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Union Plus Insurance Benefits Service Center
Download Forms:

Union Plus offers you direct access to the forms you need to update your policy or submit a claim.

All forms are PDF files so you will need Adobe Acrobat Reader to view and print them. If you do not have Adobe Acrobat, you may obtain by clicking the 'Get Adobe Reader' button at the bottom of the page.

After opening the form you need, print and complete the form and mail it to our customer service center, along with any required information. You can mail the form to:

Union Plus Office of Administration
P.O. Box 22758
Santa Barbara, CA. 93121-2758

If you have any questions while you are completing a claim form, please submit a question online or call us directly at 1-800-393-0864.
Hours of operation: Monday to Friday 8am-7pm (EST). Se habla español.

Form TitleDownload
Accidental Dismemberment or Loss of Sight
Claim Form
Application for Disability Income Benefits
Claim Form
Living Benefit Option Form
Claim Form
Other Income Questionnaire
Claim Form
Proof of Loss - Accidental Death
Claim Form
Proof of Loss - Association/Affinity Life
Claim Form

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