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Mercer beneficiary form

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Spouse s Signature Date I represent the statements and answers given in this request form are true complete and correctly recorded to the best of my knowledge and belief. I understand the request for service will not become effective until received at Mercer and approved in accordance with the terms of the coverage. Remember When designating the Primary be sure that the total shares equal 100. Your Contingent Beneficiary is the person who will receive the death benefit if your primary beneficia ...

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