N.H. Admin. Code § Ret 502.06

Current through Register No. 50, December 12, 2024

Section Ret 502.06 - Filing NHRS Forms 4 and 26, Application for Vested Deferred Retirement

(a) To file an application for vested deferred retirement, a Group I member shall complete NHRS Form 4 and a Group II member shall complete NHRS Form 26 by providing the following information:

(1) An application for vested deferred retirement;

(2) A tax withholding certificate;

(3) A copy of the member's Social Security card or IRS Form W-9;

(4) A copy of the member's birth certificate; and

(5) Copies of the beneficiary's(ies') birth certificate(s) if the member selects a survivorship option.

(b) Every Group I or Group II member shall complete Section I by providing the following information:

(1) The member's name;

(2) The member's social security number;

(3) The member's mailing address;

(4) The employer's name;

(5) The member's position title;

(6) The member's home telephone number;

(7) The member's date of birth; and

(8) The member's effective date of retirement.

(c) Every Group I or Group II member shall select and sign only one benefit payment choice.

(d) Every Group I or Group II member shall designate primary beneficiaries by providing the following information:

(1) The name(s) of the beneficiary(ies);

(2) The mailing address(es) of the beneficiary(ies);

(3) The Social Security number(s) of the beneficiary(ies);

(4) The date(s) of birth of the beneficiary(ies);

(5) The beneficiary(ies)'s relationship to the member; and

(6) The distribution percentage in the case of multiple beneficiaries.

(e) Every Group I or Group II member shall designate contingent beneficiaries by providing the same information as required in (d) above.

(f) Every Group II member shall designate a beneficiary(ies) for the special Group II death benefits provided under RSA 100-A:12 by providing the same information that is required in (d) above.

(g) Every Group I or Group II member shall sign and date NHRS Form 4 or NHRS Form 26 and shall have it acknowledged by a Notary Public or a Justice of the Peace.

(h) The member shall retain the yellow copy of NHRS Form 4 or NHRS Form 26 and shall return the white copy to the system.

N.H. Admin. Code § Ret 502.06

#7574, eff 10-10-01, EXPIRED: 10-10-09

New. #9563, eff 10-14-09