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) Beneficiary Designation Form CONSUMERS LIFE INSURANCE COMPANY Telephone: Fax: Email Address: 9 866-925-2542 440-878-6916 Claims ConsumersLife.com A M E D I C A L M U T U A L OF OHIO COMPANY 17800
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How to fill out beneficiary designation form?

01
Begin by carefully reviewing the instructions provided with the beneficiary designation form. Make sure you understand the purpose and requirements of the form.
02
Start by providing your personal information, including your full name, address, contact details, and any other requested information. This helps ensure your identification and contact information is accurate.
03
Identify the primary beneficiary by filling in their full name, relationship to you, and their contact information. The primary beneficiary is the person or entity who will receive the assets or benefits upon your death.
04
If you want to designate a contingent beneficiary (a backup beneficiary in case the primary beneficiary predeceases you), provide their full name, relationship, and contact information as well. This ensures that there is a clear plan in case the primary beneficiary cannot receive the assets or benefits.
05
Specify the percentage or amount of the assets or benefits you would like each beneficiary to receive. Be sure to indicate the distribution clearly to avoid any confusion.
06
Review the completed form to verify that all the provided information is accurate and up to date. Check for any errors or omissions that may affect the intended distribution of assets or benefits.
07
Sign and date the form, following any additional instructions provided. Ensure your signature is clear and matches the name provided on the form.

Who needs beneficiary designation form?

01
Individuals with life insurance policies should complete a beneficiary designation form to specify who will receive the policy proceeds upon their death.
02
Retirement account holders, such as those with Individual Retirement Accounts (IRAs) or 401(k) plans, should also complete beneficiary designation forms to determine who will inherit the account assets upon their passing.
03
Similarly, individuals with pension plans or other employer-sponsored retirement accounts may need to complete beneficiary designation forms to ensure a proper distribution of benefits upon their death.
04
Other financial accounts like bank accounts, investment accounts, and annuities may also require beneficiary designation forms to designate who will receive the funds in the event of the account holder's death.
05
It is also common for estate planning purposes to complete beneficiary designation forms for items such as real estate, vehicles, and other valuable personal assets.
Note: Beneficiary designation forms vary depending on the specific type of account or asset, so it is crucial to use the correct form provided by the financial institution or plan administrator.
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Beneficiary designation form is a legal document that allows you to specify who will receive your assets upon your death.
Any individual who has assets with designated beneficiaries such as retirement accounts, life insurance policies, or investment accounts may be required to file a beneficiary designation form.
To fill out a beneficiary designation form, you typically need to provide the name, relationship, and percentage share of the designated beneficiaries. The form may also require additional information such as social security numbers or contact information.
The purpose of beneficiary designation form is to ensure that your assets are distributed according to your wishes upon your death, bypassing the probate process and potentially reducing estate taxes.
The beneficiary designation form typically requires you to report the name, relationship, and percentage share of each designated beneficiary.
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