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    Accident Plan

    Accident Claim Form
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    Life Insurance

    Additional Life Forms below
    Life Claim Form

    General Forms

    Here you will find wellness forms, policy update forms, additional forms that may be required depending upon the type of claim

    Wellness Forms

    Annual Wellness  and Payment/Premium Forms

    Wellness Claim Form

    *Annual Benefit on Accident & Hospital Plans

    Claims Direct Deposit Form

    Initial Waiver of Premium Request

    Continued Waiver of Premium

    General Policy Forms

    General Policy changes such as name & beneficiary changes, keeping your coverage and general authorizations for claims

    Name Change

    Beneficiary Change   

    Port Policy (change in employment)

     

    Special Use Forms

    These forms may be be required depending on the type of claim and additional support needed.

     

    Authorization to Obtain Information (claims records assistance)

    Accelerated Death Benefit Claim

    Full Life Insurance Claim Packet

    Registering your "My Aflac Account"
     
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    Registering your My Aflac Account
    is an important first step to helping you submit claims easily, manage your plans
    and to receive your claims payments as fast as possible.
    Click Here for Tutorial

     

    Additional Aflac Group Support: Aflac Group Website
    For over 60 years, we’ve focused on giving customers the best supplemental insurance experience possible. When a person gets sick or hurt, Aflac pays cash benefits fast.