Get Usable Life Group Enrollment Or Change Form

Filling out the Usable Life Group Enrollment or Change Form online can be a straightforward process when guided through each section. This guide will provide you with clear instructions to ensure that your enrollment or changes are processed efficiently.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out Section 1, which includes your applicant information. Input your name, Social Security number, date of birth, and occupation. Ensure to provide accurate details for your employer’s name and state of residence, as well as your employment status and salary information.
3. If you are applying for Optional Coverage(s), proceed to Section 2. Indicate any optional coverage you wish to add or delete, such as Supp Life or Dependent Life. Be aware that you may need to provide Evidence of Insurability (EOI) for certain coverage selections.
4. In Section 3, enter the details for your beneficiary designation. List the primary beneficiaries who will receive the benefits, providing their names, addresses, Social Security numbers, birthdates, and relationships to you. Ensure that the total percentage equals 100%. Also, provide information for contingent beneficiaries if applicable.
5. Review the declaration at the bottom of the form, confirming that the information provided is true and correct. You must sign and date this section before submission.
6. After completing all the relevant sections, save your changes. You can then download, print, or share the completed form as needed for your records or submission.

Begin filling out your Usable Life Group Enrollment or Change Form online today.