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    Member Services - Download Forms

    Changes to the group policies listed below can be made by completing the required form and submitting it to LifeHelp, the plan administrator.

    Select the type of group insurance policy and desired change that you have:

    American General Assurance Company

    50-Plus Term Life
  • Coverage Change Form
  • Beneficiary Change Form
  • Accidental Death & Dismemberment (AD&D)
  • Coverage Change Form
  • Beneficiary Change Form
  • Young Family Term Life
  • Coverage Change Form
  • Beneficiary Change Form

  • New York Life Insurance Company

    10-Year Term
  • Coverage Change Form
  • Beneficiary Change Form
  • Accidental Death & Dismemberment (AD&D)
  • Coverage Change Form
  • Beneficiary Change Form
  • Affinity Term Life
  • Coverage Change Form
  • Beneficiary Change Form
  • Young Family Term Life
  • Coverage Change Form
  • Beneficiary Change Form

  • United States Life

    50-Plus Term Life
  • Coverage Change Form
  • Beneficiary Change Form
  • Accidental Death & Dismemberment (AD&D)
  • Coverage Change Form
  • Beneficiary Change Form

  • Health Statements

  • New York Life Insurance Form
  • United States Life Insurance Form

  • Please print, complete, sign and mail the downloaded form to:

    LifeHelp
    6724 Lockheed Drive
    Redding, CA 96002-9004


    Forms for New York Life, United States Life, or American General Assurance must be mailed to the above address.

    If you are not sure what type of policy you have or from which insurance carrier, please contact Member Services at:
    (800) 345-4543 from Monday to Friday, 5 a.m. to 5 p.m., Pacific Time.