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The Special Agents Mutual Benefit Association (SAMBA) is a special source for group insurance designed for those federal employees we serve. Rather than being an insurance company with customers, SAMBA is an association with members. As a not-for-profit employee association, we develop plans not because of the profits they will yield, but because of the needs they will fill. SAMBA’s goal is quality service rather than growth, that is why our plans are only available to (active & retired) federal employees of a few, select agencies.

SAMBA offers: health, group term life, disability income protectionpersonal accident, dental and vision, and long-term care insurance plans. A personal legal services plan is also available. We believe these plans are among the best available to employees of the federal government and that our programs are tailored to meet your needs.

We invite you to compare our costs and coverage with other plans and acquire SAMBA protection for you and your family.

The SAMBA Health Benefit Plan is part of the Federal Employees Health Benefits Program (FEHBP) and is self-insured by SAMBA, other plans offered by SAMBA are not part of the FEHBP.

Note: First time enrollment in some plans (i.e., group term life) are restricted to active employees only.

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General FAQs
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Federal Health Plan
Dependent Children 22-27
Group Term with AD&D
Dependent Group Term
Supplemental Group Term
Personal Accident
Terrorism Coverage
Beyond Age 70
Federal Health Plan
Dependent Children 22-27
Samba Bill Pay
Disability Income Protection
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Health Claim Form
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Privacy Information
What's New
Our Life plans are underwritten by Prudential
2004 Dental and Vision benefit changes
On 7/28/04, SAMBA Board of Directors amends Association's by-laws
Important Announcement Regarding Changes to Over Age 22 Child's Dependent Children Health Benefit Plan
New Electronic Group Plans Payment Options
DIP Application
Payroll Allotment
Health Statement
Change of Beneficiary
GTL Application
Payroll Allotment
Health Statement
Change of Beneficiary
DGTL Application
Payroll Allotment
Health Statement
Change of Beneficiary
PAIP Application
Payroll Allotment
Change of Beneficiary
SGTL Application
Payroll Allotment
Health Statement
Change of Beneficiary
DCHBP Application
DCHBP Dental Application
Payroll Allotment
Dental Expense Claim Form
Dental/Vision App for Active Members
Dental/Vision App for Quarterly Pmt.
Dependent Children Dental Application
Dental Expense Claim
Payroll Allotment
PLFS Form for Active Members
PLFS Form for Retired Members
Authorized Representative Form
Authorized Use & Disclosure Form
Revocation Authorization Form



2003-2004 Special Agents Mutual Benefit Association. All rights reserved.