When you use Aflac SmartClaim® to submit accident, cancer, hospitalization or illness claims online (by 3 p.m. ET Monday–Friday) you’ll get paid in just a day. Download a Claim Form. To submit your claim via fax or mail. Accident/Hospital Indemnity Wellness Benefit Claim Form. If you are interested in filing your claim online, register using homeelly.info ¢ Benefits of filing. Cancer Screening Wellness Benefit Claim Form Your Aflac policy provides one Wellness Benefit per covered person, per calendar year, and this form is.
Forms: Wellness Claim Form. Please fully complete the claim form for the Wellness Benefit. Please date and sign all required forms where indicated. CANCER CLAIM FORM. Thank you for trusting Aflac with your Cancer needs. If you are interested in filing your claim online or uploading documentation on an. If you are filing for disability, please complete the Initial Disability Claim Form For information or help filing your claim, please call toll-free AFLAC.
AFLAC Claim Forms. Download · Disability homeelly.info Adobe Acrobat document [ KB]. Download. Acct homeelly.info Adobe Acrobat document [ KB]. ACCIDENT WELLNESS BENEFIT CLAIM FORM. Affac. I TM. Some of the Sign, date, and mail the completed form to the Aflac address shown below. Middle. ACCIDENTAL INJURY CLAIM FORM. Thank you for trusting Aflac with your Accidental Injury needs. If you are interested in filing your claim online or uploading. Please sign the attached HIPAA Form and return it with the completed claim form. Please check this Email: [email protected] I would like to: Start.