Marriage/Divorce
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Medical/Dental/Vision insurance:​
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Fillable PBA Change Form
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Online changes through your PBA portal
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See HR for a paper form
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With Divorce, we must have a copy of the cover page of the divorce decree.
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Pensions:
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Provide your pension system with documentation. ​
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How divorce affects IMRF benefits flyer
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Beneficiary changes:
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imrf.org - Login and change under profile.
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Or fill out IMRF change form and return to HR
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Police and Fire pensions - provide your pension representative with a copy of the birth certificate.
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icmarc.org - Login and change under my profile.
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Or fill out ICMA-RC change form and return to HR
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Life insurance - make the adjustments to the appropriate forms and bring to HR
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Taxes: If you would like to claim the dependent to adjust taxes withheld you need to fill out new W4s.
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Name Changes:
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Your Department
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Notify your department admin who will notify HR​
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ICMA-RC
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Login and change under my profile​​​
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Or full out PBA change form and return to HR
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PBA
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​Login and change under my profile​​​
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Or fill out PBA change form and return to HR
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IMRF Change Form
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Login and change under my profile​​​
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Or full out IMRF change form and return to HR
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You may need to make changes to some of the following to add dependents to insurance or as a beneficiary for other benefits: