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BENEFICIARY DESIGNATION FORM Life Insurance Company of North America or Cagney Life Insurance Company of New York Employer Name Employee Name Current Address Home Phone Mercury Insurance Services,

How to fill out cigna beneficiary designation form

How to fill out cigna beneficiary designation form

1. Step 1: Obtain the Cigna beneficiary designation form. You can download it from the official Cigna website or request a copy from your insurance provider.
2. Step 2: Read the instructions provided on the form carefully. Familiarize yourself with the requirements and necessary information.
3. Step 3: Fill out your personal information accurately. This includes your full name, address, contact information, and policy number.
4. Step 4: Identify the primary beneficiary. Indicate their full name, relationship to you, and their contact information.
5. Step 5: If desired, designate contingent beneficiaries. These are individuals who would receive the benefits if the primary beneficiary is unable to.
6. Step 6: Specify the percentage of the insurance benefits you wish to allocate to each beneficiary. Ensure the total percentage adds up to 100%.
7. Step 7: Review the completed form for any errors or omissions. Make sure all the information provided is accurate and up to date.
8. Step 8: Sign and date the form at the designated areas. If necessary, have a witness sign as well.
9. Step 9: Submit the filled-out form to your insurance provider. Follow their instructions on how to submit it, whether through mail, email, or online portal.
10. Step 10: Keep a copy of the filled-out form for your records.

Who needs cigna beneficiary designation form?

1. Anyone who has a Cigna insurance policy and wants to designate beneficiaries to receive the insurance benefits upon their death needs to fill out the Cigna beneficiary designation form.
2. This form is specifically for individuals who wish to specify who will receive the benefits and in what proportions after their passing.
3. Whether you have a life insurance policy or other types of insurance through Cigna, it is important to complete this form to ensure that your desired beneficiaries are properly identified and informed.

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What is cigna beneficiary designation form?

The Cigna beneficiary designation 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 designation form?

Policyholders with Cigna insurance policies are required to file a beneficiary designation form.

How to fill out cigna beneficiary designation form?

Policyholders can fill out the Cigna beneficiary designation form by providing the necessary information, including the name and contact information of the designated beneficiary.

What is the purpose of cigna beneficiary designation form?

The purpose of the Cigna beneficiary designation form is to ensure that the policyholder's benefits are distributed according to their wishes upon their death.

What information must be reported on cigna beneficiary designation form?

The Cigna beneficiary designation form must include the name, relationship, and contact information of the designated beneficiary.