Preretirement Survivor Benefit for Unmarried Participants

Pension Plan participants who are unmarried effective August 1, 2013, may name up to two individuals as beneficiaries for your Preretirement Survivor Benefit.

If you don’t designate a beneficiary, or if your beneficiary(ies) dies before you and you don’t name another beneficiary by filing a new beneficiary designation form with the Plan office, no death benefit will be paid.

If you designate two beneficiaries and one predeceases you, the entire Preretirement Survivor Benefit will be payable to the surviving beneficiary. You may also designate one contingent beneficiary who will receive the entire Preretirement Survivor Benefit if both of your designated beneficiaries predecease you.

If you’re not married now, but later get married, the beneficiary designation(s) you make on the Preretirement Survivor Designation form automatically will be revoked as of the date of your marriage. Your spouse automatically will become your beneficiary and will receive the Preretirement Survivor Benefit unless you file a new beneficiary election form with the Plan office with your spouse’s consent.

You may change your beneficiary(ies) designation at any time.

The Plan offers several options below for the submission of your 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 primary beneficiary(ies) and/or a contingent beneficiary:

Online Form Completion and Submission

This is the easiest way to complete and submit your form to the Plan. The Pension Plan uses AssureSign to provide secure submission of your beneficiary information. Part of this process requires a verification procedure (Knowledge-based Authentication or KBA) to confidentially verify your identity. We don't retain any of your personal information during this process.

  1. To begin, click the button below. 
  2. You must enter some simple personal information for KBA purposes, including your name and e-mail address.
  3. Click "Submit."
  4. Answer the series of identification-related questions, which will verify your identity
  5. If your identity is successfully verified, you will receive a password that can be used to bypass the authentication process should you stop partway through the form submission process and want to resume the submission process at a later time.
  6. Click “Continue.”
  7. Review the “Terms and Conditions” and check the checkbox indicating your agreement to receive and sign the document electronically.
  8. Click “Start Signing” when you are ready to fill out the form.
  9. Click the "Continue" button to fill in all the required question fields. You may bypass optional questions by clicking the grey “Skip” button. Note: You cannot fill in the fields directly on the full-screen option of the form.
  10. You will need to “Adopt a Signature” by typing or drawing your signature. Click “Adopt Signature” to accept the signature and then click “Apply Signature” to add it to your form.
  11. Click the “Finish” button to submit your form to the Plan. You will be given the option to download the form for your records.

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 using the link below.


Submit via fax

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