USBA Military Life Insurance Logo
Welcome to USBA!
Military Life Insurance, TRICARE, CHAMPVA
Supplements for Armed Forces & Services:
Active Duty, Transitioning Military,
Veterans, Retired Military, Reserve &
National Guard, Federal Employees
New York Life Insurance Logo
USBA Group Life Insurance plans are underwritten by New York Life Insurance Company
877-297-9235 Sales
800-821-7912 Member Support
Home > Contact Us

 Contact Us / Free USBA Military Life Insurance Information Packet

Welcome USBA Members!

Questions? Want a FREE Information packet? Just complete this form or call us from 8am to 4:30pm CST, Monday through Friday, at (800) 821-7912.

*Required fields.
1. Member ID#: Please supply your member # to expedite your request. For your privacy, this is a secure form.
2. Select the plans in which you are most interested:
Life Insurance Plans
Smart Value 10 Year Group Level Term
Smart & Lean 15 Year Group Level Term
Long Term 20℠ Year Group Level Term
Double Value TWO for ONE® Family Group Level Term
Basic Value Group Level Term
Life-Time Value Group Whole Life
50+ Group Whole Life
First Steps℠ Children’s Group Whole Life
Other Insurance Plans
TRICARE Select Supplement*
TRICARE Reserve Select Supplement*
TRICARE Retired Reserve Supplement*
CHAMPVA Supplement*

**Not available in all states. Underwritten by Transamerica Premier Life Insurance Company, Cedar Rapids, IA and Transamerica Financial Life Insurance Company, Harrison, NY.

3. What is your mailing address?

*First Name:
Middle Initial:
*Last Name:
*Address 1:
Address 2:
Apt. #:
*Zip Code:
Date of Birth:
  / /
Tobacco Use:
Qualification Status:
4. How do you want to be contacted? Enter either a phone # or email address if you want us to contact you.
Contact Method:
Best Time to Contact:
Phone Number:
  - -    Ext.
Email Address:
Confirm Email Address:
5. Spouse Information: if interested in spousal coverage:
Spouse First Name:
Spouse Middle Initial:
Spouse Last Name:
Spouse Birthdate:
  / /
Spouse Tobacco Use:
6. Message:


If you wish to contact us by mail, please send to:

P.O. Box 25956
Overland Park, KS 66225-5956

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