North Carolina 401(k) Plan Enrollment Form
This document is essential for participants in the North Carolina 401(k) Plan looking to enroll. It includes important information regarding contributions, investment options, and beneficiary designations. Ensure your details are accurately filled out to avoid delays in processing.
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How do I fill this out?
To fill out this form, you'll need to provide your personal information and select your contribution amounts. Carefully read the investment options available and select the suitable asset allocation model or your own investments. Review your completed form for accuracy before submitting it.

How to fill out the North Carolina 401(k) Plan Enrollment Form?
1
Gather your personal information including Social Security Number and contact details.
2
Choose your contribution amounts for before-tax and Roth contributions.
3
Select your investment options or allocation model from the provided list.
4
Designate beneficiaries and provide their details accurately.
5
Review the completed form for any errors before submission.
Who needs the North Carolina 401(k) Plan Enrollment Form?
1
Employees entering the North Carolina 401(k) Plan need this form for enrollment.
2
New hires who wish to start contributing to their retirement savings.
3
Individuals changing their contribution amounts or investment options.
4
Those looking to designate beneficiaries for their retirement plan.
5
Payroll administrators needing to process contributions through payroll systems.
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What are the instructions for submitting this form?
To submit this form, please send it via email to the designated HR address provided by your employer. Alternatively, you can fax it to the HR fax number listed on their communication. For those preferring physical submission, mail the completed form to the HR department's address as indicated in your employee handbook. Always ensure to retain a copy for your records.
What are the important dates for this form in 2024 and 2025?
For 2024, contributions must align with the IRS limits, with $23,000 being the maximum for 401(k) salary deferrals. Make sure to complete your enrollment by your employer's set deadline. For 2025, review updated contribution limits as they may be adjusted due to inflation.

What is the purpose of this form?
The purpose of the North Carolina 401(k) Plan Enrollment Form is to facilitate employee enrollment in the state's retirement savings program. This form allows participants to specify their contribution preferences, choose their investment options, and designate beneficiaries. Completing this form is essential for ensuring eligible employees can begin saving for retirement effectively.

Tell me about this form and its components and fields line-by-line.

- 1. Last Name: The employee's surname as per official records.
- 2. First Name: The employee's first name as per official records.
- 3. Social Security Number: The unique identifier for the employee for tax and benefits purposes.
- 4. Mailing Address: Where correspondence regarding the plan will be sent.
- 5. Contribution Amount: The amount the employee elects to contribute to their 401(k) on a per-pay-period basis.
- 6. Investment Options: Selection of asset allocation models or individual investment options.
- 7. Beneficiary Designation: Details regarding primary and contingent beneficiaries.
What happens if I fail to submit this form?
If the form is not submitted, the employee will not be enrolled in the 401(k) plan and will miss out on potential retirement savings. This may also lead to missed employer matching contributions, which enhance the retirement fund.
- Loss of Enrollment: Failure to submit will mean no enrollment in the 401(k) plan.
- Missed Contributions: Participants will not be able to begin their contributions without a submitted form.
- Impact on Retirement Planning: Not being part of the plan can affect long-term financial stability.
How do I know when to use this form?

- 1. New Enrollment: Used by new employees starting to contribute to their retirement savings.
- 2. Contribution Changes: To adjust contribution amounts in response to financial situations.
- 3. Beneficiary Updates: To ensure that the chosen beneficiaries are current and reflected in the plan.
Frequently Asked Questions
How do I fill out the 401(k) enrollment form?
Begin by entering your personal details and selecting your contribution options. Make sure to indicate your chosen investment allocation.
Can I edit the PDF form after I've filled it out?
Yes, you can easily edit any section of the form before finalizing it for submission.
What if I forget to include my Social Security Number?
It's crucial to include your Social Security Number as it is needed for enrollment processing.
How can I share my completed form?
Once your form is complete, use the sharing options in PrintFriendly to distribute it with others.
Are there any restrictions on investment choices?
Yes, ensure your total contributions adhere to the set limits per year as specified in the plan details.
How do I designate my beneficiaries?
Fill out the beneficiary section with required details like name, relationship, and percentage allocation.
Is there a specific deadline for submission?
Check with your employer for specific deadlines related to their payroll processes.
What should I do if I make a mistake on the form?
You can edit the form in PrintFriendly before submission to correct any mistakes.
Can I submit this form online?
Yes, depending on your employer's process, you may be able to submit it electronically.
What happens if I don’t submit the form?
Failure to submit the form will result in not being enrolled in the 401(k) plan.