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Benets:
Your employer is facilitating CalSavers, a retirement savings program
established by the State of California to make it easier for employees to
save for retirement. With CalSavers, enrollment is automatic: you will be
enrolled unless you opt out within 30 days of receiving this information.
You can opt out or back in at any time.
By enrolling in CalSavers, you can save for your future through
automatic payroll contributions through each paycheck. Because your
Individual Retirement Account (IRA) belongs to you, you can keep
saving even if you change jobs. Even a little saved now can potentially
make a big dierence in the future.
30 Days to Decide:
By not opting out of the CalSavers Retirement Savings Program, I am acknowledging that I have received
and read the Custodial Account Agreement, Disclosure Statement, Financial Disclosure, and the Program
Disclosure Booklet, and understand their content.
CalSavers is a simple,
portable, low-cost way
to save for retirement.
Start saving
- Set up your account now: Log in and change
your investment choice, choose a dierent
contribution rate, or set a beneciary.
- Set up your account later: Through automatic
enrollment, your contributions will be applied
based on the standard savings choices.
OR
Decide online at saver.calsavers.com, by phone at 855-650-6918, or by lling out a form.
Acknowledgement:
Opt out
- Your participation is completely voluntary.
If you don’t want to start now, opt out.
You can opt back in at any time.
- Before you opt out, consider smaller
contribution rates. It’s a great alternative
to opting out entirely.
If you do not take action within
30 days of receiving your
invitation—choose to opt out
or set up your account—you
will be automatically enrolled
in the program and will start
saving part of each paycheck
into your own Roth Individual
Retirement Account (IRA).
1
Automatic Enrollment:
5% of your gross pay (how much you earn before taxes and other
deductions) will be contributed to your Roth IRA.
Your account will be a Roth IRA. Contributions into a Roth IRA
are made after-tax and not taxable when you remove them from your
account. Any investment earnings on those contributions could be tax
free if they meet certain IRS criteria. You can choose to recharacterize
your contributions to a Traditional (pre-tax) IRA.
The only administrative charge for CalSavers is in the form of an
annual asset-based fee of approximately 0.83% to 0.95%, depending
on your investment choice. This means you will pay between $0.83-
$0.95 per year for every $100 in your account. You will not get a bill.
This fee is automatically taken out of your CalSavers balance on a
regular basis to help pay for the investment and administration of
your account.
Set Up and Customize Your Account:
• Customize your account online or use our mobile app for easy account maintenance
• Verify your contact information
• Add beneciaries (who will inherit your Roth IRA in the event of your death)
• You can also:
– Change your contribution rate
• minimum = 1%, maximum = 100% up to IRS limits for Roth IRAs
– Change your investment choices.
1
Available options include:
• CalSavers Money Market Fund: 100% invested in State Street Institutional U.S. Government
Money Market Fund (Ticker: GVMXX)
• CalSavers Target Retirement Funds: 100% invested in the State Street Target Retirement Funds.
Choose your fund based on your age.
• CalSavers Core Bond Fund: 100% invested in State Street Aggregate Bond Index Fund
(Ticker: SSFEX)
• CalSavers Global Equity Fund: Investments allocated between State Street Global All Cap Equity
ex-US Index Fund (Ticker: SSGLX) and State Street Equity 500 Index Fund (Ticker: SSSYX)
according to a nancial industry benchmark
• CalSavers Sustainable Balanced Fund (Environmental, Social, Governance): 100% invested in BNY
Mellon Sustainable Balanced Fund (Ticker: DRAKX)
– Opt out of an automatic annual contribution rate increase.
1
If you set up your account and do not choose an investment option, your initial contributions will be invested in the CalSavers
Money Market Fund for 30 days. After the period, your existing savings and future contributions will be invested in a CalSavers
Target Retirement Fund based on your age. Earnings may be taxable and have a penalty applied if you are under age 59½ and
have had your account for less than 5 years. Speak to a tax advisor to review and understand the 10% Early Distribution Penalty
Tax Exceptions.
All investing is subject to risk, including the possible loss of the money you contribute through your payroll deductions. You should
consult a tax or nancial advisor if you have questions related to taxes or investments.
The CalSavers Retirement Savings Program (“CalSavers” or the “Program”) is an automatic enrollment payroll deduction IRA
overseen by the CalSavers Retirement Savings Board (“Board”). Ascensus College Savings Recordkeeping Services, LLC (“ACSR”)
is the program administrator. ACSR and its aliates are responsible for day-to-day program operations. Participants saving through
CalSavers beneficially own and have control over their IRAs, as provided in the Program Disclosure Booklet available at saver.
calsavers.com. CalSavers is not sponsored by the employer, and therefore the employer is not responsible for the Program or liable
as a Program sponsor. Employers are not permitted to endorse the Program or encourage or advise employees on whether to
participate, how much (if any) to contribute or provide investment help.
CalSavers oers investment options selected by the Board. For more information on CalSavers’ investment options go to saver.
calsavers.com. Account balances in CalSavers will vary with market conditions. Investments in CalSavers are not guaranteed or
insured by the Board, the State of California, the Federal Deposit Insurance Corporation, or any other organization.
CalSavers is a completely voluntary retirement program. Savers may opt out at any time or reduce or increase the amount of payroll
contributions. If a saver opts out they can later opt back into CalSavers.
Saving through an IRA may not be appropriate for all individuals. Employer facilitation of CalSavers should not be considered an
endorsement or recommendation by a participating employer, IRAs, or the investment options oered through CalSavers. IRAs are
not exclusive to CalSavers and can be obtained outside of the Program and contributed to outside of payroll deduction. Contributing
to a CalSavers IRA through payroll deduction may oer some tax benefits and consequences. However, not everyone is eligible to
contribute to a Roth IRA and savers should consult a tax or financial advisor if they have questions related to taxes or investments.
Employers do not provide financial advice and employees should not contact an employer for financial advice. Employers should
refer all questions about the Program to CalSavers. Employers are not liable for decisions employees make pursuant to Section
100034 of the California Government Code.
524651-SFRP-CA-E-526602 (06/21)
Learn more at saver.calsavers.com.
saver.calsavers.com
Mon - Fri 8 a.m. - 8 p.m. PST855-650-6918
Make a Withdrawal:
You can withdraw your contributions at any time online or by completing a distribution request form.
1
Consult with a qualied tax advisor to discuss your particular circumstances.
32717 CalSavers (Rev. 7/2021) 36466 ©2021 Ascensus, LLC
EMPLOYEE OPT OUT FORM
CalSavers is a completely voluntary program. You can opt out at any time online, by completing this form, or by calling the phone number
listed below. If you do not opt out your employer will send payroll contributions to your CalSavers account. Amounts you save in this account
are always your money. Your account is in your control and goes with you from job to job in accordance with the CalSavers Program terms.
Every little bit you save now can potentially make a difference in retirement. To opt out of payroll contributions to CalSavers for more than one
employer you must submit a separate form for each employer.
Completed forms should be mailed to: CalSavers Overnight Address: CalSavers
PO Box 55759 95 Wells Avenue, Suite 155
Boston, MA 02205-5759 Newton, MA 02459
855-650-6918
8:00 am to 8:00 pm Pacific Standard Time M-F saver.calsavers.com
1.
IDENTIFICATION (Required)
To verify your information, you must provide either your access code or the last four digits of your Social Security Number/Taxpayer
Identification Number, date of birth, and zip code. The access code can be found in the email or letter you received from CalSavers.
OR
— —
Access Code Last Four Digits of Social Zip Code Birth Date (mm/dd/yyyy)
Social Security Number or
Taxpayer Identification Number
2.
EMPLOYEE INFORMATION
Legal Name (First) (M.I.)
Legal Name (Last)
Address
— —
City State Telephone Number (In case we have a question)
3.
OPT OUT REASON
I don’t qualify for a Roth IRA due to my income
I don’t trust the financial markets
I would prefer a Traditional IRA
I’m not satisfied with the investment options
I have my own retirement plan
I’m not interested in contributing through this employer
I can’t afford to save at this time
Other
4.
EMPLOYER INFORMATION
Employer Name
5.
SIGNATURE (Required)
I do not wish to participate in the CalSavers Program at this time. I understand that I can change my mind at any time and begin participating in
CalSavers at a later date, subject to and in accordance with the terms of the CalSavers Program. If I decide to opt back in I can contact CalSavers.
— —
Signature of Employee Date (mm/dd/yyyy)
CalSavers Retirement Savings Program
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Completed 19 September 2021

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