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If you answered "Yes" to Question 1, please skip the remaining questions in Section II and <br />proceed to Section III. If you answered "No" to Question 1, please proceed to Question 2. <br />Question 2: Did the Plan previously have a group variable annuity contract or group funding <br />agreement with ILIAC and/or use ILIAC as its 401(k) or 401(a) service provider? <br />Yes No (Circle one) <br />[If the answer is no, skip Question 3 and proceed to Question 4]. <br />Question 3: How does the Plan want the Settlement Administrator to distribute any proceeds <br />under the Settlement? [check only one] <br />a. The Plan instructs the Settlement Administrator to distribute any Settlement <br />proceeds by a check payable to the Plan Sponsor. The check should be made payable <br />to: <br />and mailed to the following address: <br />Important note: If you choose this option, the proceeds may only be used to pay for or defray <br />reasonable plan expenses. Check with your legal advisor or Class Counsel if you have questions <br />about how the proceeds may be used. <br />b. The Plan instructs the Settlement Administrator to distribute any Settlement <br />proceeds by a check payable to the Plan's current service provider, as follows: <br />Name of Current Service Provider: <br />Contract Number: <br />Address of Service Provider: <br />City, State, Zip: <br />Contact Person at Service Provider: <br />Telephone Number: <br />Email: <br />Important note: If you choose this option, your current service provider must utilize these funds <br />in a manner to defray reasonable plan expenses. Check with your legal advisor or Class Counsel <br />if you have questions about how the proceeds may be used. <br />If you checked one of the boxes in Question 3, above, please proceed to Section III. <br />2 <br />128 <br />