Accidental Death & Dismemberment Insurance
Enrollment Form
Printable Beneficiary &
Change Forms
Basic Certificate
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Presented and Administered
by Selman & Company

Accidental Death & Dismemberment Insurance
:: Certificate of Insurance

Basic Accidental Death & Dismemberment Insurance
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If you enrolled in the Basic Accidental Death & Dismemberment coverage by sending Selman & Company an enrollment form or through online enrollment, please print your Basic Certificate for your insurance records. Please note you must be an active member, age 18 to 74, of United Financial Credit Union and currently enrolled in Basic coverage for your insurance to be in force. If you would prefer to have your Certificate mailed to you, please call our plan administrator, Selman & Company toll-free at 1.877.665.7563, Monday through Friday 9:00 a.m. to 7:00 p.m., EST.

State in which you permanently reside

We appreciate your membership at United Financial Credit Union and look forward to providing you with additional valuable member benefits.


Accidental Death & Dismemberment Insurance
Underwritten by Transamerica Premier Life Insurance Company, Cedar Rapids, IA
Sponsored by United Financial Credit Union
Presented and Administered by Selman & Company
6110 Parkland Boulevard
Cleveland, OH 44124
877-665-7563 - Phone
440-646-9339 - Facsimile
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