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Slide 2 Public Employees Retirement Association of New Mexico PERA Survivor Beneficiary Form Important Information You Should Know About Filling Out a PERA Survivor Beneficiary Form Slide 3 Public Employees Retirement Association of New Mexico Frequently Asked Questions A life-time benefit is paid by PERA in the event of your death: Non-duty death after vesting (having 5 or more years of PERA service credit) or Duty related death from day one of hire. You may only choose one person as your Survivor Beneficiary. If you and your beneficiary pass away at the same time your account (your contributions and the interest) will be refunded to your estate. Slide 4 Public Employees Retirement Association of New Mexico Member Information Section 999-99-9999 01/01/1960 MarySmith 505-222-1234 P. O. Box 111 Albuquerque NM 87000 X X X Slide 5 Public Employees Retirement Association of New Mexico Beneficiary Information Section John SmithSpouse 888-88-8888 02/02/1960 P. O. Box 111 Albuquerque, NM 87000 505-222-1234 Slide 6 Public Employees Retirement Association of New Mexico Member Authorization Section Mary Smith 01/01/2008 Santa Fe Mary Smith 1 January 2008 06/10/2010505-123-1234 Maria Trujillo Slide 7 Public Employees Retirement Association of New Mexico Completing the Form Once you have completed the form: Make a copy for yourself, Give a copy to your employer, and Send the original form to PERA. You may check the PERA website www.pera.state.nm.us after 4 - 6 weeks to see if your beneficiary information has been added/changed. If you have any questions concerning this form or any other issue, please contact PERA at 1-800-342-3422.