Apply for the SAF Earnings Guard™ Plan today
	Just three easy steps to get the protection you may need
	Determine the level of coverage you would like to apply for and download the Application Form. Complete, sign, and date the form. Be sure to indicate the amount of life insurance you desire for yourself and your spouse. For coverage up to $5,000 click here* *Applications are provided in pdf format.  To view the application, you must have Acrobat® Reader® installed. You can download Acrobat® Reader® from the Adobe® Web site: http://www.adobe.com/products/acrobat/readstep2.html Find your semiannual premium using the rate chart. Mail your completed application along with your check for the first semiannual premium payment, made payable to SAF Insurance, to:         JZA Affinity         7735 Old Georgetown Road, Suite 800         Bethesda, MD 20814 Form SRP-1311 A (HLA) (5465) Underwritten By Hartford Life and Accident Insurance Company, Simsbury, CT. Questions? Call your SAF Customer Service Representative toll-free at 1-800-865-2727 x1792 . Return toSAF Earnings Guard™ Plan Information Page