Withdrawal Request Form - MassMutual

Withdrawal Request Form403(b) Notary RequiredUse this form if you want to Request from your plan account: a cash payment a direct rollover of your vested account to another eligible retirement plan or IRA Withdrawal of rollover monies, if the plan permits transfer to purchase Permissive Service Credit under a governmental defined benefit plan, if the plan permits direct payment of Qualified Health Insurance Premiums, if the plan permits Do not use this form if you want to Request : your required minimum distribution (RMD) (use the Required Minimum Distribution Request form .) a contract exchange or transfer to another provider within your Plan (if you plan allows, use the 403(b) Transfer or Exchange Out form .) a distribution following the death of a plan participant (use the beneficiary Election form .)

Withdrawal Request Form. 403(b) Notary Required. ... • transfer to purchase Permissive Service Credit under a governmental defined benefit plan, if the plan permits • direct payment of Qualified Health Insurance Premiums, if the plan permits ... Beneficiary (there must be an existing account for this beneficiary

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  Form, Benefits, Request, Beneficiary, Defined, Massmutual, Defined benefit, Request form

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