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Girl Scouts of the USA

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Girl Scouts of the USA

Enrollment For Optional Insurance

Online Enrollment Forms

Descriptions of Coverage

Plan 1-Basic Coverage Brochure
English Version	Spanish Version

Claim Forms

NOTE: The address section on the claim form must be the Claimants Home Address, not the Council or Resident Camp address or the address where the covered event was held.

English Version Fraud Statements	Spanish Version
** Claims will not be processed without Council signature

Frequently Asked Questions

Other Forms

United of Omaha relies on the Council to validate/authorize both Enrollment Forms and Claim Forms prior to processing. Enrollment Forms and premium must be received prior to the beginning date of any event, United of Omaha cannot back date coverage. Claim Forms and appropriate bills should be filed/submitted as near the date of the accident as reasonably possible.

Mutual of Omaha Insurance Company is licensed in all 50 states; United of Omaha Life Insurance Company is licensed in all states but New York. In New York, Companion Life Insurance Company, Lynbrook, NY, underwrites life insurance and annuities.

AFN 31231