The guardian life insurance enrollmentchange form pdf 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your personal information, including your name, address, and Social Security Number. Ensure that all details are accurate and clearly printed.
3. Select the appropriate enrollment option by checking the corresponding box for Initial Enrollment, Increase Amount, or Family Status Change.
4. Provide details about your job, including your job title, work status, and annual salary. This information is crucial for determining your coverage options.
5. List any dependents you wish to enroll by providing their names, dates of birth, and selecting their coverage status (Add or Drop).
6. Review the coverage options available for Dental, Vision, Basic Life, and Voluntary Life. Check the boxes that apply to you and your dependents.
7. Complete the Health History section if enrolling for Voluntary Life benefits. Answer truthfully to avoid complications with coverage approval.
8. Finally, sign and date the form at the bottom before detaching it and returning it to your employer.

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