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Eugene 4J 403(b) Salary Reduction Agreements

IMPORTANT: Selecting the Correct SRA Form

Eugene 4J has two types of Salary Reduction Agreements. One form is for Administrative and Certified Employees. The other form is for Classified Employees. Please click the correct PDF form, below:

Submit your SRA form, along with a copy of documentation that you have established an account with the vendor, to:

Eugene Public Schools 4J
Benefits Office
200 North Monroe Street
Eugene, OR 97402-4295

SRAs are subject to the established Payroll Cut Off Date. Salary reduction agreements received by the 15th of the month will be processed in the current month. Salary reduction agreements received after the 15th will be processed the following month.

 

If adding a New Vendor (Applies to ALL Employees)

If you want to begin making contributions to a new vendor, then you must complete an application for a contract with the new vendor, make a copy of that application or other documentation that the account has been established, and attach the copy of this documentation to your new Salary Reduction Agreement. See 403(b) Enrollment Procedures here on the CCC Website.

Remember, you are allowed to select only 2 Vendor(s) for current contributions.

List of Vendors You May Choose From

Please see the up-to-date 403(b) List of Vendors here on the CCC Website.

You may also find the PDF Printer-Friendly version 403(b) PDF List of Vendors here on the CCC Website.

 

Page Last Modified: 9/1/2020 3:06:26 PM