Designate a Beneficiary: Review & Submit

Your beneficiary designations will be applied to the following plan(s) :

Executive NQ Excess Plan of Sample Group

Primary Beneficiaries

If no beneficiary is designated, your benefit will be distributed in accordance with the terms of the plan document.

Beneficiary	Relationship	Current %	New %
Paul Login	Brother	100.00%	50.00%
Payton Login	Step-Brother	-	50.00%
Total		100.00%	100.00%

Contingent Beneficiaries

If all primary beneficiaries pass away before full benefits are distributed, the remaining benefits will be distributed to the contingent beneficiary(s).

Beneficiary	Relationship	Address	Phone	Email	SSN/TIN	Current %	New %
Tyler Login	Cousin					100.00%	100.00%
Total						100.00%	100.00%

I confirm the information above and authorize Principal Life Insurance Company to process this request.

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The amounts listed on the website represent a measure of your benefits under a nonqualified benefit agreement between you and your plan sponsor. It is not a representation that your plan sponsor holds any assets for paying these benefits.