Claim Forms and

  Instructions

 

Just click on the link below for your type of policy.  You will then be able to view, print, and download instructions and claim forms for your particular type of claim.  In order to view these files you will require Adobe Reader.  If you do not have Adobe Reader you may download a free copy by clicking on the Links button on the left of this page.

 

*    Short-Term Disability

 

Click here if disability was caused by an accident

 

Click here if disability was caused by a sickness

 

Click here for maternity disability

 

 

*    Accident Policy

 

Minor accident (not requiring hospitalization or surgery)

 

Major accident (including hospitalization and/or surgery)

 

Accident and Disability Claim

  (Use this link if claiming for both Accident and Disability)

 

Workers Comp Accident

 

Accident Policy Wellness Benefit

 

 

*    Personal Sickness Indemnity Policy

 

Sickness or Maternity

 

Physician Visits Benefit

 

 

*    Hospital Indemnity Policy

 

Click here if treatment was for an accident

 

Click here if treatment was for a sickness or maternity

 

Hospital Policy Wellness Benefit

 

 

*    Cancer Policy

 

Internal Cancer

 

Skin Cancer

 

Cancer Policy Wellness Benefit

 

 

*    Specified Health Event (Personal Recovery Plus)

 

Click here for your instructions

 

 

*    Wellness Benefits

 

Accident Policy Wellness Benefit

 

Hospital Policy Wellness Benefit

 

Cancer Policy Wellness Benefit

 

Sickness Policy Physician Visits Benefit

 

 

*    AFLAC Dental Policy

 

Dental Claims