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