Get Vgtl-app 5-09.doc

This guide provides a comprehensive walkthrough for filling out the VGTL-APP 5-09.doc effectively online. By following these steps, you can complete your Voluntary Life Enrollment Form with ease and confidence.

Follow the steps to fill out the VGTL-APP 5-09.doc online.

1. Click 'Get Form' button to obtain the form and open it in your preferred online document editor.
2. Begin by indicating your enrollment status. Choose 'New Enrollee', 'Change', or 'Decline coverage' as applicable. Fill in your employer's group number and name.
3. In Section I, enter your employee information. Provide your Social Security number, legal name, home address, date of birth, gender, salary, occupation, department/location, and the hours you work weekly. Ensure all details are accurate.
4. Proceed to Section II, where you will select voluntary coverage options. Indicate if you want coverage for yourself, your spouse, or children by checking 'Yes' or 'No'. If selecting 'Yes', specify if it is for new coverage or an adjustment to existing coverage.
5. For each selected coverage, enter the total amount of coverage you are applying for. Make sure to check the appropriate boxes for adding, increasing, deleting, or decreasing coverage as needed.
6. In Section III, designate your beneficiaries. Fill in their names, addresses, Social Security numbers, birthdates, relationships to you, and the percentage of benefits they will receive. Remember, the total percentage must equal 100%.
7. Confirm that all information is true and correct. Review the disclaimers and acknowledge them by signing and dating the form.
8. Finally, save your changes, and download, print, or share the completed form as necessary.

Complete your voluntary life enrollment form online today for a smooth and efficient submission process.