Step 1: Contact Information

Please complete all of the fields below. If you do not have an email address, you may skip that field.

Retirement Plan*

Name*

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Phone Type

Home

Work

Cell

Step 2: Request Information

Please check topics of interest. You may include any additional questions or information in the section provided. Note: Some areas below require that you provide additional information—this will allow us to fully complete your request in a timely manner.

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Service credits

Statement of how much service credit I have on account

Creditable service is one the three factors used to calculate the amount of your retirement benefit (the other two are your age and average final compensation). It also determines whether you are “vested” for purposes of receiving a retirement benefit. Read more about “What is a statement of my service credit?” here.

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Retirement Benefits

Estimate of my retirement benefits.

The first step toward receiving your service retirement benefit is to request an estimate of your benefit when you are within 6 to 12 months of your anticipated retirement date. MainePERS will provide an estimate of your retirement benefit for each of the retirement benefit payment options available to you. You choose the benefit payment option under which you will receive your service retirement benefit. (See > Choosing a Benefit Payment Option When You Retire for more information.)

Effective Date of Retirement

Beneficiary's Name

First Last

Beneficiary's Date of Birth

Beneficiaries

Who do I have listed for my current beneficiary(ies)?

When you became employed, you should have completed two Designation of Beneficiary forms. One is used to designate a beneficiary(ies) to receive any survivor benefits in the event of your death prior to retirement. The other is for those who have MainePERS Group Life Insurance and have listed a beneficiary(ies). Read more about current beneficiary listings here.

Group Life Insurance Information

Amount of Coverage

Increase my Coverage

Decrease my Coverage

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Purchasing service credit

Info on purchasing additional service credits

You may be eligible to purchase additional service credit, see “What does purchasing additional service credit mean?”.

Other/Additional Information

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Comments

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Benefit Information Request

Step 1: Contact Information

Step 2: Request Information