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CIGNA LMS-613500 2006-2024 free printable template

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Pittsburgh Claim Service Center P. O. Box 22328 Pittsburgh PA 15222-0328 1-800-238-2125 Toll Free Group/Association - Proof of Loss Life Insurance Accidental Death Insurance Connecticut General Life Insurance Company CIGNA Life Insurance Company of New York LMS-613500 Rev. 09/2006 Clear Fields FRAUD WARNING Any person who knowingly and with intent to defraud any insurance company or other person 1 files an application for insurance or statement of claim containing any materially false...
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How to fill out cigna life insurance beneficiary

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How to fill out cigna life insurance beneficiary?

01
Contact your insurance provider: Reach out to Cigna or your insurance agent to obtain the necessary forms and information on how to fill out the beneficiary designation.
02
Gather required information: Collect the essential details such as the full name, relationship to you, date of birth, social security number, and contact information of the beneficiary/beneficiaries.
03
Review your policy: Familiarize yourself with the terms and conditions of your life insurance policy, specifically the section related to beneficiaries. Make sure you understand how the beneficiary designation will impact the distribution of benefits.
04
Determine the percentage of benefits: Decide on the allocation of the insurance proceeds among multiple beneficiaries, if applicable. You can assign specific percentages or equal shares to each individual.
05
Complete the beneficiary designation form: Fill in all the relevant sections of the form accurately and honestly. Provide your personal information, policy details, and the details of the beneficiaries. Be sure to use the correct legal names and include all required signatures.
06
Keep a copy for your records: Make a photocopy or digital copy of the completed form before submitting it to Cigna. This will ensure that you have a record of the beneficiary designation.
07
Submit the form: Send the completed beneficiary designation form to Cigna as instructed. It is advisable to follow up with your insurance provider to confirm receipt and ensure that the form is processed correctly.

Who needs cigna life insurance beneficiary?

01
Individuals with a Cigna life insurance policy: Any person who holds a life insurance policy with Cigna may need to designate a beneficiary.
02
Policyholders looking to determine the distribution of benefits: By naming a beneficiary, policyholders can specify who will receive the life insurance proceeds upon their death and in what proportion.
03
Those who want to ensure their loved ones are financially protected: Designating a beneficiary is crucial to provide financial security for your family, dependents, or any chosen individuals after you pass away. It allows you to have control over where your life insurance benefits will go.

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A Cigna life insurance beneficiary refers to the person or entity designated by the policyholder to receive the death benefit proceeds upon the passing of the insured. The beneficiary can be a family member, friend, or any individual chosen by the policyholder. The designation can be changed or updated over time as per the policyholder's discretion.
The policyholder, who is the insured person, is typically required to file the Cigna life insurance beneficiary. The policyholder is responsible for designating the beneficiary or beneficiaries who will receive the death benefit in the event of their death.
To fill out a Cigna life insurance beneficiary form, you will typically follow these steps: 1. Obtain the beneficiary form: Contact Cigna or your insurance agent/representative to request the beneficiary designation form. This form can often be found on their website as well. 2. Provide policy details: Fill in your policy number, your full name, and other required identification information as requested on the form. 3. Identify primary beneficiary: Indicate the full name, relationship to you (e.g., spouse, child, parent), and the percentage of the death benefit that will be allocated to them. You can select multiple primary beneficiaries with different percentages if desired. 4. Identify contingent beneficiary: In case the primary beneficiary predeceases you or cannot receive the benefit, name a contingent beneficiary. Provide their full name and relationship details. 5. Provide contact information: Include the address, phone number, and email of both the primary and contingent beneficiaries. It is crucial to keep these details updated, as this information will be used to contact them in the future. 6. Get beneficiary signatures: Ensure both primary and contingent beneficiaries sign the form in the designated areas, along with the date. 7. Witness and notary signatures: Some states may require the form to be witnessed or notarized. Check the requirements for your state and ensure all necessary signatures are obtained. 8. Review and submit: Take the time to thoroughly review the form for accuracy and completeness. Once satisfied, submit the form to Cigna according to their instructions. It is advisable to keep a copy of the form for your records. Note: If you wish to make changes to your beneficiary designation in the future, contact Cigna or your insurance agent/representative to obtain a new form and follow the same process.
The purpose of a Cigna life insurance beneficiary is to designate an individual or entity who will receive the death benefit from the life insurance policy upon the insured person's death. The beneficiary is typically chosen by the policyholder and can be a spouse, child, family member, or any other person or organization the policyholder wishes to provide financial support to after their death. The beneficiary designation enables the seamless transfer of funds and ensures that the intended individual or entity receives the policy's benefits in a timely manner.
When reporting the beneficiary for Cigna life insurance, the following information is typically required: 1. Full name of the beneficiary: Provide the beneficiary's complete legal name, including first name, middle name (if applicable), and last name. 2. Relationship to the insured: Specify the beneficiary's relationship to the policyholder, such as spouse, child, parent, sibling, or another designation. 3. Contact information: Include the beneficiary's current address, phone number, and email address (if available) so that Cigna can reach out if needed. 4. Date of birth: Provide the beneficiary's date of birth, which helps verify their identity and determines their age for processing any potential claims. 5. Social security number (SSN) or individual taxpayer identification number (ITIN): To ensure accurate identification, Cigna may require the beneficiary's SSN or ITIN. 6. Percentage of benefit allocation: Specify the portion or percentage of the death benefit that the beneficiary should receive. This information helps to allocate the funds appropriately if there are multiple beneficiaries. 7. Contingent beneficiaries: Optionally, you may include details of secondary or contingent beneficiaries who would receive the benefit if the primary beneficiary is unable to claim it. It is important to consult with Cigna or refer to their specific procedures and requirements for accurate and up-to-date information when reporting beneficiaries for life insurance.
I am not a legal expert, but I can provide some general information. It's important to note that penalties for late filing of a beneficiary claim may vary depending on the specific terms and conditions set by the insurance provider, such as Cigna Life Insurance, and any applicable local laws. If you fail to file a beneficiary claim within a certain timeframe specified in the policy, it could potentially result in a denial of the claim or a delay in receiving the insurance benefits. To get accurate information regarding late filing penalties for Cigna Life Insurance's beneficiary claims, it is recommended to directly consult their policy documentation or contact their customer service.
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