TRS Retiree Verification

  • TRS Retiree Verification

    For Payroll and Reporting Purposes Only
  • Start Date*
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  • Work Schedule*

  • Section 1 - TRS Retirement Status

    Please answer the following questions truthfully. This information is required to determine correct TRS reporting and surcharge obligations.
  • Are you currently receiving a monthly retirement annuity from the Teacher Retirement System of Texas (TRS)?*
  • Have you terminated all TRS-covered employment before your retirement effective date?*
  • Since retirement, have you performed any work for a Texas public school, education service center, or TRS-covered employer prior to this position?*

  • Section 2 - TRS-Care (Retiree Health Insurance) Status

    This information is used solely to determine employer TRS-Care surcharge obligations.

  • Note: TRS and your employer cannot share or verify your health insurance enrollment directly due to HIPAA privacy rules. Your response here will be used only for payroll reporting to the Teacher Retirement System of Texas.

  • Are you currently enrolled in TRS-Care retiree health insurance?*
  • Do you have other active group health coverage (for example, through a spouse, private employer, or other source)?*

  • Section 3 - Acknowledgement

    Please read and sign below

  • I understand that if I am a TRS retiree, my return to work may subject me to TRS pension and/or TRS-Care surcharges, depending on my employment classification and health coverage status.

    I acknowledge that I will not personally contribute to TRS for this employment but the pension & surcharges assessed are my responsibility under TRS law unless otherwise stated by district policy.

    I certify that all information provided above is true and accurate to the best of my knowledge. I agree to notify Human Resources immediately if my TRS retirement or TRS-Care enrollment status changes.

  • Date
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  • Should be Empty: