Neptune-Administered Forms for New Mexico

The below forms are specific to this state. Non-state specific forms can be located on the General Forms page.

Administration Back To Top
There are no state-specific forms. Use forms located on the General Forms page.
There are no state-specific forms. Use forms located on the General Forms page.
Group Statement of Insurability Back To Top

American General Life Insurance Company of Delaware

. 06673571-1005USLNM Statement of Insurability for Group Programs NM

Voluntary Statement of Insurability Back To Top

American General Life Insurance Company of Delaware

. 06673571-1098USLNM Application for Group Voluntary Programs All Coverages NM 
. 06673571-1496USLNM Application for Group Voluntary Programs Life & AD&D Only NM