Search results
Results from the WOW.Com Content Network
File your claim via fax or mail. Consider filing online for faster claims payment! Download form
Follow these five easy steps to file a claim and get paid fast: Schedule and complete your checkup or screening with your doctor. Visit aflac.com/login to log in or register your account using your Social Security Number and Mobile Phone Number. Once logged in, select Submit a new claim.
Please keep a copy of this completed form for your records. Please print a separate form for each additional family member or call 1-800-99-AFLAC (1-800-992-3522) to request additional forms.
File a Claim Checklist for our policyholders. Learn which items are required to use Aflac's SmartClaim system to file a claim. Aflac provides supplemental insurance for individuals and groups to help pay benefits major medical doesn't cover.
Please complete this section only for W-2 Employees and/or Contract 1099. (Please contact payroll and/or check the policyholder’s Salary Redirection Agreement/Premium Deduction Authorization card for the answer to these questions.)
ACCIDENTAL INJURY CLAIM FORM. Thank you for trusting Aflac with your Accidental Injury needs. â To file your claim online, upload documentation on an existing claim, check claim status or get paid fast by signing up for direct deposit, register on Aflac.com or download the MyAflac mobile app. To prevent delays, please provide documentation ...
WELLNESS AND HEALTH SCREENING CLAIM FORM. Failure to complete all sections may result in delayed processing of this claim. Review your policy for specific benefits covered under your plan.
HOSPITAL INDEMNITY CLAIM FORM. Several states require that the following statement appear on claim forms: Any person who knowingly attempts to defraud any insurance company, files a statement of claim containing any materially false, incomplete or misleading information, is guilty of a crime.
short term disability claim form *Please attach paperwork for any additional income you are receiving during this period of disability.* **Please sign and return the attached Authorization.
ACCIDENT WELLNESS BENEFIT CLAIM FORM. Failure to complete all sections may result in a delay in processing this claim. Please review your policy for specific benefits covered under your plan.