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BENEFICIARY DESIGNATION FORM Life Insurance Company of North America Employer Name: PBI Gordon Corporation Employee Name: Employee Social Security# Current Address Home Phone City State ZIP Work Phone
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How to fill out cigna beneficiary form

How to fill out Cigna beneficiary form:
01
Obtain the Cigna beneficiary form: Start by obtaining the Cigna beneficiary form, which can usually be found on the Cigna website or by contacting their customer service.
02
Provide personal information: Begin by providing your personal information, including your full name, date of birth, and contact details. Make sure all the information is accurate and up to date.
03
Identify the policyholder: If you are the policyholder, simply provide your own information. If you are completing the form on behalf of someone else, provide the necessary details of the policyholder, including their name and policy number.
04
Choose the type of beneficiary: Indicate whether you are designating a primary beneficiary or a contingent beneficiary. A primary beneficiary is the first person who will receive the benefits, while a contingent beneficiary will only receive them if the primary beneficiary is unable to.
05
Provide beneficiary details: Fill in the beneficiary's full name, relationship to the policyholder, and contact information. If there are multiple beneficiaries, provide the details for each one separately.
06
Specify the percentage of benefits: Determine the percentage of benefits that each beneficiary should receive. Ensure that the total percentage adds up to 100.
07
Date and sign the form: Once you have filled in all the required information, sign and date the form. If you are completing the form on behalf of the policyholder, make sure to indicate your relationship to them.
Who needs a Cigna beneficiary form:
01
Cigna policyholders: Any individual who has a Cigna insurance policy and wishes to designate beneficiaries to receive the benefits in the event of their death will need to fill out a Cigna beneficiary form.
02
Individuals with dependent family members: If you have dependent family members who rely on your insurance benefits, it is crucial to complete a beneficiary form to ensure that the benefits are distributed according to your wishes.
03
People going through major life changes: Life events such as marriages, divorces, births, or deaths in the family may necessitate a change in beneficiaries. In such cases, it is important to update the Cigna beneficiary form to reflect the latest wishes.
04
Those seeking to update their beneficiary designations: If you have previously designated beneficiaries but wish to make changes, such as adding new individuals or adjusting the percentage of benefits, you will need to fill out a new Cigna beneficiary form.
Note: It is always recommended to consult with a legal or financial advisor regarding the specific requirements and implications of completing a beneficiary form, as regulations may vary depending on the jurisdiction and insurance policy.
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What is cigna beneficiary form?
Cigna beneficiary form is a document used to designate who will receive the benefits from a Cigna insurance policy in the event of the policyholder's death.
Who is required to file cigna beneficiary form?
The policyholder is required to file the Cigna beneficiary form to designate beneficiaries for their insurance policy.
How to fill out cigna beneficiary form?
To fill out the Cigna beneficiary form, the policyholder must provide the names and contact information of the beneficiaries they wish to designate.
What is the purpose of cigna beneficiary form?
The purpose of the Cigna beneficiary form is to ensure that the policyholder's insurance benefits are distributed according to their wishes in the event of their death.
What information must be reported on cigna beneficiary form?
The Cigna beneficiary form requires information such as the names, relationship to the policyholder, and contact information of the designated beneficiaries.
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