$25,000 Life Insurance for Eligible Student Members of the AVMA Compliments of the AVMA LIFE Trust

The AVMA Trust is committed to supporting the future of the veterinary profession. Eligible, full-time members¹ of the Student American Veterinary Medical Association (SAVMA) who are in good standing automatically receive $25,000 in Family Group Term Life Insurance—at no cost to themselves—compliments of the AVMA LIFE Trust.

Get your Certificate of Insurance and choose your beneficiary (the person who will receive your benefit if you pass away) by filling out the form below.

Eligible student members in PA, VA, and WI must register for this coverage to become insured by submitting this form or calling 800.621.6360 (select Prompt 1 for Life and Disability questions, then Prompt 2).

Provide your SAVMA ID

Student First Name*

Student Last Name:*

SAVMA Number:*

Permanent Email Address:*

School Email Address:

Phone Number:*

(###)-###-####

Permanent Street Address:*

Address 2

City:*

State:*

Zip Code:*

School:*

College Graduation Date*:

Gender:

Male
Female

Date of Birth:*

Underwritten by New York Life Insurance Company (NY, NY 10010) on Group Policy Form GMR.

¹To be eligible, you must be a SAVMA member in good standing; be between age 18 and 65; reside in, and be a legal resident of, the 50 United States, District of Columbia, or Puerto Rico; and be a full-time veterinary student at an AVMA-accredited school within the U.S. "Good standing" means that a student's SAVMA membership dues have been paid and are up to date by November 1 of the academic year (or April 1 if a student is beginning school in a winter term). If membership dues are not up to date, no benefits would be payable. Coverage ends upon termination of SAVMA membership.

NYL-5688345