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USE THIS FORM IF YOU ARE TRYING TO - NDPERS 2026

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The document is a form for verifying the eligibility of a grandchild for coverage under the North Dakota Public Employees Retirement System (NDPERS). It requires member information, details about the grandchild and their parent, and certification of dependency criteria. The form emphasizes the need for supporting documentation, the obligation to notify NDPERS of any changes in eligibility, and the consequences of providing false information.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Part A, which includes your personal information. Enter your name, NDPERS Member ID, last four digits of your Social Security Number, and date of birth.
Next, provide details about the adult dependent and grandchild. Fill in the names and dates of birth for both the adult dependent (parent of the grandchild) and the grandchild.
Move to Part B for member verification. Check all applicable criteria that confirm your grandchild's eligibility for coverage under the plan.
If applicable, enter the name and address of the college or school where your adult dependent is a full-time student.
Finally, review all entered information for accuracy. Sign and date the form to certify that all information is true and correct before submitting it along with any required documentation.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the retirement age for NDPERS?

✓ meets the Rule of 85 ✓ attained age 65 while actively employed with a NDPERS participating agency. Highway Patrol EARLY RETIREMENT ✓ age 50 or older and have 10 years of eligible service; or NORMAL RETIREMENT (Max. age 60) ✓ meet the Rule of 80 ✓ attained age 55 and have 10 years of eligible service.

How does the drop retirement program work?

Deferred retirement option plans (DROPs) are of benefit to both employees and employers. In exchange for continuing to work past your eligible retirement age, an employer will set aside annual lump sum payments into an interest-bearing account.

How does MainePERS work?

As a member of the Maine Public Employees Retirement System, you contribute, along with the State of Maine, to both retirement and life insurance benefits. These benefits include: Service Retirement Benefit - Most state employees currently contribute 7.65% of their total earnable compensation into the MainePERS.

How does NDPERS retirement work?

Every month you contribute to your NDPERS retirement plan, you earn service credit. Your NDPERS retirement benefit is a lifetime, monthly benefit upon retirement. For information specific to your plan or a personal benefit estimate, please contact NDPERS directly.

How do ndpers work?

For every dollar you invest in a Deferred Compensation Plan, NDPERS will reallocate one dollar from the employer contribution to your member account balance, subject to a vesting schedule. If enrolled in an eligible deferred compensation plan, PEP is automatic.