Family Protection Plan Application Forms

Click on the state application form you need to download the PDF file.  If there is not a state specific form, please use the generic application. If your client is replacing a current insurance policy, you need to provide a disclosure form to be filled out before you fill out an application for the new insurance. The forms are provided in the Adobe Acrobat (PDF) format. In order to open the files you need Adobe Reader installed on your computer. Download the latest version of Adobe Reader®.

Generic states

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Delaware, South Dakota, US Virgin Islands

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District of Columbia

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North Dakota

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New Statutory Office
Effective December 18, 2017, 5Star Life Insurance Company (5Star Life) moved its statutory Office from Baton Rouge, Louisiana to Lincoln, Nebraska.
There are no changes to 5Star Life insurance contracts and life insurance contracts offered by Armed Forces Benefit Association (“AFBA”).
All AFBA products are underwritten by 5Star Life. No action is required by the policyholder.