One-Time Death Benefit printable pdf download

Recipient Designation Form–Information

One-Time Death Benefit/Cash Balance Lump-Sum Payment

To be valid, this form must be received and accepted by

CASH BALANCE BENEFIT PROGRAM PARTICIPANTS

CalSTRS before your death.

Use this form to designate recipients to receive the lump-

sum payment in the event of your death.

The Recipient Designation form replaces the One-Time Death

Benefit Recipient form and the Cash Balance Beneficiary

If you are receiving an annuity at the time of your death,

Designation form. If you have one of these forms currently

the benefit payable is determined based on the annuity

on file with CalSTRS, you do not need to submit a new

you elected.

Recipient Designation form unless you wish to make a

If your recipient’ s (other than an entity) share of your

change to your recipient designation.

account balance is at least $3,500, he or she may elect to

receive an annuity in place of a lump-sum payment.

Complete and submit this form online using your

myCalSTRS account for faster processing. Step-

IMPORTANT FACTS

by-step guidance means you complete the form

correctly.

• This form remains in effect until either you submit

another valid Recipient Designation form, or your

membership in CalSTRS is terminated by a refund of

DEFINED BENEFIT PROGRAM MEMBERS

your accumulated contributions. It is important to keep

Use this form to designate recipients to receive the one-

this form current.

time benefit that may be payable in the event of your death.

• If your designated primary recipients predecease

If you are an active member at the time of your death,

you, any benefit due will be paid to your secondary

and if you did not elect an option beneficiary to receive a

recipients, unless you submit a valid Recipient

continuing benefit after your death, or you have no spouse,

Designation form designating new recipients. If we are

registered domestic partner or children eligible to receive a

unable to locate your designated recipients, the death

family or survivor benefit allowance after your death, any

benefit will be distributed to the best of our ability

accumulated contributions in your account will be paid to

according to the laws in existence at the time of your

your designated recipients.

death.

If your death occurs before retirement, your recipients may

• If you do not have a valid Recipient Designation form

be eligible to receive the balance in your Defined Benefit

on file with CalSTRS before your death or if all your

Supplement account as an ongoing annuity or a lump-

designated recipients predecease you, any benefit due

sum payment. If your death occurs after retirement, your

will be paid to your estate.

recipients may be eligible for the ongoing annuity you

• You may change your recipient designations at any

elected at retirement.

time—before or after retirement. There is no fee or

This form will not protect your survivor with a lifetime

financial penalty for changing your designation.

benefit. To provide your survivors with a lifetime benefit,

submit the Preretirement Election of an Option form when

you are eligible to retire.

RECIPIENT DESIGNATION FORM INSTRUCTIONS • REV 01/15 • PAGE 1 OF 2

One-Time Death Benefit

Related Articles

Related forms

Related Categories