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Covered Employer Training Program Module Seven Death Claims Process
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Covered Employer Training Program

Jan 13, 2016

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Covered Employer Training Program. Module Seven Death Claims Process. Who notifies PEBA of a death?. Employers Family and friends of the deceased Obituaries Social Security Administration (SSA) Department of Health and Environmental Control (DHEC) Funeral homes. - PowerPoint PPT Presentation
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Page 1: Covered Employer Training Program

Covered EmployerTraining Program

Module SevenDeath Claims Process

Page 2: Covered Employer Training Program

Who notifies PEBA of a death?

• Employers• Family and friends of the deceased• Obituaries• Social Security Administration (SSA)• Department of Health and Environmental Control

(DHEC)• Funeral homesFollow along in your Covered Employer Procedures Manual! Page 91

Page 3: Covered Employer Training Program

Types of Death Claims• Active – member dies while still on payroll and

making active member contributions.• Inactive – member dies more than 90 days after

the last day of earned compensation.• Retiree • Working retired member

Page 4: Covered Employer Training Program

Incidental Death Benefit• Coverage is required for all state agencies and public

schools.• Coverage is optional for other employers.• Active member incidental death benefit = one year’s

earnable compensation.*• Retired member incidental death benefit = $2,000,

$4,000, or $6,000 based on years of service.

*This benefit also applies to retired members working for a covered employer.

Page 5: Covered Employer Training Program

Active Member Death Benefit• If a South Carolina Retirement System (SCRS) member was

under age 60 or if a Police Officers Retirement System (PORS) member was under age 55 and had less than one year of service credit: – Active member incidental death benefit if the death was job-

related; and– Refund of employee contributions plus interest.

• If a member was under age 60 (SCRS) or under age 55 (PORS) with 1-14 years of service credit:– Active member incidental death benefit; and– Refund of employee contributions plus interest.

Page 6: Covered Employer Training Program

Active Member Death Benefit • If a member had 15 or more years of service credit, five years of

which must be earned service for Class Two members or eight years of earned service for Class Three members:– Active member incidental death benefit; and– Beneficiary’s choice of monthly annuity or refund of employee

contributions plus interest.• If member was over age 60 (SCRS) or age 55 (PORS) with at least

five years of earned service for Class Two members or eight years of earned service for Class Three members:– Active member incidental death benefit; and– Beneficiary's choice of monthly annuity or refund of employee

contributions plus interest.

Page 7: Covered Employer Training Program

Multiple Beneficiaries• If there are multiple beneficiaries, all

beneficiaries must choose the same payment option to receive either a lifetime monthly annuity or a refund.

Page 8: Covered Employer Training Program

Accidental Death Program (ADP)-PORS only• ADP benefit is paid if death occurs while a member is

performing a hazard specific to employment while in the actual line of duty without willful negligence on the member’s part.

• Monthly annuity: 50 percent of the annual earnable compensation (including overtime) 12.

• Benefits first payable the day after the death of the member.

• Paid in addition to the other in-service death benefits.

Page 9: Covered Employer Training Program

Who receives the ADP benefit?• If the member was married, the spouse will receive a lifetime

monthly annuity.

• If there is no spouse or if the spouse dies before the youngest child reaches age 18, the annuity is divided equally among the surviving children until each child reaches age 18 or upon death, whichever occurs first.

• If there is no spouse or child under age 18, annuity is paid to the surviving mother and/or father for life.

Page 10: Covered Employer Training Program

Inactive Member Death• Beneficiaries receive a refund of the member’s

contributions plus interest or a monthly annuity.

• Beneficiaries of inactive members who die but were eligible to retire can choose an annuity.

• No incidental death benefit.

Page 11: Covered Employer Training Program

Retired Member Deaths• Retired member incidental death benefit.• Additional benefit depending on payment selection (if

applicable):– Option A – Refund of any remaining contributions.– Option B – Beneficiary begins to receive the same lifetime

monthly annuity amount retiree received prior to death.– Option C – Beneficiary begins to receive half of the monthly

annuity amount retiree received prior to death.

Page 12: Covered Employer Training Program

Working Retired Member Deaths

• Active member incidental death benefit.

• Additional death benefit depending on payment selection chosen at retirement:– Option A– Option B– Option C

Page 13: Covered Employer Training Program

Information Required for Active Member Deaths

• PEBA will mail the following forms to the employer:– Certification of Salary for a Deceased Member (Form 4152)– Certification of Final Retirement Deductions (Form 6202)

• PEBA will mail the following items to the beneficiary:– Sympathy letter – Request for certified copy of death certificate– Request for copy of beneficiary’s Social Security card and driver’s license or

state-issued identification (ID) card

Page 14: Covered Employer Training Program

Information required for Retired Member Deaths

• No information required from the employer unless the account has not yet been finalized.– If account has not yet been finalized, the death claim cannot be

processed until the Certification of Final Retirement Deductions (Form 6202) is received.

• If the deceased was a working retiree, the employer will be sent a Certification of Salary for a Deceased Member (Form 4152) and a Certification of Final Retirement Deductions for a Deceased Retired Member (Form 4250).

Forms in appendix, not on website.

Page 15: Covered Employer Training Program

Information required for Retired Member Deaths

• The following is mailed to the beneficiary:– Claim and Proof of Death (Form 4151)– Letter requesting copy of beneficiary’s Social Security card and

driver’s license or state-issued ID card.

Page 16: Covered Employer Training Program

Payments to an Estate

• How does an estate become the beneficiary?– Member names his estate as beneficiary; or– Estate becomes beneficiary by default if the named

beneficiaries predecease the member.

Page 98

Note: A monthly annuity cannot be paid to an estate; however, an estate can receive a refund of the member's remaining contributions plus interest, if any.

Page 17: Covered Employer Training Program

Additional Documentation Required if Estate is Beneficiary

• “Certificate of Appointment” naming the personal representative for estates of more than $10,000; or

• “Affidavit for Collection of Personal Property” for estates of less than $10,000.

Page 18: Covered Employer Training Program

Summary Quiz• On the Certification of Salary for a Deceased Member

(Form 4152), does the last day earned compensation and date of termination have to be the same date?

• On this same form, does the date of final paycheck and date of termination have to be the same date?

Page 19: Covered Employer Training Program

THE LANGUAGE USED IN THIS PRESENTATION DOES NOT CREATE ANY CONTRACTUAL RIGHTS OR ENTITLEMENTS AND DOES NOT CREATE A CONTRACT BETWEEN THE MEMBER AND THE SOUTH CAROLINA PUBLIC EMPLOYEE BENEFIT AUTHORITY. THE SOUTH CAROLINA PUBLIC EMPLOYEE BENEFIT AUTHORITY RESERVES THE RIGHT TO REVISE THE CONTENT OF THIS PRESENTATION.

This presentation is meant to serve as a guide but does not constitute a binding representation of the South Carolina Public Employee Benefit Authority. Title 9 of the South Carolina Code of Laws contains a complete description of the retirement benefits, their terms and conditions, and governs all retirement benefits offered by the state. State statutes are subject to change by the General Assembly.

Employers covered by the South Carolina Public Employee Benefit Authority are not agents of the South Carolina Public Employee Benefit Authority.

Disclaimer

Page 20: Covered Employer Training Program

Questions