This program is underwritten by New York Life Insurance Company,
New York, NY 10010 on policy form GMR-FACE

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Duplicate Certificate Request Form

Are you currently insured in this program ... and need a duplicate copy of your Certificate of Insurance?

We're always happy to provide insured AANA members with a duplicate copy of their Certificate of Insurance - at no charge.  Simply fill out the information below, and we will go right to work on getting a duplicate copy in your hands right away.

Once you've completed the brief information above, click to send us your request.  It's that simple!

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