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Divorce and QDRO - QDRO Model Multiple Beneficiaries
The QDRO Model for multiple beneficiaries is for active state employees or teacher members only.
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QDRO Model - Option 2
The QDRO models listed below are for retirees who selected Option 2 form of payment.
QDRO Model Option 2 State and Teachers
Use this model if you are a retired state employee or retired teacher who selected the Option 2 form of payment, or if you are an active state employee or teacher and at the time of your retirement you will be required to elect the Joint and Survivor Option 2 form of payment and name your ex-spouse as beneficiary.
Qualified Domestic Relations Order for retired state employees or retired teachers who selected the Option 2 form of payment
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Divorce and QDRO - QDRO Model Option 2
The QDRO models listed below are for retirees who selected Option 2 form of payment.
QDRO Model - Option 1
The QDRO models listed below are for retirees who selected Option 1 form of payment.
QDRO Model Option 1 State and Teachers
Use this model if you are a retired state employee or retired teacher who selected the Option 1 form of payment, or if you are an active state employee or teacher and at the time of your retirement you will be required to elect the Joint and Survivor Option 1 form of payment and name your ex-spouse as beneficiary.
Qualified Domestic Relations Order for state employees or retired teachers who selected Option 1
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Divorce and QDRO - QDRO Model Option 1
The QDRO models listed below are for retirees who selected Option 1 form of payment.
QDRO Model Max State and Teachers
The QDRO models listed below are for retirees who selected the maximum benefit form of payment.
QDRO Model Max State and Teachers
Use this model if you are a retired state employee or retired teacher who selected the maximum benefit form of payment, or if you are an active state employee or teacher and your ex-spouse’s benefit is to be calculated as if you selected the maximum benefit form of payment.
Qualified Domestic Relations Order for state employees and teachers
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Divorce and QDRO - QDRO Model - Maximum Benefit
The QDRO models listed below are for retirees who selected the maximum benefit form of payment.
Here is an easy-to-use guide on how to read your 1099-R:
Box 1 - Gross Distribution. This is the sum of all benefits paid to you by ERSRI during the previous calendar year.
Box 2a - Taxable Amount. This box contains the sum of your benefit payments minus your non-taxable monthly exclusion amounts.
Box 2b - This box is not applicable to ERSRI.
Box 3 - This box is not applicable to ERSRI.
Box 4 - Federal Income Tax Withheld. This box shows any federal income tax withheld from your benefit payments during the year.
Box 5 - Employee Contributions. This box contains the sum of your non-taxable monthly exclusions for the tax year. The “monthly exclusion amount” or “monthly exclusion” is the part of your benefit on which you have already paid taxes. If you made any after-tax contributions to your ERSRI account — for example, regular contributions you made before 1986 or through a buyback of service time — then you do not have to pay taxes on that part of your benefit. The non-taxable portion of your benefit listed in Box 5 is calculated using the Simplified Method in IRS Publication 575 - Pension and Annuity Income.
Box 6 - This box is not applicable to ERSRI.
Box 7 - Distribution Code. IRS code identifying the distribution you received. These codes are explained on the back of the 1099-R Form.
Boxes 8, 9a, 9b, 10, 11, 12 and 13 - These boxes are not applicable to ERSRI.
Box 14 - State Income Tax Withheld. Any Rhode Island State income tax deducted from your checks is shown in this box. Note: ERSRI does not withhold state income taxes for any state other than Rhode Island.
Box 15 – State/Payer’s State No. ERSRI’s state tax ID number.
Box 16 – State Distribution. Rhode Island state taxable income.
Boxes 17 through 19 – These three boxes are left intentionally blank and are not applicable to ERSRI.
