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 Group Term Life, AD&D, and
Dependents Insurance Application
Sponsored by
the California Association of Professional Scientists
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Make sure you have reviewed and understand the insurance
information including rates, term and amounts available.
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Download and print the application form. Complete
all required information.
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Sign in all three places and mail your completed
application to:
Standard Insurance Company
1 Sierragate Plaza, Suite 215A
Roseville, CA 95678
Toll-Free (800) 428-0505
Email:
sacramentogo@standard.com
You will be notified when your application has been processed by the
underwriting department. If you have any questions regarding
the status of your application, please call Standard Insurance
Company. |
