
RETIREMENT & BENEFIT SERVICES DIVISION MEMORANDUM
March 5, 2008
Attachment
Sample language concerning retirement plan participation and irrevocable 
waiver option to be included in Connecticut State University part-time lecturer 
employment contracts: 
	- "I acknowledge that in connection with my employment I will be enrolled in 
the State Employees Retirement System unless I irrevocably waive retirement plan 
membership for this and any subsequent employment with this agency or the Board 
of Governors of Higher Education or any other of its constituent units. I 
understand that if I fail to complete and submit Form CO-931, "Designation of 
Retirement System-Tier-Plan-Beneficiary" within 90 days of commencing 
employment, that I will be automatically enrolled in a retirement plan. If I 
decide to waive retirement plan participation, I understand that this decision 
will be irrevocable for any and all subsequent part-time service with this 
agency or Board of Governors of Higher Education or any other of its constituent 
units within the State of Connecticut."
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