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Get Aflac Critical Illness Wellness Benefit Claim Form 2012-2024

a copy of the supporting documentation and this completed form for your records. Sign, date, and mail or fax the completed form to the address/number shown below. Send all claims to: Continental American Insurance Company Critical Illness Claims Processing Unit Post Office Box 427 Columbia, South Carolina 29202 Phone (800) 433-3036 Fax (866) 849-2970 CERTIFICATEHOLDER’S NAME Please check this box if you are filing for a wellness benefit under multiple coverages. CERTIFICATEHOLDER/CLAIMANT.

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