Active Employee Life Insurance Beneficiary Designation Form 2025

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  1. Click ‘Get Form’ to open the Active Employee Life Insurance Beneficiary Designation Form in our platform.
  2. Begin by entering your personal information at the top of the form, including your name, Global ID, Social Security Number, and daytime phone number.
  3. In the PRIMARY BENEFICIARY(IES) section, designate one or more primary beneficiaries. Ensure that the total share percentage adds up to 100%. Fill in each beneficiary's name, relationship, Social Security number, and birth date.
  4. Next, move to the ALTERNATE BENEFICIARY(IES) section. Choose how you want payments distributed if a primary beneficiary is deceased. Again, ensure that the total share percentage equals 100%.
  5. Complete the form by signing and dating it at the bottom. Make sure all sections are filled out accurately to avoid processing delays.
  6. Return the original completed form to HR Shared Services at the address provided on the document. Remember to keep copies for your records and distribute them to your beneficiaries.

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Listing the beneficiaries of your wealth is an important first step in your estate plan. Generally, there are four classes of beneficiaries to consider: you and your spouse, friends and family, charity, and the government.
Anyone who will suffer financially by your loss is likely your first choice for a beneficiary. You can usually split the benefit among multiple beneficiaries as long as the total percentage of the proceeds equal 100 percent.
TDA Designation of Beneficiary form applies only to monies accrued under the Tax Deferred Annuity Program. It may not be used to change your beneficiary(ies) with respect to other death benefits payable by the New York City Board of Education Retirement System.
Beneficiaries may be eligible for benefits under the BERS Qualified Pension Plan (QPP) and Tax Deferred Annuity (TDA) Program. A beneficiary is any person or entity the member chooses to receive the benefits of their Pension or TDA account after they die.
A beneficiary can be anyone the employee wants it to be a spouse, a sibling, a friend, a child or grandchildren (although the rules are usually different if the child is a minor see below), or even a charitable organization or a trust.