|Membership Form &
Beneficiary Information Update
For FPPA Defined Benefit System Members
(Includes Statewide Defined Benefit Plan and
Statewide Hybrid Plan - Defined Benefit Component Plan)
|FPPA has created a Membership Form which includes a section "Part C - Beneficiary Designation". This information will serve any active member who dies and leaves no surviving spouse or dependent children who are eligible for benefits under the Statewide Death & Disability Plan. It will also serve the inactive vested member who dies prior to distribution of benefits, and any active member who is eligible for a Normal Retirement and not participating in DROP.
Click here (PDF format) to download and print a copy of the Membership Form. Please complete the entire form, have your signature witnessed and then send to:
If you have any questions regarding this form, please contact FPPA's Administrative Accounting Clerk at (303) 770-3772 in the Denver Metro area or (800) 332-3772 toll free statewide.