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The NYCERS F131 form, officially known as the Designation of Beneficiary form, is an essential document for Tier 1 and Tier 2 members of the New York City Employees' Retirement System (NYCERS). This form allows members to designate beneficiaries who will receive specific benefits in the event of their death while actively serving the City. The benefits included are the ordinary death benefit, which is typically a multiple of the member's annual salary, and the accumulated deductions benefit, which includes the member's contributions plus accrued interest. Members can choose to nominate one or more primary beneficiaries, an optional contingent beneficiary, or even their estate for these benefits. It is important to note that if a member wishes to nominate their estate, they must check the appropriate box without filling in the personal details for beneficiaries. The form also provides guidance on how to handle situations where more beneficiaries need to be named than the form allows, directing members to use a supplemental form for additional nominations. Furthermore, the F131 form emphasizes the need for notarization and provides clear instructions on how to ensure that the beneficiary designations remain current and valid.

Similar forms

The NYCERS F131 form serves a specific purpose for members to designate beneficiaries for death benefits and accumulated deductions. However, several other documents share similar functions in terms of beneficiary designation and estate planning. Here are eight documents that are comparable to the NYCERS F131 form:

  • Last Will and Testament: This legal document allows individuals to specify how their assets should be distributed upon their death, including the nomination of beneficiaries for specific items or amounts.
  • Revocable Living Trust: A trust can hold assets during a person's lifetime and distribute them to designated beneficiaries after death, often avoiding probate, similar to how the F131 form designates beneficiaries.
  • Beneficiary Designation Form: Commonly used for life insurance policies or retirement accounts, this form allows individuals to name beneficiaries who will receive benefits directly upon their passing, much like the F131 form.
  • Power of Attorney: While primarily used to designate someone to make financial decisions on your behalf, it can also specify how your assets should be managed and distributed, similar to the intent behind the F131 form.
  • Health Care Proxy: This document allows individuals to designate someone to make medical decisions for them if they are unable to do so. It indirectly relates to the F131 form by ensuring that personal wishes are honored during critical times.
  • Transfer on Death Deed: This deed allows property owners to designate a beneficiary who will automatically receive the property upon the owner’s death, mirroring the beneficiary designation process in the F131 form.
  • Payable on Death (POD) Accounts: These bank accounts allow individuals to name beneficiaries who will inherit the funds upon their death, functioning similarly to the beneficiary designations in the F131 form.
  • Retirement Account Beneficiary Designation: This document is used to specify who will inherit retirement account funds after the account holder’s death, paralleling the F131's purpose of designating beneficiaries for retirement-related benefits.

Understanding these documents can help individuals ensure their wishes are honored and provide clarity for their loved ones during difficult times.

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NYCERS USE ONLY

F131

 

*131*

Designation of Beneficiary

Tier 1 and 2 Members Only

This application is for Tier 1 or Tier 2 members who wish to nominate one (or more) beneficiaries to receive a death benefit payable upon the death of a member who dies while in active City service . This benefit is actually two distinct benefits which can be designated to one or more beneficiaries, or to an Estate. To nominate an Estate, in lieu of a specific person or persons, check the Estate box within the specific section (Section A or Section B, or both) but DO NOT complete the name, address, relationship or percentage portion of those sections. The Fact Sheet on Page 4 contains a brief overview of these benefits. For any additional questions, please contact our Call Center at 347-643-3000.

Member Number

Last 4 Digits of Social Security #

Date of Birth [MM/DD/YYYY]

 

 

 

 

/

 

/

 

 

 

 

 

 

 

 

 

 

First Name

 

M.I.

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

Apt. Number

 

 

 

 

 

 

 

 

 

City

 

 

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

Section A - Designation of Ordinary Death Benefit

Tell us who you want to receive your death benefit. You may nominate one or more Primary Beneficiaries, (or one optional Contingent Beneficiary, or your Estate. If you want to nominate more beneficiaries than this space allows, use

Form # 136 (Supplemental Form to Designate Beneficiaries). If you wish to nominate your Estate for this specific benefit,

:

check the Estate box below and DO NOT complete the name, address, etc. portion of Section A.

Estate

I wish to nominate my Estate for this specific benefit. If you check this box DO NOT name anyone as Primary or Contingent.

First NameM.I. Last Name

Beneficiary

 

Full Social Security Number

Date of Birth

 

 

 

 

[MM/DD/YYYY]

 

 

 

 

 

/

/

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

Primary

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If this beneficiary is a minor, check here and complete the guardian information on Form 137

Relationship

Apt. Number

 

State

Zip Code

 

 

 

%

 

Percentage

 

 

 

 

 

 

 

 

 

Sign this form and have it notarized, Page 4

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NYCERS USE ONLY

F131

 

Member Number

Last 4 Digits of SSN

 

 

 

 

 

 

 

First Name

M.I. Last Name

Beneficiary

 

Full Social Security Number

Date of Birth

 

 

 

 

[MM/DD/YYYY]

 

 

 

 

 

/

/

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

Primary

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If this beneficiary is a minor, check here and complete the guardian information on Form 137

Relationship

Apt. Number

 

State

Zip Code

 

 

 

%

 

Percentage

 

 

 

 

 

 

 

 

 

Read this before you nominate a Contingent Beneficiary: A Contingent Beneficiary is only eligible if all of the Primary Beneficiaries are deceased at the time this benefit is payable. You do not have to nominate a Contingent Beneficiary, it is strictly optional. If you need additional space - use Form # 136 (Supplemental Form to Designate Beneficiaries).

First NameM.I. Last Name

OPTIONAL BeneficiaryContingent

 

Full Social Security Number

Date of Birth

 

 

 

 

[MM/DD/YYYY]

 

 

 

 

 

/

/

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

City

If this beneficiary is a minor, check here and complete the guardian information on Form 137

Section B - Designation of Accumulated Deductions:

Relationship

Apt. Number

 

State

Zip Code

 

 

 

%

 

Percentage

 

 

 

 

 

 

 

 

 

Tell us who you want to receive your accumulated deductions benefit. You may nominate one or more Primary Beneficiaries, (or one optional Contingent Beneficiary), or your Estate. If you want to nominate more beneficiaries than this space allows, use Form # 136 (Supplemental Form to Designate Beneficiaries). If you wish to nominate your Estate for this specific benefit, check the Estate box below and DO NOT complete the name, address, etc. portion of Section B.

Estate

I wish to nominate my Estate for this specific benefit. If you check this box DO NOT name anyone as Primary or Contingent.

Sign this form and have it notarized, Page 4

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Page 2 of 4

NYCERS USE ONLY

F131

 

Member Number

Last 4 Digits of SSN

 

 

First Name

M.I. Last Name

Beneficiary

 

Full Social Security Number

Date of Birth

 

 

 

 

 

[MM/DD/YYYY]

 

 

 

 

 

/

 

 

/

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

Primary

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If this beneficiary is a minor, check here and complete the

 

 

 

 

 

 

 

 

guardian information on Form 137

 

 

 

 

 

 

 

First Name

 

 

M.I.

 

Last Name

Relationship

Apt. Number

 

State

Zip Code

 

 

 

%

 

Percentage

 

 

 

 

 

 

 

 

 

Beneficiary

 

Full Social Security Number

Date of Birth

 

 

 

 

[MM/DD/YYYY]

 

 

 

 

 

/

/

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

Primary

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If this beneficiary is a minor, check here and complete the guardian information on Form 137

Relationship

Apt. Number

 

State

Zip Code

 

 

 

%

 

Percentage

 

 

 

 

 

 

 

 

 

Read this before you nominate a Contingent Beneficiary: A Contingent Beneficiary is only eligible if all of the Primary Beneficiaries are deceased at the time this benefit is payable. You do not have to nominate a Contingent Beneficiary, it is strictly optional. If you need additional space - use Form # 136 (Supplemental Form to Designate Beneficiaries).

First Name

M.I. Last Name

OPTIONAL

Contingent Beneficiary

Full Social Security Number

Address

City

Date of Birth [MM/DD/YYYY]

Relationship

/ /

Apt. Number

State

Zip Code

If this beneficiary is a minor, check here and complete the

Percentage

guardian information on Form 137

 

Please read the Fact Sheet on Page 4. You must also sign this form and have it notarized before filing it with NYCERS. Sign this form and have it notarized, Page 4

%

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If you have an official seal, affix it

NYCERS USE ONLY

F131

 

FACT SHEET

Can you explain the two benefits?

If you should die while in active City service, the person you nominate as your beneficiary is eligible to collect a death benefit (typically some multiple of your annual salary) and the refund of your accumulated deductions (contributions) plus

the interest they have accrued.

Can the same person receive both benefits?

You do not have to name the same person, but you can - the choice is yours. You can nominate one or more people (or your Estate) to receive the death benefit and the refund of the accumulated deductions. If you nominate more than one person each will be paid according to the percentages you indicate on this form (combined percentages must total 100%). If no percentages are indicated, the benefits will be shared equally.

What happens if I want to nominate more beneficiaries than this form has allotted me?

This forms allows for only two Primary and one Contingent beneficiaries for each benefit. If you want to nominate more than that you can file Form # 136 which is the Supplemental Form to Designate Beneficiaries.

What happens if I want to nominate my estate rather than a person?

All you have to do is check off the Estate box in the appropriate Section (A or B or both). For example, you could nominate your Estate for the death benefit (Section A) and a specific person for the refund of your accumulated deductions (Section B). However, if you select Estate for either or both benefits you must leave the name, address and relationship information blank in each section.

Do the people I have listed here act as my nomination for all benefits?

No. You are nominating people (or your Estate) only for this specific benefit. Should your death be the result of an on-the-job accident, an accidental death benefit is payable upon application in this priority*: spouse (who has not remarried), child under the age of 18, or a dependent parent. If no such beneficiary exists, the benefit is payable to the beneficiaries on this form. *One important distinction exists for members of the Uniformed Sanitation Force. Their accidental death benefit is payable to their spouse (for their entire lifetime) even if they have remarried.

How do I change my beneficiary on file?

To change an existing beneficiary nomination you must file another Designation of Beneficiary form. It is important that you always have a current beneficiary on file. You can check the status of your beneficiary on file when you receive your Annual Disclosure Statement. All active members receive this statement in February/March every year.

What happens if my beneficiary information is out of date?

You must change it right away. NYCERS is required to make payments to the person we have listed on file as your designated beneficiary.

Signature of Member

Date

 

 

 

 

This form must be acknowledged before a Notary Public or Commissioner of Deeds

State of

 

County of

 

 

On this

 

day of

 

 

2 0

 

, personally appeared

before me the above named,

 

 

 

 

 

 

, to me known, and known to

me to be the individual described in and who executed the foregoing instrument, and he or she acknowledged to me that he or she executed the same, and that the statements contained therein are true.

Signature of Notary Public or Commissioner of Deeds

Official Title

Expiration Date of Commission

Sign this form and have it notarized, THIS PAGE

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Common mistakes

Filling out the NYCERS F131 form can be a straightforward process, but many people make common mistakes that can lead to complications. One frequent error is neglecting to provide complete information about the beneficiaries. For instance, when listing a beneficiary, it is essential to include their full name, Social Security number, date of birth, and address. Omitting any of these details can result in delays or even the rejection of the application.

Another mistake often seen is failing to understand the distinction between primary and contingent beneficiaries. A primary beneficiary is the first in line to receive benefits, while a contingent beneficiary only receives benefits if all primary beneficiaries are deceased. Some individuals mistakenly believe that they must fill in both categories, leading to confusion and potential issues with the distribution of benefits.

Additionally, many applicants overlook the importance of signing and notarizing the form. A signature is necessary to validate the document, and without notarization, the form may not be accepted. This step is crucial and should not be skipped, as it serves to confirm the identity of the member filling out the form.

Another common oversight is misunderstanding the estate nomination process. If you choose to nominate your estate, it is vital to check the appropriate box and leave the name and address sections blank. Failing to do so can complicate the process and may lead to the form being considered incomplete.

Lastly, individuals often forget to update their beneficiary information regularly. Life changes such as marriage, divorce, or the birth of a child can affect who should be designated as a beneficiary. Keeping this information current is essential to ensure that the benefits go to the intended recipients. Regularly reviewing and updating beneficiary details can save time and prevent potential disputes in the future.

More About Nycers F131

  1. What is the NYCERS F131 form?

    The NYCERS F131 form is a Designation of Beneficiary application specifically for Tier 1 and Tier 2 members. It allows you to nominate one or more beneficiaries who will receive death benefits if you pass away while actively serving in the City. This form can also be used to designate your Estate as a beneficiary.

  2. What types of benefits can I designate using this form?

    There are two distinct benefits you can designate: the Ordinary Death Benefit and the Accumulated Deductions. The Ordinary Death Benefit is typically a multiple of your annual salary, while the Accumulated Deductions consist of your contributions and any accrued interest.

  3. Can I nominate the same person for both benefits?

    Yes, you can nominate the same person for both the Ordinary Death Benefit and the Accumulated Deductions. However, you are not required to do so. You have the flexibility to choose different beneficiaries for each benefit, depending on your preferences.

  4. What if I want to name more beneficiaries than the form allows?

    The F131 form allows for two Primary Beneficiaries and one optional Contingent Beneficiary for each benefit. If you need to list more beneficiaries, you can use the Form #136, which is a Supplemental Form to Designate Beneficiaries.

  5. How do I nominate my Estate instead of a person?

    If you prefer to nominate your Estate, simply check the Estate box in the relevant section (A or B). Remember, if you choose to nominate your Estate, you should leave the name, address, and relationship fields blank for that section.

  6. Do the beneficiaries listed on this form apply to all benefits?

    No, the beneficiaries you list are specific to the benefits designated on this form. If you pass away due to an on-the-job accident, there are specific rules for accidental death benefits that may differ from those listed on the F131 form.

  7. How can I change my beneficiary information?

    To change your beneficiary, you will need to submit a new Designation of Beneficiary form. Keeping your beneficiary information up to date is crucial, and you can check your current designation through your Annual Disclosure Statement, which you receive every February or March.

  8. What happens if my beneficiary information is outdated?

    If your beneficiary information is outdated, it’s important to update it immediately. NYCERS is obligated to pay the benefits to the person currently listed on file, so ensuring your information is current protects your wishes.

  9. Is notarization required for this form?

    Yes, the F131 form must be signed and notarized before submission to NYCERS. This step helps to verify your identity and the authenticity of your designation.

Misconceptions

Misconceptions about the NYCERS F131 form can lead to confusion and mistakes. Here are four common misunderstandings:

  • It is only for one beneficiary. Many believe they can only nominate one person for the death benefit. In reality, you can name multiple primary beneficiaries or even an estate. You have the flexibility to designate how the benefits are shared among them.
  • Contingent beneficiaries are mandatory. Some people think they must name a contingent beneficiary. This is not true. Nominating a contingent beneficiary is optional. If you choose not to, the benefits will go to the primary beneficiaries alone.
  • Nominating an estate is complicated. There is a misconception that nominating an estate is a complex process. In fact, it is straightforward. Just check the estate box in the relevant section and leave the name and address fields blank.
  • Beneficiary designations apply to all benefits automatically. Many assume that listing someone as a beneficiary on this form means they will receive all benefits. This is incorrect. Each section of the form is specific to that particular benefit. You must designate beneficiaries separately for each benefit.

Key takeaways

Filling out the NYCERS F131 form can seem daunting, but understanding its key aspects will make the process smoother. Here are some essential takeaways to keep in mind:

  • Eligibility: This form is specifically for Tier 1 and Tier 2 members who want to designate beneficiaries for death benefits while in active City service.
  • Two Benefits: The form allows you to nominate beneficiaries for two distinct benefits: a death benefit and a refund of accumulated deductions.
  • Nominating an Estate: If you prefer to nominate your Estate instead of individuals, simply check the Estate box in the appropriate section and leave the other fields blank.
  • Beneficiary Limits: You can nominate multiple beneficiaries, but the form limits you to two Primary Beneficiaries and one optional Contingent Beneficiary for each benefit.
  • Use of Supplemental Form: If you need to nominate more beneficiaries than the form allows, you can use Form #136, the Supplemental Form to Designate Beneficiaries.
  • Contingent Beneficiary: A Contingent Beneficiary only receives benefits if all Primary Beneficiaries are deceased at the time of payout. Nominating one is optional.
  • Notarization Required: After completing the form, you must sign it and have it notarized before submitting it to NYCERS.
  • Keep Information Updated: Always ensure your beneficiary information is current. If changes occur, submit a new F131 form to update your nominations.

By keeping these points in mind, you can navigate the NYCERS F131 form with confidence and ensure that your beneficiaries are properly designated.

Nycers F131: Usage Guide

Completing the NYCERS F131 form is an important step for Tier 1 and Tier 2 members who wish to designate beneficiaries for their death benefits. The process requires careful attention to detail to ensure that your wishes are accurately represented. Once you have filled out the form, it will need to be signed and notarized before submission.

  1. Begin by entering your Member Number and the Last 4 Digits of your Social Security Number.
  2. Provide your Date of Birth in the format MM/DD/YYYY.
  3. Fill in your First Name, Middle Initial, and Last Name.
  4. Enter your Address, including Apt. Number, City, State, and Zip Code.
  5. In Section A, indicate who you want to receive your Ordinary Death Benefit. You can nominate one or more Primary Beneficiaries, one optional Contingent Beneficiary, or your Estate.
  6. If nominating your Estate, check the box labeled Estate and leave the name, address, and relationship portions blank.
  7. If nominating a Primary Beneficiary, provide their First Name, Middle Initial, Last Name, Full Social Security Number, Date of Birth, Address, City, Apt. Number, State, Zip Code, and Percentage of the benefit they will receive.
  8. If the beneficiary is a minor, check the appropriate box and complete the guardian information on Form 137.
  9. If you wish to add a Contingent Beneficiary, repeat the process for their information, noting that this step is optional.
  10. Move to Section B to designate who will receive your Accumulated Deductions. Follow the same steps as in Section A for Primary and Contingent Beneficiaries.
  11. Again, if you wish to nominate your Estate, check the Estate box and leave the relevant sections blank.
  12. Ensure that all percentages add up to 100% if you have multiple beneficiaries.
  13. Sign the form in the designated area.
  14. Have the form notarized. This means a Notary Public or Commissioner of Deeds must witness your signature and provide their information.

After completing these steps, you will be ready to submit your form to NYCERS. It is advisable to keep a copy of the completed form for your records. If you have any questions during this process, do not hesitate to reach out to the NYCERS Call Center for assistance.