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This document serves as an application for employees to enroll in the group life insurance, accidental death and dismemberment (AD&D), and total and permanent disability benefits, allowing them to
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How to fill out nyu group life insurance

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How to fill out NYU GROUP LIFE INSURANCE ENROLLMENT APPLICATION

01
Obtain the NYU Group Life Insurance Enrollment Application form.
02
Carefully read the instructions on the form.
03
Fill out your personal information, including your name, address, and contact details.
04
Provide your date of birth and Social Security number.
05
Indicate your employment status and your position at NYU.
06
Select the coverage amount you wish to enroll in for life insurance.
07
Specify any beneficiary information, including names and relationships.
08
Review the information for accuracy.
09
Sign and date the application form.
10
Submit the completed application to the designated HR department or insurance representative.

Who needs NYU GROUP LIFE INSURANCE ENROLLMENT APPLICATION?

01
Employees of NYU who wish to enroll in or update their group life insurance coverage.
02
New hires at NYU as part of their employment benefits.
03
Current NYU employees looking to increase their life insurance coverage or add beneficiaries.
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People Also Ask about

NYU provides comprehensive medical coverage for you and your family. You may choose from the following UnitedHealthcare (UHC) medical plan options: UHC Langone Care Plan. UHC Advantage Plan.
Full-Time Faculty You may choose from several plans of health coverage. You may also enroll in the NYU Dental Plan, and have access to the NYU Retirement Plan, disability and life insurance, NYU LiveSmart wellness programs and activities, the Employee Assistance Program, mortgage and adoption programs.
Qualifying Life Events Eligible for a Special Enrollment Period: Loss of minimum essential coverage. Marriage or domestic partnership, birth, adoption, or placement in foster care. Becoming a citizen, national, or lawfully present individual.
Outside of open enrollment you will only be able to make changes to your benefits within 31 days of a “qualifying life event” (Qualifying life events include marriage, divorce, birth or adoption of a child, loss or gain of spouse/domestic partner coverage).
At NYU Langone, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our benefits program is flexible and adapts to the ever-changing needs of our employees, whether it's developing your career, starting a family, or saving for retirement.

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The NYU Group Life Insurance Enrollment Application is a form that allows eligible employees of New York University to enroll in group life insurance coverage provided by the university.
Eligible employees of NYU who wish to participate in the group life insurance plan are required to file the NYU Group Life Insurance Enrollment Application.
To fill out the NYU Group Life Insurance Enrollment Application, employees should complete the required personal information sections, select the desired coverage amounts, and sign the application before submitting it to the HR department.
The purpose of the NYU Group Life Insurance Enrollment Application is to provide a structured process for employees to enroll in life insurance benefits and ensure that all necessary information is collected for coverage enrollments.
The information that must be reported on the NYU Group Life Insurance Enrollment Application includes the employee's personal details, beneficiary designation, coverage amounts requested, and any health-related information if required.
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