Beneficiary Designation

Beneficiary Designation 1. Beneficiary Designation Form (Form DB-010) should be completed by the covered individual or employee upon employment. This form must be signed, notarized and placed within the covered individual’s personnel file at the employer or agency wherein the person is currently employed. 2. If a covered individual or employee did not complete Form DB-010 upon employment or if Form DB-010 is missing from an employee's personnel file, this form should be completed as soon as possible. If the individual does not complete Form DB-010, the alternative statutory provisions of MCA §45-2-1 (2)(b) will apply, which provide for benefit distribution if no such designation is made. 3. The Beneficiary Designation Form (Form DB-010) is not sent to the Mississippi Department of Public Safety for record keeping. This document is to be maintained by the Employer. DPS should only receive a copy when included as an attachment to the submission of the Death Benefits Trust Application (Form DB-020).