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2016 RETIREE Annual Change Book A Message from DOA Director Sheila Hogan Dear Members of the State Retiree Benefit Plan, As you know, health care costs around the country continue to rise. The Health
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Point by point instructions on how to fill out the 2016 retiree annual change form and who needs it:
01
Start by obtaining the 2016 retiree annual change form from your employer or retirement plan administrator. This form is typically provided to retirees or individuals who receive retirement benefits.
02
Read the instructions carefully before filling out the form. It is important to understand the purpose of the form and the information required.
03
Begin by providing your personal details such as your full name, address, phone number, and social security number. This information is necessary to ensure accurate recordkeeping and to identify you as the retiree.
04
Next, review the sections related to changes in your personal circumstances. This may include updates to your marital status, dependent information, or any other significant changes that have occurred since the last annual change form. Fill in the required information accurately and completely.
05
Proceed to the sections that require information regarding your retiree benefits. This may include details about your health insurance coverage, any changes to your coverage options, or adjustments to the beneficiaries of your retirement benefits. Provide the required details as per the instructions.
06
If there are any changes in your contact information, such as a new mailing address or phone number, make sure to update these accurately in the designated section.
07
Carefully review the filled form for any errors or omissions. Ensure that all the necessary fields have been completed and that the information provided is correct.
08
Sign and date the form, indicating your acknowledgment and agreement to the information provided.
09
Submit the completed form to the designated authority or as instructed by your retirement plan administrator. Some employers may require the form to be submitted electronically, while others may prefer a physical copy.

Who needs the 2016 retiree annual change form?

Retirees or individuals who receive retirement benefits typically need to complete the 2016 retiree annual change form. This form allows retirees to update their personal information, make changes to their benefits, and report any significant life events that may affect their retirement benefits or coverage. It is essential to review any communication from your employer or retirement plan administrator to determine if you need to complete this form.
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Retiree annual change book is a document used to report any changes in retiree information for the year.
Retirees or their authorized representatives are required to file the retiree annual change book.
The retiree annual change book can be filled out online or by submitting a paper form with the necessary information.
The purpose of the retiree annual change book is to ensure accurate and up-to-date retiree information for administrative purposes.
Information such as changes in contact information, beneficiary designations, or health insurance coverage must be reported on the retiree annual change book.
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