OH Anthem Life Insurance Company AL (OSC)-2139 2009-2025 free printable template
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Life Insurance Beneficiary Designation Form Anthem Life Insurance Company Life Claims Service Center P.O. Box 182361 Columbus, OH 43218-2361 Please type or print your responses below. Be sure you
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How to fill out OH Anthem Life Insurance Company AL (OSC)-2139
01
Gather necessary personal information, including your name, address, and Social Security number.
02
Obtain your insurance policy number from OH Anthem Life Insurance Company.
03
Begin filling out section 1 by providing your demographic details as requested.
04
Move to section 2 and list any beneficiaries, including their names and relationship to you.
05
In section 3, provide details about your current health status and any pre-existing conditions.
06
Review section 4 for additional coverage questions that may apply to you.
07
Complete section 5 by signing and dating the form to verify that all information is accurate.
08
Submit the completed form to the designated address noted at the end of the document.
Who needs OH Anthem Life Insurance Company AL (OSC)-2139?
01
Individuals who have or are interested in obtaining a life insurance policy with OH Anthem Life Insurance Company.
02
People who need to update their beneficiary information.
03
Those who need to report changes in health status relevant to their insurance coverage.
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People Also Ask about
Are beneficiary forms required?
Must I complete designation of beneficiary forms? No, these forms are not required.
How do I assign a beneficiary to my life insurance?
You can change the beneficiaries of your life insurance by contacting your insurance company. You'll need to submit a change of beneficiary form online, on paper, or over the phone. The form will ask for personal information about your beneficiary, such as: Contact information.
How to fill out a life insurance beneficiary form?
Write only one beneficiary on each line. Make sure that you write the full names of all beneficiaries. For example, if you name you children as beneficiaries, DO NOT merely write “children” on one of the lines; instead write the full names of each of your children on separate lines.
How do you designate a life insurance beneficiary?
Most beneficiary designations will require you to provide a person's full legal name and their relationship to you (spouse, child, mother, etc.). Some beneficiary designations also include information like mailing address, email, phone number, date of birth and Social Security number.
Do you need to fill out a beneficiary form?
If you get married or divorced, or have children or other life changes, standard sequence will follow those life changes. If you never file a beneficiary designation, your benefit will be paid ing to standard sequence at the time of your death.
What is a life insurance beneficiary designation form?
The beneficiary designation forms allow you to name primary and secondary beneficiaries. Your “primary beneficiaries” are the first people or entities that you want to receive your benefit after you die.
What is beneficiary forms?
Your original designation remains in force whether it still reflects your wishes or not, until you submit another form to cancel prior designations or to designate a new beneficiary. A designation of beneficiary form outlines your desire to have the funds due upon your death paid out in a particular way.
How to fill out beneficiary form for life insurance?
Write only one beneficiary on each line. Make sure that you write the full names of all beneficiaries. For example, if you name you children as beneficiaries, DO NOT merely write “children” on one of the lines; instead write the full names of each of your children on separate lines.
What is the beneficiary designation for life insurance?
Beneficiary designations are used to identify the recipient(s) of your insurance benefits. A Member who is insured for Life Insurance with Standard Insurance Company (The Standard) may name whomever he/she wishes as beneficiary.
How do I fill out a life insurance beneficiary form?
Write only one beneficiary on each line. Make sure that you write the full names of all beneficiaries. For example, if you name you children as beneficiaries, DO NOT merely write “children” on one of the lines; instead write the full names of each of your children on separate lines.
How do I fill beneficiary details?
Enter key beneficiary details – sending money to your own account (Optional) Friendly name: name for your own reference (e.g. My DBS Account) Name/Company name: pre-filled to your name/company name. County of beneficiary: country in which the beneficiary is based.
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What is OH Anthem Life Insurance Company AL (OSC)-2139?
OH Anthem Life Insurance Company AL (OSC)-2139 is a regulatory form that insurance companies like Anthem Life Insurance need to file to provide financial and operational information as required by state insurance regulators.
Who is required to file OH Anthem Life Insurance Company AL (OSC)-2139?
Insurance companies operating in Ohio, particularly those offering life insurance products, are required to file the OH Anthem Life Insurance Company AL (OSC)-2139 form.
How to fill out OH Anthem Life Insurance Company AL (OSC)-2139?
To fill out the OH Anthem Life Insurance Company AL (OSC)-2139 form, companies must provide accurate information regarding their financial status, including assets, liabilities, premiums written, and claims paid, following the specified guidelines provided by the Ohio Department of Insurance.
What is the purpose of OH Anthem Life Insurance Company AL (OSC)-2139?
The purpose of OH Anthem Life Insurance Company AL (OSC)-2139 is to ensure that insurance companies maintain transparency and accountability regarding their financial conditions and operations, thus protecting policyholders and ensuring regulatory compliance.
What information must be reported on OH Anthem Life Insurance Company AL (OSC)-2139?
The OH Anthem Life Insurance Company AL (OSC)-2139 form must report information including the company's financial statements, premium income, investments, claims incurred, reserves, and other relevant financial data as required by the Ohio Department of Insurance.
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