MEDICAL EXAMINING BOARD
For DISABILITY RETIREMENT
|55 ELM STREET
Telephone (860) 702-3480
Facsimile (860) 702-3489
|STATE OF CONNECTICUT|
RETIREMENT SERVICES DIVISION
OFFICE OF THE STATE COMPTROLLER
RETIREMENT SERVICES DIVISION MEMORANDUM 2012-05
April 24, 2012
TO THE HEADS OF ALL STATE AGENCIES
|ATTENTION:||All Human Resources and Payroll Officers|
|SUBJECT:||SEBAC 2011 - State Employees Retirement System Tier III Refund Application|
The purpose of this memorandum is to notify agencies that a new refund application form, CO-628d, "Application for Refund of Retirement Contributions State Employees Retirement System, Tier III Members - Non-vested Only" is now available on the Office of the State Comptroller's website.
Agencies should provide this form to employees at the time they terminate state service provided they are not eligible for a vested retirement benefit from the State Employees Retirement System (SERS) Tier III retirement plan.
An application to "cash out" retirement plan membership for terminated SERS Hybrid Plan members will also be provided in the future.
General instructions for completion are on the form. Any questions concerning this form may be directed to the Retirement Services Division's Data Base Unit by email at firstname.lastname@example.org or by telephone at 860-702-3515.
Very truly yours,
STATE EMPLOYEES RETIREMENT COMMISSION
KEVIN LEMBO, SECRETARY EX OFFICIO
Brenda K. Halpin, Director
Retirement Services Division
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