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Health Insurance Coverage Underwritten RETIREE GROUP HEALTH INSURANCE APPLICATION 4510 13th Ave SW Fargo, ND 58121 NORTH DAKOTA PUBLIC EMPLOYEES RETIREMENT SYSTEM SON 16277 (Rev. 0103) In compliance
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How to fill out SFN 16277 Retiree Group:

01
Gather necessary information: Before starting the form, make sure you have all the required information handy. This may include personal details, retirement plan details, and any other relevant information.
02
Download the form: Visit the official website or authorized platform where SFN 16277 Retiree Group form is available. Download the form and save it to your computer or print a hard copy if preferred.
03
Start with personal information: Begin filling out the form by providing your personal details such as your full name, address, contact information, and social security number. Make sure all the information is accurate and up-to-date.
04
Provide retirement plan details: Enter the necessary information regarding your retirement plan, such as the account number, plan name, and any other relevant details that may be required. Double-check the accuracy of this information to avoid any processing errors.
05
Determine beneficiary information: If applicable, indicate the name and details of the beneficiary who will be receiving any benefits in the event of your death. Be sure to include their full name, relationship to you, and their contact information if available.
06
Review and sign the form: Once you have completed filling out the form, review all the information you have provided to ensure its accuracy. Pay close attention to any sections that require your signature or initials, and be sure to sign the form using the specified area.
07
Submit the form: Depending on the instructions provided, you will need to submit the completed SFN 16277 Retiree Group form to the designated authority. This can be done by mail, electronically, or through any other method specified in the instructions.

Who needs SFN 16277 Retiree Group:

01
Retirees: SFN 16277 Retiree Group form is specifically designed for retirees who need to provide information and make decisions regarding their retirement plan beneficiaries. It is important for retirees to ensure that their retirement benefits are properly designated in case of their passing.
02
Pension plan participants: If you are participating in a pension plan through your employer or any other organization, you may need to complete the SFN 16277 Retiree Group form to designate beneficiaries for your retirement benefits.
03
Individuals with retirement savings: Even if you do not have a dedicated pension plan, but rather have retirement savings or an IRA (Individual Retirement Account), you may still need to fill out this form to designate beneficiaries for these assets.
Remember, it is always advisable to consult with a financial or retirement planning professional to ensure accurate completion of the SFN 16277 Retiree Group form and to understand any specific requirements or implications that may apply to your personal situation.
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SFN 16277 retiree group is a form used to report retiree group information to the appropriate authorities.
Retiree groups are required to file SFN 16277 retiree group form.
You can fill out SFN 16277 retiree group form by providing all requested retiree group information accurately and completely.
The purpose of SFN 16277 retiree group form is to report retiree group information for compliance and record-keeping purposes.
SFN 16277 retiree group form requires information related to retiree group demographics, benefits, and other relevant data.
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