Members of the State core plan and MCPS supplemental plan will need to print and complete the following forms:
In addition, members of the State core plan will need to download and complete the following forms to receive their MCPS supplemental plan benefit:
Additional Related Forms and Information
Social Security Administrative (SSA) offices are currently closed. See instructions to enroll online in Medicare Part B.
Once you apply for Medicare Part B, please visit Medicare.gov, Create an account by establishing a username and password. This will allow you to track the progress of your Medicare Part B application at SSA and provide you with access to the PDF version of your Medicare Part B card. Please email the PDF version of your Medicare Part B card to ERSC
Submit all forms to ERSC at least one month prior to your scheduled retirement.
*includes all individual retirement forms in one easy-to-print document