Common use of Deceased Class Members Clause in Contracts

Deceased Class Members. Deceased Class Members are not eligible for rollover treatment. A Beneficiary of a deceased person who was a participant in the Plan at any time during the Class Period, including executors, heirs, assigns, estates, personal representatives, or successors-in-interest, must provide the following information with this Former Participant Claim Form to MedStar 403(b) Settlement Administrator, c/o Strategic Claims Services, 000 X Xxxxxxx Xxxxxx, Suite 205, Media PA 19063: • Death certificate and evidence that such person is authorized to receive distribution of the deceased Class Member’s settlement payment and the name and, if applicable, the percentage of distribution each person is entitled to receive; • Social Security Number of each person entitled to receive payment; • Current mailing address of each person entitled to receive payment; and • Person(s) to whom check(s) should be made payable, and amount(s) of check(s).

Deceased Class Members. Deceased Class Members are not eligible for rollover treatment. A Beneficiary of a deceased person who was a participant in the Plan at any time during the Class Period, including executors, heirs, assigns, estates, personal representatives, representatives or successors-in-interest, must provide the following information with this Former Participant Claim Form to MedStar 403(b) Xxxxxx 401k Settlement Administrator, c/o Strategic Claims Services, 000 X Xxxxxxx Xxxxxx, Suite 205, Media PA 19063: • Death certificate and evidence Evidence that such person is authorized to receive distribution of the deceased Class Member’s settlement payment and the name and, if applicable, the percentage entitlement of distribution each person is entitled to receivereceive distribution; • Social Security Number of each person entitled to receive payment; • Current mailing address of each person entitled to receive payment; and • Person(s) to whom check(s) should be made payable, and amount(s) of check(s).

Deceased Class Members. Deceased Class Members are not eligible for rollover treatment. A Beneficiary of a deceased person who was a participant in the Plan at any time during the Class Period, including executors, heirs, assigns, estates, personal representatives, or successors-in-interest, must provide the following information with this Former Participant Claim Form to MedStar 403(b) Yale New Haven Hospital 403b Settlement Administrator, c/o Strategic Claims Services, 000 X Xxxxxxx Xxxxxx, Suite 205, Media PA 19063: • Death certificate and evidence Evidence that such person is authorized to receive distribution of the deceased Class Member’s settlement payment and the name and, if applicable, the percentage of distribution each person is entitled to receive; • Social Security Number of each person entitled to receive payment; • Current mailing address of each person entitled to receive payment; and • Person(s) to whom check(s) should be made payable, and amount(s) of check(s).

Deceased Class Members. Deceased Class Members are not eligible for rollover treatment. A Beneficiary of a deceased person who was a participant in the Plan at any time during the Class Period, including executors, heirs, assigns, estates, personal representatives, or successors-in-interest, must provide the following information with this Former Participant Claim Form to MedStar 403(bUniversal Health Services, Inc. 401(k) Settlement Administrator, c/o Strategic Claims Services, 000 X Xxxxxxx Xxxxxx, Suite 205, Media PA 19063: • Death certificate and evidence Evidence that such person is authorized to receive distribution of the deceased Class Member’s settlement payment payment, and the name and, if applicable, the percentage entitlement of distribution each person is entitled to receivereceive distribution; • Social Security Number of each person entitled to receive payment; • Current mailing address of each person entitled to receive payment; and • Person(s) to whom check(s) should be made payable, and amount(s) of check(s).

Deceased Class Members. Deceased Class Members are not eligible for rollover treatment. A Beneficiary of a deceased person who was a participant in the Plan at any time during the Class Period, including executors, heirs, assigns, estates, personal representatives, or successors-in-interest, must provide the following information with this Former Participant Claim Form to MedStar 403(bBiogen 401(k) Settlement Administrator, c/o Strategic Claims Services, 000 X Xxxxxxx Xxxxxx, Suite 205, Media PA 19063: • Death certificate and evidence Evidence that such person is authorized to receive distribution of the deceased Class Member’s settlement payment and the name and, if applicable, the percentage of distribution each person is entitled to receive; • Social Security Number of each person entitled to receive payment; • Current mailing address of each person entitled to receive payment; and • Person(s) to whom check(s) should be made payable, and amount(s) of check(s).

Deceased Class Members. Deceased Class Members are not eligible for rollover treatment. A Beneficiary of a deceased person who was a participant in the Plan at any time during the Class Period, including executors, heirs, assigns, estates, personal representatives, or successors-in-interest, must provide the following information with this Former Participant Claim Form to MedStar 403(bIQVIA 401(k) Settlement Administrator, c/o Strategic Claims Services, 000 X Xxxxxxx Xxxxxx, Suite 205, Media PA 19063: • Death certificate and evidence that such person is authorized to receive distribution of the deceased Class Member’s settlement payment and the name and, if applicable, the percentage of distribution each person is entitled to receive; • Social Security Number of each person entitled to receive payment; • Current mailing address of each person entitled to receive payment; and • Person(s) to whom check(s) should be made payable, and amount(s) of check(s).

Deceased Class Members. Deceased Class Members are not eligible for rollover treatment. A Beneficiary of a deceased person who was a participant in the Plan at any time during the Class Period, including executors, heirs, assigns, estates, personal representatives, or successors-in-interest, must provide the following information with this Former Participant Claim Form to MedStar 403(b) Settlement Rush University Medical Center 000x Xxxxxxxxxx Administrator, c/o Strategic Claims Services, 000 X Xxxxxxx Xxxxxx, Suite 205, Media PA 19063: • Death certificate and evidence Evidence that such person is authorized to receive distribution of the deceased Class Member’s settlement payment payment, and the name and, if applicable, the percentage entitlement of distribution each person is entitled to receivereceive distribution; • Social Security Number of each person entitled to receive payment; • Current mailing address of each person entitled to receive payment; and • Person(s) to whom check(s) should be made payable, and amount(s) of check(s).

Deceased Class Members. Deceased Class Members are not eligible for rollover treatment. A Beneficiary of a deceased person who was a participant in the Plan at any time during the Class Period, including executors, heirs, assigns, estates, personal representatives, or successors-in-interest, must provide the following information with this Former Participant Claim Form to MedStar 403(bUnivar Solutions 401(k) Settlement Administrator, c/o Strategic Claims Services, 000 X Xxxxxxx Xxxxxx, Suite 205, Media PA 19063: • Death certificate and evidence Evidence that such person is authorized to receive distribution of the deceased Class Member’s settlement payment and the name and, if applicable, the percentage of distribution each person is entitled to receive; • Social Security Number of each person entitled to receive payment; • Current mailing address of each person entitled to receive payment; and • Person(s) to whom check(s) should be made payable, and amount(s) of check(s).