I choose to name someone other than my spouse as my primary PRSB beneficiary

If you're married, vested, and die before you retire, your spouse will automatically receive the PRSB benefit. However, if you prefer, your spouse may waive the benefit and you may designate a non-spouse beneficiary. Your spouse's consent to waive the preretirement benefit must be in writing and acknowledged by a notary public. 

Please refer to the applicable notary rules that are currently in effect in the state in which the document is being notarized, including whether and under what circumstances remote notarization is permitted. See www.nationalnotary.org for information.

Married participants may also choose to designate an additional non-spouse contingent beneficiary to receive your preretirement survivor benefit if your non-spouse beneficiary predeceases you prior to your retirement date. To waive your spouse and name someone else as your beneficiary and/or to designate a contingent beneficiary, you must fill out the Preretirement Survivor Benefit Beneficiary Designation Form For Married Participants.

The Plan offers several options below for the submission of your non-spouse beneficiary and contingent beneficiary information. You may download the form, complete it manually, and then either e-mail, fax, mail, or securely upload the form to the Plan office.

Before you begin, please make sure you have the following information on hand. You won’t be able to submit your form without it:

  • Social Security number for each beneficiary you will be designating;
  • Address for each beneficiary;
  • Date of birth for each beneficiary.

Please choose a submission option below to designate your non-spouse beneficiary and, if you choose, a contingent beneficiary:

Paper Form Completion and Submission

Begin by downloading, printing, and completing the form.

Download Form

Once you've completed the form and signed it, use one of the methods below to submit the completed form.

Mobile Upload

This is the easiest way to provide your signed paperwork to the Plan. Use the button below to access our secure upload site. Use the "Browse files" link to use your camera to take a photo and upload it in one step.


Submit via email

Simply sign your paperwork, take a picture, and email it to prsbforms@rnbenefits.org using the link below.


Submit via fax

Fax your signed paperwork to (518) 456-3954.