Valuable protection on or off the job.
Remember, you can designate your beneficiaries by clicking on the “My Account” link at the top right corner 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.
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.
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.
Accidental Death & Dismemberment (AD&D) Insurance Claim Form