Use this form to name the persons or entities you want to receive your life insurance proceeds after your death. Things to know before you begin. • Completing ...

Beneficiary Form. Group Term Life Insurance. 100-12711. -. Important Note: This Beneficiary Designation cancels any prior beneficiary designation and shall be ...

Designation of Beneficiary. FEGLI enrollees and assignees use this form to designate who should receive the death benefits. NOT required if the enrollee or ...

Person or persons to receive the Life Insurance proceeds upon the death of the Insured. If more than one Primary Beneficiary is listed, death benefits are.

PRIMARY BENEFICIARY(IES): Person or persons who will receive the life insurance proceeds upon your death. Name. Date of birth. Social security no. Address.

I understand that if there is a valid assignment on file, only the assignee has the right to designate a beneficiary. If a valid assignment is not on file, ...

WHO ARE YOUR BENEFICIARIES? It is very important to clearly indicate your primary beneficiary(ies) and contingent beneficiary(ies).

I, (print full legal name). , am aware that the owner, named above, has named someone other than me to be the beneficiary of this life insurance policy and do ...

A power of attorney must grant specific authority, by the terms of the document or applicable law, to make or change a Beneficiary designation. If you have ...

LIFE INSURANCE BENEFICIARY DESIGNATION/CHANGE FORM. Please fill out each section completely and use additional forms if necessary. 1. Employee Information.