Cigna life insurance beneficiary form 2026

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The document is a Beneficiary Designation Form from CIGNA Life Insurance Company of New York, used by employees to designate primary and contingent beneficiaries for various insurance policies. It outlines the necessary information required for each beneficiary, including their relationship to the employee, social security number, date of birth, and percentage of proceeds. The form also includes guidelines regarding community property laws, designating minors or trusts as beneficiaries, and the importance of reviewing designations after significant life events.

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Click ‘Get Form’ to open the Cigna Life Insurance Beneficiary Form in our editor.
Begin by entering your employer's name and your personal details, including your name, Social Security number, and current address. Ensure all information is accurate for a smooth processing experience.
Designate your primary beneficiaries by filling in their full names, Social Security numbers, relationships to you, dates of birth, and the percentage of benefits they will receive. Remember that the total must equal 100%.
Repeat the process for contingent beneficiaries. These individuals will only receive benefits if no primary beneficiaries are alive. Again, ensure the percentages total 100%.
Review all entries carefully. If you need more space for additional beneficiaries, attach a separate sheet with the same format.
Finally, sign and date the form where indicated. If applicable, have your spouse sign as well to avoid any potential disputes.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I add a beneficiary to my life insurance?

How to add a beneficiary to a life insurance policy. You can add a beneficiary to your life insurance plan when you first write your policy into a Discretionary Trust, or at a future date. To add a beneficiary, ask your insurer for a change of beneficiary form, which you can sign and return by email or post.

How to apply for a beneficiary?

How to name a beneficiary. Most financial services companies provide a form or website for you to designate your beneficiary so they have it on file with your other account or policy information.

How to fill out a beneficiary form for life insurance?

Primary Beneficiaries Write the names of the first beneficiary(ies) you would like to receive your benefit after you die. You may name an individual(s), entity (such as a charity, business, religious organization, funeral home, etc.), trust, or estate. You may name more than one.

How to fill out a life insurance beneficiary form?

People usually name those who are closest to them as beneficiaries. Some examples of beneficiaries are: Close family members like a spouse or children. Other loved ones or friends. Your childrens guardians.

How do I claim my life insurance as a beneficiary?

Beneficiaries typically need to alert the life insurance company to the insureds death by filing a claim. If you have the policy documents, they will tell you everything you need to know about the coverage and how to file a claim.