Mahopac Teachers Association Benefit Fund
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Retirement

INFORMATION FOR MTA, District office supervisors, MANAGERIAL CONFIDENTIAL
​& CUSTODIAL SUPERVISORs

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 13, 2025, to your MTABF Trustee.

RETIREE “TO DO” CHECKLIST
​Steps to Take to Ensure YOU are Properly Enrolled
RETIREMENT PLAN CHOICES
  • MTABF PLANS ENROLLMENT FORM **
RETIREMENT PRESENTATION
Picture
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
  • Dental Enrollment Announcement - Please note that you will not be able to use the variable benefit offset this cost
Dental Enrollment Announcement - Please note that you will not be able to use the variable benefit offset this cost
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.
  • ​LIFE INSURANCE CHANGE OF BENEFICIARY FORM***
  • LIFE INSURANCE COVERAGE INFORMATION 
  • " I HAVE LIFE INSURANCE" DECLARATION - put with your important papers
​OPTICAL:
  • OPTICAL CLAIM FORM
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
  1. CHANGE OF  STATUS FORM - update personal info. / change of status ie: new address, marry, divorce, etc
  2. IMPORTANT CONTACT INFO 
RETIREES 
​

GIVE FORMS & CHECK to YOUR BUILDING TRUSTEE
or
​MAIL TO:

 C. JENSEN
@ Mahopac Middle School

By June 13, 2025
BUILDING TRUSTEES EMAIL
  • Austin Road  - Tara DelMonaco
  • Falls School, Bus Garage, District Office - Andrea Tuccillo 
  • Fulmar Road  -  Lisa Tornambe
  • Lakeview  - Kate Legeret​
  • Middle School - Andrea Tuccillo​
  • High School - Eileen Clements​
  • High School - Jay Melville

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  • Home
  • Accountability
  • ASO
  • Blog: News4U
  • Dental
  • Financial
  • Hearing
  • Hired
  • Leave
  • Legal
  • Life
  • Optical
  • Retire
    • Already Retired
    • Getting Ready to Retire
    • MTA, Man. Conf, Cust. Super 2025
    • UPSEU 2025
  • Variable