401(k) savings plan

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Spousal consent needed If you select someone other than, or in addition to, your spouse as the primary beneficiary, your spouse will be required to sign a notarized spousal consent form.
Success Pat Smith has been updated.
Success You've successfully designated beneficiaries to this plan.
Success Pat Smith has been deleted.
Spousal consent needed If you do not designate your spouse for this plan, your spouse will be required to sign a notarized spousal consent form.
Primary Beneficiaries
Benefit Allocation
Evenly Distribute
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Contingent Beneficiaries
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Add Beneficiaries to Plan

Success! New beneficiary added.
Beneficiary
SSN/Tax ID
Relationship
Designate for this Plan
XXX-XX-1111
Spouse
Spousal consent needed. If you do not designate your spouse for this plan, your spouse will be required to sign a notarized spousal consent form.
XXX-XX-1112
Child
XXX-XX-1113
Child
XXX-XX-1114
Child
XXX-XX-1115
Child

Add New Beneficiary

Beneficiary Type
SSN
Birth Date
Gender
Relationship
Address 1
Address 2
City
State
Zip
Same Address As Employee
Org. Name
Tax ID
Address 1
Address 2
City
State
Zip

Edit Beneficiary

SSN
Birth Date
Gender
Relationship
Address 1
Address 2
City
State
Zip
Same Address As Employee
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