CONVERSION OF REGULAR OR SLEP SERVICE CREDIT
TO ELECTED COUNTY OFFICIAL (ECO) SERVICE CREDIT
For earnings previously reported to IMRF
IMRF Form 6.06 (Rev. 02/08)
Exhibit 6J
Page 1 of 3
Avoid delays—read the instructions below and on the back before completing this form
Requirements for Converting Service Credit
If you joined ECO before January 26, 2000
• you can convert any earnings and contributions which
were previously reported to IMRF under the Regular or
SLEP plans to service credit under the ECO plan.
1. You must have previously participated in or currently
participate in IMRF under the ECO plan.
If you joined ECO on or after January 26, 2000
• you can convert only those earnings and contributions
you earned as an elected county official which were
previously reported to IMRF under the Regular or SLEP
plans to service credit under the ECO plan.
5. You have signed and submitted IMRF Form 6.21B,
“Election by Elected County Official to Participate in
IMRF Elected County Official Plan.”
2. You earned the service while working in a position which
qualified for IMRF membership.
6. If you took a refund of member contributions and
forfeited the service credit, the service can be reinstated
3. Earnings and contributions for the periods listed
and converted to ECO simultaneously using IMRF Form
on this form were reported to IMRF under either
6.03, “Application for Reinstatement of Service Credit.”
the Regular or SLEP plans and the service (your
contributions) is currently on deposit with IMRF. If you
7. If you have earnings and contributions (i.e., service)
took a refund of your service, see item number 6.
which were never reported to IMRF, see IMRF Form
6.04, “Application for Retroactive Service Credit” or
4. The county employer you worked for when you elected
Form 6.05, “Omitted Service Credit Verification,” if
to participate in the ECO plan must have adopted a
applicable.
resolution allowing their current and former elected
county officials to participate in ECO. IMRF Form 6.80,
“Suggested Form of Resolution to Adopt Alternative
Benefit Program for County Officers,” must be on file
with IMRF.
Instructions for Completing this Form
1. Member’s information
Enter the requested information, including a daytime
telephone number.
2. Employer information
Enter the requested information.
3. Periods of participation to be converted
If you joined ECO before January 26, 2000, you can
convert any earnings and contributions which were
previously reported to IMRF under the Regular or SLEP
plans to service credit under the ECO plan.
If you joined ECO on or after January 26, 2000, you
can convert only those earnings and contributions you
earned as an elected county official which were
previously reported to IMRF under the Regular or SLEP
plans to service credit under the ECO plan.
4. Member Certification
Sign and date where indicated.
How to pay for the service
1. Your (member) cost
For each month of service converted to ECO, you would
pay IMRF an additional:
• 3% contributions, plus interest, on Regular IMRF
earnings converted to ECO; or
• 1% to 3% (depending on the original contribution rate)
contributions, plus interest, on SLEP earnings converted
to ECO
IMRF Form 6.06 (Rev. 02/08)
Your employer may pass a resolution (IMRF Form
6.83, “Suggested Form of Resolution to Require Additional
Member Contributions for Past Service Converted to
the Alternate Benefit Program for County Officers”) that
requires you to pay both the member and employer
cost for converting service credit to ECO.
Interest is calculated on the contributions from the
earliest year that is being converted through December 31
of the year preceding the current year.
“How to pay...” continued on next page
Exhibit 6J
Page 2 of 3
“How to pay...” continued from front
2. Payment Schedules
IMRF will mail you a Past Service Payment Schedule
which offers two payment plan options for establishing
the past service:
Option I is the Lump Sum Payment Plan.
The Lump Sum Payment Plan allows you to pay the
total cost with a single payment and purchase all the
eligible service you choose to purchase at one time.
You can purchase a portion, all, or none of the past
service listed on your payment schedule.
3. Using a rollover from another pension plan to
purchase the service
You may pay for service with money from a qualified
pension plan as defined by Section 401 of the Internal
Revenue Code. Complete and submit IMRF Form 6.01,
“Request for Rollover Approval,” for determination of
eligibility.
Option 2 is the Unit Payment Plan.
The Unit Payment Plan allows you to purchase one
or more months of service at a time. You may pay
as often as you like, buying back credit from the
most recent month to the earliest month of eligible
service. However, you may not buy more months than
indicated on the Past Service Payment Schedule.
How purchasing the service will affect your pension
If you want to know how converting your service will affect
your pension, you should wait until you receive the Past
Service Payment Schedule. Then you can call
1-800-ASK-IMRF (1-800-275-4673) or call your current
retirement system for a pension estimate before you
determine how many months of service to purchase.
You can also refer to the IMRF Past Service Booklet,
which you can find online at www.imrf.org, or call
1-800-ASK-IMRF to request a copy. The section titled
“Is it worth it to purchase service?” provides a detailed
description of how to calculate the impact of service on
your pension.
If the member plans to retire under the Reciprocal Act
The Illinois Retirement Systems Reciprocal Act requires
a minimum of 12 months of service credit with any single
reciprocal pension system. If you have less than 12 months
of service with any single reciprocal retirement system,
that service will not be counted in the calculation of your
reciprocal pension. Exception: A former teacher aide
who transferred to a position covered by the Teachers’
Retirement System (TRS) and who has less than 12
months of IMRF service credit can apply that service
toward a reciprocal pension. A list of the 13 systems
covered by the Act is available on the IMRF website,
www.imrf.org, or by request from an IMRF Member Service
Representative at 1-800-ASK-IMRF (1-800-275-4673).
Local police and fire pension funds are not covered by the
Act.
Employer’s Cost
1. The additional benefit costs resulting from the
conversion of Regular IMRF or SLEP service to ECO
service will be charged to your ECO employer (your
employer when you elected to participate in the ECO
plan), even if the converted service was earned with a
different employer.
IMRF Form 6.06 (Rev. 02/08)
2. Your employer may pass a resolution that requires
you to pay both the member and employer cost for
converting service credit to ECO.
Exhibit 6J
Page 3 of 3
CONVERSION OF REGULAR OR SLEP SERVICE CREDIT
TO ELECTED COUNTY OFFICIAL (ECO) SERVICE CREDIT
For earnings previously reported to IMRF
IMRF Form 6.06 (Rev. 02/08)
Avoid delays—read the instructions on the previous pages before completing this form
PLEASE PRINT OR TYPE – USE BLACK INK
MEMBER’S FIRST NAME
Robert
MIDDLE INITIAL
J.
LAST
JR., SR., II, ETC.
STREET (MAILING) ADDRESS
July 14, 1947
000-00-0000
CITY, STATE AND ZIP + 4
123 Birch Street
DATE OF BIRTH
SOCIAL SECURITY NUMBER
__ __ __ __ __ __ __ __ __ Doe
Anywhere, IL 60000
TELEPHONE NO.
OPTIONAL: ANTICIPATED RETIREMENT DATE
(000) 000 -0000
NAME OF CURRENT IMRF EMPLOYER
IMRF EMPLOYER I.D. NUMBER
County of Anywhere
0000
CURRENT POSITION FIRST DATE OF PARTICIPATION IN ECO PLAN
County Auditor
November 3, 1999
NAME OF COUNTY EMPLOYER WHEN YOU ELECTED TO PARTICIPATE IN ECO
Anywhere
PERIOD(S) OF PARTICIPATION (REGULAR SERVICE CREDIT) TO BE CONVERTED
Enter the periods of employment you wish to convert to SLEP service credit. The date you opted into the ECO plan will determine
what periods may be converted.
Refer to item 3 under “Instructions for Completing...” to determine which Regular/SLEP service credit can be converted.
COVERAGE PERIOD OR
NAME OF IMRF EMPLOYER(S)
City of Anywhere
TITLE OF OFFICE OR POSITION
Accountant
TERM OF OFFICE
5/6/1987 to 10/31/1999
CERTIFICATION BY MEMBER:
I hereby certify that,
• I have previously participated or currently am participating in IMRF under the Elected County Official (ECO) plan and have
submitted IMRF Form 6.21, “Election by Elected County Official to Participate in the Elected County Official Plan,” or 6.21B,
“Election by Elected County Official to Participate in the Elected County Official Plan rev. on 1/26/00”
• The service credit (contributions) covering employment periods listed above are currently on record with IMRF, and
• I now request that you provide me with the cost to convert this service credit so it may be considered ECO service credit.
x
August 15, 2012
Signature of Member
Date
Illinois Municipal Retirement Fund
2211 York Road, Suite 500, Oak Brook Illinois 60523-2337
Member Services Representatives 1-800-ASK-IMRF (1-800-275-4673) 7:30 a.m. to 5:30 p.m.
IMRF Form 6.06 (Rev. 02/08)
www.imrf.org