Retiree Under 65
Retiree application from (coverage until age 65) will be mailed to the retiree once the South Dakota Retirement System provides the Benefits Program a list of new retirees who will be receiving a monthly retirement benefit.
COBRA application form (18 months of coverage) will be mailed to the retiree after active benefits have been terminated.
Retiree has 60 days from the date active benefits terminate to return the COBRA and/or Retiree application form (s).
To learn more about your Retiree continuation options, click a link below.
Retiree Enrollment Form (2018-2019)
- Life Insurance
- Health Insurance
- Flexible Benefits (Dental, Vision, Medical Spending Account)
- Retiree Enrollment Form (2017-2018)
For mid-year qualifying family status events, complete the Family Status Change Form.