Beneficiary Information

ABC SAMPLE PLAN

Plan Number:

D34730

BLUE, SARA JO

Date of signed forms:

(mm/dd/yyyy)

Email Address

BLUE@DEMOPLAN.COM

Marital Status

Married

Primary Beneficiary

Name	Last Updated	Relationship	Allocation Percentage
			Total: 100.00%
BLUE, ANGELINA		Mother	100.00

If no primary beneficiary is living at the time of your death, benefits will be paid to the second class of beneficiaries.

Secondary Beneficiary

Name	Last Updated	Relationship	Allocation Percentage
			Total: 0.00%

If no secondary beneficiary is living at the time of your death, benefits will be paid to the tertiary class of beneficiaries.

Tertiary Beneficiary

Name	Last Updated	Relationship	Allocation Percentage
			Total: 0.00%

Click here for Spousal Consent

Click here for Qualified Pre-Retirement Survivor Annuity (QPSA) Spousal Consent

Provided content is for overview and informational purposes only and is not intended and should not be relied upon as individualized tax, legal, fiduciary, or investment advice.

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®.