Get Gr-11927-6 Beneficiary Designation Form 07/2009

Filling out the GR-11927-6 Beneficiary Designation Form online is a straightforward process that allows you to designate beneficiaries for your group life insurance. This guide provides step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to fill out the GR-11927-6 Beneficiary Designation Form online

1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by selecting whether this is an initial beneficiary designation or a change to a previous designation by checking the appropriate box.
3. Input your name in the 'Employee Name' field and provide your 'Employee ID Number' and 'Social Security Number' as required.
4. Fill in your current address in the 'Employee Address' section and include a contact 'Telephone Number'.
5. State the 'Policyholder/Employer' name and enter the relevant 'Policy Number'.
6. For primary beneficiaries, provide the required information, including the full name, date of birth, address, social security number, relationship to you, and benefit percentage.
7. If you have contingent beneficiaries, repeat the process for them, ensuring to provide their information accurately as well.
8. If necessary, use a separate sheet for any additional beneficiaries. Indicate 'See attached' on the form and ensure that this sheet is signed and dated by you.
9. If applicable, complete the spousal consent section for community property states by having your spouse sign and date the required line.
10. Finally, review all entered information for accuracy. You can then save changes, download, print, or share the form as needed.

Complete your GR-11927-6 Beneficiary Designation Form online today to ensure your beneficiaries are designated properly.