Explore USBA Group Life Insurance Applications

Safeguard Your Future, Starting Today

USBA provides life insurance coverage designed to protect your loved ones through every stage of life.

 

Group Life Insurance Applications

Thank you for choosing to apply with USBA. To begin your application, please select the coverage that’s right for you.

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 Insurance Company.

Interested in applying for multiple products, including Whole Life Insurance? Click here to Apply.

5-Year Group Level Term QuickDecisionSM Application

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10-Year Group Level Term Application

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15-Year Group Level Term Application

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20-Year Group Level Term Application

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TWO for ONE® Group Level Term Application

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Group Whole Life Insurance Application

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