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Application for Insurance - Benefit Program Services

Application for Insurance - Benefit Program Services 2025

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The document outlines the application process for insurance with The Union Central Life Insurance Company, detailing necessary steps, required forms, and information practices. It includes instructions for completing the application, guidelines for insurability, and disclosure of personal information. Additionally, it covers specific types of insurance such as life and disability income policies, along with associated health questionnaires and consent forms related to HIV testing. The document emphasizes the importance of accurate information and compliance with legal requirements to prevent fraud.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I apply for my Texas benefits?

Call 2-1-1 or 1-877-541-7905. After you pick a language, press 2. Download a paper application by clicking the link Get a Paper Form at the bottom of the page. Pick up an application at a benefits office near you.