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  • Short-term Disability Claims Checklist - Aflac

Get Short-term Disability Claims Checklist - Aflac

REQUEST FOR ADDITION/APPLICATION FOR REINSTATEMENT American Family Life Assurance Company of Columbus (AFLAC), Worldwide Headquarters: Columbus, GA 31999 For information, call tollfree 180099AFLAC.

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How to use or fill out the Short-Term Disability Claims Checklist - Aflac online

This guide provides a comprehensive overview of how to fill out the Short-Term Disability Claims Checklist for Aflac. Designed to be user-friendly, it offers step-by-step instructions to ensure accuracy in your submission.

Follow the steps to complete the checklist accurately.

  1. Press the ‘Get Form’ button to access the Short-Term Disability Claims Checklist and open it in your preferred editing application.
  2. Fill out the name of the policyholder accurately in the designated field. Ensure that the name matches the records held by Aflac.
  3. Complete the social security number field. This information is essential for verifying your identity and insurance coverage.
  4. Input the policy number(s) associated with the claim. Verify that the entered numbers are correct and correspond to your current Aflac policies.
  5. Provide your date of birth and ensure that it is formatted correctly to prevent any processing delays.
  6. Fill in your telephone number, including any area codes, to ensure prompt communication regarding your claims.
  7. Indicate the best time to call for follow-up inquiries, ensuring that you are available for Aflac representatives.
  8. Provide your current address, ensuring to include city, state, and zip code for accurate correspondence.
  9. Enter the name of your employer or payroll account related to the insurance policy.
  10. If applicable, sign in the associate/agent's signature section to authorize your application before submission.
  11. Review all sections to confirm accuracy, make necessary adjustments, and then save changes or download the document. You also have the option to print or share the completed form.

Take the initiative to complete your Short-Term Disability Claims Checklist online today.

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Short-term Disability coverage is designed to provide, to persons insured, coverage for disabilities resulting from a covered accident or Sickness, subject to any limitations set forth in the policy. Coverage is not provided for basic hospital, basic medical-surgical, or major medical expenses.

Other Benefits Included: Emergency room treatment benefit. Fast claims payment - most claims are processed in about four business days.

Monthly Benefit: $500-$5,000 (subject to income requirements). Aflac expresses benefit amount in scheduled monthly amounts based on the employee's gross salary and the monthly benefit selected. Note: Aflac is not a provider of Long-Term Disability Insurance.

Aflac will pay this benefit up to 365 days per covered accident, per Covered Person.

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

Date and description of injury. Location of the injury. Patient's name and date of birth. Patient's relationship to policyholder.

The duration of coverage depends on how each short-term disability insurance plan works. At Aflac, we can help provide income relief for up to 24 months. If your injury or illness lasts longer than three months, you may want to consider a different kind of insurance that provides more long-term coverage.

Aflac Aflac cannot process claims until they have the employee's statement, physician's statement, employer statement and the authorization page. Claims approval process takes 5 days to process and pay out claims.

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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
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
airSlate WorkFlow
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