Form preview

Get the free Term Life and AD&D Insurance Enrollment Form

Get Form
This document is an enrollment form for Term Life and Accidental Death & Dismemberment (AD&D) insurance provided by Unum Life Insurance Company. It requires employees to provide personal information,
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign term life and add

Edit
Edit your term life and add form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your term life and add form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing term life and add online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit term life and add. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out term life and add

Illustration

How to fill out Term Life and AD&D Insurance Enrollment Form

01
Obtain the Term Life and AD&D Insurance Enrollment Form from your employer or insurance provider.
02
Fill out your personal information at the top of the form, including your name, address, and contact information.
03
Indicate your date of birth and social security number as required.
04
Select the coverage amount for Term Life Insurance that you desire.
05
Choose the coverage option for Accidental Death and Dismemberment (AD&D) Insurance.
06
Provide beneficiary information, including names and relationships to you, ensuring they are up to date.
07
Review any health-related questions or declarations required by the insurer.
08
Sign and date the form to certify that all the information is accurate and complete.
09
Submit the completed form to the designated HR representative or insurance provider as instructed.

Who needs Term Life and AD&D Insurance Enrollment Form?

01
Individuals seeking financial protection for their loved ones in case of unexpected death.
02
Employees wanting to enhance their benefits package with additional coverage for accidents.
03
Those who have dependents who may rely on their income.
04
People interested in providing financial security for funeral costs and debts.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
24 Votes

People Also Ask about

AD&D coverage typically defines an “accident” in strict terms. Accidents that occur while a person is engaged in illegal activities or under the influence of drugs and alcohol will probably not be covered.
Basic life insurance offers a financial benefit to your beneficiaries in the event of your death, helping to provide for your loved ones. AD&D insurance complements this by offering additional coverage if you suffer severe injuries or death due to an accident.
Is AD&D insurance worth it? Because AD&D insurance is generally very inexpensive, you might like to have it for peace of mind. However, having life insurance and health insurance will provide far more financial protection due to AD&D's limited coverage and exclusions.
AD&D is cheaper than term life insurance AD&D is known for its affordability. It may offer lower premiums than you would pay for term life insurance. The covered events are much more limited, however, and your family will not collect a death benefit from AD&D if you die of natural causes.
Basic life insurance is typically a form of term life insurance, offering coverage for a specified period, often ranging from 10 to 30 years. It provides a death benefit, a lump-sum payment to beneficiaries if the insured passes away during the term. This coverage is usually limited and often employer-provided.
While AD&D could potentially cover certain gaps, it definitely isn't recommend to rely solely on AD&D for your life insurance coverage. Other coverages may take priority (ensure that you are properly covered in case of a disability as an example).
Basic life insurance offers a financial benefit to your beneficiaries in the event of your death, helping to provide for your loved ones. AD&D insurance complements this by offering additional coverage if you suffer severe injuries or death due to an accident.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Term Life and AD&D Insurance Enrollment Form is a document used by individuals to enroll in term life insurance and Accidental Death and Dismemberment (AD&D) insurance plans.
Individuals who wish to enroll in term life and AD&D insurance provided by their employer or insurance provider are typically required to file this form.
To fill out the form, individuals need to provide personal information such as name, address, date of birth, beneficiary details, and select the coverage amounts they wish to apply for.
The purpose of the form is to formally enroll individuals in term life and AD&D insurance plans, ensuring they receive the benefits of the policies.
The form typically requires reporting personal identification details, contact information, beneficiary names, and chosen coverage amounts.
Fill out your term life and add online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.