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Beneficiary packet

1. Last pay check/Time on books
2. Minnesota Life (County issued)  * For all Permanent Part time and Full time Employees
3. Hartford Life Insurance   * For Special Risk Employees Only
4. Minnesota Life (Supplemental Life Insurance)
5A. FRS Investment Plan
5B. FRS Pension Plan
6. Nationwide Deferred Compensation Beneficiary Form

NOTE:  Please make sure to sign and date each form 

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123 W. Indiana Ave
DeLand, FL 32720
(386) 736-2700

from 8am to 5pm
Monday through Friday

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