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 

Use this form to add or delete beneficiaries.

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 My Account.

Beneficiary Designation Form - GUL

Beneficiary Designation Form - Basic and Voluntary

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.

GUL Claim Form

Term Life Claim Form


Change Forms 

Use these forms to cancel and/or change your GUL Insurance coverage for you and/or your spouse, and/or child(ren).

Request for Service Life Change Form

Surrender/Cancel Form

Funds Withdrawal Form