TRS Retiree Applicant Return to Work Surcharge Authorization Procedures TEXAS WOMAN’S UNIVERSITY State law requires TWU to pay a TRS surcharge(s) on all TRS retirees who retired on or after September 2005 and become employed with the University in a benefits eligible position. Individual departments incur the budgetary impact of all TRS retiree surcharges, therefore TRS retirees requiring a surcharge must have department head and then VP/Provost approval prior to the offer of employment. Total surcharges are calculated depending on the retiree’s prior employment circumstances, current retiree health insurance carrier and other various factors. Benefits Department personnel in the Office of Human Resources may electronically research total surcharges for individual applicants. Please contact one of the following members to obtain TRS surcharge information. Benefits Department Contact Information: Tony Yardley: 82-6550 Angela Cagle: 81-3552 After the total TRS surcharge is determined and the department has decided to seek approval, please complete the attached form and forward to the appropriate Department Head and Vice President/Provost for approval. Completed and approved documents should be forwarded to the Office of Human Resources. TWU, Revised 05/07/2014 TRS Retiree Applicant Return to Work Surcharge Authorization Form TEXAS WOMAN’S UNIVERSITY TRS RETIREE APPLICANT INFORMATION Applicant Name Current Date Assignment Start Date Assignment End Date Position Salary FTE Account Number Monthly TRS Surcharge Monthly TRS Care Surcharge Department Head Name Department Approval (Enter Yes or No) Approval Signature Vice President or Provost Name Approval (Enter Yes or No) Approval Signature TWU, Revised 05/07/2014