Dear Teachers, Custodial Supervisors, District Office Supervisors
& Managerial Confidential Members,
Congratulations on making the decision to move onto the next amazing phase of your life!
On this page you will find all the forms you need to transition to retirement. The items with a red*** need to be returned by June 7, 2024, to your MTABF Trustee.
& Managerial Confidential Members,
Congratulations on making the decision to move onto the next amazing phase of your life!
On this page you will find all the forms you need to transition to retirement. The items with a red*** need to be returned by June 7, 2024, to your MTABF Trustee.
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RETIREMENT PRESENTATION
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CHANGE OF STATUS FORM *** Complete & return
DENTAL:
If you are choosing to enroll dependent(s) &/or spousal as part of a your retirement plan, the forms with red*** must be returned with your enrollment papers
If you are choosing to enroll dependent(s) &/or spousal as part of a your retirement plan, the forms with red*** must be returned with your enrollment papers
LIFE INSURANCE:
If you are choosing life insurance as part of a retirement plan, the forms with red*** must be returned with your enrollment papers.
If you are choosing life insurance as part of a retirement plan, the forms with red*** must be returned with your enrollment papers.
- LIFE INSURANCE CHANGE OF BENEFICIARY FORM***
- LIFE INSURANCE COVERAGE INFORMATION
- " I HAVE LIFE INSURANCE" DECLARATION - put with your important papers
OPTICAL:
- OPTICAL BENEFIT AUTHORIZATION FORM - use to allow spouse or dependent to use instead of you
ADDITIONAL OPTIONAL BENEFITS
- HEARING AID BENEFIT AUTHORIZATION FORM - use to allow spouse or dependent to use instead of you
- FINANCIAL COUNSELING BENEFIT SUMMARY
- LEGAL BENEFIT SUMMARY
IMPORTANT FORMS & DOCUMENTS FOR FUTURE USE
- CHANGE OF STATUS FORM - update personal info. / change of status ie: new address, marry, divorce, etc
- VARIABLE BENFITS CLAIM FORM
- IMPORTANT CONTACT INFO
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RETIREES GIVE FORMS & CHECK to YOUR BUILDING TRUSTEE or MAIL TO: C. JENSEN @ Mahopac Middle School By June 7,2024 |
BUILDING TRUSTEES EMAIL
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