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BENEFICIARY DESIGNATION FORM Life Insurance Company of North America Group Insurance Life Accident Disability Employer Name Employee Social Security # Current Address City State Zip Home Phone Work
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How to fill out beneficiary form template

How to fill out Cigna Beneficiary Designation Form
01
Obtain a copy of the Cigna Beneficiary Designation Form from Cigna's website or customer service.
02
Fill in your personal information at the top of the form, including your name, address, and policy number.
03
Identify and list the primary beneficiaries you wish to designate. Include their full names, relationship to you, and social security numbers if required.
04
If you wish to designate contingent beneficiaries, provide their information in the designated section.
05
Review your selections to ensure all information is accurate and complete.
06
Sign and date the form at the bottom to certify that the information provided is true.
07
Submit the completed form to Cigna according to the instructions provided, either by mail, fax, or online, if applicable.
Who needs Cigna Beneficiary Designation Form?
01
Individuals who hold a life insurance policy or retirement account with Cigna.
02
Policyholders looking to designate beneficiaries for their insurance or retirement benefits.
03
People who want to ensure that their assets are distributed according to their wishes after passing.
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What is Cigna Beneficiary Designation Form?
The Cigna Beneficiary Designation Form is a document that allows individuals to designate who will receive their benefits in the event of their death.
Who is required to file Cigna Beneficiary Designation Form?
Individuals who have insurance policies or financial accounts with Cigna that provide beneficiary options are required to file the Cigna Beneficiary Designation Form.
How to fill out Cigna Beneficiary Designation Form?
To fill out the Cigna Beneficiary Designation Form, individuals must provide personal information, identify primary and contingent beneficiaries, and sign the form as required.
What is the purpose of Cigna Beneficiary Designation Form?
The purpose of the Cigna Beneficiary Designation Form is to ensure that the individual's chosen beneficiaries receive the intended benefits upon their death, avoiding potential disputes.
What information must be reported on Cigna Beneficiary Designation Form?
The form requires personal details such as the policyholder's name, contact information, and the names, relationships, and contact information of the designated beneficiaries.
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