Form preview

Get the free Term Life and AD&D Insurance Enrollment Form

Get Form
This form is used for employees to enroll in Term Life and Accidental Death and Dismemberment (AD&D) insurance, providing options for coverage amounts for themselves, their spouse, and children. It
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign term life and add

Edit
Edit your term life and add form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your term life and add form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing term life and add online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit term life and add. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out term life and add

Illustration

How to fill out Term Life and AD&D Insurance Enrollment Form

01
Obtain the Term Life and AD&D Insurance Enrollment Form from your employer or insurance provider.
02
Start by filling out your personal information, including your name, address, and date of birth.
03
Provide details about your employment, such as your job title, department, and employee ID.
04
Indicate your desired coverage amount for both Term Life and AD&D insurance.
05
Fill in the beneficiary information, including names and relationships.
06
Review the plan options and select any additional coverages if available.
07
Sign and date the form to confirm your information is accurate.
08
Submit the completed form to your HR department or the insurance provider as instructed.

Who needs Term Life and AD&D Insurance Enrollment Form?

01
Individuals who want financial protection for their dependents in the event of their death.
02
Employees seeking additional coverage to supplement their health benefits.
03
Workers in higher-risk jobs who want to ensure that they are covered in case of accidents.
04
Anyone looking for peace of mind regarding their family's financial security.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
30 Votes

People Also Ask about

AD&D coverage typically defines an “accident” in strict terms. Accidents that occur while a person is engaged in illegal activities or under the influence of drugs and alcohol will probably not be covered.
Basic life insurance offers a financial benefit to your beneficiaries in the event of your death, helping to provide for your loved ones. AD&D insurance complements this by offering additional coverage if you suffer severe injuries or death due to an accident.
Is AD&D insurance worth it? Because AD&D insurance is generally very inexpensive, you might like to have it for peace of mind. However, having life insurance and health insurance will provide far more financial protection due to AD&D's limited coverage and exclusions.
AD&D is cheaper than term life insurance AD&D is known for its affordability. It may offer lower premiums than you would pay for term life insurance. The covered events are much more limited, however, and your family will not collect a death benefit from AD&D if you die of natural causes.
Basic life insurance is typically a form of term life insurance, offering coverage for a specified period, often ranging from 10 to 30 years. It provides a death benefit, a lump-sum payment to beneficiaries if the insured passes away during the term. This coverage is usually limited and often employer-provided.
While AD&D could potentially cover certain gaps, it definitely isn't recommend to rely solely on AD&D for your life insurance coverage. Other coverages may take priority (ensure that you are properly covered in case of a disability as an example).
Basic life insurance offers a financial benefit to your beneficiaries in the event of your death, helping to provide for your loved ones. AD&D insurance complements this by offering additional coverage if you suffer severe injuries or death due to an accident.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Term Life and AD&D Insurance Enrollment Form is a document used to enroll employees in term life insurance and accidental death and dismemberment (AD&D) insurance plans. It collects essential information about the insured individuals.
Employees who wish to participate in term life and AD&D insurance plans offered by their employer are required to file this form.
To fill out the form, employees need to provide personal details such as name, address, date of birth, and beneficiary information, as well as select coverage options and provide signatures where necessary.
The purpose of the form is to formally record an employee's request for coverage under the term life and AD&D insurance plans, ensuring that the insurance provider has accurate information for policy issuance.
The form must report personal identification information, beneficiary details, coverage amounts, and any existing health conditions that may affect insurability.
Fill out your term life and add online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.