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  • Pif Aflac Form

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8. Special Instructions Please include any additional special instructions as applicable 9. Approval for Submission Agent / Broker Submitting PIF Date Please Print/Type Name of Approver Date Title of Approver SSC BDC STC MVP Please review approve and submit to grouprequests aflac.com. Aflac Group Prospect Information Form PIF INSTRUCTIONS A preliminary meeting should be held with the decision maker prior to submitting a PIF. A PIF is require.

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Post Office Box 84075 * Columbus, GA. ... WELLNESS AND HEALTH SCREENING CLAIM FORM. ... AUTHORIZATION. Any person w ho knowingly and w ith intent to defraud any insurance company, files a statement of claim containing any materially false, incomplete or misleading information, is guilty of a crime.

Claims approval process takes 5 days to process and pay out claims.

Please print a separate form for each additional family member or call 1-800-99-AFLAC (1-800-992-3522) to request additional forms. Claims for all other benefits covered under this policy must be filed separately using the claim forms available at aflac.com or by calling 1-800-99-AFLAC (1-800-992-3522).

Send to: Phone:(800) 433-3036. Fax:(866) 849-2970. Email: groupclaimfiling@aflac.com.

You may also fax your claim form to our claims department at 866.849. 2970 or scan and email your claim form to groupclaimfiling@aflac.com.

1If all documentation is not available upon initial claim filing, you may upload the documents later by clicking “Upload Documents” on the mobile app or “MyClaims” on desktop. Register or Log in: Go to aflac.com/myaflac or download the Aflac SmartClaim Mobile app from the App Store or Google Play Store.

You can mail your claim form to Post Office Box 84075, Columbus, Georgia 31993. You may also fax your claim form to our claims department at 866.849. 2970 or scan and email your claim form to groupclaimfiling@aflac.com.

The UB-04 claim form is used to submit claims for outpatient services by institutional facilities (for example, outpatient departments, Rural Health Clinics and chronic dialysis centers).

Before filing a claim, make sure you register online by creating a MyAflac® account. ... Simply log in to your account at aflac.com/myaflac. Then go to “File a Claim” and follow the steps. There's no uploading required. ... Follow a few simple steps and your Aflac Wellness Claim is complete. ... Need your money even faster?

0:30 1:32 How to File a Wellness Claim with Aflac Insurance | Aflac Tips & Tricks YouTube Start of suggested clip End of suggested clip There's no uploading required. All you need is your doctor's contact information date of your visitMoreThere's no uploading required. All you need is your doctor's contact information date of your visit and the health exam performed. Follow a few simple steps. And your Aflac Wellness claim is complete.

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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