Supplemental Life Insurance
To apply for Supplemental life insurance, please contact a representative to enroll in person. Some policies that may be elected are:
- Accident
- Term Life
- Critical Illness
- Short-Term Disability Buy-Up
- Cancer Insurance
- Hospital Confinement
- Whole Life Insurance
For any changes, cancellations or other services, please fill out the form below and submit to address/fax indicated on top of form. Colonial Request for Service Form (PDF)
For more information, contact:
Annalisa Kurz
Colonial Respresentative
602-772-0988
Annalisa.Kurz@coloniallifesales.com
Lea Dennison
Local Representative (Navajo Nation)
505-870-8657
lea.dennison@coloniallife.com