Retirement Paperwork Session
March 12, 2015
Please complete and return at the end
of the session
 Form 6- Claiming Your Retirement Benefit
PAGE ONE ONLY
 Photo ID
Proof of Birth for you and your spouse/beneficiary (if
any)
(clear copy of driver’s license or state issued ID or
certified birth certificate)
 Resignation Form
Retirement effective date: July 1, 2015
Resignation effective date: June 30, 2015
Determining Your Retirement
Service Eligibility
 Unreduced payment
 30 years of contributory retirement service
regardless of age
 25 years of contributory retirement service and
age 60
 5 years of contributory retirement service and age
65
 10 years of contributory retirement service and
age 65 if employee became a member on or after
August 1, 2011
Determining Your Retirement
Service Eligibility
 Reduced payment
 20 years of contributory retirement service and
age 50
 5 years of contributory retirement service and age
60
 10 years of contributory retirement service and
age 60 if employee became a member on or after
August 1, 2011
When you retire, what happens to your
ABSS leave balances?
 The following is paid (as it applies to your situation) to you by ABSS:
 Annual leave up to 30 days. Any annual leave over 30 days rolls over
into your sick leave. (See Sick Leave item below.)
 Bonus leave
 2014-15 Bonus/Annual Leave
 Installment pay
 Longevity pro-rated through your last day of employment
 Personal leave is never paid out. However, it rolls over into your sick
leave. (See Sick Leave item below.)
 Sick leave is never paid out. However, it is reported to the retirement
system, and is added to your retirement years of creditable service,
increasing your retirement service. (See Sick Leave Conversion Sheet.)
Conversion of Sick Leave Days Into
Retirement Service
.125 – 20days
=
1 month
241 – 260 days
=
13 months
21 – 40 days
=
2 months
261 – 280 days
=
14 months
41 – 60 days
=
3 months
281 – 300 days
=
15 months
61 – 80 days
=
4 months
301 – 320 days
=
16 months
81 – 100 days
=
5 months
321 – 340 days
=
17 months
101 – 120 days
=
6 months
341 – 360 days
=
18 months
121 – 140 days
=
7 months
361 – 380 days
=
19 months
141 – 160 days
=
8 months
381 – 400 days
=
20 months
161 – 180 days
=
9 months
401 – 420 days
=
21 months
181 – 200 days
=
10 months
421 – 440 days
=
22 months
201 – 220 days
=
11 months
441 – 460 days =
23 months
221 – 240 days
=
12 months
461 – 480 days =
24 months
When the Retirement System Receives Your
Application for Retirement, You Will Receive At
Least Two Mailings As Follows:
 The First Mailing Will Include:
 Acknowledgement Letter
 Form 333, Notice of $10,000 Contributory Death Benefits for
Retired Members
 Form 170, Authorizing Direct Deposit (as a Retiree)
 Online HM, Selecting Retiree Health Insurance through the
State Health Plan Online and instructions to enroll
electronically or by telephone on the State Health Plan.
(There is no paper form; enrollment must be done either
online or by phone.) Enrollment is vital to ensure that
your health insurance coverage is effective the first of
the month following your retirement date.
When the Retirement System Receives Your
Application for Retirement, You Will Receive At
Least Two Mailings As Follows:
 The First Mailing:
 Return completed documents to the State
Retirement System
 Remember, forms and correspondence will be
sent directly to you and it is your responsibility to
complete and return any forms to the North
Carolina Retirement System. It is also your
responsibility to complete online health
insurance enrollment as a retiree.
When the Retirement System Receives Your
Application for Retirement, You Will Receive At
Least Two Mailings As Follows:
 The Second Mailing Will Include:
 Report of Estimated Retirement Benefits
 Form 6E, Choosing Your Retirement Payment
Option (Form 6E must be notarized - do not sign
until a notary can witness your signature.)
 Form 290, Choosing Income Tax Withholding
Preference
 Form 336, Designating Beneficiary(ies) for the
Guaranteed Refund as a Retiree (Form 336 must be
notarized - do not sign until a notary can witness
your signature.)
When the Retirement System Receives Your
Application for Retirement, You Will Receive At
Least Two Mailings As Follows:
 The Second Mailing:
 Return completed and notarized documents to
the State Retirement System
 Remember, forms and correspondence will be
sent directly to you and it is your responsibility to
complete and return any forms to the North
Carolina Retirement System.
To Contact The Retirement System
 Phone Numbers: For active employees prior to retirement,





toll-free number 1-877-627-3287
After retirement, retiree toll-free number 1-877-733-4191
Fax:
919-508-5350
Website: www.myncretirement.com
ORBIT:
Register on website for your personal
retirement account details
Address: Department of State Treasurer
Retirement Systems Division
325 N. Salisbury Street
Raleigh, NC 27611
Supplemental Retirement Vendor Info

VALIC
Greg Calvert, CFP, ChFC, CLU, Financial Advisor
7029 Albert Pick Rd, Suite 206
Greensboro, NC 27409
Office: (336) 578-9750 Fax: (336) 283-0933
Email: Gregory.Calvert@valic.com
Website: www.VALIC. corn

The Horace Mann Companies
Herb Niparts
340 Holly Hill Lane
Burlington, NC 27215
Office: (336) 586-0500 Fax: (336) 586-0670
Email: herb.niparts@horacemann.com
Website: www.horacemann.com

ING
Larry Hoyt
Jerry Alford
Hilisborough, NC
Hilisborough, NC
Phone: (919) 732-9011
Phone: (919) 479-8438
Email: Lhoyt@NC.RR.com
Email: JA403B@aol.com
Website: www.ING.com

Prudential
Margaret A. Hendershot
Regional Retirement Education Manager
Office: (919) 435-8030 Cell: (336) 482-7093
Email: margaret.hendershot@prudential.com
Website: www.prudential.com
www.ncplans.prudential.com