Update Your Information Active

There are some events that may impact your account while you are actively employed. If changes or clarifications need to be made, please call or write CCCERA.

Initial employment:

Upon membership to CCCERA, employers will submit the following forms on behalf of new members:

• Enrollment Affidavit Form (Form 101).
• Beneficiary Designation Form (Form 102).
• Reciprocity Election Form (Form 103), if eligible.
• Death During Active Membership (Form 104), if authorizing CCCERA to file an application for non-service connected disability on your behalf, in the event that you are permanently incapacitated by reason of injury or other disability leading to death while you are an active member of CCCERA.

Address change:

Active members (currently working for a CCCERA employer) must change their address with their employer.

Marriage or Domestic Partnership:

Make sure your beneficiary information is up to date. If not, complete a Beneficiary Designation Form (Form 102).

If you are not naming your spouse/registered domestic partner as 100% assigned primary beneficiary, your spouse/partner’s signature is required on the reverse side of this form in Section 4 and must be witnessed by a notary public.

If you have dependent children:

Make sure your beneficiary information is up to date. If not, complete a Beneficiary Designation Form (Form 102).

Divorce or dissolution of a Registered Domestic Partnership:

Verify your beneficiary and understand changes to your service credit, if an account split has been ordered by a Domestic Relations Order (DRO). A former spouse cannot be removed as a beneficiary until community interest is resolved.

Name changes:

Active members (currently working for a CCCERA employer) must change their name with their employer.

Employment status changes:

Call CCCERA for information on possible reciprocity, contribution refunds, or deferment if you are terminating.

Disability while employed:

Contact CCCERA for information on procedures and forms required to submit your application.