New life insurance Beneficiary Form from Zenith American Solutions

Be sure to update your life insurance Beneficiary Form! Below is a sample of what the form looks like. You should be receiving one in the mail shortly if you haven’t already.


As you may or may not be aware, in an effort to offer our members the highest quality of service, SEIU 721 has hired an experienced administrator – Zenith American Solutions – to handle beneficiary benefits.

So we are asking all SEIU 721 members to provide Zenith with a new, completed Beneficiary Form.

Our goal is to ensure that everybody’s beneficiary information is accurate and up-to-date. So once you receive the Beneficiary Form, please fill it out and return it to Zenith as soon as you can.

If you have questions about the Beneficiary Form, call (855) 752-9622 and press “1.” If you have any questions regarding filing a claim for this benefit, call the same phone number press “2.” If you have any other questions regarding this benefit, call the same phone number Monday through Friday between 9 A.M. and 4:45 P.M. and ask for a Zenith Service Representative.



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Thank you for your inquiry. I will use my email ad

Thank you for your inquiry. I will use my email address or contact

David Panamino

I would to write the name of my nephew as beneficiary. Can you mail me the form at David Panamino 438 S. Manhattan Pl # 8 Los Angeles, CA 90028


How do I download a copy of this?

Vera Spinks-Hall

My name is Vera Spinks-Hall and I am an employee with the Department of Children and Family Services in Pomona. Please mail a beneficiary form to my home as I am having difficulty downloading the form for your website. My address is 12351 Marshall Ave. #50, Chino, CA 91710. Thanking you inadvance for your assistance.