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HEALTH AND SECURITY PLAN 37 DC CHANGE OF BENEFICIARY FORM (PLEASE READ THE INSTRUCTIONS ON THE BACK BEFORE COMPLETING THIS FORM) (PRINT OR TYPE IN BLACK INK AND IN CAPITAL LETTERS) 125 Barclay St.,
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How to fill out health change of beneficiary

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How to fill out health change of beneficiary:

01
Start by obtaining the necessary form from your health insurance provider. This form is typically available on their website or can be requested through their customer service department.
02
Begin by entering your personal information, including your name, address, and contact information. Make sure to double-check the accuracy of this information to avoid any errors.
03
Next, locate the section on the form that specifically pertains to the change of beneficiary. This section may be labeled as "Beneficiary Information" or something similar.
04
Fill in the new beneficiary's details, including their full name, relationship to you, and any other required information. If there is more than one beneficiary, ensure that you provide their information separately or as directed on the form.
05
Review the completed form for any mistakes or missing information. It is important to be thorough and accurate when filling out this form to avoid any potential issues in the future.
06
Once you are satisfied with the information provided, sign and date the form as instructed. This serves as your consent and acknowledgement of the changes made.
07
Depending on the instructions provided by your health insurance provider, you may need to submit the form in a specific manner. This could include mailing it to a designated address, faxing it, or submitting it electronically through their website.

Who needs health change of beneficiary:

01
Individuals who have experienced a change in their personal circumstances may need to update the beneficiary information on their health insurance policy.
02
Common situations that may necessitate a health change of beneficiary include marriage, divorce, the birth or adoption of a child, the death of a beneficiary, or a change in the relationship between you and your current beneficiary.
03
It is important to review and update your beneficiary information regularly to ensure that it reflects your current wishes and circumstances. By doing so, you can help ensure that the benefits of your health insurance policy are disbursed according to your preferences in the event of your death.
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Health change of beneficiary refers to updating the designated individual who will receive health benefits.
The policyholder or the beneficiary is required to file the health change of beneficiary.
To fill out the health change of beneficiary, you need to provide the updated beneficiary's information and submit it to the health insurance provider.
The purpose of health change of beneficiary is to ensure that the right person receives the health benefits in case of the policyholder's death.
The information that must be reported on health change of beneficiary includes the new beneficiary's full name, contact information, and relationship to the policyholder.
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