Opt Out Of The Teachers' Pension Scheme Page 2

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Date of receipt:
Part A: To be completed by the applicant in all cases (continued)
Section 2: Election confirmation. Must be signed and dated by the applicant.
I elect for employments with the employer named and specified on this form not to be treated as pensionable employment. I understand that, if my election is
accepted, I will not be able to claim any form of benefit from the Teachers’ Pension Scheme in respect of that employment from the effective date of
this election.
By opting out of the TPS for this employment I will forfeit the right to the following scheme benefits in respect of future service in this employment:
• my employer contributing 14.1% of my salary towards the cost of my benefits;
• a guaranteed pension at normal pension age;
• the option to take a tax free lump sum;
• pension value protected through full index linking;
• access to ill-health benefits, should I become permanently unable to teach;
• children’s and dependants’ pensions;
• in-service death grant.
What you need to know:
• Your employer cannot ask you or force you to opt out.
• If you are asked or forced to opt out, you can tell The Pensions Regulator - see
• If you change your mind, you may be able to opt back in. Please complete the ‘Election to Join the Teachers’ Pension Scheme’ form which can be
found on the Teachers’ Pensions website
• If you stay opted out, your employer will normally put you back into pension saving in around 3 years.
• If you change your job, your new employer will normally put you back into pension saving straight away.
• If you have another job, your other employer might also put you into pension saving, now or in the future. This notice only allows you to opt out of
pension saving with the employer you name above. A separate notice must be filled out and given to any other employer you work for, if you wish
to opt out of that employer’s pension saving as well.
I have read and understand the points above.
Signed
Date
Notes:
You must now forward this application to the employer who is responsible for the post from which you wish to opt out for them to
complete Part B. If you have more than one employer, a separate form must be completed for each opt out required.
OPT OUT / December 2012
2

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