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Mail: Post Office Box 84075, Columbus, GA 31993, For critical illness claims, we need information from you and your attending physician. endobj 5]mS)I&\m'[NsCj]sr@0El\`]Uq+.S367pgfd2I2(=P['dU+EV"7XqK'c7K%if?fQ]VP
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MLS# 1864249. 7 0 obj To file a life insurance, disability insurance, or absence claim, click the button below to access the member portal. /Length 310 oJ!qE004N-XBk;7k]qo&bs<9Pm9
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Consider filing online for faster claims payment! 0000030858 00000 n <> 16 0 obj You will be automatically redirected in 10 seconds or click the button below to be redirected immediately. Online Claim Form Aflac https://www.aflac.com/file-a-claim/default.aspx Use Aflac SmartClaim app to initiate your claim process online or track your claim. ]/:~>
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%PDF Font (F27) For step-by-step tutorials on filing an online claim, please see our claims checklists. /Encoding 12 0 R 0000000000 65535 f nBr?OjbmGB*-+c"Gfs=pq`pf\5/qG=9-4ag[=%5G2c]U@?7%qhqm. Select the Get form button to open the document and move to editing. Bk\1f/VUX4ST4NT40lN34+-*[pI_iW#ggd2*`hgWE^=-R:s=)2'tu01Vr]^_S>-&.RS7)o+'X@(Y83/(
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Life claim forms for the state of Illinois must be obtained by contacting Aflac Worldwide Headquarters at 800.992.3522 to have the appropriate forms sent to you. 0000000000 65535 f Forms are available on our web site at aflac.com. 4 0 obj 23 0 obj qgQd[30A^am-..JBHH)+$ahbj7*Ot?C="O'iqAnAlg:_=(aVdLl!-i^Oj"qBSn)tseZTg`f@X>4'72ib
Self-funded plans and absence services are administered by CAIC in all states but NY. Fill out all of the required fields (these are yellow-colored). endobj a8BPfZ&sW[D\qX`_,022h,5IoVd[
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A0Y5rjtc-l=mpq_h=;$=@msV1)_!YAgb[=l4d[#_f!$4lHeElf,p`grp.1a3BKs:! Submit or View Your Claim )_uYFAPMnh@@qLR(!tj0,JgDV:^2aU1j,Q1G5%+A&.^pn]C"PJA:oAllMYj0psPAVZ_E,8iGS^\I&;A'/E"CXIR`WpK_.^,?uB7C2c/q!Ft;r%bq\)j#XX/c~> 0000030858 00000 n %PDF Font (F7) State-paid family leave View more Life insurance View more Long-term disability insurance View more Short-term disability insurance View more Leave of absence View more Contact us Explore the unlimited potential and flexibility that comes with the opportunity to become an Aflac insurance agent. m^PaP#$T,QfVQ'7kTb=#ja*O^[oT:q1qW?WH%a_Lp. m^PaP#$T,QfVQ'7kTb=#ja*O^[oT:q1qW?WH%a_Lp. N8EYJ/rdd(..BX8/1[!lhITlJFmO/CsZ%j/>QaJ13;:-PF0g
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X3$l$UUC.Q8bG%FB^qod-T(^7g7U9j!? Continental American Insurance Company (CAIC), a proud member of the Aflac family of insurers, is a wholly-owned subsidiary of Aflac Incorporated and underwrites group coverage. health plan (including CAIC or Aflac, with respect to other CAIC or Aflac coverages) or health care clearinghouse that has any records or knowledge about me. CONTINENTAL AMERICAN INSURANCE COMPANY Post Office Box 84075 * Columbus, GA. 31993 Phone (800) 4333036 * - Fax (866) 849-2970 SHORT TERM DISABILITY CLAIM FORM *Please attach paperwork for any additional income you are receiving during this period of disability. \&)R4M>ms@. For disability claims, we will need information from you, from your employer, and from your attending physician. endobj Please provide a certified copy of the deceased person's birth certificate and death certificate. Products may not be available in all states and may vary depending on state law. 0000001020 00000 n *?ZgaJ72F%->d4aYIUb3reE0'[sM)3JY+[(7="R\fM6;Q
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This form may be used on all product claims except Group Term Life, Group Whole Life and AD&D claims. 0000055102 00000 n * Aflac Short Term Disability To sign an flag initial disability form right from your iPhone or iPad, just follow these brief guidelines: Install the signNow application on your iOS device. 02rhl21qBSA"(T]mcU-(M+$l6hA!\lUur6,-iT#]. <> )O:TmS'Yten(!-m^G>i5()8T=P8W`gZb#8cl/H/? Gau11gQ!:3&4M)fO+Bqq68hgpo*+gp=2Y]D/n"iL.5,!&rqt4]k:;$A5NLFAhtQ5bEOn@#^,c5cB!.a)bI[X^$Z/(6Y3*HPeGm7X6?U'%V=rC9[=GjqjWB0seXj;VlVcTeq5_9FHgWfdVe$=P]!o`0j\1-`^3>_A9ZoUTo$WJK1Q:]6WWAVuKI'Y$35ml*7PtOu0J6e7#&o=%qn3o`.E7sK;/h7%\$[-i.7V$.UYlP*?.uFbc7nhCFtIZjOkQrAc7g"Ug9r:8cEafo8627jFXKfYC0A$S9usZ2SDC/"#[+d*"'o%^Q_*Hn&@1AgijL%'P.Kf^i=oG0s!qIUL=aJ[)T&lc>&&=C!Q>:6l;0*KDgPp:O0c64SqnC,A;6e([email protected],;O[!?.Sna&[9^L-dYtESB'GStL%:JFBKQc+/Jhmi-fJJ+7%.r1/J5_ETA"->7L4LD8#&oV*>h\"h(P@^^V"G:N&(p,Bpn`G=k7^Y24.eZ+fU&nc[ckh*cU*E"`DO?WcV^7MJqO'=*3e@o(GH)q32NcZVm,*P7[jK\S5O:+;g@Z5G1ueC"UB1s*3eFeRT>urJqNo1%TmZ]iAKK)'F-cRCQ'b5Gu'h$B>SH,oFG&_(#Nh-lC&bUYsd4"b6Un)pIJ!J:`@=9V^Ou@'51a'T@(>@7J)e!"09oCFq>.M?=XG>0X\o#JKEQ$E-(V^%OrGecoP1N*FRX"Xk)Vh#!Kj[50561k9'CWJs"cU",4`-[FLuf/3'T1k("0op(&%Fi1RNI"'1rI5@hQ]KA(&M=E%)@blK=ilBq])3%^oTlln@er)QXZj0ed[F%F_4[8.973"HF55CWkf:K*@$cO`\BrPBm60$P! "k&*mXEOTDY;
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What To Wear To An Akira Interview, 1988 Winter Olympics Jamaican Bobsled Crash, Strongest Native Doctor In Benin, All Utilities Included Houses For Rent, Articles A
What To Wear To An Akira Interview, 1988 Winter Olympics Jamaican Bobsled Crash, Strongest Native Doctor In Benin, All Utilities Included Houses For Rent, Articles A