Beneficiary Information

  1. Step 1:Beneficiary Information.
  2. Step 2:Review.
  3. Complete.
ABC SAMPLE PLAN D34730
BLUE, SARA JO

Beneficiary Designation

Complete the information below to designate the participant's beneficiary.

Life events, such as marital status changes, birth, death, or adoption, may necessitate changes to participant beneficiary designations. Periodic review of their designations is suggested.

* Required fields

Email Address *


Marital Status*

On behalf of the participant, I certify that the participant is:
Married
If the participant is married and has designated a beneficiary other than, or in addition to, his or her spouse, the spouse's signature is required in order to complete the designation. The spousal consent form is presented at the confirmation step of the process. The spouse's consent must be witnessed by a plan representative or a Notary Public.