Print out the necessary form, complete it and mail it to:
         Amalgamated Life Insurance Company
         333 Westchester Avenue
         White Plains, NY 10604
         914-367-5000 ask for the Life Insurance Department

• Explanation of Basic Forms
  
  
• Questionnaire For Policyholders Required To File Form 5500
  
  
• Request For Conversion Application
  
  
• Enrollment For Life Insurance
  
  
• Enrollment for Life Insurance with Dependent #3537
  
  
• Application for Group Insurance
  
  
• Notice Of Death Form
  
  
• Change Form - Terminations
  
  
• Change Of Beneficiary And/Or Change Of Name