To receive an informational packet about the LaborSTAR Young American Plan, complete the form below, or call toll free 1-800-682-6166 (refer to juvenile plan). Customer service representatives are available weekdays between 8:00 a.m. - 4:30 p.m. Central Time to answer any questions you may have regarding the LaborSTAR Young American Plan or any other plans in the LaborSTAR Insurance Program.

I am a (check one):

Member of LIUNA Local #

Retiree, spouse or surviving spouse retired from LIUNA Local #

Please provide the following information.

Name - Last

First MI Date of Birth
Address
City State Zip
Home Phone (Include Area Code)
E-Mail Address

This is a solicitation for insurance. Of course, there is no obligation.
The LaborSTAR Young American Plan was developed by Globe Life And Accident  Insurance Company for
the children and grandchildren of LIUNA members and retirees.  In accordance with ERISA regulations, the Laborers’ International Union of North America 
does not establish, maintain or endorse the program.

LaborSTAR Young American Plan is not yet available in all states.
(For Florida residents only:  Ray Bryant is the Resident Florida Agent).

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