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Member Support: (800) 821-7912


Apply Online for USBA Military Double Value TWO for ONE® Life Insurance

TWO for ONE conveniently covers both spouses for the same amount of coverage, pays on whoever dies first, and there’s only one premium to pay … not two! To apply online, fill out the form below and on following pages. Please be aware this is only an invitation to apply for USBA life insurance and is not a guarantee of approval of coverage. Coverage for yourself and/or any dependents is not effective until approved by USBA and New York Life.

Applying for one of USBA’s other group life Insurance products? Click here to apply for other life insurance plans.

USBA Free Info Kit for military life insurance
Need More Information before applying? Click here to request a Free Info Packet on any of our life insurance plans!
USBA Applicant Information
Answering the following questions will help determine whether or not you qualify for insurance with USBA. It does not in any way indicate whether or not your application will be accepted and insurance granted to you.
Begin here:
 * Are you currently a USBA Member; that is, are you currently holding an active policy with USBA?
Login Information:
So that you can easily come back to this application later please supply:
 * First Name:
Middle Initial:
 *Last Name:
 * Email Address:
 * Confirm Email Address:
 * Password:
 * Verify Password:
We’ll send you an email with your information right away, save it so you can login again later if needed.
For New USBA Members:

 * Applying as an
Associate Member?

USBA Associate Member Help. A USBA Associate Member is either a spouse or eligible child age 18-22 of someone who is eligible for USBA membership. (Note: your spouse or parent does not have to be insured for you to be an Associate Member, they just need to be eligible).
If Member of ROTC Unit:
Reserve Assignment or ROTC University:
 * Duty Status
 * Service Branch:
 * Federal Agency:
 * Pay Grade:
 * Rank:
 * Actual (Or estimated) date of separation or retirement:
For Current USBA Members:

 * Member Type:

 * Member ID#:
Retrieve My Member Information?
 Yes, I’d like to retrieve information from my USBA profile to help fill out my online application (you’ll need to enter your Member Service Center user ID and password).

IMPORTANT: If you are working with an agent, you have been provided with an agent number to use on this application. Please enter the number in the field below. If you are working with an agent, and do not have the agent number to enter here, contact your agent so you can enter the number below before proceeding.

If you are not working with an agent, leave the field blank and click “Next.”

Agent #:
State application written in:

USBA is a nonprofit organization providing a variety of low-cost group life insurance plans and other financial services. USBA programs are specifically designed to meet the special needs of Active Duty and Retired members of the Military, Honorably Discharged Veterans and Federal employees. As such, USBA can only offer insurance to people who meet specific requirements.

Applying online is not currently available in New York. Residents of New York may hit the ‘Back’ button on your browser and select ‘Download Application’ then print and mail an application to USBA.


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