Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69C - Division of Treasury › Chapter 69C-6 - STATE OF FLORIDA EMPLOYEES DEFERRED COMPENSATION PLAN › Section 69C-6.003 - The Plan; Prescribed Forms

Current through Reg. 50, No. 138; July 16, 2024
(1) Form
				DFS-J3-1176 (rev. 03/15)
http://www.flrules.org/Gateway/reference.asp?No=Ref-05104
,
				State of Florida Employees Deferred Compensation Plan, is hereby established
				and incorporated into this rule by reference as the "plan of deferred
				compensation" contemplated in section
				 112.215, F.S. The form can be
				obtained from the Deferred Compensation Section, Division of State Treasury,
				200 East Gaines Street, Tallahassee, Florida 32399-0346.
(2) The forms listed below are incorporated
				into and made a part of this rule chapter by reference and shall take effect on
				the effective date of this rule. The forms can be obtained from investment
				providers servicing the plan. A listing of authorized investment providers and
				the forms can be obtained from the Deferred Compensation Section, Division of
				Treasury, 200 East Gaines Street, Tallahassee, Florida 32399-0346. The State of
				Florida Employees Deferred Compensation Plan may also be referred to as the
				"457b Plan."
(a) Form DFS-J3-1163 (rev. 03/15)
http://www.flrules.org/Gateway/reference.asp?No=Ref-05093
Participant Action Form - (Used for most participants
							 requests, including enrollment and account changes)
(b) Form DFS-J3-1164 (rev. 03/15)
http://www.flrules.org/Gateway/reference.asp?No=Ref-05094
Enrollment Information Form - (General enrollment
							 form identifying important provisions and restrictions of the 457b Plan)
(c) Form DFS-J3-1165 (rev. 01/13)
http://www.flrules.org/Gateway/reference.asp?No=Ref-02713
Company to Company Transfer - (Used when a
							 participant wants to transfer funds between Investment Providers)
(d) Form DFS-J3-1166 (rev. 01/13)
http://www.flrules.org/Gateway/reference.asp?No=Ref-02714
Company to Company Transfer Invoice - (Used to inform
							 Investment Providers of participant's request to transfer account to another
							 Investment Provider within the Plan)
(e) Form DFS-J3-1169 (rev. 01/13)
http://www.flrules.org/Gateway/reference.asp?No=Ref-02715
Transfer/Rollover Invoice - (Used to inform
							 Investment Providers to distribute funds from the Plan to another tax sheltered
							 pension plan)
(f) Form DFS-J3-1152 (rev. 01/13)
http://www.flrules.org/Gateway/reference.asp?No=Ref-02710
Application for Standard Catch-Up - Used for
							 participants to request to catch up the difference between the maximal
							 deferrals that could have been contributed and what was actually contributed as
							 a State employee)
(g) Form DFS-J3-1171 (rev. 03/15)
http://www.flrules.org/Gateway/reference.asp?No=Ref-05095
Request for Unforeseeable Emergency Withdrawal -
							 (Used to request a distribution due to an unforeseeable emergency)
(h) Form DFS-J3-1172(GWRS) (rev. 03/15)
http://www.flrules.org/Gateway/reference.asp?No=Ref-05096
Request for Distribution - (Used by Great West
							 participants to request a distribution from the Plan after they have left
							 employment)
(i) Form DFS-J3-1172(NRS) (rev. 03/15)
http://www.flrules.org/Gateway/reference.asp?No=Ref-05097
Request for Distribution - (Used by Nationwide
							 Retirement Services participants to request a distribution from the Plan after
							 they have left employment)
(j) Form DFS-J3-1172(VAL) (rev. 03/15)
http://www.flrules.org/Gateway/reference.asp?No=Ref-05099
Request for Distribution - (Used by Valic
							 participants to request a distribution from the Plan after they have left
							 employment)
(k) Form DFS-J3-1172(VOYA) (rev. 03/15)
http://www.flrules.org/Gateway/reference.asp?No=Ref-05100
Request for Distribution - (Used by VOYA participants
							 to request a distribution from the Plan after they have left employment)
(l) Form DFS-J3-1172(TRP) (rev. 03/15)
http://www.flrules.org/Gateway/reference.asp?No=Ref-05098
Request for Distribution - (Used by T. Rowe Price
							 participants to request a distribution from the Plan after they have left
							 employment)
(m) Form DFS-J3-1174 (rev. 4/13)
http://www.flrules.org/Gateway/reference.asp?No=Ref-02723
Frequently Asked Questions with Answers - (Answers to
							 the most frequently asked questions about the Plan)
(n) Form DFS-J3-1175 (rev. 01/13)
http://www.flrules.org/Gateway/reference.asp?No=Ref-02724
Forms Procedures - (Procedures and guidelines for
							 completing specific forms of the Plan)
(o) Form DFS-J3-1525 (rev. 04/13)
http://www.flrules.org/Gateway/reference.asp?No=Ref-02726
Purchase of Prior Service Credits - (Used by
							 participants to transfer funds from their Deferred Compensation accounts to
							 purchase prior years of service from previous Florida employment, military
							 time, or employment with other states and/or counties)
(p) Form DFS-J3-1526 (rev. 03/15)
http://www.flrules.org/Gateway/reference.asp?No=Ref-05101
Rollover Into/Out of Florida Plan - (Used to transfer
							 funds from their State of Florida 457(b) Plan to another tax shelter pension
							 plan)
(q) Form DFS-J3-1541 (rev. 02/16)
http://www.flrules.org/Gateway/reference.asp?No=Ref-06523
State of Florida Employees Deferred Compensation Plan
							 Investment Policy for Product Selection and Retention - (Establishes the
							 standards for the State of Florida Employees Deferred Compensation Plan; adopts
							 criteria for the selection and retention of the Plan's investment options; and
							 provides a method for the quarterly evaluation and monitoring of the investment
							 options)
(r) Form DFS-J3-1173 (new 01/13)
http://www.flrules.org/Gateway/reference.asp?No=Ref-02722
Deferrals for Special Supplemental Pay - (Used for a
							 participant to defer special supplemental pay (accrued annual/sick leave) to
							 the Plan)
(s) Form DFS-J3-1796 (new 04/13)
http://www.flrules.org/Gateway/reference.asp?No=Ref-02729
Loan Application - (Used by participants to request a
							 loan from the 457b Plan)
(t) Form DFS-J3-1956 (rev. 03/15)
http://www.flrules.org/Gateway/reference.asp?No=Ref-05103
EZ Enrollment Form - (Abbreviated form for
							 participants to enroll in the Deferred Compensation Program via the
							 internet)
(u) Form DFS-J3-1954 (new 01/13)
http://www.flrules.org/Gateway/reference.asp?No=Ref-02730
Loan Frequently Asked Questions - (Answers to the
							 most frequently asked questions about the State 457b Loan Program)
(3)
				The State of Florida Employees' Deferred Compensation Plan shall be construed
				to conform to the requirements of
				26 USC
				457 (2008), which is hereby incorporated by
				reference into this rule, and a copy of
				26 USC
				457 (2008) can be obtained at
www.gpo.gov
.
(4) The following portions of the Internal
				Revenue Code, Code of Federal Regulations and Act of the United States Congress
				are also hereby incorporated by reference, and a copy of the Codes,
				Regulations, and Act may be obtained at
www.gpo.gov
. The Internal Revenue Procedure is hereby
				incorporated by reference, and a copy of it may be obtained at
http://www.irs.gov/pub/irs-drop/rp-13-12.pdf
:
(a)
										26 USC
				401 (2010);
(b)
										26 USC
				403 (2011);
(c)
										26 USC
				911 (2007);
(d)
										26 USC
				408 (2011);
(e)
										26 USC
				414 (2011);
(f)
										26 USC
				1402 (2011);
(g)
										26 USC
				112 (2011);
(h)
										26 USC
				3401(h)(2) (2011);
(i)
										26 CFR
				1.457-2 (August 27, 2003);
(j)  26 CFR 1.401(a)(9)  (April 1, 2011
				Edition);
(k)
										26 CFR
				1.457-9 (August 27, 2003);
(l) Rev. Proc. 2013-12, 2013-4, I.R.B.
				313;
(m) Pension Protection Act of
				2006, Pub. L. No.
				109-280, Sec. 845 (2006)
http://www.flrules.org/Gateway/reference.asp?No=Ref-05164
;
(n) Worker, Retiree, and Employer Recovery
				Act of 2008, Pub. L. No.
				110-458, Sec. 125
				(2008).