Get Pai 100 1006

The Pai 100 1006 is a vital form for designating beneficiaries for group accident, health, and life insurance. This guide will provide you with clear and concise instructions to ensure you complete the form correctly and efficiently online.

Follow the steps to fill out your beneficiary designation form accurately.

1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. In Section 1, input the policyholder information including organization name, phone number, county, city, organization address, state, and zip code.
3. In Section 2, fill out your member information. Include your date of birth, full name (last name, suffix, first name, middle initial), social security number, and check the applicable coverages.
4. Proceed to Section 3 to designate your primary beneficiaries. List their names and addresses, relationships to you, social security numbers, dates of birth, and the percentage of benefit you wish each to receive. Ensure that the total equals 100%.
5. Next, in Section 4, designate your contingent beneficiaries by providing the same details as in Section 3. Again, confirm that the total percentage equals 100%.
6. In Section 5, sign and date the form to validate your beneficiary designations.
7. After completing all sections, you can save your changes, download the form, print it, or share it as necessary.

Complete your beneficiary designation form online today to ensure your wishes are documented.