Life Insurance Enrollment / Change Form - Employee, Spouse, and Child(Ren) Life Plans - New Hampshire

Life Insurance Enrollment / Change Form - Employee, Spouse, and Child(Ren) Life Plans - New Hampshire

Life Insurance Enrollment/Change Form - Employee, Spouse, and Child(Ren) Life Plans is a legal document that was released by the New Hampshire Department of Administrative Services - a government authority operating within New Hampshire.

FAQ

Q: What is a Life Insurance Enrollment/Change Form?
A: It is a form used to enroll or make changes to life insurance coverage for employees and their family members.

Q: Who can use the Life Insurance Enrollment/Change Form?
A: Employees in New Hampshire and their eligible family members can use this form to enroll or make changes to their life insurance coverage.

Q: What types of life insurance plans are available through this form?
A: This form covers Employee, Spouse, and Child(Ren) Life Plans.

Q: Can employees and their family members apply for life insurance coverage for the first time using this form?
A: Yes, this form can be used for new enrollments as well as making changes to existing coverage.

Q: Do employees need to provide any personal information for life insurance enrollment?
A: Yes, employees and their family members will need to provide personal information such as their names, dates of birth, and social security numbers.

Q: Are there any deadlines for submitting the Life Insurance Enrollment/Change Form?
A: Deadlines may vary, so it is important to check with the employer or insurance provider for specific submission deadlines.

Q: Can employees change their life insurance coverage at any time?
A: Generally, employees can make changes to their life insurance coverage during designated enrollment periods or due to qualifying life events.

Q: How long does it take for changes to life insurance coverage to take effect?
A: The time it takes for changes to take effect may vary, but typically it can take a few weeks for the updated coverage to be processed.

Q: Can employees cancel their life insurance coverage?
A: Yes, employees can usually request to cancel their life insurance coverage at any time.

Q: Is there a cost associated with life insurance coverage?
A: Yes, employees may need to contribute towards the cost of their life insurance coverage through premiums deducted from their paycheck.

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Form Details:

  • Released on October 21, 2022;
  • The latest edition currently provided by the New Hampshire Department of Administrative Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Administrative Services.

Download Life Insurance Enrollment / Change Form - Employee, Spouse, and Child(Ren) Life Plans - New Hampshire

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