Edit, Download, and Sign the Beneficiary Change Request Form - Protective Life

Form

eSign

Email

Add Annotation

Share Form

How do I fill this out?

To fill out this form, begin by providing the necessary payee information accurately. Next, identify your primary and contingent beneficiaries, including their relationship to you and the percentage of benefits to be allocated. Ensure all required signatures are obtained for a valid submission.

imageSign

How to fill out the Beneficiary Change Request Form - Protective Life?

  1. 1

    Complete the payee(s) information section accurately.

  2. 2

    List primary and contingent beneficiaries with full details.

  3. 3

    Specify the percentage of benefits to be allocated.

  4. 4

    Obtain all necessary signatures.

  5. 5

    Submit the completed form as per the instructions.

Who needs the Beneficiary Change Request Form - Protective Life?

  1. 1

    Policyholders who wish to update their beneficiary information.

  2. 2

    Estate planners ensuring the right beneficiaries are assigned.

  3. 3

    Individuals undergoing life changes like marriage or divorce.

  4. 4

    Legal representatives managing a deceased person's estate.

  5. 5

    Financial advisors helping clients manage their insurance policies.

How PrintFriendly Works

At PrintFriendly.com, you can edit, sign, share, and download the Beneficiary Change Request Form - Protective Life along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

thumbnail

Edit your Beneficiary Change Request Form - Protective Life online.

Editing this PDF on PrintFriendly is quick and easy. You can modify any fields directly without additional tools. Enjoy seamless editing capabilities tailored for your needs.

signature

Add your legally-binding signature.

Signing your PDF on PrintFriendly is now a breeze. Simply add your digital signature in the designated area. Complete your document confidently with our user-friendly signing tools.

InviteSigness

Share your form instantly.

Sharing your edited PDF is simple with PrintFriendly. You can send the document via email or share it directly with others. Enhance your collaboration with easy sharing options.

How do I edit the Beneficiary Change Request Form - Protective Life online?

Editing this PDF on PrintFriendly is quick and easy. You can modify any fields directly without additional tools. Enjoy seamless editing capabilities tailored for your needs.

  1. 1

    Open the PDF document in PrintFriendly.

  2. 2

    Click on the field you want to edit and make the necessary changes.

  3. 3

    Review all changes to ensure accuracy.

  4. 4

    Save your edits and prepare for download.

  5. 5

    Download the edited PDF directly to your device.

What are the instructions for submitting this form?

To submit this form, email it to structuredsettlements@protective.com or fax it to (603) 334-5833. You may also send it physically to the address on the form: P.O. Box 13694, Birmingham, AL 35202-3641. Ensure all sections are completed, and signatures are obtained to avoid delays.

What are the important dates for this form in 2024 and 2025?

Ensure you are aware of the deadlines for submitting your beneficiary changes, especially after significant life changes. Keep in mind any policy-specific deadlines that may apply. Staying proactive will help ensure your beneficiaries are properly designated.

importantDates

What is the purpose of this form?

The purpose of the beneficiary change request form is to allow policyholders to officially designate or update their beneficiaries. This ensures that the policy's benefits are directed according to the policyholder's wishes upon their passing. Accurate completion of this form is essential for effective estate planning and benefit distribution.

formPurpose

Tell me about this form and its components and fields line-by-line.

The form contains various fields for beneficiary designations and personal information. Each section must be filled out carefully to ensure clarity and legality.
fields
  • 1. Payee Information: Section to enter the names and contact details of the payee.
  • 2. Primary Beneficiary Designation: Details of primary beneficiaries designated to receive the policy proceeds.
  • 3. Contingent Beneficiary Designation: Information on alternate beneficiaries if primary ones are unavailable.
  • 4. Authorization: Signatures required to validate the request.
  • 5. Witness: Signature of a disinterested adult witness if applicable.

What happens if I fail to submit this form?

Failing to submit this form can result in outdated beneficiary information. This could lead to unintended distribution of benefits, causing potential disputes among family members. Moreover, ensuring timely updates can prevent confusion in critical moments.

  • Outdated Beneficiary Information: Benefits may not go to your intended beneficiaries.
  • Legal Disputes: Potential conflicts among surviving family members over benefits.
  • Administrative Delays: Delays in processing claims can occur if the form isn't submitted.

How do I know when to use this form?

This form should be used whenever a policyholder wishes to change their beneficiaries for life insurance policies. It is particularly pertinent during life transitions such as marriage, divorce, or after the birth of a child. Using this form helps ensure that your benefits are designated accurately according to your current wishes.
fields
  • 1. Post-Marriage: To update beneficiaries to reflect your new marital status.
  • 2. After Divorce: To remove ex-spouses and ensure beneficiaries are current.
  • 3. Major Life Events: After any significant events that affect your beneficiaries.
  • 4. Estate Planning: To ensure correct designations are in place for your estate.
  • 5. Policy Updates: When changing or updating life insurance policies.

Frequently Asked Questions

What is a beneficiary change request form?

This form is used to designate or change beneficiaries for your life insurance policy.

How do I fill this form out?

Provide accurate information, list beneficiaries, and obtain required signatures.

Can I edit this PDF form?

Yes, you can easily edit the PDF using our editing tools.

How do I submit the completed form?

Follow the instructions provided on the form for submission via fax or email.

Is there a deadline for submission?

Ensure submission is timely to reflect any required changes.

What if I make a mistake on the form?

Edit the form as needed before final submission.

Do I need a witness to sign?

Yes, a witness is required in certain jurisdictions.

What is the significance of a contingent beneficiary?

A contingent beneficiary receives benefits if the primary beneficiary passes away.

Can I designate multiple beneficiaries?

Yes, you can designate multiple beneficiaries and specify percentage shares.

What should I do if I have further questions?

Contact customer support for additional assistance.

Related Documents - Beneficiary Request Form

https://www.printfriendly.com/thumbnails/00c3187b-714a-46e1-b838-63cb55d99033-400.webp

Preparticipation Physical Evaluation Form

The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.

https://www.printfriendly.com/thumbnails/0044f6bb-200d-4feb-af5e-5418c7c49f5b-400.webp

Health Insurance Tax Credits Guide 2015

This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.

https://www.printfriendly.com/thumbnails/004d5be1-e317-4428-8e2a-abdae34e3104-400.webp

TSP-77 Partial Withdrawal Request for Separated Employees

The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.

https://www.printfriendly.com/thumbnails/00130a9c-16ca-4288-b930-d1b35cfc98a5-400.webp

Ray's Food Place Donation Request Form Details

This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.

https://www.printfriendly.com/thumbnails/0068df9b-4e3c-483a-b634-e4a14e1ac2d7-400.webp

Pastoral Ministry Evaluation Form for Board of Elders

This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.

https://www.printfriendly.com/thumbnails/006523dd-df32-4387-b7ec-377b657bab81-400.webp

Health Provider Screening Form for PEEHIP Healthcare

This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.

https://www.printfriendly.com/thumbnails/00bd082a-fe2f-430f-9aec-8e73104dc545-400.webp

Common Law Marriage Declaration Form for FEHB Program

This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.

https://www.printfriendly.com/thumbnails/0081b68c-5987-40c0-8165-6c4e6bc8ca16-400.webp

MyPRALUENT™ Enrollment Form Instructions and Details

This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.

https://www.printfriendly.com/thumbnails/0018a923-2651-48d9-a13e-33e539f837c5-400.webp

Application for Certified Copy of Birth Certificate

This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.

https://www.printfriendly.com/thumbnails/00180268-d199-44a7-8663-4a56cc1c8a54-400.webp

Torrance Memorial Physician Network Forms for Patients 18+

This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.

https://www.printfriendly.com/thumbnails/009686d3-b5a9-4a32-8146-5b45159f41f6-400.webp

Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone

This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.

https://www.printfriendly.com/thumbnails/0088f689-5aa6-4002-a99c-c65d49060780-400.webp

Texas Automobile Club Agent Application Form

This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.