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Defined Benefit Pension Plan Forms

Complete & Print Forms - You can complete most of the forms listed below right on your computer before you print. Simply click on a field in the form and type in the appropriate information. Then print the completed form, sign and mail it to the Trust Office. These printable forms are in PDF format. To read and print them, you need the free Adobe Reader (which is probably already installed in your system). Click here if you do not have Adobe Reader installed on your system.
  • 104(d) Notice

    104(d) Notice (2024) — The following notice is intended to provide a summary of plan information to employers and employee representatives of the Southern California IBEW-NECA Pension Plan.

    104(d) Notice — The following notice is intended to provide a summary of plan information to employers and employee representatives of the Southern California IBEW-NECA Pension Plan.

  • Annual Funding Notice

    2024 Annual Funding Notice — This notice is for the plan year beginning July 1, 2023 and ending June 30, 2024.

    2023 Annual Funding Notice — This notice is for the plan year beginning July 1, 2022 and ending June 30, 2023.

    2022 Annual Funding Notice — This notice is for the plan year beginning July 1, 2021 and ending June 30, 2022.

    2021 Annual Funding Notice — This notice is for the plan year beginning July 1, 2020 and ending June 30, 2021.

    2020 Annual Funding Notice — This notice is for the plan year beginning July 1, 2019 and ending June 30, 2020.

    2019 Annual Funding Notice — This notice is for the plan year beginning July 1, 2018 and ending June 30, 2019.

    2018 Annual Funding Notice — This notice is for the plan year beginning July 1, 2017 and ending June 30, 2018.

    2017 Annual Funding Notice — This notice is for the plan year beginning July 1, 2016 and ending June 30, 2017.

    2016 Annual Funding Notice — This notice is for the plan year beginning July 1, 2015 and ending June 30, 2016.

    2015 Annual Funding Notice — This notice is for the plan year beginning July 1, 2014 and ending June 30, 2015.

    2014 Annual Funding Notice — This notice is for the plan year beginning July 1, 2013 and ending June 30, 2014.

    2013 Annual Funding Notice — This notice is for the plan year beginning July 1, 2012 and ending June 30, 2013.

    2012 Annual Funding Notice — This notice is for the plan year beginning July 1, 2011 and ending June 30, 2012.

    2011 Annual Funding Notice — This notice is for the plan year beginning July 1, 2010 and ending June 30, 2011.

    2010 Annual Funding Notice — This notice is for the plan year beginning July 1, 2009 and ending June 30, 2010.

    2009 Annual Funding Notice — This notice is for the plan year beginning 7/1/2008 and ending 6/30/2009.

    2008 Annual Funding Notice — This notice is for the plan year beginning 7/1/2007 and ending 6/30/2008.

    2007 Annual Funding Notice — This notice is for the plan year beginning 7/1/2006 and ending 6/30/2007.

    2006 Annual Funding Notice — This notice is for the plan year beginning 7/1/2005 and ending 6/30/2006.

  • FASB Disclosure

    FASB Disclosure Information 07/01/2024 — In September 2011, the Financial Accounting Standards Board issued Accounting Standards Update (ASU) No. 2011-09, which requires certain financial-statement disclosures by employers who participate in multiemployer pension plans. To assist employers that contribute to the Southern California IBEW-NECA Pension Plan (Plan) and are required to make such a disclosure in their financial statements, we are providing below the Plan-related information needed to complete the disclosure.

    FASB Disclosure Information 07/01/2023 — In September 2011, the Financial Accounting Standards Board issued Accounting Standards Update (ASU) No. 2011-09, which requires certain financial-statement disclosures by employers who participate in multiemployer pension plans. To assist employers that contribute to the Southern California IBEW-NECA Pension Plan (Plan) and are required to make such a disclosure in their financial statements, we are providing below the Plan-related information needed to complete the disclosure.

    FASB Disclosure Information — In September 2011, the Financial Accounting Standards Board issued Accounting Standards Update (ASU) No. 2011-09, which requires certain financial-statement disclosures by employers who participate in multiemployer pension plans. To assist employers that contribute to the Southern California IBEW-NECA Pension Plan (Plan) and are required to make such a disclosure in their financial statements, we are providing the Plan-related information needed to complete the disclosure.

  • General

    2022 Annual Pensioner Verification — As part of the Annual Pensioner Verification process, the Southern California IBEW-NECA Administrative Trust Funds Office would like to verify that you are receiving your pension benefit from the Southern California IBEW-NECA Pension Plan.

    General Contact Information Flyer — Thinking about retirement? The Southern California IBEW-NECA Administrative Office wants to assist you through the process. Here is a list of organizations you may wish to contact.

    Pension Payment Options — This form provides you with an explanation of the various pension benefit payment options available to you under the rules of the Pension Plan.

    Defined Benefit Beneficiary Designation Form — Use this form to designate the beneficiary(ies).

    Direct Deposit Form (EFT) — Use this form to request pension checks to be deposited directly to your checking or savings account.

    Change of Address — Use this form to change your address. Be sure to fill it out completely and return it to the Trust Office. (English Version)

    Forma Para Solicitar Cambio De Dirección (En Español) — Use esta forma para hacer un cambio de dirección postal.  Asegúrese de completar todos los espacios en la forma, y de enviar la misma a la oficina del Trust Funds.

    Form W-4P (2025) — The following link, Form W-4P (2025) will re-direct you to the IRS website which contains the PDF version of the Withholding Certificate to elect the rate of withholding for Federal tax purposes from your Pension benefit payments. Participants only need to file the form once, unless changes are needed, such as altering marital status. If you are unable to use the link provided above, please cut and paste https://www.irs.gov/pub/irs-pdf/fw4p.pdf into your browser.

  • Legally Required

    104(d) Notice — The following notice is intended to provide a summary of plan information to employers and employee representatives of the Southern California IBEW-NECA Pension Plan.

    2021 Funding Improvement Plan Update — Included in this mailing for your records is the July 1, 2021 Funding Improvement Plan ("FIP") Update for the Southern California IBEW - NECA Pension Plan that was approved by the Board of Trustees July 29, 2021.

    2020 Funding Improvement Plan Update — Included in this mailing for your records is the Funding Improvement Plan Update ("FIP") for the Southern California IBEW-NECA Pension Plan for the Plan Year beginning July 1, 2020 that was approved by the Board of Trustees at their regularly held meeting on October 19, 2020.

    2019 Summary of Material Modifications — Important Notice to Participants

    Amendment 11 — Revision to Section 5.5 of the Plan

    Amendment 10 — Revision to Section 5.2 of the Plan

    Amendment 9 — Clarification of Sections 8.2 and 8.3 Death Benefit and Designation of Beneficiary

    Amendment 8 — Rehabilitation Plan Update

    Amendment 6 — Rehabilitation Plan Update

    104(d) Notice — The following notice is intended to provide a summary of plan information to employers and employee representatives of the Southern California IBEW-NECA Pension Plan.

    Collection Policy and Procedures — This explains the Collection Policy and Procedures. Updated October 27, 2016.

    Funding Improvement Plan Update 2016 — Benefit Changes under the Seriously Endangered Status Funding Improvement Plan Update.

    Amendment #2 to the Funding Improvement Plan Adopted by the SC IBEW-NECA Pension Trust Fund May 21, 2013 — Memorandum describing an amendment to the Funding Improvement Plan.

    Amendment #1 to the Funding Improvement Plan Adopted by the SC IBEW-NECA Pension Trust Fund May 21, 2013 — Memorandum describing an amendment to the Funding Improvement Plan. The Amendment adds an additional Alternative Schedule.

    Funding Improvement Plan Update 2013 — Detailed memorandum describing the Funding Improvement Plan adopted by the Board of Trustees.

  • Plan Notices

    Notice to Travelers Regarding Defined Benefit Plan Contributions (April 2017) — The Pension Protection Act of 2006, as amended by the Worker, Retiree and Employer Recovery Act of 2008 (WRERA), required the Trustees of a multiemployer pension plan, that has been certified by the plan's actuary as being in "endangered" status (Yellow Zone), to develop a Funding Improvement Plan ("FIP"). On September 28, 2012, the Southern California IBEW-NECA Pension Trust Fund's Co-Actuaries certified the Defined Benefit (DB) Plan as being in endangered status. On May 21, 2013, the Board of Trustees adopted an FIP consisting of a Default Schedule, Alternative Schedules 1(a) through 1(d); the FIP was amended twice to adopt two additional Alternative Schedules 1(e) and 1(f).

  • Rehabilitation Plan and Funding Improvement Plan ("FIP")

    2024 Funding Improvement Plan Update — 2024 Funding Improvement Plan Update

    2023 Funding Improvement Plan Update — 2023 Funding Improvement Plan Update

    Rehabilitation Plan and Funding Improvement Plan ("FIP") — 2022 Funding Improvement Plan Update

    Frequently Asked Questions Regarding Plan Changes that are Effective April 1, 2017 — These are some frequently asked questions (FAQs) regarding the Plan Changes that are effective April 1, 2017.

    Amendment to 9-28-16 Rehab Plan — First Amendment to the September 28, 2016 Rehabilitation Plan Adopted by the Southern California IBEW-NECA Pension Trust Fund October 27, 2016.

    Rehab Plan September 2016 — This is to inform you that The Southern California IBEW-NECA Pension Plan ("Plan") was certified by its Actuary on September 28, 2016 to be projected to be in critical status for the Plan Year beginning July 1, 2018, pursuant to IRC Section 432(b)(3). Pursuant to IRC Section 432(b)(4) on September 28, 2016 the Trustees elected for the Plan to be in critical status effective July 1, 2016. Federal law requires that you receive this notice.

    2009 Rehabilitation Notice — This packet includes important information about your Plan in addition to providing certain legally required notices.

  • Retirement

    Pension Plan Application Checklist — Use this checklist to help you complete an application for Age/Disability Retirement Benefit.

    Defined Benefit Pension Application — Use this form to apply for Defined Benefit Pension. Be sure to fill it out in its entirety before returning it to the Trust Fund Office.

    Special Information and Instructions Regarding Filing a Pension Application — Special information and instructions regarding filing an application for Pension Plan Benefits.

    Application for Pre-Retirement Death Benefit Form (Surviving Spouse) — Use this form to apply for Pre-Retirement Death Benefits.

    Application for Pre-Retirement Death Benefit Form (Non-Spouse Beneficiary) — Use this form to apply for Pre-Retirement Death Benefits.

    Employer Certification Form — For Pension Applications, please answer the following questions and return the form to the Trust Fund Office. In order to expedite the processing of your pension application, please have your employer complete the "Employer Certification" below, prior to returning to this office.

    Authorization for NEBF to release Social Security earning information form — Use this form to authorize the National Electrical Benefit Fund (NEBF) to release to the aforementioned Pension Plan any information they may, at any time, request which the NEBF has in its possession relating to you.

    Request for Social Security Release information form — Please contact the Administrative Trust Funds Office to obtain the Request for Social Security Earnings Information Form.

  • Return to Work

    Intent to work after retirement effective date form — This is the current notice of rules concerning 1) starting benefits for early retirement and 2) suspension of benefits for early retirees returning to work in the Electrical Construction Contraction Industry. The notice lists the jobs and types of maintenance work that Early Retirees can perform and still continue to draw pension benefits.

    Request for work after Retirement determination form — Use this form to request work after a retirement determination. To determine if the work you are, or will be performing, is permissible under the plan, please have the employer provide the information requested in this form.

  • Summary Annual Reports

    2009 Summary Annual Report - Pension Trust Fund — This describes the status of the fund at the end of Plan Year 2009.

    2008 Summary Annual Report - Pension Trust Fund — This describes the status of the fund at the end of Plan Year 2008.

    2007 Summary Annual Report - Pension Trust Fund — This describes the status of the fund at the end of Plan Year 2007.

    2006 Summary Annual Report - Pension Trust Fund — This describes the status of the fund at the end of Plan Year 2006.

    2005 Summary Annual Report - Pension Trust Fund — This describes the status of the fund at the end of Plan Year 2005.

  • Video Library and Benefits at a Glance

    APV Process Video Walkthrough — Under a federal law known as ERISA, the Trustees have a fiduciary obligation to ensure that pension benefits are not paid to pensioners who are engaged in activities which could lead to the suspension of their monthly pension benefit under the Plan's Suspension of Benefit Rules. To discharge in part that fiduciary obligation, the Trustees require all pensioners to complete, on an annual basis, an Annual Pensioner Verification form. Completion and return of the form is "self-reporting" by an individual pensioner as to activities performed during the preceding calendar year. The Fund Office has prepared a video to introduce the APV process. Take a brief tour and review the video. The video is not a substitute for the Summary Plan Description. Prior to filing any application for benefits, you should thoroughly review the Summary Plan Description (SPD).

    Thinking about Retirement — The Fund Office has prepared a video to introduce you to the process to apply for Retiree Pension Benefits and Retiree Health Plan. Take a brief tour and review the video. The video is not a substitute for the Summary Plan Description. Prior to filing any application for benefits, you should thoroughly review the Summary Plan Description (SPD).

    Benefits at a Glance — This brochure provides basic information about the Pension Plan, but does not provide complete details; it's an overview for your quick reference.