Get Aflac Enrollment Form

Filling out the AFLAC enrollment form online can be a straightforward process when you understand each component of the form. This guide offers detailed, step-by-step instructions to help you complete your enrollment accurately and efficiently.

Follow the steps to successfully complete the AFLAC enrollment form.

1. Click the ‘Get Form’ button to access the AFLAC enrollment form and open it in your document editor.
2. Begin by entering your last name, first name, and middle initial (if applicable) in the designated fields.
3. Provide your Social Security number and Employee ID in the specified boxes.
4. Fill in your date of birth, gender, and contact details, including city, state, zip code, home address, home phone, and work phone.
5. Enter your home email and work email addresses in the appropriate fields.
6. Select the type of plan you are applying for and specify the plan or level of coverage you desire.
7. Choose your payroll deduction preferences (monthly, post tax, pre tax, or flex) and fill in the annual value for your selected plans.
8. Fill in any relevant deduction amounts for the insurance plans you have selected, such as accident, cancer, hospital, intensive care, specified health, and life.
9. Authorize the deductions by signing in the provided space. Ensure your signature is clear and legible.
10. Review your filled form for accuracy, then save your changes. You can download, print, or share the form once completed.

Complete your AFLAC enrollment form online easily and ensure your coverage is set up without hassle.