PBGC Pension Reductions Survey

PBGC Pension Reductions

Answers are needed to all * questions please.

• This survey is reopened for those who are already receiving a pension from Delphi, or from a Delphi related company, and have received a specific Pension Reduction Notice from the PBGC since 2/20/2010.
• Please input your data WHEN YOU RECEIVE YOUR PENSION REDUCTION NOTICE. If you already provided your Pension Reduction information to the previous survey please do not enter it again.
• One complete response is allowed per computer. Once you complete the survey and hit "Done" at the end you will not be able to return to change responses.
• Your input is totally anonymous, there is no option for you to provide any identifying or contact information, and no way for your information to be related to you.
• This survey will remain open through the period that the PBGC is issuing Pension Reduction Notices.
• If you have questions please contact Paul Dobosz at n3809u@yahoo.com.
• When you have finished, click on "Done" - if you are not taken to a "Thank you" screen please go back and check all questions for possible errors - you are not done until you see the "Thank you" screen. Thanks!

1. Please identify the type of beneficiary you are:

Please identify the type of beneficiary you are: Actual retiree receiving pension from Delphi or from a Delphi related company

Surviving spouse receiving pension, retiree is deceased

2. Have you received a letter from the PBGC notifying you of reduced benefits from the PBGC? (This is a specific letter from PBGC about reductions, not your regular payment statement from State Street.)

Have you received a letter from the PBGC notifying you of reduced benefits from the PBGC? (This is a specific letter from PBGC about reductions, not your regular payment statement from State Street.) Yes

3. If you have received the PBGC letter specifying your pension reductions, please provide the following information directly from the letter:

If you have received the PBGC letter specifying your pension reductions, please provide the following information directly from the letter: Date of the PBGC Pension Reduction Notice (mm/dd/yyyy)
Gross pension BEFORE PBGC reduction, monthly $
Gross pension AFTER PBGC reduction, monthly $
Effective date of reduction (mm/dd/yyyy)

4. Please provide your personal data (this will not identify you in any way):

Please provide your personal data (this will not identify you in any way): Your age on July 31, 2009 (years only, e.g. 62):
Your classification level at retirement (e.g. 6, 7, 8, 9, enter "U" for unclassified).

5. If you wish, please describe here any particular hardships that your reduced pension will cause you, or significant lifestyle changes you will be forced to make as result of your reduced pension income (max 800 characters).

If you wish, please describe here any particular hardships that your reduced pension will cause you, or significant lifestyle changes you will be forced to make as result of your reduced pension income (max 800 characters).

6. You may provide any additional comments here. Please do not leave questions here that require an answer. Please direct any questions about this survey to Paul Dobosz at n3809u@yahoo.com. Please direct any other DSRA related questions to your appropriate DSRA contact.

You may provide any additional comments here. Please do not leave questions here that require an answer. Please direct any questions about this survey to Paul Dobosz at n3809u@yahoo.com. Please direct any other DSRA related questions to your appropriate DSRA contact.