Teachers' And State Employee'S Retirement System - Enrollment Election (Page 2 of 2) in pdf

Teachers' And State Employee'S Retirement System - Enrollment Election Page 2

Teachers’ and State Employee’s Retirement System (TSERS)

(Mandatory 6% deduction)

Enrollment Election into the

Teachers’ and State Employees’ Retirement System

Name: ____________________________________________

Employee ID: ______________________________________

I wish to enroll in the Teachers’ and State Employees’ Retirement System (TSERS). I understand that this is an

irrevocable decision. This form must be turned in to the NC State University Benefits Office within 60 days of

hire/start date.

Once enrolled, and a payroll deduction occurs, you can go online to

(ORBIT) to

input your beneficiaries. Access to this online portal will usually occur about two weeks after the first payroll

deduction for TSERS.

My signature below certifies that I understand my enrollment election into the Teachers’ and State Employees’

Retirement System is irrevocable as long as I am employed by the University of North Carolina System.

Signature: _______________________________________

Date: ________________________

Please return the completed form to the HR Benefits Office by fax at 919-513-2528,

or by campus mail at Campus Box 7215, Raleigh NC 27695, or in person on the

second floor of Administrative Services II building at 2711 Sullivan Drive.

10/7/21014

Teachers' And State Employee'S Retirement System - Enrollment Election Page 2