Retirement Disabilit y and Death Benefits A. Benefit Structure 1. - PDF document

Retirement Disabilit y and Death Benefits

A. Benefit Structure 1. Performance of Duty Disability 2. Accidental Disability 3. World Trade Center Disability B. Accidental Death Benefits C. Special Disability and Death Benefits 1. Heart Presumption 2. Exposure Presumption – HIV, Hepatitis or Tuberculosis 3. Lung 4. Cancer 5. World Trade Center D. Statutory Provision s E. Applications and Option Form F. Matrimonial

A. Benefit Structure 1. Performance of Duty Disability 2. Accidental Disability 3. World Trade Center Disability

A-1

A-2

A-3

B. Accidental Death Benefits

B

C. Special Disability and Death Benefits 1. Heart Presumption 2. Exposure Presumption – HIV, Hepatitis or Tuberculosis 3. Lung 4. Cancer

C 1-4

C. Special Disability and Death Benefits 5. World Trade Center

C-5 Filing notice extended to September 11, 2018

3. Be fpund permanently incapacitated If you do not file for a disability benefit now, If You Have Not Yet Filed For Retirement If you meet requirements l and 2 and wish to file fpr a disability benefjt now, you must fjle an Application for Wormd Trade Center Acciden­ tal Disability Presumption (fprm RS6047-W). you must fjle a World Trade Center Notice protect your rights, and the rights of your (form RS6047-N) with us on or befpre September 11, 20I8 to preserve your rights in the future. These fprms are available on our website at www.osc.state.ny.us0retire or by contacting us toll-free al l-866-805-0990 or 518-474-7736 benefjciaries to apply fpr benefjts in the future. September 11, 2018. Filing a Notice will by the Retirement System due to the Notjce (RS6047-N) on or before qualifying condition or health impairment, and unable to perfprm your job. 4. File either an application fpr World 1htde Center Accidental Disability Prfsumption (fpnn RS6047-W) or a \Vorld 1):ade Center September 11, 201 8 . we encourage you lo fjle a Notice on or befpre Even if you are no longer in service, if you meet the above eligibility requirements, you may still be eligible to apply fpr this presumption. If You Are Not Disabled Now If you meet eligibility requirements 1 and 2, in the Albany, New York area.

If Ypu Have Already To apply fpr a reclassification, you must contact us by phone to have the form download these fprms fsom our website or become disabled in the future. Ypu can be eligible for reclassifjcation should you Notice (form RS6047-N) by that date to 201 8 , you must fjle a World Trade Center reclassification on or before September 11, this brochure. If you do not fjle fpr and send it to the address on the back of (fprm RS6047-W), have it notarized Accidental Disability Presumption Application for World Trade Center previously stated. You must complete an meet the same eligibility requirements as For Reclassification Retired From Public Service HowTo Apply be changed as a result of the reclassification. Please note, your option selection cannot to your date of retirement. date of reclassification. It is not retroactive retirement will become effective as of the If approved, your accidental disability at the time of your retirement. condition been known and fully developed and unable to perfprm yous job had your you would have been permanently disabled ment if you meet requirements I and 2 and your benefit to an accidental disability retire­ You may apply for a reclassifjcation of sent to you.

I� addi�ion, plea�e note that your employer at the time of ret�rement �ill be gi�en an opport�nity to �ake a statement regarding y�ur reclassification application. Provisions for an Accidental Death Benefit Chapter 445, Laws of 2006, provides for an accidental death benefjt fpr benefjciaries of certain retirees who participated in the World Trade Center rescue, recove1y or clean up. Your beneficiaries may convert your retirement ben­ efjt to an accidental death benefjt by filing an A�plication fpr World Trade Center Accidental Death Benefjt (form RS6418-W) if: • You fjle a World Trade Center Notice (form RS6047-N) on or befpre September 11, 2018; • You retire under a service or disability retirement; • You have bfen retired 25 years or less at the time of your death; and • It is determined that the cause of death was the result of a �ualifzing condition. Only certain benefjciaries (spouse, children or dependent parent) are eligible to receive this benefjt. Eligible benefjciaries and the time period fpr fjling the application arc the same as those fpr the regular accidental death ben­ efjt provided by your retirement plan. Please consult your plan booklet or contact us for more infprmation regarding this benefjt, including fjling deadlines.

D. Statutory Provision

D Accidental Disability

Performance of Duty

Cancer

Lung

Heart

HIV, Hepatitis, Tuberculosis

E. Applications and Option Form

E

F. Matrimonial

F