NYS Employees' Retirement Membership Registration Application (RS-5420)

• If you are hired as a full-time permanent/contingent permanent employee of an employer that participates in the Employee’s Retirement System, your membership is mandatory, and you will be auto-enrolled. 
• If you are not a member of the Employee’s Retirement System and your employment is part-time, temporary, less than 12 months per year, or you are eligible for and elect to join the Voluntary Defined Contribution Plan, membership is optional, and this form would be used to become a member.

Note: You will be eligible to withdraw your contributions if you leave State service prior to becoming vested.

Mandatory enrollees are not required to complete this form as you will be automatically enrolled into the Employee Retirement System (ERS). If within 4-6 weeks, you do not see any payroll deductions listed as ERS Retirement Before Tax on your paystub, please contact [email protected] (full BSC HR customer agencies only). Non BSC agencies should contact their agency HR office for information on how to submit. 

Temporary Appointments will need to complete this form if they choose to be enrolled. Failure to submit this form within 7 days of your start date will result in retroactive deductions of contributions from your paycheck.

(For full BSC HR customer agencies)

This form is fillable.

1. On page 1, complete Part 1. ("Part 1 - Employee Instructions” are located on page 2.)
2. Print the form.
3. Sign at the bottom of page 1.
4. Provide the original signed form to the BSC Benefits unit who will then complete Part 2.

(For full BSC HR customer agencies)

Email:

[email protected]

Fax:

518-457-1879

Mail:

BSC Benefits Administration

W. Averell Harriman State Office Campus

1220 Washington Avenue

Building 5, Floor 4

Albany, NY 12226-1900

• Employees hired on or after 4/1/2012 are Tier 6 members of Employee Retirement System (ERS).
• Contribution rates for Tier 6 members vary depending on gross earnings (see table below).
• Tier 6 members become vested and earn the right to retirement benefits in the form of a pension after 5 full years of service.