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Forms & Filing Information
for
U. S. Letter Carriers Mutual Benefit Association
Policies |
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If you would like to make a change or file
a claim on a U.S. Letter Carriers Mutual Benefit Association
Life or Health insurance policy, you can print the form
by clicking on the appropriate link in the chart below.
The MBA forms are available
online in Adobe Acrobat® PDF format. In Windows®,
click the form link to view online, right-click and save
to download. More
information
MBA Policy
Forms & Information on Filing |
| Life
Insurance Forms |
| Designation
of Beneficiary Form |
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PDF (132K)
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Extended
Term Insurance Form
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PDF (130K)
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Reduced
Paid Up Insurance Form
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PDF (75K )
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Cash
Surrender Cancellation Form
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PDF (148K )
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Health Insurance
Forms
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Important
information about filing
a
Disability claim
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PDF (10K )
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Important
information about filing
a
continuing Disability claim
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PDF (10K )
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Disability
Income Claim Form
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PDF (178K )
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Hospital
Indemnity Claim Form
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PDF ( 204K)
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Please mail completed
form(s) to:
| U.S. Letter Carriers
Mutual Benefit Association |
| 100 Indiana Avenue, NW
Suite 510 |
| Washington, D.C. 20001-2144 |
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Due to their sensitive nature and to protect
your privacy interests, personal inquiries and problems
will not be handled through the MBA or NALC website. For
general benefit information, please talk to your local MBA
Representative.
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For more information
contact your local
NALC branch office
or
call MBA's nationwide WATS line: 1 (800) 424-5184
Tuesday
& Thursday—8:00 a.m. to 3:30 p.m. Eastern
Time
or
call MBA at (202) 638-4318
Monday
thru Friday—8:00 a.m. to 3:30 p.m. Eastern Time
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© 2001-2005 National Association of Letter Carriers, AFL-CIO |
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