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800-345-4543

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.