WebSections 3: To be reviewed, signed and dated by the employee; including completion of the smoking and beneficiary declarations (if applicable). Sections 4-6: To be completed by the employee/spouse and originals submitted to Great-West Life. Retain a copy for your files. Employee to mail the form directly to Great-West Life.

IRREVOCABLE BENEFICIARY DESIGNATION

WebAny amount payable under the Accidental Death Benefit will be merged with the life insurance proceeds and paid out in the same manner, unless otherwise designated. I hereby revoke any previous appointment and appoint the following as beneficiary of any moneys payable upon death. DESIGNATION OF BENEFICIARY Webbene ciary to release their interest in the policy. This form should be signed by the irrevocable or “preferred” benefi fi ciary if they wish to release their interest in the … philippines league of legends region

Request to Change Beneficiary/Ownership on Life Insurance …

WebThe principal underwriter is GWFS Equities, Inc., a wholly owned subsidiary of Great-West Life & Annuity Insurance Company and an affiliate of Great-West Life & Annuity Insurance Company of New York. Non-Financial Service Request Form Last Updated 01/16 Page 1 of 2 Regular Mail to: Great-West Life & Annuity Insurance Company of New York Attn: RROC WebPlan Category. Release date. Employee Benefits Dependent Change Form. This form is used to update information about your spouse and dependent children with 3sHealth Employee Benefits. If you wish to change your beneficiary for Group Life Insurance please call a 3sHealth Benefit Services Officer at 1-866-278-2301. Form. WebBeneficiary designations. When you are completing forms to enroll in an employer-sponsored retirement plan, take out a life insurance policy or open an IRA, you often … philippines learning passport