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GEBA - Government Employees' Benefit Association geba
 
Forms

General
Automatic Debit Form
Cancellation Form
Change of Member Information Form
Reduction in Coverage Form
2008 Insurance Auto Debit Schedule
2008 SRP Contribution and Withdrawal Schedule
2008 SRP Automatic Debit Contribution Schedule
Retirement/Resignation Form

Domestic Partners
GEBA Declaration of Domestic Partnership
GEBA & Unum Life Insurance Declaration of Domestic Partnership

GEBA Foundation Scholarship
GEBA Scholarship Foundation 2008-09 Application

Term Life Insurance Plan
Enrollment Form
Evidence of Insurability Form
Term Life Beneficiary Designation Form

Long Term Disability Plan
Enrollment Form

Long-Term Care Insurance Plan
Inquiry/Quote Request Form

Professional Liability Insurance
Enrollment Form

Emergency Travel Plan
Enrollment Form
Visitee Update Form
Claim Form
Physician's Statement

Vision Benefits Plan
Enrollment Form

Dental Insurance
Enrollment Form

Fixed Rate Guaranteed Investment Contract (GIC)
Fixed Rate Guaranteed Investment Contract Contribution Form
SRP Beneficiary Designation Form

Variable Annuity Contract*
MetLife Contribution Form
MetLife Withdrawal Form
MetLife Performance Sheet
MetLife Interfund Transfer Form
SRP Beneficiary Designation Form
2008 SRP Automatic Debit Contribution Schedule


Traditional/Roth IRA
Trustee Transfer Request
TSP-70
IRA Guaranteed Investment Contract Withdrawal Form
2008 SRP Automatic Debit Contribution Schedule

Non-Qualified Group Annuity
1035 Exchange Guaranteed Investment Contract
1035 Exchange MetLife
Group Annuity Guaranteed Investment Contract Withdrawal Form
2008 SRP Automatic Debit Contribution Schedule

GEBA MAX Fixed Annuity (Additional forms may be required for residents of certain states. Please contact the GEBA office at (301) 688-7912 or (800) 826-1126 for more information.)
GEBA MAX Fixed Annuity Application
GEBA MAX Fixed Annuity Withdrawal Form
GEBA MAX Fixed Annuity Transfer Form
GEBA MAX Fixed Annuity Service Request Form
GEBA MAX Fixed Annuity Statement Regarding Existing Policies Form
GEBA MAX Fixed Annuity Replacement Form - Maryland Residents Only

*For more information about MetLife Asset Builder, call or visit the GEBA office for a free prospectus. You should consider a fund's investment objectives, risks, charges and expenses carefully before investing. The prospectus will contain this and other information about the investment company. Please read the prospectus carefully before investing.

 

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Mailing Address P.O. Box 206 Annapolis Junction, MD 20701-0206 Ft. Meade Office: (800) 826-1126