Beneficiaries | Rutgers Alumni Association

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Beneficiaries

Profile

Payment

Review

HybridReview

TermLife

LTD

Hanger

Landing

Beneficiaries

Profile

Payment

Review

HybridReview

TermLife

LTD

Hanger

Coverage
Health
Beneficiary
Profile
Payment
Submit

Beneficiary Information

4 of 6 next Payment

All fields are required unless mentioned as optional.

First Name

Error: First name is required

Middle Initial (optional)

Last Name

Error: Last name is required

Relationship

Error: Relationship is required

Date of Birth

Error: Date of birth is required

Percentage of Benefit

Error: Percentage of benefit is required

Use Different Address

Add Second Beneficiary

Beneficiary Information 2

First Name

Error: First Name is required

Middle Initial (optional)

Last Name

Error: Last Name is required

Relationship

Error: Relationship is required

Date of Birth

Error: Date of birth is required

Percentage of Benefit

Error: Percentage of benefit is required

Use Different Address

Add Third Beneficiary

Beneficiary Information 3

First Name

Error: First Name is required

Middle Initial (optional)

Last Name

Error: Last Name is required

Relationship

Error: Relationship is required

Date of Birth

Error: Date of birth is required

Percentage of Benefit

Error: Percentage of benefit is required

Use Different Address

Street Address

Error: Street Address is required

City

Error: City is required

State

Error: State of residence is required

Zip Code

Error: Zip code is required

Add Fourth Beneficiary

Beneficiary Information 4

First Name

Error: First Name is required

Middle Initial (optional)

Last Name

Error: Last Name is required

Relationship

Error: Relationship is required

Date of Birth

Error: Date of birth is required

Percentage of Benefit

Error: Percentage of benefit is required

Use Different Address

Street Address

Error: Street address is required

City

Error: City is required

State

Error: State of residence is required

Zip Code

Error: Zip code is required

First Name

Error: First name is required

Middle Initial (optional)

Last Name

Error: Last name is required

Relationship

Error: Relationship is required

Date of Birth

Error: Date of birth is required

Percentage of Benefit

Error: Percentage of benefit is required

Use Different Address

Add Second Beneficiary

Contingent Beneficiary 2

First Name

Error: First name is required

Middle Initial (optional)

Last Name

Error: Last name is required

Relationship

Error: Relationship is required

Date of Birth

Error: Date of birth is required

Percentage of Benefit

Error: Percentage of benefit is required

Use Different Address

Add Third Beneficiary

Contingent Beneficiary 3

First Name

Error: First name is required

Middle Initial (optional)

Last Name

Error: Last name is required

Relationship

Error: Relationship is required

Date of Birth

Error: Date of birth is required

Percentage of Benefit

Error: Percentage of benefit is required

Use Different Address

Add Fourth Beneficiary

Contingent Beneficiary 4

First Name

Error: First name is required

Middle Initial (optional)

Last Name

Error: Last name is required

Relationship

Error: Relationship is required

Date of Birth

Error: Date of birth is required

Percentage of Benefit

Error: Percentage of benefit is required

Use Different Address

Percentage of Benefit must add up to 100%

Contingent Beneficiary Percentage of Benefit must add up to 100

Back

Category	Details
Product(s) Chosen:	{OptionalLifeInsurance} {LongTermDisabilityInsurance}
OLI Member Rates:	Member: {OLIMemberCoverage} Rates: {OLIMemberRates} Spouse: {OLISpouseCoverage} Rates: {OLISpouseRates} Child: ${OLIChildCoverage} Rates: {OLIChildRates}
LTD Coverage:	Member: {LTDCoverage} Rates: {LTDMemberRates} Elimination Period: {LTDEliminationPeriod}
Smoker:	Member: {MemberSmoker} Spouse: {SpouseSmoker}
Health Question 2:	Member: {MemberHealthAnswer1} Spouse: {SpouseHealthAnswer1}
Health Question 3:	Member: {MemberHealthAnswer2} Spouse: {SpouseHealthAnswer2}
Member Profile Information:	Name: {MemberFirstName} {MemberLastName} SSN: {MemberSSNumber} Gender: {MemberGender} DOB: {MemberBirthDate} Annual Salary: {MemberAnnualSalary} Email: {MemberEmail} Weight: {MemberWeight} Height: {MemberHeightMapping} Address: {MemberAddress}, {MemberCity}, {MemberState} {MemberZipCode}, Birth City: {MemberBirthCity}, {MemberBirthState}
Spouse Profile Information:	Name: {SpouseFirstName} {SpouseLastName} SSN: {SpouseSSNumber} Gender: {SpouseGender} DOB: {SpouseBirthDate} Weight: {SpouseWeight} Height: {SpouseHeightMapping} Birth City: {SpouseBirthCity}, {SpouseBirthState}

{MemberFirstName}, you're well on your way!

Beneficiary Information

Beneficiary Information

Beneficiary Information 2

Beneficiary Information 3

Beneficiary Information 4

Total Percentage of Benefit must equal 100%.

For more information, contact Willis Towers Watson 1-800-343-5433 8:00am – 4:00pm ET.

Total Percentage of Benefit must equal 100%.

For more information, contact Willis Towers Watson 1-800-343-5433 8:00am – 4:00pm ET.

Contingent Beneficiary 1

Contingent Beneficiary 2

Contingent Beneficiary 3

Contingent Beneficiary 4