Thank you for visiting our Retiree Benefits site.
We are certain you will be able to locate the information you are looking for listed below. Data regarding the current Retiree Medical Plans and Life Insurance Plans, as well as links to the Savings Plans, Pension Plans, and additional useful information is listed for your utilization. Some of the information listed is in Adobe Acrobat formatting. You will need Adobe Acrobat Reader to view these documents. Should you have difficulty locating desired information, please don't hesitate to contact us.
NOTE: Effective 1/1/2004, new hires are not eligible for Post-Retirement Insurance.
Benefits Summary Material/Costs |

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Life Insurance Information |
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Forms for Retired Participants |
- 2023 W-4P (Pension Withholding) (PDF)
This includes the tables and the instructions for filling out the W-4P. PLEASE READ THE INSTRUCTIONS PRIOR TO FILLING OUT THE FORM!
- 2023 W-4R (PDF) Withholding Certificate for Nonperiodic Payments and Eligible Rollover Distributions
- ACH Direct Payment (PDF)
Tired of writing a check every month for your insurance premiums? You can now have your Medical and Life Insurance premiums automatically deducted from your checking or savings account. To enroll, please complete this form and return it to us.
- Beneficiary Designation Form (PDF)
If you are updating this form as a result of a life event (marriage, death, divorce, etc.) please contact and notify benefits administration via email at *Benefits. PLEASE READ THE INSTRUCTIONS PRIOR TO FILLING OUT THE FORM!
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Pension Plans |
- 2022 Annual Lump Sum Factors for 10 Year Certain (PDF)
- These factors apply to the portion of your benefit earned prior to 1/1/2014 as a 10 Year Certain and Life. These lump sum factors are based on the August 2021 PPA segment rates and change annually. In order for the 2022 rates to apply, distribution forms must be submitted to HMIS Benefits prior to December 1, 2022.
Note: Lump Sum factors are available by November 1st for the next calendar year. If you are considering retiring near year end, you may want to review factors for both years.
- 2022 Annual Lump Sum Factors for Straight Life Annuity (PDF)
These factors apply to the portion of your benefit earned after 12/31/2013 as a Straight Life Annuity. The lump sum factors are based on the August 2021 PPA segment rates and change annually. In order for the 2022 rates to apply, distribution forms must be submitted to HMIS Benefits prior to December 1, 2022.
- 2023 Annual Lump Sum Factors for 10 Year Certain (PDF)
These factors apply to the portion of your benefit earned prior to 1/1/2014 as a 10 Year Certain and Life. These lump sum factors are based on the August 2022 PPA segment rates and change annually. In order for the 2023 rates to apply, distribution forms must be submitted to HMIS Benefits prior to December 1, 2023.
Note: Lump Sum factors are available by November 1st for the next calendar year. If you are considering retiring near year end, you may want to review factors for both years.
- 2023 Annual Lump Sum Factors for Straight Life Annuity (PDF)
These factors apply to the portion of your benefit earned after 12/31/2013 as a Straight Life Annuity. The lump sum factors are based on the August 2022 PPA segment rates and change annually. In order for the 2023 rates to apply, distribution forms must be submitted to HMIS Benefits prior to December 1, 2023.
Note: Lump Sum factors are available by November 1st for the next calendar year. If you are considering retiring near year end, you may want to review factors for both years.
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Savings Plans |

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