Disability While Employed. I understand that in the event of my Disability prior to my Benefit Age, I will be entitled to the Disability Benefit equal to my entire Account Balance calculated as set forth in the Plan. My Disability Benefit will be paid in a Lump Sum payment within 30 days after my Disability determination unless I elect otherwise by checking the box below.
Disability While Employed. I understand that in the event of my Disability prior to my Benefit Age (65), I will be entitled to the Disability Benefit calculated as set forth in Section 3.3 of the Plan. My Disability Benefit will be paid in a Lump Sum unless I elect another form of benefit. I elect to receive my Disability Benefit in the following form: q Annual Payments for _____ Years Certain (not to exceed twenty years) q ____% in a Lump Sum and ____% in Annual Payments for _____ Years Certain (not to exceed twenty years) My Disability Benefit shall be payable: x Upon my Separation from Service q Upon the attainment of my Benefit Age (65) This Participation Agreement shall become effective upon execution (below) by both Executive and a duly authorized officer of the Bank. Dated this 31st day of December, 2009. FARMINGTON BANK XXXXXXX X. XXXXX /s/ Xxx X. Xxxxxxxxx /s/ Xxxxxxx X. Xxxxx (Bank’s duly authorized Officer) Exhibit A FARMINGTON SAVINGS BANK
Disability While Employed. I understand that in the event of my Disability prior to my Benefit Age, I will be entitled to the Disability Benefit set forth in Section 3.6 of the Plan. My Disability Benefit shall equal my Accrued Benefit, determined at my Disability, and shall be paid to me in a lump sum within 90 days of the date on which I have a Separation from Service due to Disability.
Disability While Employed. I understand that in the event of my Disability prior to my Benefit Age, I will be entitled to the Disability Benefit set forth in Section 3.6 of the Plan. My Disability Benefit shall equal my full Supplemental Retirement Benefit, shall be paid in 180 monthly installments commencing within 90 days following the date on which I attain my Benefit Age.
Disability While Employed. I understand that in the event of my Disability prior to my Benefit Age, I will be entitled to the Disability Benefit set forth in Section 3.6 of the Plan. My Disability Benefit shall equal my Accrued Benefit, increased by the Interest Factor until my Benefit Eligibility Date and then annuitized (using the Interest Factor), and paid over the Payout Period commencing at the later of age 65 or the date of my Disability determination. I understand that I can elect below to have the discounted present value of my Accrued Benefit paid at the time of my Disability determination. Such election must be made upon initial entry into the Plan. ¨ I elect to receive my Disability Benefit in a lump sum payment within 30 days of my Disability determination.
Disability While Employed. I understand that in the event of my Disability prior to my Benefit Age, I will be entitled to the Disability Benefit equal to my entire Account Balance calculated as set forth in the Plan. My Disability Benefit will be paid in a Lump Sum payment upon the determination of my Disability. This Amended and Restated Participation Agreement shall become effective upon execution below by me as the Executive and by a duly authorized officer of Xxxxxxx Bank. Dated this 30th day of May, 2014. EXECUTIVE Xxxxxxx Bank /s/ Xxxxxxx X. Xxxxxxx By: /s/ Xxxxxx X. Xxxxxxxx, Xx.
Disability While Employed. I understand that in the event of my --------------------------- Disability prior to my Benefit Age, I will be entitled to the Disability Benefit calculated as set forth in Section 3.6 of the Plan. My Disability Benefit will be paid in a Lump Sum unless I elect another form of benefit. I elect to receive my Disability Benefit in the following form: |_| Annuity (with 20 years certain) |_| ____% Lump Sum with 20 Annual Installments |_| Other ________________________________________________________ My Disability Benefit shall be payable: |_| Upon the determination of my Disability |_| Upon the attainment of my Benefit Age This Participation Agreement shall become effective upon execution (below) by both Executive and a duly authorized officer of the Bank. Dated this _____ day of ______________________, 2008. GEORGETOWN SAVINGS BANK EXECUTIVE ____________________________________ ___________________________ (Bank's duly authorized Officer) Joseph W. Kennedy Exhibit A SUPPLEMENTAL RETIREMENT PLAN FOR SENIOR EXECUTIVES BENEFICIARY DESIGNATION Executive, under the terms of the Supplemental Retirement Plan for Senior Executives executed by the Bank and effective June 30, 2008, hereby designates the following Beneficiary to receive any guaranteed payments or death benefits under such Plan, following his death: PRIMARY BENEFICIARY: -------------------------------------------------------------------------------- In the event the Primary Beneficiary set forth above has predeceased me, I designate the person set forth below as my Secondary Beneficiary.
Disability While Employed. I understand that in the event of my Disability prior to my Benefit Age, I will be entitled to the Disability Benefit calculated as set forth in Section 3.6 of the Plan. My Disability Benefit will be paid in a Lump Sum. {Clients/1511/00285500.DOC/8 } My Disability Benefit shall be payable: ☐ Upon the determination of my Disability ☐ Upon the attainment of my Benefit Age
