403(b) Plans: Salary Reduction Agreement Form

New enrollees should open (and confirm the fact that their account is open) with an approved vendor first before faxing a Salary Reduction Agreement form to Mid America.  Any employee that currently has a 403(b) and has not previously submitted a Salary Reduction Agreement should submit one to MidAmerica. 

All Salary Reduction Agreements should be submitted to the Business Office, attention Sean Mangano.

See the instructions listed below to locate the proper Salary Reduction Agreement for your district.

- Click: Participant Login
- Click: 403(b) TPA Services
- Select your district from the drop down box
- Click: Salary Reduction Agreement. PDF under the 403(b) Forms section
- Complete the form online, print and then sign.
- Return completed form to the Business Office
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