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Change Of Beneficiary

To designate or change the beneficiary of your group term life insurance policy, please follow these steps:

1. Download the fillable PDF form.

Group Term Life Beneficiary Form (PDF)

2. Complete and print the form.

3. Mail the form to:

The Alumni Insurance Program
14 Cliffwood Avenue, Suite 310
Matawan, NJ 07747

The Roosevelt University Alumni Association receives financial benefits from the administrator that provides this program. These benefits fund alumni programs and activities.

Please Note!

Change Of Beneficiary

To designate or change the beneficiary of your group term life insurance policy, please follow these steps:

1. Download the fillable PDF form.

2. Complete and print the form.

3. Mail the form to: