Get The Hartford Gr-11927 2013-2026

The Hartford GR-11927 is a beneficiary designation form used for group term life insurance and accidental death and dismemberment insurance. This guide will help you understand each section of the form and provide step-by-step instructions to ensure you fill it out accurately and effectively.

Follow the steps to complete the beneficiary designation form seamlessly.

1. Click 'Get Form' button to obtain the form and open it in the editing interface.
2. Select whether you are making an initial beneficiary designation or changing prior beneficiary designations by checking the corresponding box. This step is crucial as it revokes any previous designations.
3. Enter your employee name as it appears on your insurance policy. Make sure this information is accurate.
4. Provide your employee ID number and social security number. This information helps verify your identity.
5. Fill in your current address and telephone number to ensure that you can be contacted if necessary.
6. Indicate the policyholder or employer's name, then enter the policy number as specified on your insurance documents.
7. In the 'Primary Beneficiary' section, list each beneficiary's name, date of birth, address, telephone number, social security number, relationship to you, and the percentage of benefits allocated to them. Ensure that the total percentage equals 100%.
8. In the 'Contingent Beneficiary' section, complete the same information for each contingent beneficiary you wish to name. This step ensures that there is a backup beneficiary if the primary beneficiary cannot receive the benefits.
9. If you need additional space, write 'See attached' in the designated area and include a separate signed sheet with the necessary information.
10. Sign and date the form at the bottom. Your signature certifies that you understand and accept the changes to your beneficiary designations.
11. After reviewing all entries for accuracy, you can save your changes, download, print, or share the completed form as needed.

Take the next step in managing your insurance benefits by completing the The Hartford GR-11927 online today.