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HARTFORD Life Insurance Beneficiary Designation

Use the HARTFORD Life Insurance Beneficiary Designation form if you would like to name a new beneficiary on your HARTFORD policy. This form must be sent directly to the HARTFORD Insurance address located on the form.

HARTFORD Life Insurance Beneficiary Designation form

Download to update the beneficiary for your HARTFORD life insurance policy.

How to Review Your ERSRI Beneficiary Information Online

For members who have registered for online access to their retirement accounts, you can review your designations by simply logging into the ERSRI Member Portal, navigating to the “My Pension” section, and selecting “View My Pension Profile”.

QDRO Model Option 2 Police and Fire

Use this model if you are a retired public safety plan member who selected the Option 2 form of payment, or if you are an active public safety plan member and at the time of your retirement you will be required to elect the Joint and Survivor Option 2 form of payment and name your ex-spouse as beneficiary.

Model QDRO –Police and Fire – Option 2

Qualified Domestic Relations Order for retired public safety plan members who selected the Option 2 form of payment

QDRO Model Option 2 Municipal

Use this model if you are a retired municipal employee who selected the Option 2 form of payment, or if you are an active municipal employee and at the time of your retirement you will be required to elect the Joint and Survivor Option 2 form of payment and name your ex-spouse as beneficiary.

Model QDRO –Municipal – Option 2

Qualified Domestic Relations Order for retired municipal employees who selected the Option 2 form of payment

QDRO Model Option 1 Police and Fire

Use this model if you are a retired public safety plan member who selected the Option 1 form of payment, or if you are an active public safety plan member and at the time of your retirement you will be required to elect the Joint and Survivor Option 1 form of payment and name your ex-spouse as beneficiary.

Model QDRO –Police and Fire – Option 1

Qualified Domestic Relations Order for retired public safety plan member who selected Option 1

QDRO Model Option 1 Municipal

Use this model if you are a retired municipal employee who selected the Option 1 form of payment, or if you are an active municipal employee and at the time of your retirement you will be required to elect the Joint and Survivor Option 1 form of payment and name your ex-spouse as beneficiary.

Model QDRO –Municipal – Option 1

Qualified Domestic Relations Order for retired municipal employees who selected Option 1 form

QDRO Model Max Municipal

Use this model if you are a retired municipal employee who selected the maximum benefit form of payment, or if you are an active municipal employee and your ex-spouse’s benefit is to be calculated as if you selected the maximum benefit form of payment.

Model QDRO –Municipal – MAX/SRA

Qualified Domestic Relations Order for retired municipal employees who selected the maximum benefit form of payment

QDRO Model Max Police and Fire

Use this model if you are a retired public safety plan member who selected the maximum benefit form of payment, or if you are an active public safety plan member and your ex-spouse’s benefit is to be calculated as if you selected the maximum benefit form of payment.

Model QDRO –Police and Fire – MAX/SRA

Qualified Domestic Relations Order for retired public safety plan members who selected the maximum benefit form of payment