LEAVING YOUR EMPLOYER

When you terminate your employment from your company you will need to fill out a "Participant Distribution Election Form" in order to receive your benefits from your plan.

Participant Distribution Election Form

Instructions

** NOTE: Please make sure that you fill in all sections completely, this will help us to expedite your distribution quickly.

***NOTE: The form must have your full current address on it in the event that a 1099r form needs to be sent out to you.

How to complete the form

If you elect to have your monies paid directly to you in a lump sum, check the designated box under ELECTION 1, then proceed to ELECTION 2. If your "vested" balance is OVER $5,000 and you are married you must have your spouse sign under ELECTION 3 and the signature must be witnessed by a notary (see ELECTION 3). If your "vested" account balance is over $5000 and you are not married than you need to check the box "Not Applicable, I am not married" under ELECTION 3.

If you wish to roll your monies into an IRA or Qualified Plan, check the appropriate box under ELECTION 1 and fill in the name and address of the IRA or Qualified Plan in the section provided.

If your plan allows,(see your benefits manager if you are not sure) you may roll a portion (minimum $500) of your monies over to an IRA or Qualified Plan and have the balance paid directly to you less the mandatory withholdings. If you wish to do this check the box provided under ELECTION 1.

If your plan allows, (see your benefits manager if you are not sure) and your account balance is over $5000 and you want to leave your money in your current funds you need to check the appropriate box under ELECTION 2.

FREQUENTLY ASKED QUESTIONS:

Q: Where do I return my distribution form to once I have completed and signed it?

A: Please return your form to Benefit Equity, Inc., 1971 E. 4th Street, Santa Ana, CA 92705, Attn: Distributions.

Q: The form says that I have to return it within 90 days, what happens if the form is not returned in 90 days?

A: The law requires that we allow you 90 days to decide what you want to do with your money, however if your account balance is under $200 and we do not get a response from you it will result in an automatic lump sum distribution with applicable tax withholdings.

Q: How long does it take for me to get my money back once you receive my completed form?

A: It takes about 10-15 business days to receive a check back from the investment company And forward the check to you.

Q: Does Benefit Equity have my money?

A: No, your money is at the Investment Company you chose to invest with. Benefit Equity is not an investment company, we are administrators and record keepers.