Pre-Retirement Information and Resources Checklist
EMPLOYEE INFORMATION
Employee Name:

Date:

CHECKLISTCheck☐☐☐Item
University of California Retirement Plan (UCRP) Election Information›››››

Unused vacation leave / compensation time / sick leave
Post-retirement survivor continuance›

Capital Accumulation Payment (CAP) (if applicable)o Taxes/Penalties›

Retirement elections are confidential, it is theemployee responsibility to notify Manager/Supervisorand HR Business Partner of intent to retire.

Annual Cost-of-living adjustments (COLA)
UC Retirement Savings Program Distributionso 403(b)o 457 (b)o Defined Contribution Plan (DCP)o Taxes /Early Distribution Penalties›Contact your department HR Representative for
information about the Retirement Gift (if applicable)›Continue to monitor the retirement processing statuson the UCRAYS Retirement Progress Chart. Monitor
UCRAYS Messages for the retirement confirmation
letter for the final details of your retirement.

›Retirement election decision is irrevocable.

Key Date Information›››

Separation Date:›Expect retirement processing delays for:Retirement Date:First Monthly Payment:oooo

Eligibility for reciprocity
Lump Sum Cash Out
UCRP service credit discrepancy
Multiple retirement tiersoooo

Disability Crossover
Eligibility for Minimum Required Distributions (MRD)
Plan 02, 401(a)(17) or 415 Limited
Qualified Domestic Relations Order

Beneficiary Benefit and Information
Beneficiaries for:››☐

PERS,STRS and UCRP reciprocity process

UCRP Death Benefit ($7,500) one-time payment (benefit not available with Lump Sum Option)o To review your beneficiary elections, visit the UCRAYS website: https://retirementatyourservice.ucop.edu‒ Login with your Username and Password‒ Click on “My Beneficiaries”
o You may also contact the Retirement Service Administration Center at (800) 888-8267
o Review the RASC Call Tree for appropriate assistance
Retirement Savings Plans ‒ DC Plan, 403(b) and/or 457(b) Plan(s)o To review your beneficiary elections, visit the Fidelity Investments website: http://www.netbenefits.com‒ Login with your Username and Password‒ Click on “Profile” then “Beneficiaries”
o You may also contact Fidelity Retirement Services at (866) 682-7787

DC Plan, 403(b) and/or 457(b) Plans (Consultation is Available)›Contact Fidelity Investments at (866) 682-7787 for retirement savings plan options (systematic withdrawal ordistribution request). Must be separated for 31 days. At age 73, there is a minimum distribution requirement (MDR).
Fidelity Investments will provide a detailed letter regarding the MDR when reaching eligibility.

›If you have a current 403(b) loan, contact Fidelity Investments for payment options during retirement to avoid tax
implications.

›Schedule a 1:1 consultation meeting with Fidelity Investments at https://digital.fidelity.com/prgw/digital/wos/ Spanish

speaking available.

Pre-Retirement Information Resources Checklist (May 2024)

Page 1 of 3›☐☐☐

☐☐☐

›
›

Early distribution penalties
Minimum distribution requirement

If you did not participate in Social Security during your employment at UC, you may still be eligible from previous
employers. You also may be eligible for Spouse Social Security benefits.
Contact the Social Security Office at (800) 772-1213 for assistance.

Health Benefits››››

Medical/dental coverage continues (if eligible)›Disregard notifications for end of benefits and COBRA
UCR Benefits are extended to the last day of the monthfollowing retirement date.
UCR Benefits End Date:›

Vision coverage may be continued through COBRA orby contacting VSP directly at (866) 240.8344 to enroll inthe retiree vision plan.
A 15-day blackout period applies for processing change
to retiree benefits.

Other Insurance Plan Information›››

Legal coverage continues (if eligible or enrolled)
Life and AD&D can be converted or you may enroll in AD&D at Open Enrollment
Disability, business travel insurance and Workers’ Compensation will end on the last day workedCertificate of Creditable Coverage›››

When you retire from UCR, the certificate of creditable coverage will be mailed to your mailing address from yourmedical plan provider.
The certificate of creditable coverage will state your employer medical plan coverage is ending.
Please retain this document for your records

Medicare Eligibility›

If you and/or your Spouse/Domestic Partner are Medicare Eligible (65+), you must enroll in Medicare Part A & B only.,
When the Medicare card(s) are received, please email the Benefits Office at benefits@ucr.edu for instructions on
updating UC medical coverage to avoid termination of your UC medical plan. If you and your spouse/eligible
Domestic Partner are age 65, you will need the following items:o Copy of Medicare card(s)o UC Medicare Advantage enrollment form

Make your Medicare effective the month following your retirement effective date (i.e., Retire 7/1/XX, Medicare effective
date is 8/1/XX)

Health Flexible Spending Account (Health FSA) and/or Dependent Care Flexible Spending Account (DepCare FSA)

›If you are contributing to the Health FSA and/or the DepCare FSA. If you retire immediately from UCR, your Health
FSA coverage ends on the last day of the month in which separation occurs. i.e. 7/1/XX, HSA end date will be 7/30/XX.
You may extend coverage through COBRA if your account has a positive balance.

››

You cannot file claims for out-of-pocket expenses incurred after this date unless you enroll in COBRA through WEX.
For COBRA enrollment, contact WEX directly at (844) 451-1338 for further assistance.

Home and Auto Insuranceo›☐››

Social Security›☐Optionso Leave money in plan(s) – minimum amount of$2,000 is requiredo Rollovers/transferso Total or partial distributions
o Variable payments (systematic withdrawal)

If you have auto, home, or renter’s insurance through Farmers Insurance or California Casualty, contact them
directly to discuss payment arrangements as a result of your retirement at:•Farmers Insurance – (877) 594-7899 (current UC systemwide vendor and new enrollment available)•California Casualty – (866) 680-5142 (former vendor and no longer available for new enrollment)

Farmers Insurance and California Casualty premiums cannot be deducted from your monthly retirement check;however, payments may be set up as an automatic deduction from your bank account.

UCR Emeriti/Retiree Association›

If you would like to join the UCR Emeriti/Retiree Association, we will connect you with the program administrator tofurther assist with the membership enrollment process.

›We recommend you visit the http://retirees.ucr.edu/ website for Emeriti/Retirees updates.

Pre-Retirement Information Resources Checklist (May 2024)

Page 2 of 3

☐The Recreation Center›☐The UCR Recreation Center premiums cannot be deducted from your monthly retirement check; however, payments
may be set up by contacting the UCR Recreation Center at (951) 827-5738.

UC Retirement Administration Service Center (RASC) Contact Information›››

Contact RASC at (800) 888-8267
o Review the RASC Call Tree for appropriate assistance

Retiree benefits system changes from the UCPath portal to UCRAYSOn UCRAYS under the “My Account” tab, you have access to all your retiree benefits and pension information.

RASC will assist you with the following questions:››››››››

Change your mailing address
Change your Federal and State withholding taxes
Update your Direct Deposit
General assistance with your medical and dental plans
Retirement paycheck information
Open Enrollment
Please note: W2 forms (UCR earnings) will be issued from the UCPath Center and 1099R (retirement income) will
be issued will be issued from RASC. The following year and forward you will only receive 1099R’s for theretirement income.
Hours of Operation: Monday ‒ Friday | 7:00 a.m. – 4:30 p.m. | closed all UC holidays.

Pre-Retirement Information Resources Checklist (May 2024)

Page 3 of 3