State of Illinois Department of Healthcare and Family Services HOSPITAL, PROFESSIONAL SCHOOL OR PRACTITIONER OWNED GROUP PRACTICE AS ALTERNATE PAYEE (See Reverse Side)
48 SECTION 9. DEATH OF ALTERNATE PAYEE a. Death Before Commencing Benefits (i) If the Alternate Payee dies before commencing benefits, the Contingent Alternate Payee named in subsection c, below, shall be paid an amount actuarially equivalent to the value of the Alternate Payee's benefit ...
IMRF QILDRO FAQ for Members, Alternate Payees, and Attorneys - 07/2011 Page 4 of 9 As an alternate payee, when can I get my share of the benefit (pension, death benefit, refund)?
Form 13 GWRS FDSTAP 02/11/10 Page 1 of 12 GP22 /217531332 E01:100709 Alternate Payee Distribution Request Governmental 457(b) Plan Refer to the Alternate Payee Distribution Guide while completing this form.
CENTRAL STATES SOUTHEAST AND SOUTHWEST AREAS HEALTH AND WELFARE AND PENSION FUNDS ALTERNATE PAYEE REQUEST G:\Groups\Funds\Forms\CG\CG Alternate Payee.doc - 09/15/2010 PO Box 5125 Des Plaines, Illinois ...
-1-Please complete and execute only this page and return to the person/department who furnished it to you. ALTERNATE PAYEE DISTRIBUTION ELECTION FORM - QDRO NOT SUBJECT TO JOINT & SURVIVOR ANNUITY REQUIREMENTS Plan Name:_____ Name of Participant ...
ALTERNATE PAYEE APPLICATION FOR BENEFITS . SHEET METAL WORKERS NATIONAL PENSION FUND. Edward F. Carlough Plaza. 601 N. Fairfax Street, Suite 500. Pension Benefit Department
Beneficiary/Alternate Payee Claim Beneficiary Claim (check one below) OR Alternate Payee Claim (Domestic Relations Order) (check one below) r Spouse r Ex-Spouse r Non-Spouse r Other Claimant Name Claimant's Social Security Number Plan Participant's Name Plan Participant's Social Security Number ...
5VFITSAPD0518 Fidelity Investments ® Alternate Payee Distribution Form Instructions: Method to Obtain a Distribution: Please contact Fidelity to determine if you may request a distribution by telephone or by a standard Distribution Form or by completing this Alternate Payee Distribution Form.
IDENTIFICATION OF PARTICIPANT AND ALTERNATE PAYEE a. [Name of the Participant] is eligible to receive a benefit from the Plan and is hereafter referred to as the "Participant."
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