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What is Beneficiary Change Form

The Beneficiary Designation and Change Request is a business form used by policyowners to designate or change beneficiaries for life insurance policies provided by Securian Life Insurance Company.

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Who needs Beneficiary Change Form?

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Beneficiary Change Form is needed by:
  • Policyowners seeking to update beneficiary information on life insurance policies.
  • Individuals associated with University of Rochester needing life insurance beneficiary forms.
  • Businesses requiring beneficiary designation forms for employee life insurance plans.
  • Estate planners and financial advisors assisting clients with beneficiary designations.
  • Insurance agents facilitating beneficiary changes for clients.

Comprehensive Guide to Beneficiary Change Form

What is the Beneficiary Designation and Change Request?

The Beneficiary Designation and Change Request form is a crucial document used by policyowners to designate or change beneficiaries for life insurance policies issued by Securian Life Insurance Company. This form plays an essential role in ensuring that the intended recipients receive the benefits of the policy upon the policyowner's passing.
By using the beneficiary designation form, policyowners can effectively manage their assets and ensure that their loved ones are financially protected. It's specifically designed for individuals seeking to make adjustments to their life insurance beneficiary designations.

Purpose and Benefits of the Beneficiary Designation and Change Request

Updating beneficiary designations is vital for several reasons, particularly when life circumstances change. Such changes may include marriage, divorce, or the death of a previously designated beneficiary.
Accurate beneficiary designations can provide peace of mind, ensuring that assets are allocated according to the policyholder's wishes. Failing to properly designate beneficiaries can lead to legal implications and unintended distributions, making it paramount to use the life insurance change request form when necessary.

Who Needs the Beneficiary Designation and Change Request?

The form is essential for anyone who qualifies as a policyowner. This includes individuals who have secured life insurance coverage and are responsible for updating beneficiary information.
Life events such as marriage, divorce, or the death of a loved one often necessitate the completion of the Beneficiary Designation and Change Request form. Understanding when to use this form ensures beneficiaries are appropriately named, preventing future complications.

Eligibility Criteria and State-Specific Rules

In Minnesota, specific eligibility criteria must be fulfilled by policyowners wishing to fill out this form. These criteria relate to the necessary information required and the legal implications of proper completion.
Additionally, Minnesota has unique requirements that users must consider, ensuring compliance with state regulations when submitting the Beneficiary Designation and Change Request form.

How to Fill Out the Beneficiary Designation and Change Request Form Online (Step-by-Step)

To complete the Beneficiary Designation and Change Request form online, follow these steps:
  • Access the form through the designated platform.
  • Enter your full name and address accurately.
  • Specify the relationship of each beneficiary to you.
  • Indicate share percentages for both primary and contingent beneficiaries.
  • Review all inputs to ensure accuracy before submission.
Common pitfalls include incomplete fields and incorrect percentages. Paying attention to these details will help avoid errors when filling out the form online.

Field-by-Field Instructions for the Beneficiary Designation and Change Request

The form consists of multiple fields that require precise information. Each field typically includes:
  • Your full name and address for identification.
  • Spaces for beneficiary names and their relationships to you.
  • Check boxes for primary or contingent beneficiary designation.
  • Share percentage allocation for each beneficiary listed.
Correctly filling in share percentages is crucial to ensure that your wishes are honored. Pay close attention to the instructions related to each field to avoid mistakes.

Review and Validation Checklist Before Submission

Before submitting the Beneficiary Designation and Change Request form, it’s essential to conduct a thorough review. Check the following items:
  • Ensure all signatures are provided and dated.
  • Confirm that all fields are completed accurately.
  • Double-check beneficiary percentages for correctness.
Having a checklist can greatly enhance confidence in the completeness and accuracy of the submission, minimizing the chance of errors.

Submission Methods and Delivery Options for the Beneficiary Designation and Change Request

Once the form is completed, there are several acceptable submission methods, which include:
  • Mailing the form to the designated Securian Life Insurance Company address.
  • Using secure upload options available online.
Each submission method will have its own delivery timeline, and it's advisable to keep a track of your submission to ensure it has been received and processed.

What Happens After You Submit the Beneficiary Designation and Change Request?

Following the submission, the process involves an endorsement by Securian Life Insurance Company. It's important to know how to track the status of your submission to confirm receipt and processing timelines.
Typically, you'll receive a confirmation once the form has been successfully processed, allowing for peace of mind regarding your designated beneficiaries.

Utilizing pdfFiller to Simplify Your Beneficiary Designation and Change Request

pdfFiller enhances the experience of completing the Beneficiary Designation and Change Request. The cloud-based PDF editor allows users to fill out, sign, and submit the form with ease.
With robust security measures in place, users can trust that their sensitive information remains confidential. The accessible features of pdfFiller streamline document management and enhance overall efficiency.
Last updated on May 1, 2026

How to fill out the Beneficiary Change Form

  1. 1.
    Access pdfFiller and search for the Beneficiary Designation and Change Request form.
  2. 2.
    Open the form by clicking on its title and wait for it to load in the pdfFiller interface.
  3. 3.
    Before you start, collect the required information about your primary and contingent beneficiaries, including their full names, addresses, relationships to you, and share percentages.
  4. 4.
    Begin filling out the form by clicking on the designated fields and typing in the required information.
  5. 5.
    Use the checkbox options to select the types of beneficiaries you wish to designate.
  6. 6.
    Double-check that all necessary fields have been completed accurately.
  7. 7.
    Review your entries to ensure that the information is correct and comprehensive.
  8. 8.
    Once everything looks good, electronically sign and date the form in the provided fields.
  9. 9.
    After signing, save your filled form in pdfFiller to your account or download it directly to your device.
  10. 10.
    You can submit the completed form by emailing it to Securian Life or by following any additional submission instructions provided.
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FAQs

If you can't find what you're looking for, please contact us anytime!
Policyowners of life insurance policies from Securian Life Insurance Company are eligible to complete this form, as they are the ones authorized to designate or change beneficiaries.
While there may not be a strict deadline, it is recommended to submit the form as soon as possible to ensure that your beneficiary designations are updated in a timely manner.
After completing the Beneficiary Designation and Change Request form, you can submit it by following the instructions provided by Securian Life, including options for mailing or direct email submission.
Make sure to have the full names, addresses, relationships, and share percentages of your primary and contingent beneficiaries ready before starting to fill out the form.
Common mistakes include leaving required fields blank, incorrect beneficiary information, or failing to sign and date the form. Be sure to review all entries carefully.
Processing times can vary; usually, it takes a few business days for forms to be reviewed, but it's best to check directly with Securian Life for current processing times.
No, notarization is not required for this form. Only the signature of the policyowner is needed to validate the form.
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