ALPA Member Insurance

Please use the below form to submit a request for information about ALPA's insurance programs. Additionally, you can send any inquiries to insurance@alpa.org or call 1-800-746-2572 (ALPA)

First Name*
Last Name*
Address*
City*	State/Province*	Zip*
Telephone Number	Email Address
Date of Birth	ALPA Number*
Check boxes for all plans you are interested in* ALPA Loss of License Insurance ALPA 10 & 20 Year Level Term Life Insurance ALPA Group Term Life Insurance ALPA Lump Sum Loss of License Insurance ALPA Short-Term Disability Insurance ALPA Accidental Death and Dismemberment Insurance FedEx Pilot Coverage
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