Get the free BASIC LIFE AND ADDITIONAL CONTRIBUTORY LIFE ENROLLMENT FORM

This document is used for employees to enroll in basic and additional life insurance coverage provided by St. Jude Children's Research Hospital, including beneficiary designations and coverage options.

How to fill out basic life and additional

How to fill out BASIC LIFE AND ADDITIONAL CONTRIBUTORY LIFE ENROLLMENT FORM

1. Obtain the BASIC LIFE AND ADDITIONAL CONTRIBUTORY LIFE ENROLLMENT FORM from your HR department or the company's website.
2. Fill out your personal information at the top, including your full name, address, date of birth, and employee identification number.
3. Indicate your employment status (full-time, part-time, etc.) as required on the form.
4. Review the options for Basic Life and Additional Contributory Life coverage and select the appropriate choices as per your needs.
5. If you are opting for Additional Contributory Life, specify the coverage amount you desire.
6. Provide the details of your designated beneficiaries – this includes their names, relationship to you, and contact information.
7. Read the terms and conditions of the policy carefully to understand your coverage and obligations.
8. Sign and date the form at the bottom to certify that all information provided is accurate.
9. Submit the completed form to your HR department by the designated deadline.

Who needs BASIC LIFE AND ADDITIONAL CONTRIBUTORY LIFE ENROLLMENT FORM?

1. Employees looking to enroll in Basic Life and Additional Contributory Life insurance plans offered by their employer.
2. Individuals who want to ensure their dependents are financially protected in the case of their passing.
3. New employees or current employees changing their coverage options during the enrollment period.

People Also Ask about

Who should I not name as a beneficiary?

Estranged relatives or former spouses – Family relationships can be complicated, so think carefully if an estranged relative or ex-spouse really aligns with your wishes. Pets – Pets can't legally own property, so naming them directly as beneficiaries is problematic.

What is basic employee life and AD&D?

Accidental Death & Dismemberment insurance is part of your basic life insurance and provides specified benefits for a covered accidental bodily injury that directly causes the loss of a hand, foot or eye. In the event that death occurs from an accident, 100 percent of the AD&D benefit is payable to your beneficiaries.

What is a life insurance beneficiary form?

Use this form to name the persons or entities you want to receive your life insurance proceeds after your death.

How does a life insurance beneficiary work?

A life insurance beneficiary is the person or entity that will receive the money from your policy's death benefit when you pass away. When you purchase a life insurance policy, you choose the beneficiary of the policy. Your beneficiary may be, for example, a child or a spouse.

Who can I claim as a beneficiary?

Like primary beneficiaries, they can be individuals, charities, trusts, or your estate. They have no rights to the assets while primary beneficiaries are still living and eligible to inherit. You can designate different contingent beneficiaries for different accounts or assets.

What is a life beneficiary form?

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.

What is basic life enrollment?

Basic life insurance is commonly offered by employers, providing coverage for a specific period of the policyholder's lifetime. Coverage amount is based on the policyholder's salary; beneficiaries receive the death benefit if the policyholder passes away.

What is the difference between basic life and supplemental life insurance?

What's the difference between basic and supplemental employee life insurance? In short, basic group life insurance is an affordable or free policy offered through an employer's benefits program, while supplemental life insurance lets you to add to that coverage by paying an additional premium.

For pdfFiller’s FAQs

What is BASIC LIFE AND ADDITIONAL CONTRIBUTORY LIFE ENROLLMENT FORM?

The BASIC LIFE AND ADDITIONAL CONTRIBUTORY LIFE ENROLLMENT FORM is a document used for enrolling individuals in basic and additional life insurance plans. It outlines the coverage options available and the details required for enrollment.

Who is required to file BASIC LIFE AND ADDITIONAL CONTRIBUTORY LIFE ENROLLMENT FORM?

Individuals who wish to participate in the basic and additional contributory life insurance plans, typically employees of an organization, are required to file this form.

How to fill out BASIC LIFE AND ADDITIONAL CONTRIBUTORY LIFE ENROLLMENT FORM?

To fill out the form, individuals should provide personal information, choose their coverage options, indicate beneficiaries, and sign the form as required. It's important to follow the instructions provided on the form for accurate completion.

What is the purpose of BASIC LIFE AND ADDITIONAL CONTRIBUTORY LIFE ENROLLMENT FORM?

The purpose of the form is to formally enroll individuals in life insurance programs, ensuring that they receive the appropriate coverage and benefits as per the organization’s offerings.

What information must be reported on BASIC LIFE AND ADDITIONAL CONTRIBUTORY LIFE ENROLLMENT FORM?

The form requires personal details such as the individual's name, address, date of birth, Social Security number, coverage choices, and beneficiary information.