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Committed to the Federal Workforce

Group Long Term Disability Insurance Application

Fax: (410) 846-6420 | Email: geba@geba.com | Mail: GEBA, 1362 Mellon Road, #100, Hanover, MD 21076

Before you begin to fill out GEBA’s Group Long Term Disability Application, we recommend that you have your medical records accessible for answering the health-related questions. You will be required to complete the entire application once you start since for security purposes we do not save the application for future access.

NOTE: GEBA’s Long Term Disability Insurance is not available to members who reside in Maine, New Hampshire, Vermont, and Oregon.

Group Long Term Disability Insurance is underwritten by New York Life Insurance Company, 51 Madison Avenue, New York, NY 10010

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GEBA - Government Employee's Benefit Association
1362 Mellon Road, #100
Hanover, MD 21076

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Securities are offered through Cape Securities, Inc. Member FINRA, SIPC Investment Advisory Services are offered through Cape Investment Advisors, Inc. 1600 Pennsylvania Avenue, McDonough, GA 30253 –
Tel: (678) 583-1120


GEBA Financial Advisors are Registered Representatives of Cape Securities, Inc.


For information about our Wealth Advisors, please visit Broker Check.