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Free Life Insurance Form
Yes, I'd like to accept $12,000 of AFT PLUS Group Term Life Insurance, underwritten by The Union Labor Insurance Company, which is available to me at no cost for one full year as a new AFT member. After one year, I will be invited to continue the insurance.

Please print out the form below, complete and mail to: Benefits Coordinator, Texas Federation of Teachers 3000 S. IH-35, Austin, TX 78704

Insurance Activation Form (Adobe PDF Document)

If you cannot print the form and need one faxed or mailed, please call the TFT Action Line at 1-800-222-3827.

Copyright © 2005 Texas Federation of Teachers