Neptune-Administered Forms for Oregon
The below forms are specific to this state. Non-state specific forms can be located on the General Forms page.
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Administration
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There are no state-specific forms. Use forms located on the General Forms page.
Claims
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There are no state-specific forms. Use forms located on the General Forms page.
Group Statement of Insurability
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American General Life Insurance Company of Delaware
. 06673571-1005USLOR Statement of Insurability for Group Programs OR
Voluntary Statement of Insurability
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The United States Life Insurance Company
.00305101-1098USLOR Application for Group Voluntary Programs OR
American General Life Insurance Company of Delaware
. 06673571-1098USLOR Application for Group Voluntary Programs All Coverages OR
. 06673571-1496USLOR Application for Group Voluntary Programs Life & AD&D Only OR