Pension Plan Enrollment Form

Name: Peter Sumner	Date of Birth: 7//23/2053
Employee ID: 908-890	Social Security Number: 9088764
Job Title: Senior Accountant	Date of Hire: 4/14/2074

Pension Plan Options

Please select the pension plan option you wish to enroll in:

• 
  Defined Benefit Plan: A traditional pension plan that provides a fixed monthly benefit upon retirement, based on your salary and years of service.

• 
  Defined Contribution Plan: A retirement savings plan where both you and the company contribute funds. The amount you receive at retirement depends on investment performance.

Beneficiary Designation

In the event of your passing, please provide the following information regarding your     chosen beneficiary:

 

 Full Name: [Beneficiary Name]

 Relationship: [Beneficiary Relationship]

 Date of Birth: [MM/DD/YYYY]

 Social Security Number: [00-000000]

Contribution Election

Please indicate your contribution preferences for the Defined Contribution Plan (if applicable):

Employee Contribution (Minimum 3%, Maximum 10%):

Employer Contribution:

Consent and Acknowledgment

I [Employee Name], hereby acknowledge that I have received and reviewed the summary plan description for the selected pension plan. I understand that I have the right to obtain additional information about the plan, including a copy of the full plan document, and I may contact the HR department for such information.

I agree to the terms and conditions of the pension plan and authorize the appropriate deductions from my salary for my chosen contribution rate, if applicable. I understand that I have the option to change my contribution rate during the annual open enrollment period or due to qualifying life events.

[Employee Signature]

Date: [MM/DD/YYYY]

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