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SAMPLE BENEFICIARY DESIGNATIONS One Beneficiary Only ...

www.ksbankers.com/userfiles/EmployeeBenefits/SampleBeneficiaryDesignations.pdf

SAMPLE BENEFICIARY DESIGNATIONS. One Beneficiary Only—. Jane Doe, wife. Two Beneficiaries—. Jane Doe, wife, and Mary Doe, daughter, equally or to  ...

Beneficiary Designation Form - Minneapolis Retail Meat Cutters And ...

www.653benefits.com/docs/Beneficiary_Designation_Form.pdf

Contingent beneficiary all future children born of insured's present marriage. ... beneficiaries: Elizabeth Jane Doe, (wife/husband) of the Insured, if living ...

wording for beneficiary designations - AMA Insurance

www.amainsure.com/assets/amaia/wording.pdf

TYPE OF BENEFICIARY. SAMPLE WORDING. 1. The Insured's Estate. Estate of the Insured. 2. One Beneficiary. Jane Doe, wife. 3. Two Beneficiaries. John Doe ...

Change of Beneficiary - AIG.com

www.aig.com/content/dam/aig/america-canada/us/documents/individual/life/aglc0108-report.pdf

be of legal age, if not Minor Beneficiary Clause must be completed. .... Two or more individual beneficiariesJane Doe, daughter, 100 N. Main St, Chicago, IL,  ...

401k Beneficiary

www.accbuilt.com/documents/PrincipalBeneficiary.pdf

Married with Spouse as Sole Beneficiary (Spouse's signature is not required) .... John J. Doe, son and Jane J. Doe, daughter, equally, or to the survivor.

Minnesota Life - Beneficiary Designation and Change ... - ARBenefits

portal.arbenefits.org/Benefits/2017MLBenDesignation.pdf

Jun 1, 1991 ... The primary and contingent beneficiary(ies) determines the order in which beneficiaries become eligible to ... For example: Jane Doe, wife.

Designation of Life Insurance Beneficiaries form - MOSERS

www.mosers.org/~/media/Files/Adobe_PDF/Members/Forms/beneficiary_form.ashx

Designation/Change of Beneficiaries Basic & Optional Life Insurance. Please print. .... Mary Doe (wife), Jane Doe, and Tom Doe. (children), equally, survivors or ...

Beneficiary Designation Under Group Life Insurance Policy

www.mtgilead.k12.oh.us/docs/Beneficiary Designation.pdf

Company® (AUL), it is requested the beneficiary of any policy proceeds payable ... Sample: Jane Doe and Mary Doe, cousins, in equal shares, or their survivors.

Boston Mutual Cert Chng Form

www.somervillema.gov/sites/default/files/documents/BostonMutualCertChngForm.pdf

This form is used when an employee's name changes, if a beneficiary change is desired, or when the ... CHANGE OF BENEFICIARY ... JANE DOE, WIFE. 2.

Beneficiary Change form for TransTERM - State Securities Corporation

www.ssc-life.com/uploads/5/4/8/4/5484400/beneficiary_change_form_trans_term.pdf

This Beneficiary Designation cancels all prior Beneficiary Designations and settlement agreements .... Primary: Jane Doe, Mother 75%; John Doe, Brother, 25 %.

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designation of life insurance beneficiaries - Oregon.gov

www.oregon.gov

The primary beneficiary (ies) will be recognized first, by the insurance ... Mary Doe (wife), Jane Doe, and Tom Doe (children), equally, survivors or survivor. -or-.

GUIDE CHART

www.insurance.ada.org

GUIDE CHART. COMMON BENEFICIARY DESIGNATIONS. Proposed Beneficiary. Insert Name. 1. Wife. Jane Doe. 2. Named Children. Mary Doe & James Doe.

Important Information About Changing The Beneficiary - Colonial Life

www.coloniallife.com

Minor Beneficiaries: Life Insurance proceeds cannot be paid to a beneficiary who is a minor or ... and Testament of the Insured; Mary Jane Doe, Trustee.