Beneficiary Designation L by ISCI8UCB

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									                    Beneficiary Designation
                    In ball-point pen, print the information below.
                                                                                                                                                 L
About You           Name (last, first, mi)

                    Social Security number                                                                              Direct dial (area code/work number)
                                             -            -                                                             (             )                    -
                    Work location (city, state)                                           Payroll location                                   Mail station/Room number


Instructions        Complete and sign Part I or Part II, NOT BOTH, to indicate your beneficiary for the following plans: Company Provided Life Insurance;
                    Business Travel Accident and Seat Belt Insurance; L-3 Communications Savings Plan, L-3 Communications Pension Plan lump-sum death
                    benefit (retirees only); as applicable, any prior plan benefits. If neither Part is signed, the Standard Beneficiary Designation is assumed, even
                    if designations are listed in Part II.
Part I              By signing this Part I, I designate the Standard Beneficiary as indicated below for death benefits under all plans.
                    Any benefit payable at my death will be paid to my -
Standard
Beneficiary          spouse, if living at my death;
Designation          if my spouse is not living, surviving children equally, including legally adopted children;
                     if no children survive, surviving parents equally;
                     if neither parent survives, surviving brothers and sisters equally;
                     if no brothers or sisters survive, estate.
Authorization and   The above designations cancel and supersede any and all previous beneficiary designations I have made with respect to all these plans and
Signature           will remain in effect unless I change them by written designation.
                    Sign here                                                                                                      Date


Part II             By signing and completing this Part II, I designate the following person(s) to receive, in the event of my death, the total amount of benefits
                    available under the specific plan(s) below. Some examples of non-standard beneficiary designations are on the back of this form. The
                    Standard Beneficiary Designation will be assumed for plans which have no beneficiary designated below.
Non-Standard        Name of Plan                                                                     Beneficiary Designation:
Beneficiary
Designation          Company-Provided Life Insurance


                     Business Travel Accident and Seat Belt Insurance


                     L-3 Communications Savings Plan


                     L-3 Com Pension Plan lump-sum death benefit (retirees only)


                     As applicable, any prior plan benefits

Spouse’s Consent    If you do not name your spouse as your sole primary beneficiary under the L-3 Communications SAVINGS PLAN, this form must be signed by
for Non-Standard    your spouse and notarized to validate that election.
Beneficiary         I, (print spouse’s name) _______________________________________________________________, recognize that my spouse has designated someone
Designation         other than me as the sole beneficiary to receive death benefits payable under the L-3 Communications Savings Plan. I understand that such designation
                    means I will not be entitled to receive surviving spouse benefits otherwise required to be paid to me if my spouse should die before I do. I also understand
                    that I have the right to limit my consent to my spouse’s designation to the individual(s) specified above. I hereby voluntarily relinquish that right and consent
                    to the designation of someone other than me as my spouse’s sole beneficiary.
                    Sign here                                                                                                      Date



Notarized Witness   Signed and subscribed to before me this                                                  day of                                 , 20          .
to Spousal Waiver   Notary’s Signature                                                                                             Notary’s Commission Expiration Date


Authorization and   The above designations cancel and supersede any and all previous beneficiary designations I have made with respect to all these plans and will remain in
Signature           effect unless I change them by written designation.
                    Sign here                                                                                                      Date
 Information Regarding Beneficiaries
 For your convenience, L-3 Communications uses the Standard Beneficiary Designation as shown in Part I for the coverage’s listed on the front of this form.
 This allows for an automatic update of your beneficiaries as your family composition changes. If no beneficiary designation is made, the Standard Beneficiary
 Designation is assumed.

 Separate and different beneficiaries may be designated for each plan by specifying the coverage for which each designation applies. However, if
 you do name different beneficiaries by plan but specific beneficiaries are not designated for each plan, the Standard Beneficiary Designation applies to any
 plans which have no beneficiary designated.

 You have the right to change beneficiaries at any time. However, your spouse must consent to any designation of primary beneficiary for the L-3
 Communications Savings Plan if your spouse is not the sole primary beneficiary for that plan. To change beneficiaries complete a new Beneficiary
 Designation form.

 Other common beneficiary designations for employee death benefit coverage’s. If you do not want to use the Standard Beneficiary Designation, you
 may name anyone you like as your beneficiary, including any corporation except L-3 Communications. Below are some common alternate designations. Do
 not sign Part I, Standard Beneficiary Designation, if you intend to complete Part II.


 Beneficiary                                            Examples of non-standard beneficiary designations; replace the Smith family names with
                                                        your beneficiary’s name

 1. One beneficiary                                      Dorothy Smith, wife.

 2. Two beneficiaries                                    Peter Smith, father, and Joan Smith, mother, equally, or the survivor.

 3. Three or more beneficiaries                          Peter Smith, father, Joan Smith, mother, Tom Smith, son, or the survivors, equally, or the survivor.

 4. One beneficiary and one contingent beneficiary       Dorothy Smith, wife, if living; otherwise, Tom Smith, son.

 5. One beneficiary and two contingent beneficiaries     Dorothy Smith, wife, if living; otherwise, Tom Smith, son, and Carol Smith, daughter, equally, or the
                                                         survivor.

 6. One beneficiary and three or more contingent         Dorothy Smith, wife, if living; otherwise, Tom Smith, Carol Smith and Mary Smith,
    beneficiaries                                        children, or the survivors, equally, or the survivor.

 7. One beneficiary and provision for unnamed            Dorothy Smith, wife, if living; otherwise, the children born of the marriage of the member and said
    children and their children                          wife who may be living and the surviving children of any such children who may be deceased.

 8. One beneficiary and unnamed children                 Dorothy Smith, wife, if living; otherwise, the children born of the marriage of the member and said
                                                         wife, or the survivors, equally, or the survivor.

 9. Two beneficiaries and one contingent beneficiary     Peter Smith, father, and Joan Smith, mother, equally, or the survivor; otherwise Dorothy Smith, wife.

 10. Two beneficiaries in unequal portions               Three-eight’s (3/8) to Peter Smith, father, and five eight’s (5/8) to Joan Smith, mother, if both
                                                         survive; otherwise, all to survivor.

 11. Trustee                                             (Name and complete address) Trustee, under a trust agreement with the member; dated
                                                         _____________________, or to the successor in said trust.

 12. Common disaster                                     Dorothy Smith, wife, if living on the tenth (10) day after my death; otherwise the children born of
                                                         the marriage of the member and said wife, or the survivors, equally or the survivor.

 13. Member’s estate                                     Executor or Ddministrator of my estate.


Note: If your beneficiary is a married woman, her given name must be used; for example: “Mary A. Doe” and not “Mrs. John C. Doe.” If your beneficiary is not
related to you, use the term “no relation” and enter the beneficiary’s address.
Under No. 1 through No. 10, you may choose to add “otherwise, the executor or administrator of the member.” Do not use No. 11 unless there is an executed
Trust Agreement in existence.


Under the laws of several states, your spouse may be entitled to a portion of the life insurance proceeds payable upon your death, regardless of any non-
spouse beneficiary designation. If you designate a person other than your spouse as the beneficiary under your Company-Provided Life Insurance, consult
with an attorney to determine what effect, if any, state law may have upon such designation.

								
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