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Beneficiary for Group Life Insurance
Please print or type all information. Please note that this form is only for changing your life insurance beneficiaries. See the
Office of Human Resources website
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How to fill out gi-0912-designation-of-beneficiary-group-life-insurance

How to fill out gi-0912-designation-of-beneficiary-group-life-insurance
01
Obtain a copy of the GI-0912 form.
02
Fill in your personal information such as name, address, and policy number.
03
Specify the beneficiaries you wish to designate for your group life insurance policy.
04
Provide the relationship of each beneficiary to you.
05
Sign and date the form to make it legally binding.
Who needs gi-0912-designation-of-beneficiary-group-life-insurance?
01
Anyone who has a group life insurance policy and wants to designate specific beneficiaries to receive the policy benefits upon their passing.
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What is gi-0912-designation-of-beneficiary-group-life-insurance?
gi-0912-designation-of-beneficiary-group-life-insurance is a form used to designate the beneficiaries of a group life insurance policy.
Who is required to file gi-0912-designation-of-beneficiary-group-life-insurance?
The policyholder or the insured individual is required to file gi-0912-designation-of-beneficiary-group-life-insurance.
How to fill out gi-0912-designation-of-beneficiary-group-life-insurance?
gi-0912-designation-of-beneficiary-group-life-insurance can be filled out by providing the names and relationship of the beneficiaries, along with their contact information.
What is the purpose of gi-0912-designation-of-beneficiary-group-life-insurance?
The purpose of gi-0912-designation-of-beneficiary-group-life-insurance is to ensure that the benefits from the group life insurance policy are distributed as per the policyholder's wishes.
What information must be reported on gi-0912-designation-of-beneficiary-group-life-insurance?
gi-0912-designation-of-beneficiary-group-life-insurance must include the names, relationship, and contact information of the designated beneficiaries.
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