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.
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Email Address *
On behalf of the participant, I certify that the participant is:
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.
The companies of OneAmerica®: American United Life Insurance Company®,
The State Life Insurance Company®,
OneAmerica Retirement Services LLC,
McCready and Keene, Inc.,
OneAmerica Securities, Inc., Pioneer Mutual Life Insurance Company®,
OneAmerica Asset Management, LLC, and AUL Reinsurance Management Services, LLC®.