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Underwritten by: UNM Life Insurance Company of America 2211 Congress Street, Portland, ME 04122Bennington College Policy# 910432/Div 001Union Basic Term Life & ADD Insurance Enrollment Form Please
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How to fill out basic life enrollment form

01
Obtain a copy of the basic life enrollment form from your employer.
02
Read the instructions and make sure you understand all the requirements.
03
Provide personal information such as your name, address, and social security number.
04
Fill out the beneficiary section with the name and contact details of the person who will receive the benefits in case of your death.
05
Indicate your desired coverage amount and any additional coverage options you may want.
06
Review the form for accuracy and completeness before submitting it.
07
Sign and date the form to certify that all the information provided is true and accurate.
08
Submit the completed form to your employer or follow the instructions for submission as provided by your employer.

Who needs basic life enrollment form?

01
Anyone who is eligible for basic life insurance coverage through their employer needs to fill out the basic life enrollment form.
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The basic life enrollment form is a document used to enroll in a basic life insurance policy offered by an employer or insurance provider.
Employees who wish to enroll in a basic life insurance policy are required to file a basic life enrollment form.
To fill out a basic life enrollment form, employees need to provide personal information such as their name, contact details, beneficiary information, and other relevant details as required by the insurer.
The purpose of the basic life enrollment form is to gather necessary information from employees who wish to enroll in a basic life insurance policy and ensure they are properly enrolled in the plan.
Information such as personal details, beneficiary information, coverage options, and any other required information by the employer or insurance provider must be reported on the basic life enrollment form.
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