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Get Beneficiary Designation & Change Request

Ed's telephone number Six-digit People First ID number ( AFax 1-850-878-0048 Social Security number Date of birth ) Print owner's name and address below. New address INSTRUCTIONS: 1. Print or type in the space below, the full name, address, relationship to the employee and share % of each beneficiary to be named. 2. Sign and date the completed form and return it to Minnesota Life. 3. This designation applies to your Basic and any Optional coverage. 4. Call the Tallahassee Branch Office at 1.

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