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Submit completed form to: County Employees' Retirement Fund 2121 Schotthill Woods Drive Jefferson City, MO 65101 Toll Free: 877-632-2373 Fax: 573-761-4404 Version 5.0 FORM 4B DEATH BENEFIT SPOUSE

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What is death benefit - spouse?

Death benefit - spouse is a financial payout provided to the surviving spouse of a deceased individual. It is typically paid out by an insurance company or a pension plan, and it is intended to provide financial support to the surviving spouse after the death of their partner.

Who is required to file death benefit - spouse?

The surviving spouse is generally responsible for filing a death benefit claim. They will need to provide necessary documentation, such as a death certificate and any other supporting documents required by the insurance company or pension plan.

How to fill out death benefit - spouse?

The process of filling out a death benefit claim for a surviving spouse may vary depending on the insurance company or pension plan. Typically, the surviving spouse will need to contact the insurance company or pension plan provider to obtain the necessary claim forms. They will then need to fill out the forms accurately and completely, providing any required documentation. It is recommended to consult with the insurance company or pension plan provider for specific instructions on how to fill out the death benefit claim.

What is the purpose of death benefit - spouse?

The purpose of death benefit - spouse is to provide financial assistance to the surviving spouse after the death of their partner. This financial payout can help cover immediate expenses, loss of income, and provide ongoing financial support during a difficult time.

What information must be reported on death benefit - spouse?

The specific information that must be reported on a death benefit claim for a surviving spouse may vary depending on the insurance company or pension plan. However, common required information may include the deceased spouse's personal information, such as their full name, date of birth, and Social Security number. Additionally, the surviving spouse may need to provide their own personal information and contact details. It is important to consult with the insurance company or pension plan provider for the exact information required.

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