| STATE OF MINNESOTA TEACHERS RETIREMENT ASSOCIATION 302 CAPITOL SQUARE BUILDING Saint Paul, Minnesota 55101 OFFICIAL ELECTION FORM TO: MEMBERS OF THE FUND WHO RENDERED TEACHING SERVICE IN THE FUND DURING THE 1968-1969 SCHOOL YEAR MEMBERS WHO HAD AT LEAST 20 YEARS OF ALLOWABLE SERVICE CREDIT IN THE FUND AS OF JULY 1, 1969. The Teachers Retirement Improvement Act of 1969 provides (in Minnesota Statutes 1969, Section 254.1.45) that each member in fund who rendered teaching service during the 1968-69 school year or each member who had at least 20 years of allowable service credit as of July 1, 1969, may participate in one of the five following programs, except that the Total Variable Annuity Program is available only to Coordinated members: A. APPROVED MONEY PURCHASE PROGRAM (You are automatically covered in this program unless you select one of the B. FORMULA PROGRAM C. COMBINED IMPROVED MONEY PURCHASE and VARIABLE ANNUITY PROGRAM 4/7 of TRA contributions into Improved Money Purchase 3/7 of TRA contributions into Variable Annuity D. COMBINED FORMULA and VARIABLE ANNUiTY PROGRAM 4/7 of TRA contributions into Formula 3/7 of TRA contributions into Variable Annuity E. TOTAL VARIABLE ANNUITY PROGRAM (Coordinated members only) The effective date of the election is July 1 of the year following the school year in which the election is made. The election, once made, is irrevocable. Several publications, providing information on the above programs, can be obtained from the office of the Teachers Retirement Association. The publications available, all of which deal with the Teachers Retirement Improvement Act of 1969, are as follows: Highlights The Retired Teacher The New Teacher Estimate Your Retirement Annuity The Variable Annuity IMPORTANT: DO NOT COMPLETE TIlE INFORMATION BELOW UNLESS YOU WISH TO CHANGE FROM THE IMPROVED MONEY PURCHASE PROCRAM (ITEM "A" ABOVE) UNDER WHICH YOU ARE PRESENTLY COVERED TO ONE OF THE PROGRAMS LISTED BELOW. If you wish to change from item "A" above, please check the appropriate box: [ ] FORMULA PROGRAM (ltem "B"Above) [ ] COMBINED ~PROVED MONEY PURCHASE and VARIABLE ANNUITY PROGRAM [ ] COMBINED FORMULA and VARIABLE ANNUITY PROGRAM (Item "D" Above) [ ] TOTAL VARIABLE ANNUITY PROGRAM (Item "E" Above) This election form must be returned directly to the Teachers Retirement Association. The election must be made before July 1, 1972 or prior to retirement, whichever is first. PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION: TRA Number_____________ Name_____________________________________________________________ (Last) (First) (Middle) (Maiden) ___________________________________________________________________________________________ (Street Address) (City) (State) (Zip Code) Presently teaching______________________________County District Number ___________________ Soc. Soc. Number_______________________________ SIGNATURE_________________________________ PLEASE DO NOT RETURN THIS FORM UNLESS YOU HAVE CHECKED ONE OF THE APPROPRIATE BOXES ABOVE. |
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| (programs listed below) |
| (Item "C" Above) |