Change of Beneficiary Forms

Please select the plan Change of Beneficiary Form you need from the list below. Once the form appears on your screen, print the form and follow the instructions provided. If you have any questions which is the correct form for you to download, please contact your Personal Endowment Representative at 1-800-621-8981.

• Group Accidental Death & Dismemberment Plan
• 5 Year Banded Group Term Life (Policy Number G-2766-2)
• 5 Year Banded Group Term Life (Policy Number G-2766-3)
• Group 10-Year Level Term Plus Life Insurance Plan
• Group 20-Year Level Term Plus Life Insurance Plan

All of the above forms have been created using Adobe Acrobat and are saved as Portable Document Format (PDF) files. They are best viewed using Adobe Acrobat Reader version 6.0 or later. If you do not have the Adobe Acrobat Reader, download and install the reader by pushing the "Get Acrobat" Reader button below.

If you are having problems installing the Adobe Acrobat Reader, consult with Adobe Technical Support.