<PLAN NAME> RETIREMENT PLAN
QUALIFIED DEFAULT INVESTMENT ALTERNATIVE (QDIA)
REQUIRED ANNUAL [or] INITIAL PARTICIPANT NOTICE
[Note to employer:
1. This notice should be printed on your company letterhead and distributed to the appropriate
participants in your plan.
2. This notice has been provided as a sample only. When completing for your plan, please be sure
that you add information that is accurate and appropriate to your specific plan. Only retain the
sample alternatives if these are applicable to your plan. ]
Purpose of this notice
<ER Name> maintains the <Plan Name> to help you attain financial security during your retirement
years. As a participant, you decide how your retirement plan dollars will be invested in the designated
investment alternatives available in the plan. If you do not make an investment election, your
contributions will be invested in the Qualified Default Investment Alternative (QDIA).
This Qualified Default Investment Alternative (QDIA) Participant Notice:
1. describes when the QDIA is used;
2. provides details regarding the QDIA selected;
3. outlines your right to direct the investment of your plan dollars to other investments available in the
plan or to elect not to have contributions withheld from your pay, if applicable; and
4. explains how you can obtain additional information regarding those additional investment
alternatives.
Keep this disclosure with your Summary Plan Description and other retirement plan documents.
When the default fund will be used
You can invest your plan dollars in any of the investment alternatives available in your plan. In the
absence of an investment election, your future contributions will be invested in the plan‘s QDIA under
any of the following circumstance(s):
 You have made a salary reduction election without an investment election;
 An employer discretionary contribution has been made on your behalf but you have not provided
an investment election;
 The plan contains an automatic enrollment feature and you did not make an investment election
plan during the notice period. Therefore, <xx>% of your eligible compensation will be contributed
to the plan as an elective contribution. You have the right to elect not to have such automatic
contributions made to the plan on your behalf and the right to elect to have such automatic
contributions made at a different percentage. Please contact the Plan Administrator for more
information.
 If the asset allocation you complete on your enrollment form does not equal 100% or if you choose
an investment option that is not available in the plan, all of your contributions will be invested in the
QDIA.
If assets in your plan account are invested in the plan’s QDIA, you can direct the investment of those
assets to any other designated investment alternative under the plan. Please note, ongoing
investment and account fees may apply. Please see “Investment Elections” for more information on
making investment elections.
Sample QDIA Notice
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The QDIA for your plan as of <date>, is:
[Note to employer: Include QDIA investment description of investment option selected. If LVIP
Managed Risk Profile investment options are selected, include description of all five funds]
< American Funds American Balanced Fund® (SA1B) – The American Funds Balanced account
seeks to provide conservation of capital, current income and long-term growth of capital and income.
Capital Research and Management Company (CRMC) is the advisor for the account. The American
Funds American Balanced Fund takes a balanced approach and is managed as if it constituted the
complete investment program of the prudent investor. The Fund invests primarily in common stocks
and preferred stocks, bonds, convertibles and cash. It may invest up to 15% of its assets in securities
of issuers domiciled outside the United States. It may not invest more than 75% of assets in common
stocks. All of the Fund's fixed-income investments must be investment-grade at the time of purchase.
There is a 0.15%* annual investment management fee assessed on assets and a 0.64%* underlying
mutual fund fee. >
< American Funds Capital Income Builder® (SA1F) – The American Funds Capital Income Builder
account has two primary investment objectives. It seeks (1) to provide a level of current income that
exceeds the average yield on U.S. stocks generally and (2) to provide a growing stream of income
over the years. The fund’s secondary objective is to provide growth of capital. Capital Research and
Management Company (CRMC) is the advisor for the account. The American Funds Capital Income
Builder account invests primarily in a broad range of income-producing securities, including stocks
with a history of, or potential for, increasing dividends. The account may also invest significantly in
securities of issuers domiciled outside the United States. The account normally invests at least 90%
of its assets in income-producing securities, with at least 50% of its assets in equity securities. There
is a 0.15%* annual investment management fee assessed on assets and a 0.64%* underlying mutual
fund fee. >
< American Funds Income Fund of America® (SA1L) – The American Funds Income Fund of
America account seeks to provide current income and, secondarily, striving for capital growth. Capital
Research and Management Company (CRMC) is the advisor for the account. The American Funds
Income Fund of America Fund seeks investments in both the stock and bond markets that provide an
opportunity for above-average current income and long-term capital growth. The fund may invest in
convertible securities with the potential for higher income than stocks and more appreciation than
regular bonds. It may invest up to 25% of assets in equities of non-U.S. companies and up to 10% of
assets in fixed-income securities of non-U.S. issuers and denominated in U.S. dollars. The Fund may
invest only 20% of its assets in securities rated below investment grade. There is a 0.15%* annual
investment management fee assessed on assets and a 0.64%* underlying mutual fund fee. >
< Franklin Balanced (SA2R) – Franklin Balanced seeks both income and capital appreciation.
Franklin Advisors Inc. is the advisor for the account. The Fund normally invests in a diversified
portfolio of stocks (substantially dividend paying), convertible securities and debt securities. The Fund
seeks income by investing in a combination of corporate, agency and government bonds issued in
the United States and other countries, as well as common stocks and convertible securities. The
Fund seeks capital appreciation by investing in equity securities and convertible securities of
companies from varying industries. There is a 0.05%* annual investment management fee assessed
on assets and a 1.09%* underlying mutual fund fee. >
< Franklin Income VIP (SA2I) – The Franklin Income VIP account, formerly FTVIPT Franklin Income
Securities, seeks to maximize income while maintaining prospects for capital appreciation. Franklin
Advisers, Inc. is the advisor for the account. The Franklin Income VIP Fund normally invests in both
debt and equity securities. The Fund seeks income by investing in corporate, foreign and U.S.
Treasury bonds, as well as stocks with dividend yields the manager believes are attractive. There is a
0.15%* annual investment management fee assessed on assets and a 0.72% * underlying mutual fund
fee. >
Sample QDIA Notice
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< LVIP Delaware Foundation® Aggressive Allocation (SA2N) – The LVIP Delaware Foundation
Aggressive Allocation account seeks long-term capital growth. The Fund invests in a combination of
underlying securities, using an active allocation approach and representing a variety of asset classes
and investment styles. The target allocation is 40% U.S. Equity, 30% International Equity, 10%
Emerging Markets, 18% Bonds and 2% Cash. The target allocations for each asset class may vary
within the allowable ranges noted in the Fund’s prospectus. Lincoln Investment Advisors Corporation
is the advisor, and Delaware Management Company is the sub-advisor for the Fund. There is a
0.20%* annual investment management fee assessed and a 0.76%* underlying investment company
fee. >
< LVIP Delaware Foundation® Conservative Allocation (SA2L) – The LVIP Delaware Foundation
Conservative Allocation account is an active asset allocation fund that seeks current income and
preservation of capital with capital appreciation. The fund invests in a combination of underlying
securities, using an active allocation approach and representing a variety of asset classes and
investment styles. The target allocation is 20% U.S. Equity, 15% International Equity, 5% Emerging
Markets, 58% Bonds and 2% Cash. The target allocations for each asset class may vary within the
allowable ranges noted in the Fund’s prospectus. Lincoln Investment Advisors Corporation is the
advisor, and Delaware Management Company is the sub-adviser for the Fund. There is a 0.20%*
annual investment management fee assessed and a 0.75%* underlying investment company fee. >
< LVIP Delaware Foundation® Moderate Allocation (SA2M) – The LVIP Delaware Foundation
Moderate Allocation account is an active asset allocation fund that seeks capital appreciation with
current income as a secondary objective. The fund invests in a combination of underlying securities,
using an active allocation approach and representing a variety of asset classes and investment
styles. The target allocation is 30% U.S. Equity, 22.5% International Equity, 7.5% Emerging Markets,
38% Bonds and 2% Cash. The target allocations for each asset class may vary within the allowable
ranges noted in the Fund’s prospectus. Lincoln Investment Advisors Corporation is the advisor, and
Delaware Management Company is the sub-adviser for the Fund. There is a 0.20%* annual
investment management fee assessed and a 0.75%* underlying investment company fee. >
< LVIP Managed Risk Profile Target Maturity Funds – The following five LVIP Managed Risk
Profile investment options are designed for investors planning to retire close to the year indicated in
the name of the fund. If the date of birth is not provided, defaulted contributions will be invested in the
Federated Government Ultrashort Duration investment option until the missing information is
received. Upon receipt, the participant’s future investment allocations will be directed to the ageappropriate LVIP Managed Risk Profile investment option. The participant’s accumulated balance will
remain in the Federated Government Ultrashort Duration investment option until the participant
transfers the balance by accessing their account via the web or by calling the Customer Contact
Center.
 LVIP Managed Risk Profile 2010 (SA2W) – The LVIP Managed Risk Profile 2010 is designed for
investors with a birth year before 1947. The Fund seeks the highest total return over time with an
increased emphasis on capital preservation as the target date approaches. Thereafter, an
emphasis will be placed on high current income with a secondary focus on capital appreciation.
Lincoln Investment Advisors Corporation is the advisor for the account. The current target
allocation for LVIP Managed Risk Profile 2010 includes investing approximately 52% of its assets
in underlying funds which invest primarily in fixed-income securities and approximately 48% in
underlying funds which invest primarily in equity securities. The Fund will change over time,
becoming more conservative as you approach retirement age. There is a 0.20%* annual
investment management fee assessed on assets and a 0.73%* underlying mutual fund fee.
 LVIP Managed Risk Profile 2020 (SA2X) – The LVIP Managed Risk Profile 2020 is designed for
investors with a birth year between 1947 and 1957. The Fund seeks the highest total return over
time with an increased emphasis on capital preservation as the target date approaches.
Thereafter, an emphasis will be placed on high current income with a secondary focus on capital
appreciation. Lincoln Investment Advisors Corporation is the advisor for the account. The current
Sample QDIA Notice
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target allocation for LVIP Managed Risk Profile 2020 includes investing approximately 55% of its
assets in underlying funds which invest primarily in equity securities and approximately 45% in
underlying funds which invest primarily in fixed-income securities. The Fund will change over time,
becoming more conservative as you approach retirement age. There is a 0.20%* annual
investment management fee assessed on assets and a 0.72%* underlying mutual fund fee.
 LVIP Managed Risk Profile 2030 (SA2Y) – The LVIP Managed Risk Profile 2030 is designed for
investors with a birth year between 1958 and 1967. The Fund seeks the highest total return over
time with an increased emphasis on capital preservation as the target date approaches.
Thereafter, an emphasis will be placed on high current income with a secondary focus on capital
appreciation. Lincoln Investment Advisors Corporation is the advisor for the account. The current
target allocation for LVIP Managed Risk Profile 2030 includes investing approximately 68% of its
assets in underlying funds which invest primarily in equity securities and approximately 32% in
underlying funds which invest primarily in fixed-income securities. The Fund will change over time,
becoming more conservative as you approach retirement age. There is a 0.20%* annual
investment management fee assessed on assets and a 0.73%* underlying mutual fund fee.
 LVIP Managed Risk Profile 2040 (SA2Z) – The LVIP Managed Risk Profile 2040 is designed for
investors with a birth year between 1968 and 1977. The Fund seeks the highest total return over
time with an increased emphasis on capital preservation as the target date approaches.
Thereafter, an emphasis will be placed on high current income with a secondary focus on capital
appreciation. Lincoln Investment Advisors Corporation is the advisor for the account. The current
target allocation for LVIP Managed Risk Profile 2040 includes investing approximately 79% of its
assets in underlying funds which invest primarily in equity securities and approximately 21% in
underlying funds which invest primarily in fixed-income securities. The Fund will change over time,
becoming more conservative as you approach retirement age. There is a 0.20%* annual
investment management fee assessed on assets and a 0.75%* underlying mutual fund fee.
 LVIP Managed Risk Profile 2050 (SA3G) – The LVIP Managed Risk Profile 2050 is designed for
investors with a birth year of 1978 and after. The Fund seeks the highest total return over time with
an increased emphasis on capital preservation as the target date approaches. Thereafter, an
emphasis will be placed on high current income with a secondary focus on capital appreciation.
Lincoln Investment Advisors Corporation is the advisor for the account. The Profile Fund’s current
investment strategy will be to invest at least 92% of its net assets in underlying funds which invest
primarily in equity securities and approximately 8% in underlying funds which invest primarily in
fixed-income securities. There is a 0.20%* annual investment management fee assessed on
assets and a 0.74%* underlying mutual fund fee. >
*Expense
information provided as of September 30, 2015.
Making investment elections
You may direct the investment of future contributions made to your plan account and your existing
plan account balance as follows:
 You may change investment elections for your future contributions.
 You may change the investment elections for your existing account balances, including assets
invested in the plan’s QDIA.
To direct the investment of your plan account assets, you may make investment elections in the
following manner:
For new participants: You may make investment elections on an Enrollment Form.
For existing participants: You may make investment elections in one of two ways:
Sample QDIA Notice
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EMBC1015-2518LAN
1. You may access Lincoln’s secure website, LincolnFinancial.com, 24 hours a day, seven days a
week
2. You may call the Customer Contact Center at 800-510-4015, Monday through Friday, from 8:00
a.m. to 8:00 p.m. Eastern Time
The New York Stock Exchange closes for trading at 4:00 p.m. Eastern Time on most business days.
Transactions received before market close will be assigned that day’s closing unit price. Transactions
received after market close, or on a weekend or holiday, will be assigned the closing unit price for the
next business day.
Additional information
You may obtain additional information by contacting the individual(s) listed below:
 Lincoln Customer Contact Center: 800-510-4015
 Designated plan fiduciary:
Name or title of fiduciary (trustee)
or designee of fiduciary:
Address:
Phone:
Fax:
Sample QDIA Notice
PAD-1324634-101415
EMBC1015-2518LAN
<Name>
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<City, State, Zip>
<000-000-0000>
<000-000-0000>