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  • Aflac Service Request Form

Get Aflac Service Request Form

CONTINENTAL AMERICAN INSURANCE COMPANY Service Request Form Certificate Number Insured Owner (If other than insured) Address Phone Number 1. Change of Beneficiary (Witness must be someone other than.

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How to fill out the Aflac Service Request Form online

Filling out the Aflac Service Request Form online is a straightforward process that allows users to submit their requests efficiently. This guide provides clear, step-by-step instructions to help ensure that each section of the form is completed accurately and effectively.

Follow the steps to complete the Aflac Service Request Form online

  1. Click the ‘Get Form’ button to obtain the Aflac Service Request Form and open it for editing.
  2. Enter the certificate number associated with your insurance as the first detail. This number helps to identify your specific policy.
  3. Complete the insured's name in the designated field. If the owner is different from the insured, fill out the owner's name as well.
  4. Provide the contact address and phone number in the appropriate fields to ensure that you can be reached regarding your request.
  5. Select the type of change you wish to make, such as changing the beneficiary, name, address, transfer of ownership, or any other specific request. Follow the prompts provided for each selection.
  6. If changing the beneficiary, fill in the primary and contingent beneficiary details including names, relationships to the insured, and their addresses.
  7. For a change of name, write the former name and the new name, and attach official documentation of the name change.
  8. For address changes, provide the former address and the new address, along with a contact phone number.
  9. If requesting to transfer ownership, include the full name and address of the new owner, as well as their relationship to the insured.
  10. If you wish to discontinue premium deductions for Universal Life policies, indicate your request clearly in the designated area.
  11. For coverage cancellations, check the appropriate boxes related to the coverage you wish to end, and provide any necessary names and dates of birth for dependents.
  12. If notifying of a lost certificate, fill in the required information confirming the loss.
  13. For loan requests, specify the amount desired or select the maximum amount available.
  14. For a surrender for cash value, confirm the destruction of the certificate and that no claims or liens are pending.
  15. Request the cash value amount of your policy, and provide the necessary certificate number.
  16. Finally, ensure to sign and date the form in the provided sections, and add witnesses' signatures where required.
  17. Once all sections are completed, save your changes, download a copy, print the form, or share it as needed.

Complete your Aflac Service Request Form online today for a seamless experience.

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You must be 18 or older to apply for Aflac insurance. Availability varies by product; see your local Aflac agent for details. The out-of-pocket expenses displayed are estimated at 40% of the total medical cost, assuming that average major medical plans cover approximately 60% of the expense.

Requesting the cancellation of your Aflac policy is a fairly straight-forward process with a few caveats. Individual policyholders can cancel any coverage they have at any time.

No Cost Prescription Program | Aflac Pass.

This benefit is limited to one payment per calendar year, per covered person. No lifetime maximum. Surgical Benefit Aflac will pay $100 $2,000 when a covered person has surgery performed for a covered sickness in a hospital or ambulatory surgical center based upon the Schedule of Operations in the policy.

Additional reimbursement forms can be obtained at aflac.com or via the IVR at 1-877-353-9487. Fax your completed Flex One Request for Reimbursement Form and all documentation to: 1-877-FLEX-CLM (1-877-353-9256). Please allow 48 hours for the receipt of your faxed form before calling to inquire about your reimbursement.

Aflac doesn't give refunds when you cancel your individual insurance plan, but you will still be covered by the end of that month. For terminations of Aflac life insurance with a cash value, you can expect your money back when the policy expires.

It will depend on the type of claim filed whether you'll receive lump sum payment or payments throughout treatment. Either way, if filing online and assuming all necessary documentation is present, payment turnaround should be 24-48 hrs. If filing via fax or mail, it will be longer.

ACCIDENT SPECIFIC-SUM INJURIES BENEFITS: When a Covered Person receives treatment under the care of a Physician for Injuries sustained in a covered accident, Aflac will pay specified benefits ranging from $35 $12,500 for dislocations, burns, skin grafts, eye injuries, lacerations, fractures, concussion, emergency ...

Log into MyAflac.com. Click on 'My Policies' Click on 'Policy Summary/Forms/History' for the policy on which you would like to make changes. Click on 'Reinstate Policy' in the right-hand section under 'Make Policy Changes'.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232