Transcription of Withdrawal Request Form - MassMutual
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Withdrawal Request Form - MassMutual
Print Clear Withdrawal Request Form 401(a). Plan Sponsor Authorization Required Use this form if you want to Request from your Plan account: Questions? a cash payment of your vested account value Call MassMutual 's Customer a direct rollover of your vested account to another eligible retirement plan or IRA. Service Center direct payment of Qualified Health Insurance Premiums, if the plan permits. (Refer to the Important Information Section for 1-800-528-9009. details.). a transfer to another provider within this Plan Fax 877-526-2531 or Do not use this form if you want to Request : 800-678-8645.
• an annuity (if your Plan offers annuity payments, use the . Annuity Request Form.) • a hardship withdrawal (if your Plan allows, use the . Hardship Withdrawal Request. Form.) If the plan's normal form of benefit is a . Qualified Joint and Survivor Annuity (QJSA), the Qualified Joint and Survivor Annuity Form
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