Before you complete this form, please read the accompanying literature so you understand the plan's provisions. To make future changes to your account such as address and/or fund transfers, please use Account Access (www.icmore.org) or MoreVantage (1-800-669-5500).

IMPORTANT NOTE: Please do not delay in submitting this form.

You will receive a confirmation of your enrollment. You will also receive a quarterly financial statement. Please review these carefully.

  1. EMPLOYEE INFORMATION
    Please complete this section carefully. The employer plan number is available from your employer or ICMORE-RC Investor Services at 1-800-669-5500.
  2. BENEFICIARY DESIGNATION
    Print beneficiaries' names and Social Security Numbers and designate their relationship to you and the percentage to be received. When designating the percentage that your beneficiaries will receive, use whole numbers only. The IRS has certain rules governing disbursement of funds to beneficiaries. These rules are outlined in your employer's plan and in ICMORE-RC's Participant and Beneficiary Withdrawal Packets.
    If none of your primary beneficiaries are living upon your death, your assets will be distributed to your estate unless you have designated a contingent beneficiary.
    Note: If a Social Security Number is not provided for beneficiaries, and/or ICMORE-RC cannot locate the named beneficiaries, the account balance will be paid to your estate.
  3. AMOUNT OF DEFERRAL
    You may not contribute more than 50% of salary between all CTA plans. If you are age 50 or older, you may make additional annual catch-up contributions of a dollar limit in effect for that year. If you choose to take advantage of the catchup provision, please contact your CTA Retirement Plan Specialist (RPS). In addition, there are special catch-up provisions during the three years prior to the calendar year of normal retirement age. For the applicable dollar limits, please log on to www.icmore.org or contact Investor Services at 1-800-669-5500. A participant may increase, decrease, and/or start, stop and restart contributions by executing appropriate forms. Changes will be effective, if practical, the first pay period of the calendar month commencing after the date the amendment is executed. If you defer more than allowed under IRS regulations, it is your responsibility to correct the error.