Fill and Sign the Beneficiary Designations Getting the Right Assets to the Right Form

WAIVER OF THE RIGHT TO BE SPOUSE’S BENEFICIARY Your spouse has an account in [Name of Plan]. The money in the account that your spouse will be entitled to receive is called the vested account. Federal law states that you will receive the vested account after your spouse dies.Your right to your spouse’s vested account provided by federal law cannot be taken away unless you agree. If you agree, your spouse can elect to have all or part of the vested account paid to someone else. Each person your spouse chooses to receive a part of the vested account is called a “beneficiary.” For example, if you agree, your spouse can have the vested account paid to his/her children instead of you.Your choice must be voluntary. It is your personal decision whether you want to give up your right to your spouse’s vested account.Legal separation or divorce may end your right to the vested account even if you do not sign this agreement. However, if you become legally separated or divorced, you might be able to get a special court order (which is called a qualified domestic relations order or “QDRO”) that specifically protects your rights to the vested account. If you are thinking about separating or getting a divorce, you should get legal advice on your rights to benefits from the plan.Your spouse cannot have the vested account paid to someone else unless you agree and sign this agreement. Option A You cannot change this agreement after you sign it. Your decision is final, even if your spouse later chooses a different beneficiary. Option B You can change this agreement until [Date]. After that date, you cannot change the agreement, even if your spouse later chooses a different beneficiary. If you change your mind, you must notify the plan administrator by [Insert the Plan Procedure for Revoking Consent]. The plan administrator must receive this information before [Date]. Plan Administrator: Witness: Spouse: Date: