New Hampshire Code of Administrative Rules
Ret - Board of Trustees of the N.H. Retirement System
Chapter Ret 500 - FILING OF FORMS
Part Ret 502 - FORMS AND FILING REQUIREMENTS
Section Ret 502.07 - Filing NHRS Form 10, Petition For Employer Enrollment Oversight

Universal Citation: NH Admin Rules Ret 502.07

Current through Register No. 12, March 21, 2024

(a) "Employer enrollment oversight" means a period of time when a member met the eligibility requirements for membership but was not properly enrolled in the system on time.

(b) A member seeking to acquire additional service credit under the enrollment oversight provisions shall complete and file NHRS Form 10.

(c) The member shall complete Part I of NHRS Form 10 by providing the following:

(1) The member's name;

(2) The dates of the disputed service;

(3) The employer's name;

(4) The member's Social Security number;

(5) The member's signature;

(6) The date of the application;

(7) The member's telephone number; and

(8) The member's address.

(d) The employer identified in Part I, through its certifying official, shall complete Part II of NHRS Form 10 by providing the following:

(1) The name of the certifying official;

(2) A determination of eligibility;

(3) The name of the employer;

(4) The dates of the dispute service;

(5) The employer's agreement or disagreement with the claim;

(6) The date of completion;

(7) The signature of the employer's authorized agent;

(8) The employer's telephone number;

(9) The employer's mailing address; and

(10) The certifying official's title.

(e) The member's current employer, through its certifying official shall complete Part II of NHRS Form 10 by providing the following:

(1) The employer's name;

(2) The certifying official's name;

(3) The member's current annual base salary;

(4) The date of completion;

(5) The employer's telephone number;

(6) The employer's mailing address;

(7) The certifying official's title; and

(8) The certifying official's signature.

(f) Any member who claims financial hardship and the inability to pay his or her proportional share of a purchase of creditable service under Ret 308.12 shall file as a financial statement, Form FS-1.

(g) The employer thru its certifying official by signing Part II of NHRS Form 10 shall certify the accuracy of the information provided.

#7574, eff 10-10-01, EXPIRED: 10-10-09

New. #9563, eff 10-14-09

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