Search results
Learn how to file a claim with Aflac online or by fax or mail. Get filing requirements, documentation details, and tips for faster payment.
- Claims Checklists
If uploading a picture from your phone, please only submit...
- Cancer Insurance
Aflac provides solutions that help support the financial,...
- My AFLAC
My Aflac. Help us help you. (By upgrading your web browser.)...
- Contact AFLAC
Aflac New York Claims: 877.844.0201 (fax) Aflac New York...
- Accident Insurance
Get an accident insurance quote from Aflac today! Aflac...
- Get Paid Fast
Aflac offers swift claims payments of individuals or...
- Hospital Insurance
Aflac's hospital indemnity insurance plans cover expensive...
- Critical Illness Insurance
Aflac offers some critical illness insurance policies with...
- Claims Checklists
Learn how to submit a claim online or by phone, check its status, enroll in direct deposit and access your policy information. Find additional contacts for customer service, agent support and Medicare supplement policies.
<link rel="stylesheet" href="styles.2199aefe03809ba9.css">
- Aflac Group Insurance Claim Forms
- Aflac Group Insurance Additional Forms
- Aflac Group New York Claim Forms
- Aflac New York Group Additional Forms
- GeneratedCaptionsTabForHeroSec
File a Wellness Benefit Claim
1. Aflac is here to help. If you are filing for a health screening on your Hospital Indemnity, Accident, or Critical Illness plan for Coronavirus (COVID-19) testing, select Biometric Screening as your exam. Claims are subject to policy terms and conditions. File a Wellness Benefit Claim Online Simply select "File Online" below and follow the instructions. File Online File a Wellness Benefit via Fax or Mail Please fully complete the claim form for the Wellness Benefit. Please date and sign all...
File an Accident Claim
1. File an Accident Claim Online Simply select "File Online" below and follow the instructions. File Online File an Accident Claim via Fax or Mail Please provide a date and complete description of your accident. You can provide this information in the designated space on the claim form. If the accident resulted from the use of a motor vehicle(s), a copy of the police or accident report is required. If your injury occurred on the job, a first report of injury filed with your employer must be a...
File a BenExtend Claim
1. Group BenExtend Claims A BenExtend claim requires supporting documentation for review of benefits such as an itemized bill if there was a hospital stay, itemized bill from physician's office, surgical report if surgery took place, Xray/Diagnostic Test reports with dates and charges if applicable, accident report if applicable, and a signed and dated Authorization for Disclosure of Health Information (HIPAA form). Please date and sign all required forms where indicated. Forms: Group BenExte...
Authorization to Obtain Information Form
1. Authorization to Obtain Information Form Please date and sign all required forms where indicated. Forms: Authorization to Obtain Information Form
Direct Deposit of Claims Payment Form
1. Direct Deposit of Claims Payment Form To have your claims payment direct deposited, please download and fill out this Electronic Funds Transaction Authorization form. This form may be used on all product claims except Group Term Life, Group Whole Life and AD&D claims. Once complete, please return it to: Continental American Insurance Company Mail: Post Office Box 84075, Columbus, GA 31993 Phone: 800.433.3036 Fax: 866.849.2970 Email: groupclaimfiling@aflac.com Forms: For Direct Deposit of C...
Waiver of Premium Form
1. Waiver of Premium Form Please date and sign all required forms where indicated. Forms: Initial Waiver of Premium Form Waiver of Premium Form
File a Wellness Benefit Claim
1. File a Wellness Benefit Via Fax or Mail Please fully complete the claim form for the Wellness Benefit. Please date and sign all required forms where indicated. Forms: Accident Wellness Claim Form Critical Illness Wellness Claim Form
File an Accident Claim
1. File an Accident via Fax or Mail Please provide a date and complete description of your accident. You can provide this information in the designated space on the claim form. If the accident resulted from the use of a motor vehicle(s), a copy of the police or accident report is required. If your injury occurred on the job, a first report of injury filed with your employer must be attached to the completed claim form. If you were first treated in an emergency room, a copy of the hospital dis...
File a Critical Illness Claim
1. File a Critical Illness via Fax or Mail For critical illness claims, we need information from you and your attending physician. Please provide all information requested on the Insured's Statement portion of the claim form. The Attending Physician’s statement portion of the critical illness claim form is to be completed by the physician who first diagnosed your condition. Please submit required medical documentation for the specific covered critical illness, the claimant's birth certificate...
Authorization to Obtain Information Form
1. Authorization to Obtain Information Form Please date and sign all required forms where indicated. Forms: Authorization to Obtain Information Form
Learn how to file a claim online or via the MyAflac® mobile app for various types of coverage, such as accident, critical illness, hospital, disability, and life insurance. Find claim forms, guides, and contact information for Aflac Group Insurance.
Find out what documents and information you need to file a claim with Aflac using its SmartClaim system. Choose from different types of claims, such as accident, cancer, dental, vision, and more.
My Aflac. Help us help you. (By upgrading your web browser.) Apologies for the inconvenience but in order to get you logged in we need you to upgrade your browser version or switch to a browser we support. We promise, it’s for the best. Upgrade your browser.
People also ask
How to file a claim with Aflac?
How long does it take AFLAC to process a claim?
What can I file a claim on with Aflac?
What does Aflac accidental claims pay for?
Access your Aflac dashboard to view and manage your policy, file claims, order ID cards, and more. Register or log in today.
