Uniformed Services Benefit Association  
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Download an Application for USBA's Smart Value 10-Year Level Term

   
 

All applications are in PDF format readable with Acrobat Reader.

USBA Members: If you want to change your existing coverage, please tell us exactly what you want to cancel, replace, or reduce in a statement you sign and date. Then enclose the statement with your application to help us process your request more quickly. All requests for a change in coverage are subject to approval by the insurance company.

Please tell us how you came to our Web site:

Download 49 States Application

Download New York Only Application

Attention Puerto Rico Residents
Please contact USBA regarding your application for this product. 1-800-368-7021

Questions?

 
All applications are in PDF format readable by Adobe Acrobat Reader. If you do not have Acrobat Reader, you may download it from the
Adobe web site.
 
 

 

 
 


USBA's Group Life Insurance Plans are Underwritten By New York Life Insurance Company.
 
 
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