Get the free CS-1717 Life and Accidental Duty Death - State of Michigan - michigan

CS-1717 REV 11/2007 AUTHORITY in accordance with the Article XI, Section 5, Michigan Constitution of 1963 and Public Act 431 of 1984 State of Michigan Civil Service Commission EMPLOYEE BENEFITS DIVISION

How to fill out cs-1717 life and accidental

How to fill out cs-1717 life and accidental:

1. Obtain the cs-1717 life and accidental form from the appropriate source, such as your insurance provider or employer.
2. Begin by carefully reading the instructions provided on the form. This will ensure that you understand the requirements and provide accurate information.
3. Fill in your personal details, including your full name, address, contact information, and social security number. Make sure to double-check the accuracy of this information.
4. Provide information about your current employment status, such as your job title, employer's name, and work address.
5. Indicate whether you want life insurance coverage, accidental death and dismemberment coverage, or both.
6. Determine the coverage amount you desire for each category and write it down on the form.
7. If applicable, provide the names and contact information of your beneficiaries, who would receive the benefits in case of your death or accidental dismemberment.
8. Review the form for any errors or omissions. Make sure all sections are filled out accurately and completely.
9. Sign and date the form to certify that the information provided is true and accurate.
10. Submit the completed form to the designated recipient or follow the instructions provided for submission.

Who needs cs-1717 life and accidental:

1. Individuals who want to ensure their loved ones are financially protected in case of their death may consider cs-1717 life insurance. This coverage pays out a specified amount to the beneficiaries, helping them cover their financial needs after the insured person's passing.
2. Those who work in high-risk occupations or engage in hazardous activities might want to consider cs-1717 accidental death and dismemberment coverage. This insurance provides financial compensation to the insured or their beneficiaries in the event of accidental death or serious injuries resulting in the loss of limbs or vital bodily functions.
3. Employers may offer cs-1717 life and accidental coverage as part of their employee benefits package. In such cases, employees are often automatically enrolled but may have the option to adjust coverage levels or decline the coverage if they have alternative insurance arrangements in place.

For pdfFiller’s FAQs

What is cs-1717 life and accidental?

CS-1717 life and accidental is a form used to report life and accidental insurance information.

Who is required to file cs-1717 life and accidental?

Insurance companies and agencies are required to file cs-1717 life and accidental.

How to fill out cs-1717 life and accidental?

CS-1717 life and accidental can be filled out electronically or by mail following the instructions provided by the insurance regulatory authority.

What is the purpose of cs-1717 life and accidental?

The purpose of cs-1717 life and accidental is to gather information on life and accidental insurance policies for regulatory and statistical purposes.

What information must be reported on cs-1717 life and accidental?

Information such as policyholder details, policy coverage, premiums, and claims must be reported on cs-1717 life and accidental.

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