Benefits Upon Separation of Employment - FY2004 (REVISED) <br /> February 13, 2004 <br /> Page 4 of 4 <br /> unless you elect adirect-transfer rollover. PERS can only roll over that portion of your refund that was not <br /> derived from post-tax contributions and earnings on them. <br /> To access your account, contact the PERS office in Tigard toll-free at 1-888-320-7377 to obtain the <br /> necessary withdrawal forms and instructions for submitting to PERS in Tigard, Oregon. Or contact PERS <br /> <br /> j at their web site: www.pers.state.or.us <br /> <br /> i <br /> Flexible Spending Accounts <br /> If you have a medical flexible spending account, you may continue to contribute to your FSA after your <br /> termination of employment. Call x8868 for more information. <br /> Deferred Compensation <br /> Contact your deferred compensation carrier for information on deferred comp account distribution and <br /> rollover options. Carrier local telephone numbers are: <br /> ING - (541) 343-2928 <br /> Pacific Cascade Federal Credit Union - (541) 687-2146 <br /> Variable Annuity Life Insurance Company (VALIC)* - (541) 687-2221 <br /> * VALIC retains portions of employee's Fixed Account Plus funds. After March 10, 2004, former employees <br /> may elect to transfer fixed assets from VALIC to ING without cost or penalty. Contact the carriers for more <br /> information. <br /> Notice of Intent Form <br /> Please complete each section of the attached Notice of Intent and Notice of Qualifying Event forms and <br /> return them to your supervisor before your last work day. They will be processed with your Termination <br /> Personnel Action Form (PAF). <br /> Attachments <br /> (termees04c.doc -revised 2/2004) <br /> <br />