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Death benefit beneficiary nomination form Contents and instructions Please complete this form to confirm a previous nomination of beneficiary, revoke an existing nomination, or request a new nomination.
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How to fill out death benefit beneficiary nomination

How to fill out death benefit beneficiary nomination:
01
Obtain the necessary forms: Contact your insurance provider or employer to obtain the required forms for death benefit beneficiary nomination. They will provide you with the necessary documents and instructions to complete the nomination process.
02
Provide personal information: Fill in your personal details such as your full name, date of birth, and contact information. It is important to provide accurate and up-to-date information for proper identification.
03
Choose primary beneficiaries: Identify and designate your primary beneficiaries. These are the individuals who will receive the death benefit in the event of your passing. Include the full names, dates of birth, and relationship to you for each primary beneficiary.
04
Allocate percentage of benefits: Specify the percentage of the death benefit each primary beneficiary will receive. If you want all beneficiaries to receive an equal share, you can allocate the percentage equally among them. Alternatively, you can assign different percentages based on your preferences or specific financial needs of each beneficiary.
05
List contingent beneficiaries: Contingent beneficiaries are those who will receive the death benefit if the primary beneficiaries predecease you or are unable to claim the benefit for some reason. Provide the full names, dates of birth, and relationship of each contingent beneficiary.
06
Consider special circumstances: If you have any specific instructions or circumstances that need to be considered, mention them in the designated sections. For example, if a primary beneficiary is a minor, you may want to specify a legal guardian or trustee to oversee the funds until the minor reaches a certain age.
Who needs death benefit beneficiary nomination?
01
Individuals with life insurance policies: If you have a life insurance policy, it is essential to designate beneficiaries to ensure that the death benefit is distributed according to your wishes. Without a beneficiary nomination, the insurance company may follow legal guidelines or default rules, which may not align with your intentions.
02
Employees with retirement accounts: Many retirement plans, such as 401(k) or pension plans, require the nomination of beneficiaries. By designating beneficiaries, you ensure that the accumulated retirement funds are transferred to your chosen individuals after your passing.
03
Members of employee group benefits plans: If you are a part of an employee group benefits plan, such as group life insurance or accidental death and dismemberment coverage, you will likely have the option to designate beneficiaries for these benefits. It is crucial to complete the beneficiary nomination to specify who should receive the benefits in the case of your death.
In summary, filling out a death benefit beneficiary nomination involves providing personal information, choosing primary and contingent beneficiaries, allocating percentages, and considering any special circumstances. It is necessary for individuals with life insurance policies, retirement accounts, and employee group benefits plans to complete this process to ensure that the death benefit is distributed according to their wishes.
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What is death benefit beneficiary nomination?
Death benefit beneficiary nomination is the process of naming a person or entity to receive the death benefit of a life insurance policy or retirement account.
Who is required to file death benefit beneficiary nomination?
The policyholder or account holder is required to file the death benefit beneficiary nomination.
How to fill out death benefit beneficiary nomination?
To fill out a death benefit beneficiary nomination, the policyholder must provide the name, relationship, and contact information of the beneficiary.
What is the purpose of death benefit beneficiary nomination?
The purpose of death benefit beneficiary nomination is to ensure that the death benefit is paid to the intended beneficiary upon the policyholder's death.
What information must be reported on death benefit beneficiary nomination?
The death benefit beneficiary nomination must include the full name, relationship, and contact information of the beneficiary.
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