What Is This Form For?
To enroll in the NYS Employees’ Retirement System.
Download the Form:
-
Employees’ Retirement System Membership Registration (RS-5420)
Use this form to enroll in the NYS Employees' Retirement System.
Download
Is This Form Mandatory?
Yes. If you are a permanent, full-time, 12-month New York State employee.
No. If you are not already 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.
NOTE: You will be eligible to withdraw your contributions if you leave State service prior to becoming vested.
When to Submit
Failure to submit this form within 7 days of your start date will result in retroactive deductions of contributions from your paycheck.
If your membership is mandatory and the BSC does not receive your application within 10 business days of your start date, you will be automatically enrolled into the Employee Retirement System (ERS).
How to Complete This Form
This form is fillable.
- On page 1, complete Part 1. ("Part 1 - Employee Instructions” are located on page 2.)
- Print the form.
- Sign at the bottom of page 1.
- Bring the original signed form to your agency HR representative. They will complete Part 2.
Where to Submit This Form
Email:
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
For Employees Hired on or after April 1, 2012
- 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 10 full years of service.
Annual Salary |
Contribution Rates |
| Less than or equal to $45,000 | 3% |
| $45,000.01 - $55,000 | 3.5% |
| $55,000.01 - $75,000 | 4.5% |
| $75,000.01 - $100,000 | 5.75% |
| $100,000.01 and over | 6% |
Contact the BSC Benefits Team
Still have questions? Try the BSC Help Center where you can send a question to our support team or search a database of FAQs.
Contact us by phone:
Contact us by email:
Mailing Address:
Human Resources, BSC Records Management
Building 5, Floor 4
W. Averell Harriman State Office Campus
1220 Washington Ave
Albany, NY 12226-1900