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How do I fill this out?

To fill out the Group Universal Life Insurance Surrender/Cancel Form, start by selecting the appropriate election options for coverage. Ensure you provide accurate personal information including your name and Social Security number. Finally, sign and date the form before submitting it as instructed.

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How to fill out the Group Universal Life Insurance Surrender Form?

  1. 1

    Select your coverage election options.

  2. 2

    Complete your personal information.

  3. 3

    Choose your federal income tax withholding preference.

  4. 4

    Sign and date the form.

  5. 5

    Submit the completed form via fax or mail.

Who needs the Group Universal Life Insurance Surrender Form?

  1. 1

    Individuals with Group Universal Life Insurance who wish to surrender their policies.

  2. 2

    Spouses of policyholders who need to cancel linked coverage.

  3. 3

    Employers managing benefits for their staff who require surrender documentation.

  4. 4

    Financial advisors assisting clients with life insurance decisions.

  5. 5

    Tax professionals advising clients on the implications of surrendering life insurance.

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  1. 1

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What are the instructions for submitting this form?

To submit the Group Universal Life Insurance Surrender Form, you can either fax it to 1.877.435.7181 or mail it to the New York Life Group Benefit Solutions at PO Box 14577, Des Moines, IA 50306-3577. Make sure to sign the form and include all necessary information to avoid any delays in processing. For quicker processing, ensure your submission is made before any policy cut-off dates.

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

Important dates for submitting the Group Universal Life Insurance Surrender Form include financial year-end deadlines and specific policy renewal dates. It is advisable to submit the form at least one month before any significant policy changes or renewals. Check with New York Life for specific cut-off dates in 2024 and 2025.

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What is the purpose of this form?

The Group Universal Life Insurance Surrender Form allows policyholders to request the cancellation of their insurance coverage. This procedure ensures that the rights, privileges, and insurance benefits under the policy are formally terminated. By providing a structured process, the form helps streamline the administrative tasks associated with managing life insurance policies.

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

The form includes multiple fields that require personal identification information and specific policy details for processing.
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  • 1. Last Name: The insured individual's last name.
  • 2. First Name: The insured individual's first name.
  • 3. Middle Initial: The initial of the insured individual's middle name.
  • 4. Social Security #: Social Security number for identification.
  • 5. Mailing Address: Complete mailing address where correspondence can be sent.
  • 6. City: City of residence.
  • 7. State: State abbreviation of the insured's residence.
  • 8. Zip Code: Postal code for the insured's address.
  • 9. Employer Name: Name of the employer associated with the policy.
  • 10. Sex: Gender of the insured.
  • 11. Date of Birth: Birth date of the insured individual.
  • 12. Certificate No.: The insurance certificate number.
  • 13. Residence Telephone #: Contact phone number at residence.
  • 14. Daytime Telephone #: Contact phone number during daytime.

What happens if I fail to submit this form?

Failure to submit the Group Universal Life Insurance Surrender Form can result in unintentional continuation of coverage. This means you may miss out on potential cash benefits available from surrendering your policy. It's essential to ensure that your request is submitted correctly and timely.

  • Coverage Continues: Insurance coverage remains active without cancellation.
  • Financial Impact: Missed opportunity to access cash surrender value.
  • Administrative Delays: Potential for delays in processing if form is incomplete or late.

How do I know when to use this form?

You should use this form when you decide to cancel your Group Universal Life Insurance or when a spouse linked to your coverage wants to surrender their policy. It's also applicable when there is a financial need to access cash surrender value. When in doubt, consult with a financial advisor to determine the proper usage of this form.
fields
  • 1. Surrendering Coverage: When you plan to cancel active life insurance coverage.
  • 2. Accessing Cash Value: If you wish to withdraw cash value from your policy.
  • 3. Beneficiary Changes: When updating beneficiaries may lead to policy changes necessitating this form.

Frequently Asked Question

How do I fill out the Group Universal Life Insurance Surrender Form?

Begin by selecting your coverage options and providing your personal details before signing.

Can I edit this file directly on PrintFriendly?

Yes, you can easily edit the PDF using our intuitive PDF editor.

What should I do with the form after filling it out?

You need to submit the completed form via fax or mail according to the instructions.

Is there a deadline for submitting this form?

It’s best to submit your request as soon as possible to ensure timely processing.

Can I save the changes I make to the PDF?

You can download the edited PDF, but saving directly on our site is not available.

What happens if I do not submit this form?

Failure to submit can lead to the continuation of coverage you may wish to cancel.

How will federal tax withholding apply?

You need to indicate your preference for tax withholding on the form to avoid automatic deductions.

What if I need assistance in filling out the form?

Consider reaching out to a tax advisor or insurance representative for guidance.

Can I submit the form online?

Currently, forms must be submitted via fax or mail as per the provided instructions.

How do I ensure my form is processed quickly?

Fill out your form completely and accurately before submission to avoid delays.

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Group Universal Life Insurance Surrender Form

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