Forms
Remember, you can designate your beneficiaries by clicking on ‘Beneficiary Administration Login’ at the top of your screen.
These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing. Click here to download a free copy of Adobe Acrobat Reader.
Beneficiary Forms
If you submit your beneficiary designation via a paper form, we will enter it into the NYL GBS Benefits Guide website so you can view it online through the Beneficiary Administration Login.
Use these forms to add or update beneficiaries:
Beneficiary Designation Form - Basic Term Life
Beneficiary Designation Form - Basic Accident
Beneficiary Designation Form - Voluntary Accident
Claim Forms
The information requested in the forms below is required for us to begin reviewing your claim. It's important that you provide us with complete and accurate information to avoid a delay in the processing of your claim.
Term Life Insurance Claim Form
Accelerated Payment Benefit Claim Form
Accidental Death & Dismemberment (AD&D) Insurance Claim Form