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BENEFICIARY DESIGNATION FORM Life Insurance Company of North America Group Insurance Life Accident Disability Citrus Valley Health Partners Employer Name Employee Social Security # Current Address

How to fill out beneficiary designation form

How to fill out a beneficiary designation form:

1. Start by gathering all the necessary information. This includes the full legal name, date of birth, and Social Security number of the primary beneficiary or beneficiaries you want to designate.
2. Carefully read through the form, paying close attention to any instructions or guidelines provided. It's important to understand the requirements and options available to you.
3. Fill in your own personal information accurately, such as your name, address, and contact details. Some forms may also require your relationship to the beneficiary.
4. Clearly indicate the percentage or specific portion of the assets or benefits you want each beneficiary to receive. Make sure the total adds up to 100% or is in accordance with the specified instructions.
5. If you want to include contingent beneficiaries, enter their information as well. These are individuals who would receive the benefits if the primary beneficiary predeceases you.
6. Review the completed form for any errors or omissions. Ensure all fields are filled correctly and legibly.
7. Sign and date the form following the provided instructions. Some forms may require a witness or notary, so be sure to comply with those requirements if applicable.
8. Keep a copy of the completed form for your records and submit it as instructed. It's advisable to notify your beneficiaries of your designation and inform them about the form's location.

Who needs a beneficiary designation form:

1. Individuals with retirement accounts, such as IRAs, 401(k)s, or pensions, typically need a beneficiary designation form. These forms allow you to designate who should receive the assets or benefits in the event of your death.
2. Life insurance policyholders also require beneficiary designation forms. These forms specify who will receive the policy's death benefit.
3. Additionally, individuals with other types of financial accounts or assets, such as bank accounts, investment accounts, or real estate properties, may also need beneficiary designation forms to ensure the smooth transfer of these assets to their chosen beneficiaries upon their death.

For pdfFiller’s FAQs

What is beneficiary designation form?

A beneficiary designation form is a document that allows an individual to specify who will receive a certain asset or benefits upon their death.

Who is required to file beneficiary designation form?

Any individual who wants to designate a beneficiary for their assets or benefits is required to file a beneficiary designation form.

How to fill out beneficiary designation form?

To fill out a beneficiary designation form, the individual must provide their personal information, the details of the asset or benefits being designated, and the information of the designated beneficiary.

What is the purpose of beneficiary designation form?

The purpose of a beneficiary designation form is to ensure that the individual's assets or benefits are transferred to the designated beneficiary upon their death, without the need for probate.

What information must be reported on beneficiary designation form?

The beneficiary designation form must include the individual's personal information, details of the asset or benefits being designated, and the information of the designated beneficiary.

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