Salary Reduction Agreement for Annuity Contract
Use this form to set up or change contributions to your account from your paycheck.
Please type or print.
Please check with your employer to verify that this agreement meets your employer’s requirements. You must complete sections 1, 5 and any of the following that apply:
- Section 2 for 401(k)
- Section 3 for 403(b)
- Section 4 for 457
P.O. Box 750497
Topeka, KS 66675-0497
United StatesOvernight Delivery
Mail Zone 497
One Security Benefit Place
Topeka, KS 66636-0001
United StatesBy FaxFor questions or assistance, please call 800.888.2461.