Beneficiary Change Form for Life Insurance Benefits
published: 03-Jan-2012 PDF (60kb) Beneficiary_Information_Form_-_Revised_September_2013.pdf
Beneficiary Change form to update beneficiary information for Basic Life, Optional Life, and/or Accidental Death & Dismemberment insurance. If you are unsure of the insurance coverage you have, please contact Human Resources.
NOTE: This will not update your pension beneficiaries. To update Pension beneficiary information, please see https:///forms_detail.php?grp_id=2463&frm_id=1458
updated October 21/13