Understanding Your 1099-R
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1Understanding Your 1099-R
Understanding Your 1099-R
1099-R Tentative Timeline
Before we can print 1099-Rs, all 2016 payments (and adjustments)
must be balanced. This process cannot be completed until all December
January 1-15
2016 payments (and adjustments) will be balanced
1099-R Tentative Timeline
Before we can print 1099-Rs, all 2016 payments (and adjustments)
benefit payments (and adjustments) have cleared. Since we only have one
January 16-18 1099-Rs will be printed and posted on myMPERS
must be balanced. This process cannot be completed until all December
January 1-15
2016 payments (and adjustments) will be balanced
accountant, this process takes time.
January 31st
All 1099-Rs will be mailed by this date.
benefit payments (and adjustments) have cleared. Since we only have one
January 16-18 1099-Rs will be printed and posted on myMPERS
accountant, this process takes time.
•
1099-R tax forms will be available and mailed to you
by January 31st.
January 31st
All 1099-Rs will be mailed by this date.
You will receive a separate 1099-R for each type of benefit payment you received from MPERS in 2016 (e.g., monthly benefit payment,
The information from your form will be available through Secure Member Access on MPERS’
•
1099-R tax forms will be available and mailed to you
by January 31st.
BackDROP distribution, survivor benefits, etc.).
website ( ), before your paper form is mailed to your home address.
You will receive a separate 1099-R for each type of benefit payment you received from MPERS in 2016 (e.g., monthly benefit payment,
The information from your form will be available through Secure Member Access on MPERS’
BackDROP distribution, survivor benefits, etc.).
•
Year-to-Date Medical Premium Information
website ( ), before your paper form is mailed to your home address.
For your convenience, the 1099-R contains the total medical, dental, and vision premiums that were deducted from your 2016 monthly
•
Year-to-Date Medical Premium Information
benefit payments from MPERS
(if
applicable). The amounts do not include any refunds or manual premium payments.
For your convenience, the 1099-R contains the total medical, dental, and vision premiums that were deducted from your 2016 monthly
benefit payments from MPERS
(if
applicable). The amounts do not include any refunds or manual premium payments.
Notable Sections of Your 1099-R
Notable Sections of Your 1099-R
Distributions from pensions, annuities,
OMB No 1545-0119
2016
retirement, or profit-sharing plans, IRAs,
1099-R
FOR INFORMATIONAL PURPOSES ONLY
FORM
insurance contracts, etc.
133336
Account no. (see instructions)
CORRECTED (if checked)
PAYER’S name, street address, city, state, and ZIP code
The following 2016 premium information is provided for your convenience.
Distributions from pensions, annuities,
OMB No 1545-0119
2016
These totals only reflect what was withheld from your MPERS benefit (if
retirement, or profit-sharing plans, IRAs,
1099-R
FOR INFORMATIONAL PURPOSES ONLY
FORM
applicable) and does not include any refunds or manual premium payments.
insurance contracts, etc.
For Your Convenience
MoDOT and Patrol Employees’ Retirement System
133336
Account no. (see instructions)
CORRECTED (if checked)
1913 William Street
Total Withheld for 2016
PAYER’S name, street address, city, state, and ZIP code
The following 2016 premium information is provided for your convenience.
The 1099-R shows total
These totals only reflect what was withheld from your MPERS benefit (if
PO Box 1930
applicable) and does not include any refunds or manual premium payments.
Medical Insurance Premiums
$3,432.00
For Your Convenience
Jefferson City, MO 65102-1930
medical, dental, and vision
MoDOT and Patrol Employees’ Retirement System
1913 William Street
Total Withheld for 2016
Vision Care Premiums
$ 138.60
PAYER’s federal identification number
RECIPIENT’S identification number
insurance premiums withheld
The 1099-R shows total
44-6006203
123-45-6789
PO Box 1930
Medical Insurance Premiums
$3,432.00
from your MPERS benefit
Dental Care Premiums
$ 612.24
RECIPIENT’S name, street address, city, state, and ZIP code
Jefferson City, MO 65102-1930
medical, dental, and vision
payments (if applicable).
Vision Care Premiums
$ 138.60
PAYER’s federal identification number
RECIPIENT’S identification number
insurance premiums withheld
John E Retiree
44-6006203
123-45-6789
123 N Main St
from your MPERS benefit
RECIPIENT’S name, street address, city, state, and ZIP code
Dental Care Premiums
$ 612.24
Jefferson City, MO 65109
payments (if applicable).
John E Retiree
1 Gross distribution
2a Taxable amount
123 N Main St
1
2a
John E Retiree
$45,600.00
$42,460.00
Jefferson City, MO 65109
4 Federal income tax withheld
123 N Main St
2b Taxable amount not determined
4
$3,532.20
Total distribution
Jefferson City, MO 65109
1 Gross distribution
2a Taxable amount
5 Employee contributions
7 Distribution code(s)
1
2a
7
5
John E Retiree
$45,600.00
$42,460.00
$3,140.00
7
4 Federal income tax withheld
123 N Main St
9a Percentage total distributions
2b Taxable amount not determined
9b Total employee contributions
4
$3,532.20
$
$
Total distribution
Jefferson City, MO 65109
Sample 1099-R
5 Employee contributions
7 Distribution code(s)
12 State tax withheld
13 State/Payer’s state no.
12
7
5
$3,140.00
7
$1,200.00
MO-00402432686
(for illustrative purposes only)
9a Percentage total distributions
9b Total employee contributions
$
$
Copy B - - Report this income on your federal tax return. If this form
Sample 1099-R
shows federal income tax withheld in Box 4, attach this copy to your
12 State tax withheld
13 State/Payer’s state no.
12
return.
$1,200.00
MO-00402432686
(for illustrative purposes only)
This information is being furnished to the Internal Revenue Service.
Copy B - - Report this income on your federal tax return. If this form
shows federal income tax withheld in Box 4, attach this copy to your
return.
This information is being furnished to the Internal Revenue Service.
Box #
Description of Amount
Box#
Description of Amount
Distributions from pensions, annuities,
OMB No 1545-0119
Distributions from pensions, annuities,
OMB No 1545-0119
2015
2015
retirement, or profit-sharing plans, IRAs,
retirement, or profit-sharing plans, IRAs,
1
Gross Distributi
on: T
1099-R
1099-R
otal amount paid to you by MPERS in 2016
FORM
FORM
insurance contracts, etc.
insurance contracts, etc.
1
Gross Distribution: total amount paid to you by MPERS in 2016.
Box #
Description of Amount
133336
133336
CORRECTED (if checked)
CORRECTED (if checked)
Account no. (see instructions)
Account no. (see instructions)
Taxable Amount: Portion of your total benefit received that is considered “taxable income.” (Amount may be different from Box 1
PAYER’S name, street address, city, state, and ZIP code
PAYER’S name, street address, city, state, and ZIP code
Distributions from pensions, annuities,
OMB No 1545-0119
Distributions from pensions, annuities,
OMB No 1545-0119
2015
2015
2a
Taxable Amount: portion of your total benefit received that is considered “taxable income. ”
retirement, or profit-sharing plans, IRAs,
retirement, or profit-sharing plans, IRAs,
1
Gross Distributi
on: T
1099-R
1099-R
otal amount paid to you by MPERS in 2016
FORM
FORM
insurance contracts, etc.
if you purchased service credit before retirement - see Box 5.)
insurance contracts, etc.
2a
MoDOT and Patrol Employees’ Retirement System
MoDOT and Patrol Employees’ Retirement System
133336
133336
Account no. (see instructions)
CORRECTED (if checked)
Account no. (see instructions)
CORRECTED (if checked)
1913 William Street
(Amount may be different from box 1 if you purchased service credit before retirement - see box 5.)
1913 William Street
Taxable Amount: Portion of your total benefit received that is considered “taxable income.” (Amount may be different from Box 1
PAYER’S name, street address, city, state, and ZIP code
PAYER’S name, street address, city, state, and ZIP code
4
Federal Income Tax Withheld: Total amount of Federal income tax withheld from your MPERS benefit payment in 2016.
PO Box 1930
PO Box 1930
2a
Jefferson City, MO 65102-1930
Jefferson City, MO 65102-1930
if you purchased service credit before retirement - see Box 5.)
MoDOT and Patrol Employees’ Retirement System
MoDOT and Patrol Employees’ Retirement System
Federal Income Tax Withheld: total amount of federal income tax withheld from your MPERS
Employee Contributions: Difference between Box 1 and 2a. Portion of amount paid to purchase service that is excluded from
PAYER’s federal identification number
RECIPIENT’S identification number
PAYER’s federal identification number
RECIPIENT’S identification number
1913 William Street
1913 William Street
4
5
44-6006203
44-6006203
4
Federal Income Tax Withheld: Total amount of Federal income tax withheld from your MPERS benefit payment in 2016.
PO Box 1930
PO Box 1930
benefit payment in 2016.
your taxable amount (if you purchased service before retirement using after-tax dollars).
RECIPIENT’S name, street address, city, state, and ZIP code
RECIPIENT’S name, street address, city, state, and ZIP code
Jefferson City, MO 65102-1930
Jefferson City, MO 65102-1930
Name
Employee Contributions: Difference between Box 1 and 2a. Portion of amount paid to purchase service that is excluded from
PAYER’s federal identification number
RECIPIENT’S identification number
PAYER’s federal identification number
RECIPIENT’S identification number
Name
Distribution Code(s): The code identifies the type of benefit paid (e.g. retirement, BackDROP, survivor, etc). Codes are listed on
Employee Contributions: difference between box 1 and 2a. Portion of amount paid to purchase
5
Address
44-6006203
44-6006203
7
Address
your taxable amount (if you purchased service before retirement using after-tax dollars).
RECIPIENT’S name, street address, city, state, and ZIP code
Address
RECIPIENT’S name, street address, city, state, and ZIP code
the back of the 1099-R form.
Address
5
service that is excluded from your taxable amount (if you purchased service before retirement
Address
Name
Address
Name
Distribution Code(s): The code identifies the type of benefit paid (e.g. retirement, BackDROP, survivor, etc). Codes are listed on
12
State Tax Withheld: Total amount of Missouri State income tax withheld during 2016 (if applicable).
Address
7
1 Gross distribution
2a Taxable amount
1 Gross distribution
2a Taxable amount
Address
using after-tax dollars).
$
$
$
Address
$
the back of the 1099-R form.
Address
4 Federal income tax withheld
4 Federal income tax withheld
Address
2b Taxable amount not determined
2b Taxable amount not determined
Address
$
$
Total distribution
Total distribution
The information in this newsletter does not amend or overrule any applicable statute, Internal Revenue Code, or administrative rule.
Distribution Code(s): the code identifies the type of benefit paid (e.g., retirement, BackDROP,
12
State Tax Withheld: Total amount of Missouri State income tax withheld during 2016 (if applicable).
1 Gross distribution
2a Taxable amount
1 Gross distribution
2a Taxable amount
5 Employee contributions
7 Distribution code(s)
5 Employee contributions
7 Distribution code(s)
7
$
$
$
$
$
$
In the event of conflict, the applicable statute, Internal Revenue Code, or administrative rule will prevail.
survivor, etc.). Codes are listed on the back of the 1099-R form.
4 Federal income tax withheld
4 Federal income tax withheld
9a Percentage total distributions
2b Taxable amount not determined
9b Total employee contributions
9a Percentage total distributions
2b Taxable amount not determined
9b Total employee contributions
$
$
$
$
$
$
Total distribution
Total distribution
The information in this newsletter does not amend or overrule any applicable statute, Internal Revenue Code, or administrative rule.
12 State tax withheld
5 Employee contributions
13 State/Payer’s state no.
7 Distribution code(s)
12 State tax withheld
5 Employee contributions
13 State/Payer’s state no.
7 Distribution code(s)
12
State Tax Withheld: total amount of Missouri state income tax withheld during 2016 (if applicable).
$
$
MO-00402432686
$
$
MO-00402432686
In the event of conflict, the applicable statute, Internal Revenue Code, or administrative rule will prevail.
9a Percentage total distributions
9b Total employee contributions
9a Percentage total distributions
9b Total employee contributions
$
$
$
$
Copy C - - For Recipient’s Records (keep for your records). This
Copy 2 - - File this copy with your state, city, or local income tax
information is being furnished to the Internal Revenue Service.
return, when required.
12 State tax withheld
13 State/Payer’s state no.
12 State tax withheld
13 State/Payer’s state no.
The information in this newsletter does not amend or override any applicable statute, Internal Revenue Code, or administrative
$
MO-00402432686
$
MO-00402432686
Copy C - - For Recipient’s Records (keep for your records). This
Copy 2 - - File this copy with your state, city, or local income tax
rule. In the event of conflict, the applicable statute, Internal Revenue Code, or administrative rule will prevail.
information is being furnished to the Internal Revenue Service.
return, when required.
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