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Pension Plan Forms Design Element
General
Application for Pension Benefits - This application is used to apply for Pension benefits.

Spousal Consent to Waiver of Qualified Joint and Survivor Annuity - A spouse uses this form to waive his/her right to the Qualified Joint and 50% Survivor Annuity.

Rollover & State Tax Withholding Form - Use this form to elect a rollover, or to withhold state tax from a distribution.

Direct Electronic Deposit Request Form - Use this form to apply for a Direct Deposit for the Defined Benefit Plan.

Rollover Options for Lump Sum Distributions - This notice contains important information you will need before you decide how to receive your benefits.

Assignment of Benefits to Pay Retiree Share of Health & Welfare Benefits Coverage - As a convenience to retirees who are required to make monthly direct payments to the San Francisco Electrical Workers Health and Welfare Plan, the Trustees of the Northern California Electrical Workers Pension Trust have amended the Plan to allow an "after tax" and "voluntary" deduction from monthly pension checks. If you are interested in this option, please complete the following and return to the Plan Office.

Pension Enhancement Option - Retiring Participants who are contemplating receiving a distribution from their Individual Retirement Savings Individual Account in one of the monthly installment arrangements, or as a lifetime annuity, to help offset Early Retiree self-payments or other expenses may want to consider this option as an alternative. Before making a decision, you should carefully review the following information to determine if you are interested in the pension enhancement option.

Defined Benefit Designation of Beneficiary Form - This form is used to designate primary or contingent beneficiaries for the Defined Benefit Plan.

Annual Notice - Federal law requires us to remind you on annual basis of the provisions of the Plan relating to suspension of benefits in the event a pensioner returns to work in prohibited employment, as defined in the Plan.

Suspension of Benefit Plan Provisions - At the time of your retirement, you will be notified of the provisions of the Plan relating to prohibited employment, overpayment, recovery of overpayment and the procedure you would follow to secure a review of any monthly pension payments that have been suspended. In general, your benefits will be suspended for any period in which you engage in “prohibited employment” as defined under the Plan.

Notice of Tax Withholding From Your Monthly Pension Benefit Payments - The monthly pension check you receive as a Participant in the Northern California Electrical Workers Pension Plan is subject to Federal income tax laws and regulations regarding withholding of Pension Plan payments. You must elect or reject having tax withholding apply to your monthly pension payments by completing an election notice.

Withholding Certificate for Pension or Annuity Payments (W-4P) - Include this form with the Withholding Certificate for Pension or Annuity Payments if you elected to have Income tax withheld from your pension or annuity.

Withholding Certificate for Pension or Annuity Payments (DE 4P) - Unless you elect otherwise, the law requires that personal income tax be withheld from payments of pensions and annuities. Use this form to elect whether income tax will be withheld from pension payments.

QDRO
Procedures for Administering Domestic Relations Orders (QDROs) - Pursuant to the Employee Retirement Income Security Act, as amended ("ERISA"), the Board of Trustees of the Northern California Electrical Workers ("NCEW") Pension Trust adopts these procedures for administering domestic relations orders which affect the pension benefits of Participants in the NCEW Pension Plan and/or the NCEW Retirement Savings Plan (Profit Sharing Plan).

Sample QDRO - This sample order is intended to assist attorneys in preparing Qualified Domestic Relations Orders (QDROs). The language in this sample order is currently acceptable to the Plans as meeting the requirements of a QDRO, although the language has not been challenged in court nor has a court definitively stated that the language meets ERISA's minimum standards for a QDRO.

Notices
Pension Plan Projections 2009 - How the economic downturn may affect the Plan in 2009.

Special Notice Regarding Plan Status - This notifies you that an election has been made under section 204 of WRERA to treat the plan as being neither in endangered nor critical status for the plan year beginning on January 1, 2009. It also notifies you that without this election, the plan’s actuary has certified that the plan would be in endangered status for the plan year beginning on January 1, 2009.

Summary of USERRA Rights - The following represents a summary of the rights afforded to Plan Participants who are ordered to active military service (USERRA Rights) as they relate to the Northern California Electrical Workers Pension Trust and the San Francisco Electrical Workers Health & Welfare Plan.

Letter to Participants on Improvements to Pension Plan, Approved 9/12/2007 - The Board of Trustees of the Northern California Electrical Workers Pension Plan are pleased to announce that benefit improvements to the Plan were approved at a meeting held on September 12, 2007. A relatively minor change to the eligibility requirements for a disability pension was also approved. This letter explains the changes.

Notice of Tax Withholding - The monthly pension check you receive as a Participant in the Northern California Electrical Workers Pension Plan is subject to Federal income tax laws and regulations regarding withholding of Pension Plan payments.

Legally Required
Summary Plan Description - This is your benefits booklet known as the Summary Plan Description.

2008 Annual Funding Notice - This notice, which federal law requires all multiemployer plans to send annually, includes important information about the funding level of the Northern California Electrical Workers Pension Plan for 2008.

Summary Annual Report - 2007 - This is the Summary Annual Report for the Plan year ending December 31, 2007.

Summary Annual Report - 2006 - This is the Summary Annual Report for the Plan year ending December 31, 2006.

Summary Annual Report - 2005 - This is the Summary Annual Report for the Plan year ending December 31, 2005.

Summary Annual Report - 2004 - This is the Summary Annual Report for the Plan year ending December 31, 2004.

Summary Annual Report - 2003 - This is the Summary Annual Report for the Plan year ending December 31, 2003.