It is important for eligible retirees enrolled in retiree life coverage to have up to date beneficiary information on file. To update your beneficiary information click the 'Beneficiary Form' button below. Complete, sign, and mail the form to:

Clariant Retiree Benefits Center
PO Box 14464
Des Moines, IA 50306
Fax Number: 515 365-1520

Questions call 1-855-236-5992

Make sure the designated beneficiary, other family, or friends have the above contact information. This is the information they will need to file a claim at the time of a retiree's death.

Beneficiary Form