Employee Application - Fellow Travelers 401K

401K Employee Sign Up Page

Please complete the online form below to make your salary deferral. Your salary deferral is the percentage of your paycheck you'd like deposited into your 401K. Please contact your HR department for information about employer matching contributions (if any). If you complete the online form below, YOU WILL BE AUTOMATICALLY ENROLLED into the appropriate Vanguard Target Date Fund coinciding with an estimated retirement age of 65.

IF YOU WANT TO SELECT YOUR OWN INVESTMENTS, please click "Retirement Portal Login" below and navigate through the prompts. Refer to the Online Enrollment Guide button below for more instructions.

Online Enrollment Guide

Enrollment Guide Video

Retirement Portal Login

Retirement Funds (Can add options via Self-Directed Feature)

401K Participant Application

Please enter your information below and we'll get started setting everything up for you. This site is secured with industry-leading SSL encryption. Your information is safe, and you'll only enter information that is required to join. YOU WILL BE ENROLLED INTO THE DEFAULT ELECTION TARGET DATE FUND (corresponding with your date of birth) until you complete an online enrollment (Please Click Retirement Portal Login above).

Voluntary Salary Deferral Agreement

By this Agreement, made between the Employer and the Employee named on this form, the parties hereto agree as follows:

Effective with respect to amounts paid or otherwise made available on or after the date of this signed agreement, the employee’s salary will be reduced by the percentage indicated on this form. At the same time, the employer will contribute this amount to the employee’s account(s) maintained under The Fellow Travelers 401K plan, under which the employee may allocate among the approved investment options.

I understand this Salary Deferral Agreement replaces any earlier agreement and will remain in effect as long as I remain an Eligible Employee under the applicable 401(k) plan, until I provide a request to end my salary reduction contributions, or until I provide a new Salary Deferral Agreement. This form must be completed no later than the last business day of the month prior to the desired payroll effective date, subject to administrative feasibility.

This percentage deduction shall be applied to all earnings, as defined by the plan(s), including, but not limited to: base salary, appointment salary, overload, overtime, paid time off, shift differential, stipends, and other gross wages.

The amount deferred hereunder will produce a total deferral that does not exceed the applicable limitations of the Internal Revenue Code.

YOU WILL BE ENROLLED INTO THE DEFAULT ELECTION TARGET DATE FUND (corresponding with your date of birth) until you complete the online enrollment which can be done AFTER completing this form.

Disclaimer

All information and services provided by Fellow Travelers Inc, its subsidiaries, or affiliates is not a substitute for professional advice you would receive from an accountant, attorney, or qualified tax preparer. The information provided by Fellow Travelers does not constitute legal or professional advice nor is it conveyed or intended to be conveyed during any adviser-client discourse. The material and communications provided by Fellow Travelers are not intended to constitute a complete analysis of all tax considerations. Our product is does not absolve all fiduciary responsibilities to participating employers / organizations.

Company Name *

First Name *

Last Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Taxpayer ID / SSN *

Phone Number *

Email *

Date of Birth *//

Date of Hire *//

Do you want to enroll? *

401K Start Date *

401K Contribution % *

Are you a Corporate Officer / Owner? *

Comments & Instructions for us:

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