Yes! You can use AI to fill out Principal Life Insurance Company Death Notification Form
This form is an official document used by a plan sponsor to notify Principal Life Insurance Company of a plan participant's death. It is essential for initiating the claims process, as it provides the necessary participant and beneficiary information for Principal Life to distribute death benefits according to the plan. Today, this form can be filled out quickly and accurately using AI-powered services like Instafill.ai, which can also convert non-fillable PDF versions into interactive fillable forms.
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Form specifications
| Form name: | Principal Life Insurance Company Death Notification Form |
| Number of pages: | 1 |
| Language: | English |
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How to Fill Out PG934-17 Online for Free in 2026
Are you looking to fill out a PG934-17 form online quickly and accurately? Instafill.ai offers the #1 AI-powered PDF filling software of 2026, allowing you to complete your PG934-17 form in just 37 seconds or less.
Follow these steps to fill out your PG934-17 form online using Instafill.ai:
- 1 Navigate to Instafill.ai and upload or select the Principal Death Notification Form (PG934-17).
- 2 Use the AI tool to automatically populate Section 1 with the deceased participant's information, such as name, plan ID, and date of death.
- 3 Complete Section 2 by providing the required details for each beneficiary, specifying whether they are individuals (2A) or non-person entities like trusts or estates (2B).
- 4 If any beneficiary is a minor, fill in the Custodian or Guardianship information in the designated area.
- 5 As the plan sponsor, carefully review all entered information, especially the beneficiary details, to ensure accuracy and compliance with plan documents.
- 6 In Section 4, provide the plan representative's name and title, then electronically sign and date the form to authorize the benefit payments.
- 7 Download the completed, signed form and submit it to Principal Life Insurance Company via fax or mail as per the instructions.
Our AI-powered system ensures each field is filled out correctly, reducing errors and saving you time.
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Frequently Asked Questions About Form PG934-17
This form is used to officially notify Principal Life Insurance Company of a plan participant's death. It provides the necessary beneficiary information so that death benefits can be processed and paid out to the correct individuals or entities.
The plan sponsor or plan administrator, typically from the deceased participant's employer, is responsible for completing and signing this form. It is not intended to be filled out by the beneficiaries themselves.
You will need the participant's most current Beneficiary Designation form and a certified copy of the death certificate. You should also have your plan document available for reference, especially if no beneficiary was designated.
Use Section 2A to list individual beneficiaries, such as a spouse, child, or other person. Use Section 2B if the beneficiary is a non-person entity, like a trust, estate, or charity.
If there is no beneficiary designation on file, you must refer to your plan document’s death benefit and beneficiary provisions. Section 3 of the form provides guidance on the steps to determine the appropriate beneficiary according to the plan's rules.
List the minor's information in Section 2A, and then you must also complete the 'Custodian or Guardianship of Minor Beneficiary' section. This requires the name and address of the court-appointed Guardian or designated Custodian.
By signing this form, you authorize Principal Life to make the outstanding loan balance taxable. A Form 1099-R will be issued for the loan amount if it is not repaid by the beneficiary within the plan's required timeframe.
You can submit all pages of the completed form by mail to P.O. Box 9394, Des Moines, IA 50306, or by fax to 866-744-4131.
Upon receipt, Principal Life will process the death based on the beneficiary information you provided. The company will then contact the beneficiaries directly with information about their benefit options.
If you need to list more beneficiaries than the form allows, please attach a separate addendum to the form. Ensure the addendum includes all the required information for each additional beneficiary.
You must verify if the spouse consented to this designation, as may be required by the plan. You can check your records or contact your Principal service associate to see if a spousal consent form is on file.
Yes, services like Instafill.ai use AI to accurately auto-fill form fields from your records. This can save you time and help reduce errors when completing the form.
You can use a service like Instafill.ai to complete the form digitally. Simply upload the PDF, and the tool will allow you to type directly into the fields, sign, and save the completed document.
If your PDF is a flat, non-fillable scan, you can use a tool like Instafill.ai. It can convert the document into an interactive, fillable form for you to complete easily online.
Compliance PG934-17
Validation Checks by Instafill.ai
1
Exclusive Beneficiary Section Completion
This validation ensures that information is provided in either Section 2A (for individuals) or Section 2B (for non-persons), but not in both. The form instructions explicitly state to complete one or the other, so filling both creates ambiguity in identifying the correct beneficiaries. A failed validation should prompt the user to clear one of the sections before the form can be processed.
2
Beneficiary Percentage Summation
This check verifies that the sum of the 'Percent' fields for all listed beneficiaries (across Section 2A and/or 2B) equals exactly 100%. This is critical to ensure the entire death benefit is allocated correctly and without dispute. If the total is not 100%, the form is considered incomplete and must be corrected to prevent payment errors.
3
Participant Date of Death Validity
This validation confirms that the 'Date of death' in Section 1 is a valid calendar date and is not a future date. This is a fundamental piece of information for processing a death claim and must be accurate. An invalid or future date would halt processing and require immediate correction from the plan sponsor.
4
Plan Representative Signature Date Consistency
This check ensures the 'Date' next to the Plan Representative Signature in Section 4 is on or after the participant's 'Date of death' from Section 1. A signature date preceding the death would be logically impossible and invalidates the authorization. The form would be rejected as it indicates a potential clerical error or premature submission.
5
Social Security Number Format
This validation ensures that each 'Soc Sec No.' entered in Section 2A conforms to the 9-digit format (XXX-XX-XXXX or XXXXXXXXX). A valid SSN is required for tax reporting (Form 1099-R) and proper identification of the beneficiary. Failure to provide a correctly formatted SSN will prevent payment processing until the information is corrected.
6
Federal Tax ID (EIN) Format
This check verifies that the 'Federal tax ID' in Section 2B for a non-person beneficiary follows the standard 9-digit Employer Identification Number (EIN) format (XX-XXXXXXX). This ID is essential for correct tax reporting and legal identification of an estate, trust, or charity. An incorrectly formatted ID will cause the submission to be flagged for manual review and correction.
7
Mandatory Custodian Information for Minors
This validation triggers if a beneficiary in Section 2A is determined to be a minor based on their 'Date of birth'. It then checks that the 'Custodian or Guardianship of Minor Beneficiary' subsection is fully completed. Paying benefits to a minor requires a legal custodian or guardian, and missing this information would legally prevent the disbursement of funds for that beneficiary.
8
Participant Information Completeness
This check ensures that all required fields in Section 1, such as 'Participant name', 'Participant ID #', and 'Company name', are filled out. This information is essential for locating the correct participant account within the system. A form with missing participant data cannot be processed and will be returned to the sender.
9
Individual Beneficiary Detail Completeness
If Section 2A is used, this validation confirms that for each listed beneficiary, all required fields ('Name', 'Relationship', 'Soc Sec No.', 'Date of birth', 'Percent', and 'Address') are complete. Incomplete information for any beneficiary can delay payment for all beneficiaries, as the allocation cannot be finalized. The form would be held pending receipt of the missing details.
10
Non-Person Beneficiary Detail Completeness
If Section 2B is used, this check ensures that the 'Name of non-person beneficiary', 'Federal tax ID', 'Percent', 'Contact name', and 'Address' fields are all complete. This information is necessary to legally identify the entity and the responsible party for receiving the benefit. Missing data will result in processing delays until the plan sponsor provides the complete information.
11
Zip Code Structure Validation
This check verifies that all 'Zip' code fields on the form contain a valid 5-digit or 9-digit (ZIP+4) numeric format. Correct zip codes are crucial for mailing important documents, such as payment checks and tax forms, to the correct addresses. An invalid format would flag the address for review and potential correction to avoid misdirected mail.
12
Beneficiary Date of Birth Logic
This validation ensures the 'Date of birth' for each individual beneficiary in Section 2A is a valid date that occurs before the participant's 'Date of death'. A birth date after the participant's death is a logical impossibility and indicates a data entry error. This error must be corrected to ensure the beneficiary is correctly identified and to determine their status as a minor if applicable.
13
Plan Sponsor Authorization Completeness
This check confirms that the 'Print plan representative name', 'Title', 'Plan Representative Signature', and 'Date' fields in Section 4 are all completed. This section represents the plan fiduciary's legal authorization to release funds. An incomplete authorization section renders the entire form invalid and will prevent any benefit payments from being made.
Common Mistakes in Completing PG934-17
This error occurs when the percentages assigned to all beneficiaries in Section 2 do not add up to exactly 100%. People often make simple calculation mistakes, especially when dealing with multiple beneficiaries. An incorrect total will cause the form to be rejected, delaying the distribution of benefits until a corrected form is submitted. To avoid this, double-check all calculations before submission; AI-powered tools like Instafill.ai can automatically validate these fields to ensure they sum correctly.
Filers often leave the Social Security Number (for individuals in 2A) or Federal Tax ID (for entities in 2B) blank because they don't have the information readily available. This data is mandatory for tax reporting (Form 1099-R) and identity verification. Omitting it will halt the entire claims process until the information is provided, causing significant delays for the beneficiaries. It's crucial to gather all required data before starting the form.
A common mistake is to list a minor in Section 2A but fail to complete the 'Custodian or Guardianship of Minor Beneficiary' section. This happens due to oversight or misunderstanding of the legal requirements for paying benefits to a minor. This omission leads to major legal and processing delays, as funds cannot be legally disbursed directly to a minor and require a formal custodian or guardian to be named.
The Plan Representative's signature in Section 4 is frequently missed, especially on multi-page forms. An unsigned form is not a valid authorization and will be immediately rejected by the insurance company. This requires the entire form to be returned to the sender for signature, delaying the notification and subsequent payment process. Always perform a final review of all pages to ensure all required signature and date fields are complete.
Filers mistakenly fill out both Section 2A (for individuals) and 2B (for entities), or they list an entity like a trust in the section for individuals. The form explicitly states to complete *either* 2A *or* 2B. This error creates ambiguity and forces the processor to seek clarification, delaying the claim. Carefully read the section headers to ensure you are entering the beneficiary information in the correct category.
Leaving the 'Contract or Plan ID' or 'Participant ID #' fields in Section 1 blank or entering incorrect information is a frequent error. This often happens when the person filling out the form is a family member who is unfamiliar with the participant's plan details. Without this specific ID, the insurance company cannot locate the participant's account, bringing the entire process to a standstill until the correct information is found and resubmitted.
When there are more than two beneficiaries, people sometimes try to squeeze the information into the margins or simply omit the additional beneficiaries. The form instructs filers to attach an addendum for this purpose. Failing to do so results in an incomplete claim and can lead to incorrect benefit distribution and potential legal disputes among beneficiaries.
The yes/no question in Section 1 regarding unreported benefit events (like retirement or disability) is easily overlooked. Answering this incorrectly or skipping it can lead to inaccurate benefit calculations and payouts. For example, if a retirement was not reported, the death benefit amount could be miscalculated, causing compliance issues and incorrect payments. It is crucial to verify the participant's status right before their death.
The 'Plan Trustee Signature (if applicable)' field in Section 4 often causes confusion. Filers may either omit a required signature or waste time seeking a signature that isn't necessary for their specific plan. This ambiguity leads to delays while the filer tries to determine the requirement. Before submitting, it's best to confirm with the plan's service representative if the trustee's signature is needed.
This form is a flat PDF, which means it must be printed and filled out by hand, often leading to illegible handwriting and data entry errors. This can cause significant processing delays as the insurance company struggles to read names, addresses, and ID numbers. To prevent this, you can use a service like Instafill.ai to convert the non-fillable PDF into an interactive, fillable form, ensuring all entries are clear, legible, and properly formatted.
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