WebbStandard Insurance Life/AD&D Beneficiary Form Check all box(es) and complete all sections that apply. Beneficiary forms need to be faxed or mailed to: UC Retirement Administration Service Center P.O. Box 24570 Oakland, CA 94623-1570 Fax: 800-792-5178 - Phone: 800-888-8267. Enrollment . Change. Webb1. This beneficiary form revokes all previous beneficiary forms. The beneficiary designation made on this form will be in force until revoked in writing. We encourage you to designate both a Primary and a Contingent beneficiary. 2. This form must be completed, signed, received in, and approved by our office to effect a change of your policy(ies)
Standard Insurance Company Enrollment and Change To Be
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