Alumni
Disability Income SM

Long Term Disability Income Plan

Star NOTE: Alumni Disability Income is available in all states except AK, CO, OR, LA, NH, SD and UT.

Apply Now

Simply follow these steps:

1. Select your state to download the correct application below.

No printer? Request an application to be sent to you by mail.

2. Complete, sign and date the application in ink.

3. Mail to:
American Insurance Administrators
P.O. Box 1149
Columbus, OH  43216-1149