Basic Group Life Insurance Enrolment Form 2025

Get Form
insurance fillable form Preview on Page 1

Here's how it works

01. Edit your insurance fillable form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send life fillable form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Basic Group Life Insurance Enrolment Form with DocHub

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the Basic Group Life Insurance Enrolment Form in our editor.
  2. Begin by filling out the Employee Identification section. Enter your date of birth, employee number, and full name (family name, first name, and middle name) in block letters. Ensure your home address is complete, including apartment number, city, province/state, and country.
  3. Next, move to the Beneficiary’s identification section. If you do not assign a beneficiary, 'ESTATE' will be assumed. Fill in the beneficiary's family name and first name. For Quebec residents, indicate the relationship to the employee and specify if the designation is revocable or irrevocable.
  4. Finally, sign and date the form in the Signature section. Ensure all information is accurate before submitting.

Start using our platform today for free to complete your Basic Group Life Insurance Enrolment Form effortlessly!

See more Basic Group Life Insurance Enrolment Form versions

We've got more versions of the Basic Group Life Insurance Enrolment Form form. Select the right Basic Group Life Insurance Enrolment Form version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2010 4.8 Satisfied (222 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
I always suggest keeping basic FEGLI and using WAEPA for additional coverage. FEGLI is free in retirement after 65 if you opt for the 75% reduction and well worth keeping as a basic policy.
An employee may at any time file an SF 2817 to waive or reduce coverage, unless the employee has assigned his/her insurance coverage. If the employee has assigned the insurance, only the assignee(s) may waive or reduce the coverage (except for Option C which cannot be assigned).
Basic life insurance is commonly offered by employers, providing coverage for a specific period of the policyholders lifetime. Coverage amount is based on the policyholders salary; beneficiaries receive the death benefit if the policyholder passes away.
The IRS Federal Form 712 reports the value of a life insurance policys proceeds after the insured dies for estate tax purposes.
Premiums for Employees Age GroupBiweekly, per $1,000Monthly, per $1,000 Under 35 $0.02 $0.043 3539 $0.02 $0.043 4044 $0.03 $0.065 4549 $0.06 $0.1307 more rows
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

Through the Federal Employees Group Life Insurance (FEGLI) Program, you have several choices in selecting the amount of life insurance thats right for you. FEGLI offers: Basic insurance: equal to the greater of (a) your salary rounded up to the next $1,000 plus $2,000, or (b) $10,000.

acf852