Beneficiary Death Benefit Sample Clauses

Beneficiary Death Benefit. I designate the following as beneficiaries of the death benefit: Primary:

Beneficiary Death Benefit. I designate the following as beneficiaries of the death benefit: Primary: Relationship: Contingent: Relationship: The Trustee is responsible for advising the Plan Administrator of a change in status of the death of any beneficiary. * * * * Trustee’s Signature: Date: Print Name: Witness’ Signature: Print Name: Exhibit A PACIFIC FUNDS DESIGNATION OF CREDIT RATE OPTIONS FORM Instructions: Please select the Credit Rate Option(s) and the amount or percentage of the amount of deferred compensation (or your existing Account balance) you wish to allocate to each Credit Rate Option (if allocating by amount, amounts allocated should total the amount deferred in Section 2 of the Participation Agreement (or your existing Account balance); if allocating by percentage, percentages should total 100%). I hereby elect the following Credit Rate Options, in the amounts or percentages as indicated below, for allocation of deferred compensation as authorized in Section 2 of the Participation Agreement or Account balances pursuant to Section 4.2.: Credit Rate Option Amount or Percentage ¨ Blue Chip $ or % ¨ Aggressive Growth $ or % ¨ Health Sciences $ or % ¨ Technology $ or % ¨ Strategic Value $ or % ¨ Growth LT $ or % ¨ International Value $ or % ¨ Mid-Cap Growth $ or % ¨ Global Growth $ or % ¨ Managed Bond $ or % ¨ Money Market $ or % ¨ Large-Cap Value $ or % Trustee’s Signature: Date: Print Name: Witness’ Signature: Print Name: Exhibit B PACIFIC FUNDS