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 Welcome, Tom A. Adams  

Enrollment Summary


Steps

1. Instructions

2. Personal Information

3. Dependents

4. Confirm Information

5. Medical Benefits

6. Dental Benefits

7. Vision Benefits

8. Disability Benefits

9. Life & Accident
Benefits

10. FSA Benefits

11. Other Benefits

12. Beneficiary
Information

13. Confirm and Submit



VIEW CURRENT BENEFITS SUMMARY






Beneficiary Information
Voluntary Life Plan 		Step 11 of 13 

Eligible Beneficiaries

Beneficiary Name Relation Distribution
Primary Contingent
Jane C. Adams Spouse % %
Jill A. Adams Child % %
Ralph A. Adams Child % %
Penelope Adams Child % %
Total (each column must total 100%) 100% 100%

Use Other Plan(s) Beneficiaries Assignments

To add a beneficiary that is not currently in your of eligible beneficiaries, click Add.

Add
Note: Contingent beneficiaries are awarded benefits only if all primary beneficiaries are deceased at the time of the award.

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