NY Cigna Beneficiary Designation Form free printable template

Return completed form to: Cagney Customer Service Center, PO Box 9279 Des Moines, IA 50306-9279 Phone: 1-866-486-1943 Fax: 1-515-365-1520 BENEFICIARY DESIGNATION FORM Cagney Life Insurance Company

How to fill out NY Cigna Beneficiary Designation Form

How to fill out NY Cigna Beneficiary Designation Form

1. Obtain the NY Cigna Beneficiary Designation Form from the Cigna website or your insurance provider.
2. Read the instructions carefully to understand the requirements for filling out the form.
3. Provide your personal information, including your full name, address, and policy number.
4. Designate a primary beneficiary by entering their name, relationship to you, and contact information.
5. If desired, designate contingent beneficiaries, providing the same information for each.
6. Review the form to ensure all information is accurate and complete.
7. Sign and date the form as required.
8. Submit the completed form to Cigna via the specified method (mail, online submission, etc.).

Who needs NY Cigna Beneficiary Designation Form?

1. Individuals who have a Cigna insurance policy and want to designate beneficiaries for their benefits.
2. Policyholders looking to ensure that their benefits are distributed according to their wishes in the event of their passing.

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What is NY Cigna Beneficiary Designation Form?

The NY Cigna Beneficiary Designation Form is a document used by Cigna insurance policyholders in New York to designate one or more beneficiaries who will receive the benefits upon the death of the policyholder.

Who is required to file NY Cigna Beneficiary Designation Form?

Any policyholder of a Cigna insurance plan in New York who wishes to specify or update the beneficiaries of their policy is required to file the NY Cigna Beneficiary Designation Form.

How to fill out NY Cigna Beneficiary Designation Form?

To fill out the NY Cigna Beneficiary Designation Form, the policyholder must provide their personal information, specify the names and relationships of the beneficiaries, and sign the form. It may also require witness signatures depending on the policy specifics.

What is the purpose of NY Cigna Beneficiary Designation Form?

The purpose of the NY Cigna Beneficiary Designation Form is to ensure that the policyholder's beneficiaries are clearly identified to receive benefits directly after the policyholder's demise, helping in the efficient distribution of benefits.

What information must be reported on NY Cigna Beneficiary Designation Form?

The information that must be reported on the NY Cigna Beneficiary Designation Form includes the policyholder's name, contact information, the names of the beneficiaries, their relationship to the policyholder, and possibly their Social Security numbers and addresses.