Use this form:
- To designate your beneficiaries for Basic Life/Accidental Death, and/or Optional Life/Optional Accidental Death insurance
- At time of initial enrolment if you want to designate more than 3 primary beneficiaries
- To change your existing beneficiary(ies). The beneficiary(ies) listed here will replace your previous beneficiary designation
Hour Bank Plan – Click here to download the Beneficiary Designation form.
Office/Supervisory Plan – Click here to download the Beneficiary Designation form.
- Please rename the file to include your Company Name prior to uploading (eg: CompanyName-PAD-Form.pdf).
Employees, upload your Beneficiary Designation form below.
How do I know my upload was successful?
Look for the green check mark next to your upload. An example is highlighted in the image below: