Senior Group Term Life Insurance Plan

• Economical Group Rates
• Coverage Available from $10,000 to $100,000 (in $10,000 increments)
• Available to Members Age 50-74
• Risk-Free 30-Day Free Look
• Underwritten by The United States Life Insurance Company in the City of New York

Documents

• Brochure
• Application (for Member and Spouse enrollment, print two copies of application)
  Please Select Your State of Residency AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
• Request more information
• Change of Beneficiary/Name Change Form

 This document is in Adobe^® Reader^® format (.pdf) and will require Adobe Acrobat Reader.

The Senior Group Term Life Insurance Plan is underwritten by The United States Life Insurance Company in the City of New York, NAIC No. 70106, domiciled in the state of New York with a principal place of business of 1 World Financial Center, 200 Liberty Street, New York, NY 10281. It is currently authorized to transact business in all states plus DC, except PR. This summary is a brief description of benefits only and is subject to the terms, conditions, exclusions and limitations of Group Policy No. G-610,151, Form No. G-19000. Coverage may vary or may not be available in all states.

The underwriting risks, financial and contractual obligations and support functions associated with products issued by The United States Life Insurance Company in the City of New York (United States Life) are its responsibility.

AG-8908