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How do I fill this out?

To fill out this form, start by entering your personal information as required. Ensure you complete the payroll information section accurately. Lastly, review all sections thoroughly before submission.

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How to fill out the Participant Enrollment Governmental 457(b) Plan?

  1. 1

    Enter your personal information including your name and Social Security Number.

  2. 2

    Complete the payroll contribution section according to your desired contribution amount.

  3. 3

    Choose to enroll in My Total Retirement or select your own investment options.

  4. 4

    Sign the form and ensure all required fields are completed.

  5. 5

    Submit the form to the designated address or upload it electronically.

Who needs the Participant Enrollment Governmental 457(b) Plan?

  1. 1

    State employees needing retirement savings options.

  2. 2

    Individuals looking for information on tax-deferred contributions.

  3. 3

    Participants in the Pennsylvania State Employees' Deferred Compensation Plan.

  4. 4

    Financial advisors assisting clients with retirement planning.

  5. 5

    Human Resources departments managing employee benefits.

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What are the instructions for submitting this form?

To submit this form, you may choose to upload it electronically through our portal. Alternatively, you can send it through express mail to Empower at 8515 E. Orchard Road, Greenwood Village, CO 80111, or regular mail to PO Box 173764, Denver, CO 80217-3764. Make sure your signature is included as electronic signatures will not be accepted.

What are the important dates for this form in 2024 and 2025?

Key dates for submitting this form include initial enrollment periods which generally open at the start of each fiscal year. Be sure to complete the enrollment during the designated timeframe to ensure your participation in the upcoming contribution cycles. Specific deadlines may vary based on the plan year and should be checked annually.

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What is the purpose of this form?

This form serves to enroll participants into the Pennsylvania State Employees' Deferred Compensation Plan. It provides a structured process for employees to direct their contributions towards their retirement. Participants can also specify their chosen investment options to secure their financial future.

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Tell me about this form and its components and fields line-by-line.

The form contains multiple fields for personal identification, contribution amounts, and investment selections.
fields
  • 1. Last Name: The last name of the participant as registered.
  • 2. First Name: The first name of the participant.
  • 3. Social Security Number: The participant's Social Security Number for identification.
  • 4. Mailing Address: The residential address of the participant.
  • 5. Annual Income: The annual income needed for retirement calculation.

What happens if I fail to submit this form?

Failing to submit this form may result in delays in your enrollment in the retirement plan. It is crucial to ensure all information is correctly filled to avoid being defaulted into an investment option.

  • Default Investment Allocation: If the form is incomplete, funds may be allocated to a default investment.
  • Delayed Enrollment: Your enrollment in the plan could be postponed, affecting your retirement savings.
  • Compliance Issues: Incomplete forms may cause issues with compliance to the retirement plan requirements.

How do I know when to use this form?

Use this form when you are ready to enroll in the Pennsylvania State Employees' Deferred Compensation Plan. It's necessary to fill it out for initiating your retirement contributions. Ensure you submit it during the enrollment period.
fields
  • 1. New Employee Enrollment: To enroll new employees in the retirement savings plan.
  • 2. Annual Enrollment Period: During the annual enrollment period for existing participants.
  • 3. Change in Contribution Amount: To adjust contribution amounts or investment options.

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Participant Enrollment Governmental 457(b) Plan

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