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Printable Forms



Beneficiary Designation Form for Unmarried Participants

The Health and Annuity Funds maintain separate beneficiary designations. You should periodically check with the Fund Office to make sure that these are up-to-date and reflect your intent. If either of the beneficiary designation cards that we have on file are no longer valid please print the card(s) you wish to change, complete and mail your completed card(s) to the Fund Office. Please be advised that the Annuity Designation Form is for un-married participants. If you are legally married, your spouse is automatically your designated beneficiary. 

2019 401k Election form

2018 401k Election Form for employer.