Transcription of Instructions for Completing the Beneficiary Form
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Instructions for Completing the Beneficiary Form
2017 Massachusetts Mutual Life Insurance Company (MassMutual), Springfield, MA 01111-0001. All rights reserved. 1217 Page 1 of 5 MassMutual pension Plan Instructions for Completing the Beneficiary Form The MassMutual pension Plan allows participants to name beneficiaries. If you are married, your spouse is automatically your primary Beneficiary . However, you may name someone else, provided your spouse consents. If you want your spouse to be your primary Beneficiary , please enter your spouse s information as the only primary Beneficiary . Your spouse does not have to consent to this and notarization is not needed. If you want to name someone other than your spouse, federal law requires that you get written approval from your spouse, witnessed by a Notary Public or Plan representative. Please write the name(s) of the other Beneficiary (ies) and other information under primary Beneficiary (ies) You may also name a secondary Beneficiary .
Page 3 of 5 MassMutual Pension Plan Beneficiary Form Participant Information XXX-XX- Name (Last, First, Middle) Social Security Number MIP/Field Office (if …
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