STATE EMPLOYEES
RETIREMENT COMMISSION
COMPTROLLER'S SEAL STATE OF CONNECTICUT 55 ELM STREET
HARTFORD, CONNECTICUT
06106-1775
TELEPHONE: (860) 702-3480
TELEFAX:(860) 702-3489
MEDICAL EXAMINING BOARD
for DISABILITY RETIREMENT
HEALTH CARE COST
CONTAINMENT COMMITTEE
STATE OF CONNECTICUT
RETIREMENT AND BENEFIT SERVICES DIVISION
OFFICE OF THE STATE COMPTROLLER

RETIREMENT & BENEFIT SERVICES DIVISION MEMORANDUM

November 17, 2008

TO THE HEADS OF ALL STATE AGENCIES

ATTENTION:   Personnel and Payroll Officers
SUBJECT:   Instructions for Completion of Form CO-931, "Designation of Retirement System-Tier-Plan-Beneficiary"

By Retirement & Benefit Services Division (Division) memoranda dated September 12, 2008 and September 29, 2008 we advised agencies of two projects the Division was undertaking to update and redesign many of the forms it requires for retirement purposes and make retirement and benefits information readily accessible to all who need it.

In that connection, the Division has revised the Instructions for Completion of Form CO-931 "Designation of Retirement System-Tier-Plan-Beneficiary" last provided to agencies with the Division memorandum dated August 13, 1998. The CO-931 form itself will be updated and revised in the near future and agencies will be notified accordingly.

As you know, a properly completed CO-931 form is required for all individuals employed by the State of Connecticut with the exception of individuals employed in certain classifications. The information provided on the CO-931 form is entered to the State Employees Data Base (SEDB) and used by the Division to properly identify and track employees' retirement plan benefits. The information maintained in the SEDB is also used to provide retirement benefit information on annual employee benefit statements and in the actuarial valuation of the State Employees Retirement System.

The revised instructions are now available on the Comptroller's website at www.osc.state.ct.us/rbsd/database/instruct.htm. A copy of these instructions as well as answers to any questions you have regarding the completion of CO-931 forms may be obtained by contacting the Division's Data Base Unit by email at osc.databaseunit@po.state.ct.us or by telephone at (860) 702-3515.

Very truly yours,

STATE EMPLOYEES RETIREMENT COMMISSION
NANCY WYMAN, SECRETARY EX OFFICIO

BY:

Thomas C. Woodruff, Ph.D, Director
Retirement & Benefit Services Division

TCW/JK

Return to Index of 2008 Retirement Division Memoranda
Return to Index of Comptroller's Memoranda
Return to Comptroller's Home Page