iPhone and iPad users: The My Benefits portal is temporarily unavailable on your device due to a statewide issue. Please use a computer for now. We apologize for any inconvenience and appreciate your understanding.
If you wish to specify who shall receive a primary beneficiary’s share of a death or life insurance benefit if a primary beneficiary is deceased, you must use this alternate beneficiary designation form.
Report
Active Employee /
Board Member /
Local Employer /
State Employer