AIP Forms

Fax completed forms to 800.411.4771 or mail to::

AIP Open Enrollment
9024 Town Center Parkway
Lakewood Ranch, FL 34202

Life and AD&D This is application should be used by agents contracted AFTER May 1, 2004. Use this form to purchase addition life and/or AD&D coverage for yourself and/or family. Use this form to let us know your beneficiaries as well.

Group Term Life Rates

Unum Application Instructions

Change or update your mailing address

Change or update your payment information