Group Benefits Services Downers Grove, IL Cleveland, OH Dallas, TX   Group Producer Services Find a Sales Office   Annuity Services Individual Client Services Annuity Producer Services

Contact Us See products and services available in New York   Step 1 How may we help you?   Coverage / Benefits Questions Group Producer Questions Annuity Producer Questions Annuity Contract / Individual Life Policyholder Questions Technical Support Questions General Inquiries Step 2 Please provide us with the following information. Required fields are highlighted in yellow: This is regarding:   Benefits Manager Administrative Forms Claims Contact Information Membership / Eligibility Evidence of Insurability (EOI) Billing Other First Name: Last Name: E-Mail Address: Phone Number: --Ext. Fax Number: -- Group Number: Claim Number: Social Security Number: -- How may we help you? Step 2 Please provide us with the following information. Required fields are highlighted in yellow: This is regarding:   Group Producers Corner Product Information Administrative Forms Inforce Benefits Commissions Other First Name: Last Name: E-Mail Address: Phone Number: --Ext. Fax Number: -- Agency Name: City: State:   Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist. of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming [UST] British Virgin Islands [UST] Virgin Islands Contact Preference:   By e-mail By phone By fax How may we help you? Step 2 Please provide us with the following information. Required fields are highlighted in yellow: This is regarding:   Annuity Producers Corner Product Information Current Rates Administrative Forms Ordering Materials Other First Name: Last Name: E-Mail Address: Phone Number: --Ext. Fax Number: -- Agency Name: City: State:   Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist. of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming [UST] British Virgin Islands [UST] Virgin Islands Contact Preference:   By e-mail By phone By fax How may we help you? Step 2 Please provide us with the following information. Required fields are highlighted in yellow: This is regarding:   Annuity Products Individual Life Policies Current Rates Other First Name: Last Name: E-Mail Address: Phone Number: --Ext. Fax Number: -- Contract Number: Contact Preference:   By e-mail By phone By fax How may we help you? Step 2 Please provide us with the following information. Required fields are highlighted in yellow: This is regarding:   Benefits Manager Group Producer Annuity Producer HCSC Specifically:   Trouble Registering Online Trouble Logging In Can't Remember User ID Unable to Reset Password Other First Name: Last Name: E-Mail Address: Phone Number: --Ext. Group Name: Group Number: How may we help you? Step 2 Please provide us with the following information. Required fields are highlighted in yellow: First Name: Last Name: E-Mail Address: Phone Number: --Ext. Fax Number: -- Group Number: Claim Number: Social Security Number: -- How may we help you?

Group Benefits Services Downers Grove, IL Dallas, TX   Group Producer Services Find a Sales Office

Contact Us See products and services available outside New York   Step 1 How may we help you?   Coverage / Benefits Questions Group Producer Questions Technical Support Questions General Inquiries Step 2 Please provide us with the following information. Required fields are highlighted in yellow: This is regarding:   Administrative Forms Claims Contact Information Membership / Eligibility Evidence of Insurability (EOI) Billing Other First Name: Last Name: E-Mail Address: Phone Number: --Ext. Fax Number: -- Group Number: Claim Number: Social Security Number: -- How may we help you? Step 2 Please provide us with the following information. Required fields are highlighted in yellow: This is regarding:   Product Information Administrative Forms Inforce Benefits Commissions Other First Name: Last Name: E-Mail Address: Phone Number: --Ext. Fax Number: -- Agency Name: City: State:   Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist. of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming [UST] British Virgin Islands [UST] Virgin Islands Contact Preference:   By e-mail By phone By fax How may we help you? Not available for FDLNY at this time. Step 2 Please provide us with the following information. Required fields are highlighted in yellow: This is regarding:   Website Issue Other Specifically:   New York Content Other First Name: Last Name: E-Mail Address: Phone Number: --Ext. Group Name: Group Number: How may we help you? Step 2 Please provide us with the following information. Required fields are highlighted in yellow: First Name: Last Name: E-Mail Address: Phone Number: --Ext. Fax Number: -- Group Number: Claim Number: Social Security Number: -- How may we help you?

Online Privacy Statement  •  Legal Disclaimer  •  Customer Privacy Notice  •  Affiliates & Partners Administrative Offices:  Downers Grove, IL  •  Cleveland, OH  •  Dallas, TX ©2008 Fort Dearborn Life Insurance Company. All rights reserved.

Online Privacy Statement  •  Legal Disclaimer  •  Customer Privacy Notice  •  Affiliates & Partners Administrative Offices:  Downers Grove, IL  •  Dallas, TX ©2007 Fort Dearborn Life Insurance Company® of New York. All rights reserved.

Colorado Bankers Life Insurance Company is a Colorado insurance company. Combined Services LLC is an insurance agency formed under the laws of the State of New Hampshire and a wholly owned subsidiary of Fort Dearborn Life Insurance Company. Dental Network of America, Inc. is a Delaware corporation and third party administrator doing business in Oakbrook Terrace, IL.