(Please return to the Office of Human Resources)
BY THIS AGREEMENT, made between ________________________________________ (employee
print name) and MONMOUTH UNIVERSITY, the parties hereto agree as follows:
Effective with respect to amounts earned on or after the first day of _______________________, 2_____
(which date is subsequent to the execution of this Agreement), the employee’s salary will be reduced by the amount
indicated by the selections below.
This Agreement shall be legally binding and irrevocable as to each of the parties hereto while employment
continues; provided, however, that either party may terminate or otherwise modify this Agreement as of the end of
any month, so that it will not apply to the salary subsequently earned, by giving at least thirty (30) days written
notice of the date of termination or change. No more than one agreement for such salary reduction may be
submitted by the employee during any calendar month.
The amount of the salary reduction shall be ____% of eligible gross salary. This amount will produce a
total University contribution that does not exceed the Employee's statutory limitation under IRC Section
415 or Section 402(g), whichever is less.
( ) I am electing to use the Age 50+ Catch-up Provision for the calendar year 2______ (for individuals age
50 and over by the end of the year). This amount must not exceed the statutory limitation under IRC
Section 414(v) and will be contributed to the same contract as your additional employee contributions
( ) I am eligible for the 15 year catch-up provision under IRC Section 402(g) and elect to have the
maximum limit increased for calendar year 2_______. I have included the maximum exclusion allowance
calculation showing my maximum allowed for this calendar year.
It is understood that the percentage designated above, up to 5%, will be paid to the employee’s TIAA-
CREF Retirement Choice Contract used under the University’s retirement plan. I elect the amount designated
above that is in excess of 5% to be paid to TIAA and CREF as premiums on the contract selected below: (Note: if
no election is made, all salary reductions will be paid to the employee’s TIAA-CREF Retirement Choice Contract.)
TIAA-CREF Retirement Choice TIAA-CREF Retirement Choice Plus
____________________________________________ _______________________________
Employee Signature Date
MONMOUTH UNIVERSITY (NEW JERSEY) _______________________________
Employing Institution Authorized Representative
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