Common use of Election to Revoke Participation Clause in Contracts

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Amount to Traditional 403(b) (Per Pay Period) AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional 403(b) (Per Pay Period) Symetra Life Insurance Company Vanguard Investments Total By signing this Agreement, Employee agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election thiselection by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be willbe able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct Idirect new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Account Number (Required) Amount to Traditional 403(b) (Per Pay Period) AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 AIG Retirement Services American Funds - R4 Investments Ameriprise Financial Services Equitable Fidelity Investments Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Invesco Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional 403(b) (Per Pay Period) Symetra Life Vanguard Voya Retirement Insurance and Annuity Company Vanguard Investments Total By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Account Number (Required) Amount to Traditional 403(b457(b) (Per Pay Period) AXA Amount to Xxxx 457(b) (Per Pay Period) ASPire Financial Services Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional 403(b) (Per Pay Period) Symetra Life Insurance Company Vanguard Investments Total By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response systemelections. Investment Elections Prior Deferral Amount: $ Per Pay Fund Name Amount to Traditional Pre-Tax 403(b) (Per Pay Period) AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional Xxxx 403(b) (Per Pay Period) Symetra Life Insurance Company Vanguard Investments Total Penselect (formerly Foresters Financial Services) By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Amount to Traditional 403(b) (Per Pay Period) AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Ameriprise Financial Services Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional MultiChoice 403(b) (Per Pay Period) Symetra Life Insurance Company Vanguard Investments Retirement Solution Xxxxxxxxxxx Funds Total By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Amount to Xxxx 403(b) (Per Pay Period) Amount to Traditional 403(b) (Per Pay Period) AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. XxxxxTIAA-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional 403(b) (Per Pay Period) Symetra CREF Variable Annuity Life Insurance Company Vanguard Investments (VALIC) Total 0 0 By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Account Number REQUIRED Amount to Traditional 403(b) (Per Pay Period) AXA Equitable Amount to Xxxx 403(b) (Per Pay Period) American Funds - R1 Investments American Funds - R2 R3 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional 403(b) (Per Pay Period) Symetra Reliastar Life Insurance Company Vanguard Investments Total By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Amount to Traditional 403(b) (Per Pay Period) AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional 403(b) (Per Pay Period) Symetra Life Insurance Company Vanguard Investments Co. of the Southwest Total By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Account/Contract Number REQUIRED Amount to Traditional 403(b) Xxxx 457 (Per Pay Period) AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional 403(b) 457 (Per Pay Period) Symetra Life Insurance Company Vanguard Investments AIG Retirement Services Security Benefit Total By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) 403(b)/457 annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Account/Contract Number REQUIRED Amount to Traditional 403(b) (Per Pay Period) AXA Equitable C&A Financial Group Great American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Financial Resources GWN Securities Inc. Security Benefit Investment Elections X. Xxxx Xxxxx*** (ContinuedGrandfathered Contracts) Fund Name Amount to Traditional 403(b) (Per Pay Period) Symetra Life Insurance Company Vanguard Investments Total ***Beginning on 01/01/2017, no new accounts may be established with the above investment providers. Participants with existing accounts will not be affected. By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Amount to Traditional 403(b) (Per Pay Period) AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 Investments Ameriprise Financial Services Great American Funds - R4 Investments Financial Resources Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Lincoln Investment Planning ING Life and Annuity Company (ILIAC) Life Insurance Co. of the Southwest MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional 403(b) (Per Pay Period) Symetra Variable Annuity Life Insurance Company Vanguard Investments (VALIC) Total By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site website or voice response system. I understand these elections may take one to two payrolls to take effect. Investment Elections Fund Name Account Number (Required) Amount to Traditional 403(b457(b) (Per Pay Period) AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional 403(bXxxx 457(b) (Per Pay Period) Symetra National Life Insurance Company Vanguard Investments Group Total By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b457(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Amount to Xxxx 403(b) (Per Pay Period) Amount to Traditional 403(b) (Per Pay Period) AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. XxxxxPrimerica TIAA-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional 403(b) (Per Pay Period) Symetra CREF Variable Annuity Life Insurance Company Vanguard Investments (VALIC) Voya Retirement Insurance and Annuity Company Total By signing this Agreement, Employee agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Account/Contract Number REQUIRED Amount to Xxxx 403(b) (Per Pay Period) Amount to Traditional 403(b) (Per Pay Period) AIG Retirement Services AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx MetLife MetLife Insurance Co. Xxxxx-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Company USA Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional 403(b) (Per Pay Period) Symetra Life Voya Retirement Insurance and Annuity Company Vanguard Investments Total By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Account/Contract Number REQUIRED Amount to Traditional Pre-Tax 403(b) (Per Pay Period) AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional Xxxx 403(b) (Per Pay Period) Symetra Life Insurance Company Vanguard Equitable Fidelity Investments Lincoln Investment Planning Total By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Amount to Traditional Xxxx 403(b) (Per Pay Period) AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional 403(b) (Per Pay Period) Symetra Life Insurance Company Vanguard Investments ASPire Financial Services, LLC AXA Equitable Xxxxx-Xxxxxxxx Lincoln Investment Planning Total By signing this Agreement, Employee Xxxxxxxx agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement:

Election to Revoke Participation. I do not want to participate in the Plan at this time. I understand that I may change this election by completing a new Enrollment Form prior to the next Plan Entry Date. Please discontinue my Salary Deferral Contributions to the Plan. I understand that I will be able to resume participation by completing a new Enrollment Form prior to the next Plan Entry Date. I direct my new money to be invested in the funds selected below. I understand these investment directions will remain in effect until I direct new elections through the Plan’s web site or voice response system. Investment Elections Fund Name Amount to Xxxx 403(b) (Per Pay Period) Amount to Traditional 403(b) (Per Pay Period) AXA Equitable American Funds - R1 Investments American Funds - R2 Investments American Funds - R3 American Funds - R4 Investments Xxxxxx Xxxx Insurance Co. Xxxxx-Xxxxxxxx Lincoln Investment Planning MetLife Participant Fees PlanMember Services Security Benefit Investment Elections (Continued) Fund Name Amount to Traditional 403(b) (Per Pay Period) Symetra Life Insurance Company The Legend Group Vanguard Investments Total By signing this Agreement, Employee agrees to modify his/her salary as indicated above and Employer agrees to contribute this amount on Employee’s behalf into the 403(b) annuity(ies) or custodial account(s) selected by Employee and authorized by the Employer. It is intended that the requirements of all applicable state and federal tax rules and regulations (Applicable Law) will be met. Employee understands and agrees that this Agreement: