Beneficiary Designation Please print in blue or black ink. Instead of using this form, you can designate your beneficiary online (by logging in to My Account on www.ipers.org) if you are unmarried,.

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How to fill out the IA IPERS Enrollment/Beneficiary Designation online

Filling out the IA IPERS Enrollment/Beneficiary Designation form is an important step in ensuring your benefits are managed according to your wishes. This guide provides clear and supportive instructions for each section of the form to assist users in completing it accurately online.

Follow the steps to complete your IA IPERS Enrollment/Beneficiary Designation online

  1. Click ‘Get Form’ button to obtain the form and open it in your editor.
  2. Begin by providing your member information. Fill in your Social Security number, date of birth, first name, middle initial, last name, mailing address, city, state, zip code, work phone, cell phone, and email address. Indicate your marital status by selecting married, single, divorced, or widowed.
  3. Proceed to the Beneficiary Designation section. Ensure you do not erase or alter this section. List your primary beneficiaries by filling in their names, relationships to you, sex, and date of birth. Remember that benefits will be paid equally to all primary beneficiaries listed.
  4. If necessary, complete the secondary beneficiary section. This section is for beneficiaries to receive benefits only if all primary beneficiaries have passed. Similar to Step 3, list the names, relationships, sex, and dates of birth for secondary beneficiaries.
  5. In the Member’s Signature section, provide your signature and the date of signing. A witness must also sign to validate your designation.
  6. If you are married and have not designated your spouse as your sole primary beneficiary, include your spouse’s signature in the Spouse’s Signature section, along with the date and the signature of another witness.
  7. Once you have completed all sections, you can save your changes, download the completed form, print it for your records, or share it with relevant parties.

Complete your IA IPERS Enrollment/Beneficiary Designation online today to ensure your benefits are directed as intended.

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How do I fill out a beneficiary designation?

Provide the following information on the beneficiary designation: The full name of the trust as it shows on the trust document. The date the trust was created. The name of the trustee, followed by the word “trustee”, or if you cannot provide a trustee, ETF may accept another contact person. The trustee's address.

IPERS provides death benefits if a member dies during retirement. The benefit depends on the payment option the member chose at retirement. Your beneficiary(ies) receive a one-time lump-sum death benefit in the amount of your choice, in increments of $1,000, up to the amount of your investment.

Most beneficiary designations will require you to provide a person's full legal name and their relationship to you (spouse, child, mother, etc.). Some beneficiary designations also include information like mailing address, email, phone number, date of birth and Social Security number.

Consider your kids or the person/people taking over guardianship as the primary beneficiary. Your ex-spouse is another option. You could name your parents or siblings as contingent beneficiaries. Most single people with no kids will name their parents or siblings as primary beneficiaries.

A beneficiary is generally any person or entity the account owner chooses to receive the benefits of a retirement account or an IRA after they die. The owner must designate the beneficiary under procedures established by the plan.

Life insurance beneficiaries can be individuals, such as a spouse or adult child, or entities, such as a trust. For example, if you have minor children, you may choose to establish a trust and name it as the beneficiary of your life insurance policy.

You may name as beneficiary any person or persons, a corporation or your estate. Payment will be made to your estate only if probated. You may designate a trust as your beneficiary; however, you must provide the name of the trust, the date of the trust, and the name and address where the trust is filed.

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