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Change of Beneficiary Form

If you haven’t named a beneficiary, have had a name change, or want to change your existing beneficiary, please select the correct form below.

​Plan A (401k Plan) and Plan C (defined benefit pension plan) require separate beneficiary forms. If you are unsure which form(s) is correct for you, please call CBERA at


Please print the form(s) below and return your completed form to CBERA:

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