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GROUP INSURANCE BENEFICIARY DESIGNATION FORM CALIFORNIA ASSOCIATION OF PROFESSIONAL SCIENTISTS Please print the information below MEMBERS FULL NAME SOC. SEC. # Male Female Birthdate: Mo Day Year BENEFICIARY
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How to fill out group insurance beneficiary designation

How to fill out group insurance beneficiary designation:
01
Obtain the necessary forms: Contact your insurance provider or employer to request the group insurance beneficiary designation form. They will provide you with the required paperwork.
02
Gather essential information: Gather the personal details of your chosen beneficiaries. This includes their full name, date of birth, relationship to you, and contact information.
03
Identify the policy: Provide the policy number or any other identification details mentioned in the form. This ensures that the beneficiary designation is correctly linked to your specific policy.
04
Specify the percentage of allocation: Indicate the percentage of the death benefit that each beneficiary should receive. Make sure the total adds up to 100%. If you want a beneficiary to receive the entire benefit, assign them 100%.
05
Consider contingent beneficiaries: Contingent beneficiaries are the individuals who will receive the benefit if the primary beneficiaries pass away before you. Determine if you want to name any contingent beneficiaries and follow the same steps as above.
06
Review and sign the form: Carefully review all the information you provided and make any necessary corrections. Once you are satisfied, sign and date the form. Ensure that any required witness signatures or notarization are completed if specified.
07
Submit the form: Submit the completed form to your insurance provider or employer as instructed. Keep a copy for your records.
Who needs group insurance beneficiary designation?
01
Employees with group life insurance: If you have group life insurance through your employer, you may need to designate beneficiaries so that the death benefit goes to the intended individuals in the event of your passing.
02
Policyholders with group insurance: Individuals who hold group insurance policies, outside of employment-based coverage, should also complete a beneficiary designation form. This ensures that the benefit goes to the chosen recipients.
03
Individuals with changing life circumstances: It is essential to regularly review and update your group insurance beneficiary designation form. Life events such as marriage, divorce, birth, or death may require you to make changes to your beneficiaries.
04
Those who want to secure their loved ones' financial future: By designating beneficiaries, you can ensure that your loved ones receive financial support in the form of a death benefit, providing them with a safety net during challenging times.
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What is group insurance beneficiary designation?
The group insurance beneficiary designation is a document that specifies who will receive the benefits from a group insurance policy in the event of the policyholder's death.
Who is required to file group insurance beneficiary designation?
The policyholder or plan member is typically required to file a group insurance beneficiary designation.
How to fill out group insurance beneficiary designation?
To fill out a group insurance beneficiary designation, the policyholder must provide the name, relationship, and contact information of the beneficiary/beneficiaries.
What is the purpose of group insurance beneficiary designation?
The purpose of group insurance beneficiary designation is to ensure that the benefits from the insurance policy are distributed according to the policyholder's wishes.
What information must be reported on group insurance beneficiary designation?
The group insurance beneficiary designation form typically requires the policyholder to provide the beneficiary's full name, date of birth, relationship to the policyholder, and contact information.
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