In the event of the loss of a loved one, please complete and submit this form so that the Local can make the necessary arrangements for a plant delivery and/or Bible presentation.
Enhanced Pre-Retirement Survivor Annuity (QPSA) Election Form Retirement Benefit Plan of American Airlines, Inc. for Employees Represented by the Transport Workers Union of America, AFL-CIO
Updated On: Apr 13, 2026
If you have a Pension and die before you begin receiving your retirement benefit, the Plan automatically provides a pre-retirement survivor benefit for your spouse through a Qualified Pre-Retirement Survivor Annuity (QPSA) if you are vested, have been married at least one year at the time of your death, and you have not waived the QPSA coverage. The QPSA provides your surviving spouse a lifetime monthly benefit equal to the surviving spouse's portion of a 50% Joint & Survivor Annuity based on your accrued benefit at the time of your death. In lieu of the QPSA benefit automatically provided by the Plan, you may elect an enhanced benefit that provides your spouse with a greater lifetime monthly benefit by checking one of the boxes below.
The QPSA form and instructions are available on the Net Benefits Fidelity website under the Pension plan forms page for your pension.
The attached picture of the QPSA Form is an example of what the form looks like. You must go to the Pension plan forms page for your QPSA form, which will have a bar code that will be specifically for you.
If you have any questions, please call the American Airlines Service Center at Fidelity toll-free at 1-800-354-3412, Monday through Friday between 8:30 A.M. and midnight, Eastern Time to speak with a Service Center Representative.
