Outline
The Hawaii PTS Enrollment Form is an essential document for part-time, temporary, and seasonal employees of the State of Hawaii who wish to participate in the Deferred Compensation Retirement Plan. This form requires individuals to provide comprehensive personal and employment details, including their name, address, and social security number. It also asks for information about any other state employment that may affect their retirement benefits. A crucial section is dedicated to beneficiary information, allowing employees to designate who will receive their funds in the event of their death. Employees must be aware that incomplete forms can lead to delays in receiving distribution checks after leaving their positions. Additionally, the form includes a certification section where employees confirm the accuracy of their information and acknowledge their understanding of the plan's contribution structure. By submitting this form, participants agree to a deduction of 7.5% from their gross wages, which will be allocated to their retirement plan. Accessibility options are available for those with special needs, ensuring that all employees can engage with the process effectively.
Sample - Hawaii Pts Enrollment Form
STATE OF HAWAII
PTS DEFERRED COMPENSATION RETIREMENT PLAN
for
ENROLLMENT FORM
Please type or print in ink. Complete ALL information. Failure to complete and return this form may delay or prevent receiv- ing your distribution check after you separate from service.
Send your completed form to:
National Benefits Services, LLC, P.O. Box 6980, West Jordan, UT 84084
SECTION I – IDENTIFYING/EMPLOYMENT INFORMATION
NAME (LAST, FIRST, MIDDLE INITIAL)
ADDRESS
CITY |
STATE ZIP |
HOME PHONE |
HI
SOCIAL SECURITY NUMBER |
DATE OF BIRTH |
M |
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F |
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DEPARTMENT |
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UNIVERSITY OF HAWAII
DIVISION/SCHOOL
LEEWARD COMMUNITY COLLEGE
POSITION TITLE(S)
SECTION II – BENEFICIARY INFORMATION (List person to whom you wish to leave your money in case of your death.)
NAME (LAST, FIRST, MIDDLE INITIAL) |
RELATIONSHIP |
SOCIAL SECURITY # |
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ADDRESS |
CITY |
STATE |
ZIP |
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SECTION III – OTHER EMPLOYMENT INFORMATION
1) |
Are you employed in any other State job(s)? |
Yes |
No |
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If YES, with what department(s)? _________________________________ |
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a) Do these other job(s) provide you membership in the State Employees’ |
Yes |
No |
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Retirement System (ERS)? |
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2) |
Are you an ERS retiree collecting monthly retirement benefits? |
Yes |
No |
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IMPORTANT: If you answer YES to Questions #1a or #2 above, be sure to notify your employer immediately to prevent problems with payroll deductions related to the PTS Deferred Compensation Retirement Plan.
The Plan Booklet can be made available to individuals who have special needs or who need auxiliary aids for effective communication (i.e., large print or audiotape), as required by the Americans with Disabilities Act of 1990. For more information, please call CFP/LSW at
SECTION IV – SIGNATURE (CERTIFICATION SECTION)
I certify that the above information is accurate. I understand that any incomplete/inaccurate information may result in back taxes and/or penalties imposed by the Internal Revenue Code. A copy of the PTS Deferred Compensation Retirement Plan Employee Information Booklet has been given to me. I understand that I will not contribute to Social Security, but will contribute to Medicare. I understand that 7.5% of my gross wages shall be deducted from each paycheck and deposited into the PTS Deferred Compensation Retirement Plan.
EMPLOYEE’S SIGNATURE |
DATE |
PTS Enrollment Form Rev. 01/10
Form Information
| Fact Name | Details |
|---|---|
| Purpose | The Hawaii PTS Enrollment Form is designed for part-time, temporary, and seasonal/casual employees to enroll in the Deferred Compensation Retirement Plan. |
| Submission Requirement | All sections of the form must be completed and returned to avoid delays in receiving distribution checks after employment ends. |
| Recipient of Form | Completed forms should be sent to National Benefits Services, LLC, located at P.O. Box 6980, West Jordan, UT 84084. |
| Identification Information | Section I requires personal identification details, including name, address, phone number, and Social Security number. |
| Beneficiary Designation | Section II allows employees to designate a beneficiary, ensuring that funds are allocated according to their wishes in the event of death. |
| Other Employment Disclosure | Section III includes questions about other state employment and eligibility for the State Employees’ Retirement System (ERS). |
| ADA Compliance | The form accommodates individuals with special needs, providing access to the Plan Booklet in various formats as required by the Americans with Disabilities Act of 1990. |
| Signature Requirement | Section IV requires the employee’s signature to certify the accuracy of the provided information and acknowledges understanding of tax implications. |
| Tax Information | Employees will not contribute to Social Security but will contribute to Medicare, with 7.5% of gross wages deducted for the retirement plan. |
| Governing Laws | The plan is governed by the Internal Revenue Code and applicable state laws regarding retirement benefits for public employees. |
Detailed Guide for Filling Out Hawaii Pts Enrollment
Completing the Hawaii PTS Enrollment form is an important step in ensuring your participation in the retirement plan. Once you have filled out the form, submit it to the designated address to avoid any delays in receiving your distribution check after leaving your position. Follow these steps to accurately complete the form.
- SECTION I – IDENTIFYING/EMPLOYMENT INFORMATION:
- Write your full name in the format: Last, First, Middle Initial.
- Provide your complete address, including city, state, and zip code.
- Enter your home phone number.
- Fill in your Social Security number.
- Indicate your date of birth and gender (M or F).
- Specify your department and the University of Hawaii division/school.
- List your position title(s).
- SECTION II – BENEFICIARY INFORMATION:
- Provide the name of the person you wish to designate as your beneficiary.
- State the relationship of the beneficiary to you.
- Enter the beneficiary’s Social Security number.
- Complete the beneficiary's address, including city, state, and zip code.
- SECTION III – OTHER EMPLOYMENT INFORMATION:
- Answer whether you are employed in any other State job(s) by selecting Yes or No.
- If you answered Yes, specify the department(s) of your other employment.
- Indicate if those jobs provide membership in the State Employees’ Retirement System (ERS).
- Answer whether you are an ERS retiree collecting monthly retirement benefits.
- SECTION IV – SIGNATURE (CERTIFICATION SECTION):
- Sign and date the form to certify that all information provided is accurate.
- Be aware that any incomplete or inaccurate information may lead to tax penalties.
- Confirm that you have received the PTS Deferred Compensation Retirement Plan Employee Information Booklet.
- Acknowledge your understanding of the contributions to Medicare and the percentage deducted from your paycheck.
After completing all sections, double-check your entries for accuracy. Once confirmed, send the form to National Benefits Services, LLC, at the address provided. This ensures your enrollment in the plan is processed smoothly.
Obtain Answers on Hawaii Pts Enrollment
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What is the purpose of the Hawaii PTS Enrollment form?
The Hawaii PTS Enrollment form is designed for part-time, temporary, and seasonal/casual employees of the State of Hawaii to enroll in the PTS Deferred Compensation Retirement Plan. Completing this form is essential for ensuring that your retirement contributions are properly managed and that you receive your distribution check after leaving service.
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Who needs to fill out this form?
Any part-time, temporary, or seasonal employee of the State of Hawaii who wishes to participate in the PTS Deferred Compensation Retirement Plan must complete this form. If you have multiple state jobs or are an ERS retiree, you should also fill it out to ensure accurate payroll deductions.
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What information do I need to provide?
You will need to provide personal information such as your name, address, phone number, social security number, and date of birth. Additionally, you must include your department, position title, and beneficiary information. It’s crucial to complete all sections to avoid delays in processing.
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What happens if I don’t complete the form?
If you fail to complete and return the form, it may delay or prevent you from receiving your distribution check after you separate from service. It’s important to take this step seriously to ensure your retirement funds are managed appropriately.
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How do I submit the completed form?
Once you have filled out the form, send it to National Benefits Services, LLC, at P.O. Box 6980, West Jordan, UT 84084. Make sure to double-check that all information is accurate before mailing it to avoid any issues.
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What if I have special needs regarding the form?
If you require assistance due to special needs or need the form in a different format (like large print or audiotape), you can request help. The Plan Booklet can be made available in formats that comply with the Americans with Disabilities Act of 1990. For more information, contact CFP/LSW at 596-7006 or toll-free at 1-800-600-7167 for neighbor islands.
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What are the tax implications of enrolling in this plan?
By enrolling in the PTS Deferred Compensation Retirement Plan, you acknowledge that you will not contribute to Social Security but will contribute to Medicare. Additionally, a percentage of your gross wages (7.5%) will be deducted from each paycheck and deposited into the plan. Be aware that inaccurate information could lead to back taxes or penalties.
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Can I change my beneficiary after enrolling?
Yes, you can change your beneficiary at any time. It’s important to keep your beneficiary information up to date to ensure that your funds are distributed according to your wishes in the event of your passing. Contact your employer or the benefits services for guidance on how to make these changes.
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What should I do if I have questions about the form?
If you have questions or need assistance while filling out the form, don’t hesitate to reach out to your employer or contact the benefits services directly. They can provide you with the necessary support to ensure that you complete the form correctly.
Common mistakes
Filling out the Hawaii PTS Enrollment form can seem straightforward, but many people make mistakes that can lead to delays or complications. One common error is failing to complete all required information. The form explicitly states that every section must be filled out completely. Omitting details such as your social security number or date of birth can prevent your application from being processed, potentially delaying your distribution check.
Another frequent mistake is providing inaccurate information. For instance, if you list the wrong department or position title, it may cause confusion and result in administrative issues. Double-checking your entries can save you from unnecessary headaches later on. Remember, accuracy is crucial in ensuring that your application is processed smoothly.
Many individuals also overlook the beneficiary information section. This part is essential for designating who will receive your funds in the event of your passing. Failing to provide a name or relationship can lead to complications in the future. Take the time to think carefully about who you want to designate and ensure that their information is correct.
Another mistake often made involves not disclosing other employment. If you have additional jobs with the state, you must indicate this on the form. Not doing so can lead to issues with payroll deductions and your overall retirement plan. Transparency in this section helps avoid problems down the line.
Some applicants neglect to read the certification section thoroughly. This part requires your signature, confirming that the information provided is accurate. Ignoring this step or misunderstanding its importance can result in penalties or back taxes. Always take a moment to review the certification statement before signing.
Finally, individuals sometimes forget to submit the form to the correct address. The enrollment form specifies that it should be sent to National Benefits Services, LLC, in West Jordan, Utah. Sending it to the wrong location can cause significant delays in processing your application. Make sure to check the mailing details before you send off your form.
Documents used along the form
The Hawaii PTS Enrollment form is a crucial document for part-time, temporary, and seasonal employees looking to participate in the state's Deferred Compensation Retirement Plan. However, this form often goes hand-in-hand with several other important documents. Understanding these forms can help ensure a smooth enrollment process and proper management of your retirement benefits.
- Beneficiary Designation Form: This document allows you to specify who will receive your retirement benefits in the event of your passing. It's essential to keep this updated to reflect your current wishes and family situation.
- Plan Booklet: The Plan Booklet provides detailed information about the PTS Deferred Compensation Retirement Plan. It outlines the plan's features, benefits, and rules, helping you make informed decisions about your retirement savings.
- Payroll Deduction Authorization Form: This form authorizes your employer to deduct a specified percentage of your wages to contribute to your retirement plan. It's vital for ensuring that your contributions are made consistently and correctly.
- Tax Withholding Form: This document helps you manage your tax obligations related to your retirement contributions. By completing it, you can specify how much tax should be withheld from your distributions, which can help you avoid surprises during tax season.
Each of these documents plays a significant role in your overall retirement planning. By familiarizing yourself with them, you can navigate the enrollment process with confidence and set yourself up for a secure financial future.
Similar forms
- 401(k) Enrollment Form: Like the Hawaii PTS Enrollment form, this document requires personal and employment information to facilitate retirement savings. Both forms ensure that individuals understand their contributions and any penalties for incomplete information.
- Retirement Plan Beneficiary Designation: Similar to the beneficiary section of the Hawaii form, this document allows individuals to designate who will receive their benefits in the event of their passing, ensuring that their wishes are clearly stated.
- Health Insurance Enrollment Form: This form, much like the Hawaii PTS Enrollment form, collects vital personal information and requires signatures to confirm understanding of the benefits being elected, emphasizing the importance of accurate and complete information.
- W-4 Tax Withholding Form: Both documents require personal information and certification of accuracy. The W-4 determines tax withholding, while the PTS form outlines retirement contributions, highlighting the significance of understanding financial obligations.
- Direct Deposit Authorization Form: This document shares similarities with the Hawaii PTS Enrollment form in that both require banking information and signatures to ensure timely and accurate payments, whether for retirement benefits or salary.
- Employee Information Sheet: Like the Hawaii PTS Enrollment form, this sheet gathers essential personal and employment details. It serves as a foundational document for various employee benefits, reinforcing the need for complete and precise information.
Dos and Don'ts
When filling out the Hawaii PTS Enrollment form, keep these important do's and don'ts in mind:
- Do type or print clearly in ink to ensure readability.
- Do complete all sections of the form. Missing information can delay your benefits.
- Do double-check your Social Security number for accuracy.
- Do provide the correct beneficiary information to ensure your wishes are honored.
- Don't forget to notify your employer if you have other state jobs or if you are an ERS retiree.
- Don't leave any questions unanswered, especially those related to your employment status.
- Don't ignore the importance of your signature. It certifies the accuracy of your information.
Misconceptions
Misconceptions about the Hawaii PTS Enrollment form can lead to confusion and delays in processing. Here are eight common misunderstandings:
- It is optional to complete the form. Many believe that filling out the enrollment form is not necessary. In reality, failure to complete and submit the form can delay or prevent receiving your distribution check after leaving service.
- Only full-time employees need to enroll. Some assume that only full-time employees are eligible for the PTS Deferred Compensation Retirement Plan. However, this plan is specifically designed for part-time, temporary, and seasonal employees as well.
- Providing inaccurate information is acceptable. There is a misconception that minor inaccuracies in the form won’t matter. In fact, any incomplete or inaccurate information may result in back taxes or penalties under the Internal Revenue Code.
- Beneficiary information is not important. Many people think that they can skip the beneficiary section. This is a mistake, as it is crucial to designate a beneficiary to ensure that your funds are allocated according to your wishes in the event of your death.
- Submitting the form is the only step. Some believe that submitting the form is the final step. However, it is important to notify your employer immediately if you have other state jobs or if you are an ERS retiree to avoid payroll deduction issues.
- Social Security contributions are mandatory. There is a common belief that all employees must contribute to Social Security. In fact, participants in the PTS plan will not contribute to Social Security but will contribute to Medicare.
- The form can be submitted at any time. Some individuals think that they can submit the enrollment form whenever they wish. However, timely submission is crucial to ensure that you receive the benefits without delays.
- Help is not available for completing the form. Many assume that assistance is not provided. In reality, the plan booklet can be made available in various formats for individuals with special needs, as required by the Americans with Disabilities Act.
Key takeaways
Filling out the Hawaii PTS Enrollment form is an important step for part-time, temporary, and seasonal employees of the State. Here are some key takeaways to keep in mind:
- Complete All Sections: Ensure that every section of the form is filled out completely. Missing information can lead to delays in receiving your distribution check after you leave your job.
- Accurate Information: Double-check the accuracy of your personal details, including your name, address, and Social Security number. Inaccuracies may result in complications with your retirement benefits.
- Beneficiary Designation: Carefully select a beneficiary to whom your funds will be distributed in the event of your passing. Provide their complete information, including relationship and Social Security number.
- Notify Your Employer: If you are employed in other state jobs or are an ERS retiree, inform your employer immediately. This is crucial to avoid issues with payroll deductions related to the PTS Deferred Compensation Retirement Plan.
- Understand Your Contributions: Be aware that 7.5% of your gross wages will be deducted from each paycheck and deposited into the PTS plan. Familiarize yourself with the implications of not contributing to Social Security.
- Accessibility Options: If you have special needs, request the Plan Booklet in formats that accommodate your requirements, such as large print or audiotape, as mandated by the Americans with Disabilities Act.
Following these guidelines will help ensure a smooth enrollment process and secure your retirement benefits effectively.