Life Help®

Insuring Members for Life

Member Services - Change My Policy or Information

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:

Life Insurance

New York Life Insurance Company – 10-Year Term Life

• NYL 10YT Change Form
• NYL 10YT Beneficiary Form

New York Life Insurance Company – Affinity Term Life

• NYL Affinity Life Change Form
• NYL Affinity Life Beneficiary Form

AIG American General – Senior (50+) Term Life

• AIG 50+ Change Form
• AIG 50+ Beneficiary Form

Accidental Death & Dismemberment

New York Life Insurance Company – AD&D

• NYL AD&D Change Form
• NYL AD&D Beneficiary Form

Unum Life Insurance Company of North America – AD&D (Credit Union)

• Unum AD&D CU Change Form
• Unum AD&D CU Beneficiary Form

The Hartford – AD&D

• The Hartford AD&D Change Form
• The Hartford AD&D Beneficiary Form

American General – AD&D

• American General AD&D Change Form
• American General AD&D Beneficiary Form

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

LifeHelp Insurance Administrative Services
6724 Lockheed Drive, Suite 1
Redding, CA 96002-9004

Forms for The Hartford or Unum may be signed and faxed to: (530) 223-7712
Forms for New York Life or AIG 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 Standard Time.