Request For Information

To request additional information for your credit union's LifeHelp program,
please use this electronic form or call 800-345-4543.

LifeHelp safeguards the information you provide to us. Please see our Privacy Policy for details.

Name of Credit Union:
Type of Group:

Check those that apply:

I would like to receive information about my credit union's

Accidental Death & Dismemberment Insurance
Life Insurance

*Program eligibility may vary by your group affiliation, age and state of residence. LifeHelp will review your eligibility before sending the information you request.

Coverage Amount:
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Age:    Gender (M or F):
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Here’s what other Credit Union members are saying

“My husband bought this policy for me because if something happens to him, I only have Social Security to live on. The cost is so reasonable… (and) we love the convenience of the automatic withdrawals.”
Linda Kathka, member
CommonWealth Central Credit Union
San Jose, California
“I bought the plan so I can leave it for my daughter to help her with anything left behind. It makes me feel really good not leaving her stranded. The policy was offered at a very reasonable price, with no physical. The Credit Union offers you things you know you can afford.”
Dottie Hensley, member
University Federal Credit Union, Austin, Texas