Beneficiary Designation Form - Equitable Insurance
The Beneficiary Designation Form allows you to designate or change beneficiaries for your Group Insurance death proceeds. This form revokes any previous beneficiary designations and is pivotal for ensuring your insurance benefits are allocated according to your wishes. Complete this form to ensure proper beneficiary designation and peace of mind.
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How do I fill this out?
To fill out the Beneficiary Designation Form, start by providing your personal information, such as name and contact details. Next, designate your primary and contingent beneficiaries, specifying their relationship and percentage of proceeds. Finally, review the information for accuracy before submitting.

How to fill out the Beneficiary Designation Form - Equitable Insurance?
1
Start by completing the employee information section.
2
Designate your primary and contingent beneficiaries.
3
Specify the percentage share for each primary beneficiary.
4
Review the completed form for accuracy.
5
Submit the form to your HR department as per instructions.
Who needs the Beneficiary Designation Form - Equitable Insurance?
1
Employees with life insurance benefits need this form to designate or change their beneficiaries.
2
Individuals planning their estate want to ensure their insurance proceeds go to the correct beneficiaries.
3
HR departments require this form to maintain up-to-date records of beneficiary designations for life insurance.
4
Family members must be included to understand their rights to benefits if designated.
5
Trusted advisors seek this form for clients needing advice on beneficiary designation.
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Editing this PDF on PrintFriendly is straightforward. Simply use our intuitive editing tools to update beneficiary information, adjust percentages, and more. Ensure your document reflects the most current information before saving.
1
Open the PDF in PrintFriendly's editor.
2
Select the text or fields you want to modify.
3
Input new beneficiary designations and correct information.
4
Review your changes for completeness.
5
Save the edited document to your device.

What are the instructions for submitting this form?
Submit the completed Beneficiary Designation Form to your Benefits Administrator or Human Resources department. You can send it via email, fax, or in person, as directed by your employer. It is advisable to keep a copy for your records and confirm receipt with HR to ensure your designations are updated accordingly.
What are the important dates for this form in 2024 and 2025?
Important dates for submission or changes to the Beneficiary Designation Form are typically the initial submission date and any annual review dates set by your employer. It's advisable to check with your HR department for compliance dates related to your specific policy.

What is the purpose of this form?
The purpose of the Beneficiary Designation Form is to allow policyholders to formally identify who will receive life insurance benefits upon their death. This form ensures that the insured individual's wishes regarding beneficiary allocation are documented and honored. It plays a crucial role in estate planning and financial security for the beneficiaries named.

Tell me about this form and its components and fields line-by-line.

- 1. Employee Information: Fields for the employee's personal details, including name, address, and employee ID.
- 2. Primary Beneficiaries: Information fields for designating the primary beneficiaries of the policy.
- 3. Contingent Beneficiaries: Information fields for designating contingent beneficiaries.
- 4. Trust Designation: Details related to any trusts named as beneficiaries.
- 5. Authorization/Signature: A field for the employee's signature to authorize the form.
What happens if I fail to submit this form?
Failure to submit this form may result in your life insurance benefits being allocated according to previous designations or default terms in the Group Contract. This can lead to unintended beneficiaries receiving the proceeds, which may not align with your current wishes. Therefore, it is crucial to complete and submit this form promptly.
- Incorrect Beneficiary Designation: Without proper submission, benefits may not go to the intended recipients.
- Default Allocations: In the absence of updated designations, the insurance company may default to previous allocations.
- Potential Family Disputes: Unclear beneficiary designations can lead to disputes among surviving family members.
How do I know when to use this form?

- 1. New Insurance Enrollment: Necessary to designate beneficiaries when enrolling in a new insurance plan.
- 2. Change of Circumstances: Required when significant life changes occur that affect beneficiaries.
- 3. Annual Review: Recommended as part of the annual review of your insurance policies.
Frequently Asked Questions
How do I download the Beneficiary Designation Form?
You can easily download the form by clicking the download button after editing your PDF.
Can I save the changes once edited?
Yes, all your changes can be saved in the edited PDF.
Is there a limit to the number of beneficiaries I can add?
You can designate up to four primary and four contingent beneficiaries on this form.
What happens if a primary beneficiary predeceases me?
If a primary beneficiary dies before you, the proceeds will be divided among the remaining primary beneficiaries.
How do I submit the completed form?
Submit the completed form to your Benefits Administrator or HR department.
What if I want to change my beneficiaries later?
You can update your beneficiaries anytime by completing a new form.
Can I designate an organization as a beneficiary?
Yes, you can designate a corporation, organization, or trust as beneficiaries.
Is there an option to include a trust as a beneficiary?
Yes, you can name a trust and will need to fill out the Trust Designation section.
What information do I need to provide for each beneficiary?
You need to provide their full name, address, relationship, date of birth, and percentage share.
Can I designate percentages for beneficiaries?
Yes, ensure the total percentage for all primary beneficiaries equals 100%.
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