BENEFICIARY DESIGNATION FORM (LIFE INSURANCE)

The forms provided here are standard Administration forms. See the other links on the sidebar for Claim Forms. Any Enrollment forms and Evidence of Insurability forms must be obtained through your local Account Representative.

Beneficiary Designation form (Life Insurance)
The completed form must be sent to the insurer for approval (along with copies of all enrollment forms, beneficiary changes, and absolute assignments) in any of the following situations:

• If the designation differs from the examples on the reverse side of the form,
• If the coverage has been assigned,
• If the previous beneficiary was irrevocable, or
• If the insurer maintains all the beneficiary designation records for your plan (including all individual policies).