final report/remittance date, send a first class mailing to each owner whose name is expected to appear on that report unless; The owner address is unknown, or The holder can demonstrate that the address it maintains for the property owner is not the property owner s current address At least 60 days prior to their final report/remittance date, send a certified mailing, return receipt requested, to each owner whose name is expected to appear on that report with abandoned property valued in excess of $ unless; A claim has been initiated since the first class mailing was sent, or The first class mailing was returned as undeliverable. Multiple Owners For cases in which multiple owners of an item have different addresses, you must send a letter to each owner. You may deduct the additional costs of mailing a certified notice to more than one address. Multiple Items Where feasible, if you are reporting more than one item for the same customer, one letter should address all of the items you are reporting. Costs You may deduct the mailing costs for certified mail. Deduct such charges from each item for which you are mailing the notice. You may not make a bulk deduction against the final remittance. Mailing Requirements Dividend Reinvestment Accounts
16 Article V requires you to send notification to the apparent owners of securities that are enrolled in reinvestment plans. This notification, which is to be sent via certified mail return receipt requested, should advise owners that in the absence of establishing written communication with the holder their securities will be delivered to the State Comptroller as abandoned property. A return receipt signed by the owner of the property is to be considered contact. Additionally, Article V stipulates that owners of unclaimed wages be notified at the last known address of record via first class mail. In either of the above cases the notifications must be sent in the calendar year prior to the year in which you are required to deliver the property to the State Comptroller. You may not deduct the cost of sending notifications from the value of the abandoned property.
17 Remittance Refer to the industry-specific document that applies to your business for information regarding appropriate remittances. Note electronic funds transfer is available to remit payment. Contact the Reports Processing Unit at for account and routing number information. With each final report of abandoned property, you should include the applicable remittance payable to the Comptroller of the State of New York. You should mail it to the following address: New York State Office of the State Comptroller Office of Unclaimed Funds Remittance Control, 2nd floor 110 State Street Albany, New York In accordance with OUF s internal control procedures, you should send all payments to the above address. At no time should you send any remittances to our New York City office. Electronic Funds Transfer E-cash is now a viable method to make payment of the amount due for your report of abandoned property. Please contact our Communication Center or our Reports Processing Unit for further instruction and for account and routing number information.
18 Report Samples - Unclaimed Property Relating to Insurance Companies Multiple Entitlement Account This sample shows the proper handling of an item subject to multiple entitlements, regardless of property type. This example is specific to the proper reporting of an insurance policy listing both an insured and a beneficiary. There is a separate record for each owner, but the Account Title, as it appears on the reporting organization s records, is the same for all owners. Note that the Property ID and the Date are the same on both records, and that the Initial and Escheated Amount fields are only completed on the first record.
19 Publication Samples - Unclaimed Property Relating to Insurance Companies NOTICE OF NAMES OF PERSONS APPEARING AS OWNERS OF CERTAIN UNCLAIMED PROPERTY HELD BY name of insurance company. The following persons appear from our records to be entitled to unclaimed property consisting of cash amounts of fifty dollars or more: Hill, Joseph 5897 Truman Blvd., Troy, NY Hoffman, Ada E. Rte. 20, Albany, NY Richmond Savings Bank Hillside Avenue, Albany, NY Simpson, Robert 1138 Clinton St., Schenectady, NY Walsh, David 714 Washington Ave, Albany, NY A report of Unclaimed Property will bemade to the Comptroller of the State of New York, pursuant to Article VII and/or Section 1316 of the Abandoned Property Law. A list of the names contained in such notice is on file and open to public inspection at the principal office of the insurance company, located at address of insurance company, where such abandoned property is payable. Such abandoned property will be paid on or before August 31 next to persons establishing to its satisfaction their right to receive the same. In the succeeding September, and on or before the tenth day thereof, such unclaimed property will be paid to the Comptroller of the State of New York, and shall thereupon cease to be liable therefore.
Unclaimed Property Relating to Brokers and Dealers
Unclaimed Property Relating to Brokers and Dealers The following information corresponds to Article V-A of New York s Abandoned Property Law. For more information, refer to Article V-A of the statute.
REGISTRY OF THE COURT. Presented by: Lisa David, Williamson County District Clerk
REGISTRY OF THE COURT Presented by: Lisa David, Williamson County District Clerk Registry of the Court Each District and County Clerk must maintain a bank account to receive money ordered tendered into
QUALIFIED PLAN DISTRIBUTION NOTICE
QUALIFIED PLAN DISTRIBUTION NOTICE Introduction As a participant in your employer s Qualified Retirement Plan, you have accumulated a vested account balance. You may receive your vested account balance
Unclaimed Property Law and Regulations
Unclaimed Property Law and Regulations January 2016 Betty T. Yee Code of Civil Procedure Title 10, Chapter 7 Unclaimed Property Law Article 1. Short Title: Definitions; Applications 1500. How Cited...
INSTRUCTIONS FOR MISSISSIPPI UNCLAIMED PROPERTY REPORTING
501 North West Street Ste 1101 Jackson, MS 39201 INSTRUCTIONS FOR MISSISSIPPI UNCLAIMED PROPERTY REPORTING TO: Re: Businesses and Organizations Life Insurance Companies Report and Remittance of Unclaimed
New York State Office of the State Comptroller Handbook for Reporters of Unclaimed Funds
New York State Office of the State Comptroller Handbook for Reporters of Unclaimed Funds Office of Unclaimed Funds June 2015 Table of Contents HANDBOOK FOR REPORTERS OF UNCLAIMED FUNDS OVERVIEW CONTACTS
NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES INSURANCE REGULATION 200 11 NYCRR 226 UNCLAIMED LIFE INSURANCE BENEFITS AND POLICY IDENTIFICATION
NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES INSURANCE REGULATION 200 11 NYCRR 226 UNCLAIMED LIFE INSURANCE BENEFITS AND POLICY IDENTIFICATION I, Benjamin M. Lawsky, Superintendent of Financial Services,
(125th General Assembly) (Substitute House Bill Number 108) AN ACT
(125th General Assembly) (Substitute House Bill Number 108) AN ACT To amend section 169.03 of the Revised Code to generally require that notice of unclaimed funds be mailed to owners by holders of the
State of California Unclaimed Property. Holder Handbook. October 2015. Controller Betty T. Yee. California State Controller s Office
State of California Unclaimed Property Holder Handbook October 2015 Controller Betty T. Yee California State Controller s Office Page 2 Table of Contents Introduction 7 Contact Information 8 Visit our
Governmental 457(b) Application For Distribution
#1303-PS (5/14/2008) Governmental 457(b) Application For Distribution GENERAL INFORMATION Name of Plan Name of Employer Address City State Zip Name of Participant Date of Birth Complete the following section
Mailing Address: Des Moines, IA 50392-0001
Mailing Address: Des Moines, IA 50392-0001 Principal Life Insurance Company Complete this form to withdraw part of the retirement account in cash while still employed. Participant/Spouse complete Sections
EASY INSTRUCTIONS FOR THE ROLLOVER REQUEST FORM
EASY INSTRUCTIONS FOR THE ROLLOVER REQUEST FORM 1. Print and complete the Rollover Request form. You will need to include your payment from your IRA within 60 days of your receiving it. 2. Mail the completed
NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES INSURANCE REGULATION 200 11 NYCRR 226 UNCLAIMED LIFE INSURANCE BENEFITS AND POLICY IDENTIFICATION
NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES INSURANCE REGULATION 200 11 NYCRR 226 UNCLAIMED LIFE INSURANCE BENEFITS AND POLICY IDENTIFICATION I, Benjamin M. Lawsky, Superintendent of Financial Services,
City State ZIP Evening telephone. Note: Checks will only be made payable to the annuitant and mailed to his/her address of record.
Horace Mann Life Insurance Company 1 Horace Mann Plaza P.O. Box 4657 Springfield, IL 62708-4657 Fax 877-832-3785 LOA/ACV 403(b)/457(b) Annuity loan request and agreement Section I Contract identification
Title 17 Abandoned Property Act and Regulations of Maryland. In this title the following words have the meanings indicated.
Title 17 Abandoned Property Act and Regulations of Maryland 17-101. (a) In this title the following words have the meanings indicated. (b) (1) "Abandoned property" means personal property that is considered
Unclaimed Property and Life Insurance Companies. 2011 ACLI Annual Meeting
Unclaimed Property and Life Insurance Companies 2011 ACLI Annual Meeting 1 Agenda Property Types Dormancy - Life Insurance and Annuities Dormancy Other Property Holding Periods Claims Process DMF Usage
DISTRIBUTION FROM A PLAN NOT SUBJECT TO QJSA
DISTRIBUTION FROM A PLAN NOT SUBJECT TO QJSA This form must be preceded by or accompanied by the Special Tax Notice Regarding Plan Payments [Code (402(f)) Notice] PLAN INFORMATION Name of Plan: PARTICIPANT
How To Defer Federal Income Tax On Your Retirement Savings In The Cahill Pipe Trades Local No. 777 Annuity Fund
Connecticut Pipe Trades Local 777 Annuity Fund 1155 Silas Deane Hwy. Wethersfield, CT 06109 Phone (860) 571-9191 Fax (860) 571-9221 www.connecticutpipetrades.com ANNUITY HARDSHIP WITHDRAWAL PROVISIONS
APPLICATION FOR SURVIVORS BENEFITS
APPLICATION FOR SURVIVORS BENEFITS ALL APPLICATIONS FOR SURVIVORS BENEFITS SHOULD BE SENT TO: UMWA Health and Retirement Funds 2121 K Street, NW Suite 350 Washington, DC 20037-1879 1-800-291-1425 Fax:
Distribution Request Form
The 3121 Premier Plan Eligible Full-Time, Part-Time, Seasonal, and Temporary Employees Social Security Alternative Retirement Plan Employer (please print or type): Distribution Request Form Name of Participant:
ANNEX 3 SUPERVISORY AND REGULATORY GUIDELINES: PU16-0306 GUIDELINES FOR THE ADMINISTRATION AND ULTIMATE DISPOSITION OF DORMANT BANK ACCOUNTS
SUPERVISORY AND REGULATORY GUIDELINES: PU16-0306, 2014 GUIDELINES FOR THE ADMINISTRATION AND ULTIMATE DISPOSITION OF DORMANT BANK ACCOUNTS I. INTRODUCTION 1.1 ( the Central Bank ) is responsible for the
COLLIERS INTERNATIONAL USA, LLC And Affiliated Employers 401(K) Plan DISTRIBUTION ELECTION
1. EMPLOYEE INFORMATION (Please print) COLLIERS INTERNATIONAL USA, LLC And Affiliated Employers 401(K) Plan DISTRIBUTION ELECTION Name: Address: Social Security No.: Birth Date: City: State: Zip: Termination
Direct Rollover Request
Direct Rollover Request Instructions To request a direct rollover to an IRA or an eligible retirement plan, complete all applicable sections of this form, obtain any required signatures, and return the
FICA Alternative Plan Direct Rollover Request
www.bencorplans.com 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
Distribution Form Subject to Joint & Survivor Annuity
Distribution Form Subject to Joint & Survivor Annuity Please refer to the Plan s Summary Plan Description (SPD) for reasons distributions that are allowed in your plan. You may review the SPD, your account
Annuitant Mailing Address Street Address City State ZIP Code. Annuitant Social Security Number/Tax I.D. Number Annuitant Date of Birth (mm/dd/yyyy)
Annuitization Questions? Call our National Service Center at 1-800-888-2461. Instructions Please type or print. Use this form to begin annuity payments. Complete each section of the form. If you select
Deposits and Other Funds. Savings and Checking Accounts
Washington State UNCLAIMEDPROPERTY Financial Institutions This guide covers some common errors revealed during Unclaimed Property (UCP) audits of financial institutions including banks, saving and loans,
ANNUITY FUND OF STAGE EMPLOYEES LOCAL NO.4, I.A.T.S.E. APPLICATION FOR BENEFITS INSTRUCTIONS
INSTRUCTIONS 1. Carefully read this application in its entirety before answering any questions. It is particularly important that you read and understand the Special Tax Notice Regarding Plan Payments.
Salary Reduction Simplified Employee Pension (SAR-SEP) Plan Employer Adoption Agreement For Use with the Traditional IRA Application
december 2011 Salary Reduction Simplified Employee Pension (SAR-SEP) Plan Employer Adoption Agreement For Use with the Traditional IRA Application Employer s Guide to the SAR-SEP Plan Salary Reduction
GLOBAL RESOLUTION AGREEMENT. the ongoing unclaimed property audit that Verus Financial LLC ("Verus") is conducting of
GLOBAL RESOLUTION AGREEMENT This Global Resolution Agreement sets forth the terms and conditions intended to resolve the ongoing unclaimed property audit that Verus Financial LLC ("Verus") is conducting
DISTRIBUTION REQUEST FORM FICA ALTERNATIVE PLAN FOR FLORIDA STATE UNIVERSITY
DISTRIBUTION REQUEST FORM FICA ALTERNATIVE PLAN FOR FLORIDA STATE UNIVERSITY INSTRUCTIONS: Complete items one through four and send this form to the employer at the address printed at the bottom of the
Request for Distribution from Individual Retirement Annuity, 403(b) Tax-Sheltered Annuity or Pension Plan
Request for Distribution from Individual Retirement Annuity, 403(b) Tax-Sheltered Annuity or Pension Plan Standard Insurance Company Individual Annuities 800.247.6888 Tel 800.378.4570 Fax 1100 SW Sixth
Participant Request for Distribution
For Faster Service Use: Distribution Fax Number: (620) 793-5051 (If faxing these forms please do not mail the originals.) Participant Request for Distribution Please print legibly and use blue or black
IRA Distribution Form
IRA Distribution Form Use this form to take Non-Mandatory distributions from your Traditional, Roth, SIMPLE, or SEP IRA. Indicate type of IRA: Traditional IRA Roth SIMPLE SEP DO NOT use this form if you
LOCAL 348 ANNUITY FUND 9235 4 TH AVENUE, BROOKLYN, NY 11209
TEL. # 718-745-3487 FAX # 718-745-2976 CLAIM FOR DEATH BENEFIT INSTRUCTIONS: - Please print in ink or type. - Complete all applicable items. - Sign and have this form notarized - Attach a certified copy
DESCRIPTION OF THE PLAN
DESCRIPTION OF THE PLAN PURPOSE 1. What is the purpose of the Plan? The purpose of the Plan is to provide eligible record owners of common stock of the Company with a simple and convenient means of investing
Tile Layers Local 7 Annuity Fund 253 West 35 th Street 12 th Floor, New York, NY 10001 Phone: (212) 505-5050 Fax: (212) 714-1455
Instructions for Withdrawal 1) Please read the Federal Income Taxation Distributions Notice. 2) Make sure that Page 8 is notarized. 3) Fill out the Application for Annuity Fund Benefit Withdrawal form
Annuity Election. Instructions. Section A. Employer Information. Section B. Participant Information. Section C. Distribution Information
Annuity Election Instructions To elect an annuity, complete all applicable sections of this form, obtain any required signatures, and return the form to Diversified at the above address. The following
Distribution Request Checklist
Distribution Request Checklist PENTEGRA TRUST COMPANY A Distribution Request Form must be completed, signed and returned to the Employer/Plan Administrator to request a distribution from your Plan Account.
CASH DISTRIBUTION FORM For VALIC Annuity Accounts Only All Plan Types
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
Base Plan Account Withdrawal
Base Plan Account Withdrawal Purpose of the Form Use this form to choose how you want PERSI to handle the withdrawal of your PERSI Base Plan contributions and interest when you terminate employment with
SACRAMENTO METROPOLITAN FIRE DISTRICT GOVERNMENTAL 457 DEFERRED COMPENSATION PLAN
SACRAMENTO METROPOLITAN FIRE DISTRICT GOVERNMENTAL 457 DEFERRED COMPENSATION PLAN DEEMED IRA ACCOUNTS DISCLOSURE STATEMENT This Disclosure Statement summarizes the provisions relating to the deemed IRA
MAKE NO ALTERATIONS TO THIS FORM.
Office of the New York State Comptroller New York State and Local Retirement System Employees Retirement System Police and Fire Retirement System 110 State Street, Albany, New York 12244-0001 Retirement
Date of Birth. Marital Status
First Western Advisors PARTICIPANT TERMINATION/ROLLOVER NOTIFICATION Submission of this form initiates the processing of distributions from a qualified plan. All items on the form must be completed for
SPECIAL TAX NOTICE REGARDING PLAN PAYMENTS
SAFE HARBOR EXPLANATION FOR PLANS QUALIFIED UNDER SECTION 401(a) OR SECTION 403(b) TAX SHELTERED ANNUITIES BENCOR PLAN SPECIAL TAX NOTICE REGARDING PLAN PAYMENTS This notice explains how you can continue
Holder Reporting Guide
North Carolina Guide Processes and Procedures for Successfully Reporting Unclaimed Property Updated July 14, 2015 for Business Holders of Unclaimed Proper ty North Carolina Department of State Treasurer
Thrift Savings Plan. Form TSP-70-A Late Request for Full Withdrawal
Thrift Savings Plan Form TSP-70-A Late Request for Full Withdrawal June 2003 GENERAL INFORMATION AND INSTRUCTIONS Use this form to reestablish your account and request an immediate withdrawal of your entire
Article 13 Unclaimed Property Act
December 2006 The Honorable Mike Coffman State Treasurer Colorado Department of the Treasury 140 State Capitol Denver, Colorado 80203 www.treasurer.state.co.us Article 13 Unclaimed Property Act Cross references:
STATE EMPLOYEES RETIREMENT SYSTEM - DEFINED BENEFIT PLANS -
STATE EMPLOYEES RETIREMENT SYSTEM - DEFINED BENEFIT PLANS - PROCEDURES AND GUIDELINES FOR DETERMINING QUALIFIED STATUS OF A DOMESTIC RELATIONS ORDER I. INTRODUCTION The State Employees Retirement System
Lincoln Director SM. group variable annuity. Choices for your retirement plan distribution. Distribution options
Lincoln Director SM group variable annuity Choices for your retirement plan distribution Distribution options You have choices when it comes to your Lincoln Director SM group variable annuity retirement
Thrift Savings Plan. Form TSP-70 Request for Full Withdrawal
Thrift Savings Plan Form TSP-70 Request for Full Withdrawal January 2008 GENERAL INFORMATION AND INSTRUCTIONS Use this form to request an immediate withdrawal of your entire vested account balance, to
UNCLAIMED PROPERTY 201
UNCLAIMED PROPERTY 201 DORMANCY PERIODS Representing State Governments That Actively Find Owners While Protecting Forgotten Funds Until Claimed DEFINITIONS Dormancy Period: The period of time during which
Agent Agreement WITNESSETH
PATRIOT NATIONAL UNDERWRITERS, INC. Agent Agreement THIS AGENT AGREEMENT (the Agreement ) is made and entered into by and between Patriot National Underwriters, Inc., a Texas corporation ( Patriot ), and
TOWN OF NATICK OBRA 457 DEFERRED COMPENSATION GOVERNMENTAL PLAN DISTRIBUTION FORM
TOWN OF NATICK OBRA 457 DEFERRED COMPENSATION GOVERNMENTAL PLAN DISTRIBUTION FORM PARTICIPANT/ ALTERNATE PAYEE INFORMATION DISTRIBUTION REASON PAYMENT METHOD SPOUSE S CONSENT TO DISTRIBUTION (not applicable
QP/401(k) Separation From Service Distribution Request Form
#10486 (3/2004) QP/401(k) Separation From Service Distribution Request Form This form may be used if you have separated from service due to termination, disability or attainment of normal retirement age
New Alternatives Fund, Inc. INDIVIDUAL RETIREMENT ACCOUNT (IRA) TRADITIONAL IRA SEP IRA ROTH IRA
New Alternatives Fund, Inc. INDIVIDUAL RETIREMENT ACCOUNT (IRA) TRADITIONAL IRA SEP IRA ROTH IRA TABLE OF CONTENTS COMBINED DISCLOSURE STATEMENT 3 TRADITIONAL INDIVIDUAL RETIREMENT ACCOUNT DISCLOSURE 4
Annuity Contract Proof of Death
Annuity Contract Proof of Death Questions? Call our National Service Center at 1-800-888-2461. Instructions This form is to be completed in order to claim proceeds payable upon death. A separate Proof
AMERICAN MARITIME OFFICERS PENSION PLAN MONEY PURCHASE BENEFIT (MPB) DISTRIBUTION ELECTION FORM
For AMO Plans Use Only LDCE: AMERICAN MARITIME OFFICERS PENSION PLAN MONEY PURCHASE BENEFIT (MPB) DISTRIBUTION ELECTION FORM IMPORTANT NOTE: Please return pages 1-4 of this form for the processing of your
Janus Qualified Retirement Accounts Distribution Form
Janus Qualified Retirement Accounts Distribution Janus Qualified PO Box 55932 Form Retirement Accounts Distribution Form Boston, MA 02205-5932 800-525-1093 PO Box 55932 Boston, MA 02205-5932 800-525-1093
FMPTF 401(a) Defined Contribution and 457(b) Deferred Compensation BENEFICIARY DISTRIBUTION REQUEST
FMPTF 401(a) Defined Contribution and 457(b) Deferred Compensation BENEFICIARY DISTRIBUTION REQUEST If you have any questions, please contact the Florida Municipal Pension Trust Fund (FMPTF) by calling
Small Amounts Benefit Election
Mailing Address: P.O. Box 9394 Des Moines, IA 50306-9394 Principal Life Insurance Company Small Amounts Benefit Election You are entitled to a distribution according to the Small Amounts provision of the
TAX SHELTERED ANNUITY ROLLOVER / PARTIAL WITHDRAWAL / FULL SURRENDER REQUEST
General American Retirement & Investment Services PO Box 19098 Greenville, SC 29602 Customer Service: 800-449-6447 Fax: 866-214-0926 TAX SHELTERED ANNUITY ROLLOVER / PARTIAL WITHDRAWAL / FULL SURRENDER
WITHHOLDING CERTIFICATE FOR PENSION OR ANNUITY PAYMENTS
WITHHOLDING CERTIFICATE FOR PENSION OR ANNUITY PAYMENTS Type or Print Your Full Name Your Social Security Number Home Address (Number and Street or Rural Route) Claim or Identification Number (if any)
AFPlanServ 403(b) Hardship Distribution Authorization Form
AFPlanServ 403(b) Hardship Distribution Authorization Form Participant Instructions If your Plan allows loans, you must apply for a loan first. If you are not eligible for a loan from your provider, your
Withholding Certificate for Pension or Annuity Payments
Withholding Certificate for Pension or Annuity Payments Type or Print Your Full Name Your Social Security Number Home Address (Number and Street or Rural Route) Claim or Identification Number (if any)
Withholding Certificate for Pension or Annuity Payments
Withholding Certificate for Pension or Annuity Payments Type or Print Your Full Name Your Social Security Number Home Address (Number and Street or Rural Route) Claim or Identification Number (if any)
PURCHASING IMRF PAST SERVICE
PURCHASING IMRF PAST SERVICE An explanation of past service, how to purchase, and the impact on your IMRF pension. 02/2015 Locally funded, financially sound. Table of Contents Frequently asked questions...
CERTIFICATE OF DEPOSIT DISCLOSURE STATEMENT April 2014
The information contained in this Disclosure Statement may not be modified by any oral representation made prior or subsequent to the purchase of your Certificate of Deposit. CERTIFICATE OF DEPOSIT DISCLOSURE
Refund Checklist. 203 North LaSalle Street, suite 2600 Chicago, Illinois 60601-1231 Phone: 312 641 4464 Fax: 312 641 7185
Refund Checklist FORM 804 Checklist for Submitting the Application for CTPF Refund CTPF must have your completed application with all required forms and documents to process your application. Required
Contents. Deposit Account Contract Part 2
Deposit Account Contract Part 2 1-800-750-0959 www.fivecounty.com Contents CONTRACT TERMS AND DISCLOSURES 1 1. This is a Contract between You and Your Credit Union 1 2. Organization of Your & Our Contract
TEACHER RETIREMENT SYSTEM OF TEXAS 1000 Red River Street, Austin, Texas 78701-2698 Telephone (512) 542-6400 or 1-800-223-8778 www.trs.state.tx.
TRS 28 Rev 02-13 *+28* TEACHER RETIREMENT SYSTEM OF TEXAS 1000 Red River Street, Austin, Texas 78701-2698 Telephone (512) 542-6400 or 1-800-223-8778 wwwtrsstatetxus ELECTION TO PARTICIPATE IN OPTIONAL
New Hanover Regional Medical Center 403(b) and 457(b) Retirement Savings Plans
New Hanover Regional Medical Center 403(b) and 457(b) Retirement Savings Plans Mutual Fund Safe Harbor Request For Hardship Withdrawal Group ID# 45944003 Group ID# 45944002 1. CLIENT INFORMATION Name:
Dear Plan Participant:
Dear Plan Participant: Enclosed are materials to help you understand your Marsh & McLennan Companies 401(k) Savings & Investment Plan (Plan) distribution options as a terminated employee. The kit contains
Florida Unclaimed Property Reporting Instructions Manual
DEPARTMENT OF FINANCIAL SERVICES Division of Accounting and Auditing Bureau of Unclaimed Property Florida Unclaimed Property Reporting Instructions Manual DFS-A4-1992 Effective Date 5-3-10 Rule 69I-20.041,
DISTRIBUTION REQUEST FORM
DISTRIBUTION REQUEST FORM Previously, there was little oversight regarding the withdrawal of money from 403(b) plans. The recent law changes now apply sanctions on Plans that do not carefully monitor and
RULES OF THE DEPARTMENT OF INSURANCE DIVISION OF INSURANCE CHAPTER 0780-1-40 RELATING TO LIFE INSURANCE SOLICITATION TABLE OF CONTENTS
RULES OF THE DEPARTMENT OF INSURANCE DIVISION OF INSURANCE CHAPTER 0780-1-40 RELATING TO LIFE INSURANCE SOLICITATION TABLE OF CONTENTS 0780-1-40-.01 Purpose 0780-1-40-.05 General Rules 0780-1-40-.02 Scope
Your Retirement Plan
Your Retirement Plan Special 20- and 25-Year Plans For PFRS Tier 1, 2, 3, 5 and 6 Members (Sections 384, 384-d and 384-e) New York State Office of the State Comptroller Thomas P. DiNapoli New York State
REQUEST FOR DISTRIBUTION INSTRUCTIONS
REQUEST FOR DISTRIBUTION INSTRUCTIONS DISTRIBUTIONS FROM THE PLAN Generally, participants may not take a distribution from the Plan until a distributable event occurs. The events vary depending on the
CONTRACTOR PACKET Vendor Invoice and Payment Processing Instructions
CONTRACTOR PACKET Vendor Invoice and Payment Processing Instructions Introduction Cummings Property Management Inc. is the company that manages the administrative and financial operations of the community
Outgoing Annuity Tax-Qualified Transfer Exchange, Conversion or Direct Rollover from RiverSource Life Insurance Co. of New York i
DOC0107138065 Service address: RiverSource Life Insurance Co. of New York 70500 Ameriprise Financial Center Minneapolis, MN 55474 Outgoing Annuity Tax-Qualified Transfer Exchange, Conversion or Direct
TABLE OF CONTENTS PAGE GENERAL INFORMATION B-3 CERTAIN FEDERAL INCOME TAX CONSEQUENCES B-3 PUBLISHED RATINGS B-7 ADMINISTRATION B-7
STATEMENT OF ADDITIONAL INFORMATION INDIVIDUAL VARIABLE ANNUITY ISSUED BY JEFFERSON NATIONAL LIFE INSURANCE COMPANY AND JEFFERSON NATIONAL LIFE ANNUITY ACCOUNT G ADMINISTRATIVE OFFICE: P.O. BOX 36840,
Frequently Asked Questions and Next Steps to Retirement
State Teachers Retirement System Of Ohio Completing My Service Retirement Application Frequently Asked Questions and Next Steps to Retirement for Members Enrolled in the Defined Benefit Plan Dear Member:
H.T. BAILEY INSURANCE GROUP 401(k) PLAN Case # 943-80987. ELECTION OF PAYMENT METHOD (Please Print Clearly)
H.T. BAILEY INSURANCE GROUP 401(k) PLAN Case # 943-80987 ELECTION OF PAYMENT METHOD (Please Print Clearly) PARTICIPANT NAME: DATE OF BIRTH: SOCIAL SECURITY NUMBER: DATE OF HIRE: DATE OF TERMINATION: DO
If you are 55 years or older and are retiring or separating from the County of San Diego, your
UTerminal Pay Plan Frequently Asked Questions If you are 55 years or older and are retiring or separating from the County of San Diego, your accrued sick and vacation leave will be paid out through the
Distribution Options. For Defined Contribution and 403(b) Plans Without Life Annuities
Distribution Options For Defined Contribution and 403(b) Plans Without Life Annuities Take the Time to Decide What will you do with your retirement savings? Life is full of changes. We retire. We change
Glenn Hegar Texas Comptroller of Public Accounts. Unclaimed Property Reporting Instructions
Glenn Hegar Texas Comptroller of Public Accounts Unclaimed Property Reporting Instructions Table of Contents Quick Reference: Helpful Information Payment and Delivery.... Tangible Property Delivery...
GENERAL INSTRUCTIONS FOR 403(b)(7) DISTRIBUTIONS
GENERAL INSTRUCTIONS FOR 403(b)(7) DISTRIBUTIONS IMPORTANT INFORMATION Before proceeding, contact your employer s Plan Administrator to discuss your distribution options. In addition, it is important that
IRA DISTRIBUTION FORM
IRA DISTRIBUTION FORM SECTION 1: Account Information Account Number Owner s Name (Last, First, Middle Initial) Owner s Social Security Number Date of Birth (MM/DD/YY) Address of Residence - P.O. Box is
REQUEST FOR DISBURSEMENT Form - Tax-Sheltered Annuities 403(b)
Policy Number Owner / Annuitant Phone Number Owner s Legal Address--Street City State Zip CONDITIONS FOR WITHDRAWAL One of the conditions below must be met for a withdrawal to be processed. Please review
AFPlanServ 403(b) Plan Exchange Authorization Form
AFPlanServ 403(b) Plan Exchange Authorization Form Participant Instructions The AFPlanServ 403(b) Plan Exchange Authorization Form must be submitted to AFPlanServ to approve an exchange of assets within
NATIONAL WESTERN LIFE INSURANCE COMPANY YOUR ROLLOVER OPTIONS
NATIONAL WESTERN LIFE INSURANCE COMPANY YOUR ROLLOVER OPTIONS This notice explains how you can continue to defer federal income tax on your retirement savings and contains important information you will
Information About Your Hardship Withdrawal Request. Types of Requests
Information About Your Hardship Withdrawal Request A Hardship Withdrawal from a 401(k) Plan is subject to IRS Regulations. Please review the following information before completing the Request form. Types
DOC010830482. RiverSource Life Account You Are Moving Assets From. Part 2. Account You Are Moving Assets To
DOC010830482 RiverSource Life Insurance Company 70100 Ameriprise Financial Center Minneapolis, MN 55474 Outgoing Annuity Tax-Qualified Transfer, Exchange, Conversion or Direct Rollover from RiverSource
IRA DISTRIBUTION FORMS INSTRUCTION BOOKLET FOR ORIGINAL ACCOUNT HOLDERS
IRA DISTRIBUTION FORMS INSTRUCTION BOOKLET FOR ORIGINAL ACCOUNT HOLDERS Not FDIC Insured May Lose Value Not Bank Guaranteed CONTENTS 1 Information for Different Types of Distributions 2 Penalty Exempt
105-228.4: Recodified as 58-6-7 by Session Laws 1995, c. 360, s. 1(c).
Article 8B. Taxes Upon Insurance Companies. 105-228.3. Definitions. The following definitions apply in this Article: (1) Article 65 corporation. - A corporation subject to Article 65 of Chapter 58 of the
How To Pay Out Of Plan Money
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
HCS RETIREMENT SERVICES
Distribution Form HCS RETIREMENT SERVICES 1095 South 800 East Orem, UT 84097 Phone 801-224-1900 Fax 801-224-1930 www.hcsretirement.com EMPLOYER: PERSONAL INFORMATION Last Name: S.S. #: First Name: Date
PARTICIPANT DISTRIBUTION FORM Please read the Frequently Asked Questions (FAQ) attached to this form. Submit the completed form to the Plan Sponsor.
PARTICIPANT DISTRIBUTION FORM Please read the Frequently Asked Questions (FAQ) attached to this form. Submit the completed form to the Plan Sponsor. Send a copy of your completed distribution form to the
Southern 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
