Request Information Kit

To receive an informational packet about LaborSTAR coverage to supplement Medicare, complete the form below, or call toll free 1-800-682-6166.

Customer service representatives are available weekdays from 8:00 a.m. to 4:30 p.m. Central time zone to answer any questions you may have regarding LaborSTAR.

I am a LiUNA Retiree

I am a Spouse or surviving spouse

LiUNA  Local #

Please provide the following information. 

Name:

Last     First MI

D.O.B.

Spouse's Name:

Last     First MI

D.O.B.

Contact Information:

Address

City   State ZIP

Home Phone (Include Area Code)

E-Mail Address

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© 2010 United American Insurance Company, McKinney, Texas. All rights reserved. LaborSTAR is the retiree health program for the Laborers’ International Union of North America, underwritten and administered by United American Insurance Company, McKinney, Texas. United American Insurance Company is not connected to or endorsed by the U.S. Government, federal Medicare program, Social Security, or any other government agency.© “Automatic” Claims Filing PLUS, United American Insurance Company, McKinney, Texas. NOTE: LaborSTAR insurance coverage to supplement Medicare is a program established by United American Insurance Company for LiUNA retirees, their spouses and surviving spouses. In accordance with ERISA regulations, the Laborer's International Union of North America does not establish, maintain, or endorse the program. Policy Form Numbers: ERHP, TRHP, UGRMSP Plans and benefits may vary by state. These plans have some limitations and exclusions. See Summary of Benefits. United American is not associated with Medicare, Social Security, or any other government agency.