Continental american insurance company caic in california, coverage is underwritten by continental american life insurance company. Your aflac new york policy provides one wellness benefit per covered person, per calendar year, and this. Aflac incorporated aflac signs agreement to acquire group. For groups sitused in new york, coverage is underwritten by american family life assurance. Accident wellness benefit claim form failure to complete all sections may result in a delay in processing this claim. Treatment must begin within 30 days of the covered accident or discharge from the hospital.
If you are filing for a health screening on your hospital indemnity, accident, or critical illness plan for coronavirus covid19 testing, select biometric screening as your exam. Aflac group accident insurance policy series c70000. Corporate life and pensions group benefits business, which consists of group life. Physical therapy must be for injuries sustained in a covered accident and must start within 30 days of the covered accident or discharge from the. Be prepared for lifes unexpected mishaps accidents can happen at any time. Any person who knowingly and with intent to defraud any insurance company, files a statement of claim containing any materially false, incomplete or misleading information, is guilty of crime. An accident insurance plan provides benefits to help cover the costs associated with. You dont budget for accidents if youre like most people. American family life assurance company of columbus aflac. Aflac does not replace your medical insurance, but is designed to complement your current medical insurance coverage and short term disability plan. Pdf accident wellness benefit claim form aflac group insurance. Do you know how much a trip to the emergency room could cost you. Aflac insurance benefit book 2019 citrus county, florida. Claims made on your aflac accident indemnity advantage 1 policy are paid fast, so unexpected bills dont have to leave you sidelined.
Aflac herein means american family life assurance company of columbus. Thats why aflac offers a variety of supplemental insurance plans. Feb 17, 2020 aflac is one of the largest insurance providers in the united states and offers multiple policies such as accident, vision, dental, and life insurance. Aflac will waive all monthly premiums due for the policy and riders for up to two months if you meet all of the following conditions.
Just because an accident can change your health, doesnt mean it should change your lifestyle too. Fill out, securely sign, print or email your aflac accident claim form instantly with signnow. Please provide a certified copy of the deceased persons birth certificate and death certificate. Aflac insurance plans pays you a cash benefit directly over and above what your health insurance. Afl announced today that its insurance subsidiaries american family life assurance company of columbus aflac of columbus and american family life assurance company of new york aflac of new york have entered into a definitive agreement to acquire zurich north americas u. Treatment must take place within six months after the accident. Accident claim form instructions aflac group insurance. Aflac insurance plans pays you a cash benefit directly over and above what your health insurance pays to your doctorshospital. We care about aflac s policyholders affected by recent severe weather. We pay cash benefits directly to you unless assigned otherwise to be used however you choose.
If a covered person receives treatment for injuries sustained in a covered accident, we will pay the following. Once coverage is effective, you must be enrolled and pay for coverage before aflac will pay benefits for a covered accident. Injury facts, 2010 edition, national safety council. Beneficiary over age 18 needed for accident and life insurance. Aflac printable claim forms fill out and sign printable. I authorize the following to give information as defined below to american family life assurance company of columbus aflac or any person or entity acting on its part. Employee is totally disabled and cannot work for 6 weeks. Whatever your supplemental insurance needs, aflac has many plans that can help with your extra medical expenses. See policy for more details and additional benefit not listed. Aflac pays cash benefits directly to you unless otherwise assigned to help with things like outofpocket medical expenses, the rent or mortgage, groceries, or utility bills. To help provide relief for north carolinas policyholders affected by hurricane dorian, aflac. If the cause of death is an injury or accident, include a copy of any related police report andor newspaper articles. Benefits are payable to you unless we receive written authorization from your provider to assign benefits to them or from you to pay your benefits elsewhere.
Confinement must start within 30 days of the accident. To help provide relief for north carolinas policyholders affected by hurricane dorian, aflac will implement a grace period on premium payment and proof of loss deadlines. California is a large, diverse state, whose people are every bit as varied and unique as is the states landscape. Aflac accident advantage can help your employees pay for. Processing time is based on business days after all required documentation needed to render a decision is received and no further validation andor research is required. Take advantage of aflacs accident insurance policy to help maintain peace of mind in the event of a covered accident. Processing time is based on business days after all required. You could suffer an accidental injury while you are working around the house or walking into.
Any person who knowingly and with intent to defraud any insurance company. Supplemental accident insurance policies for individuals. Aflac group accident advantage insurance frequently asked. Aflac group accident insurance cook county, illinois. This benefit is not payable for the same visit that the accident followup treatment benefit is paid. If a covered person receives treatment for injuries sustained in a covered accident. Nearly 20% of adults visit the er at least once a year. Accident specificsum injuries benefit amounts plan 2. You could suffer an accidental injury while you are working around the house or walking into work. Aflac is one of the largest insurance providers in the united states and offers multiple policies such as accident, vision, dental, and life insurance. Aflac is a voluntary benefit policy that is paid entirely by the employee. Aflac hospital advantage hospital confinement indemnity insurance policy series a49000 p r eferr ed this brochure is for a hospital confinement indemnity policy providing limited benefits.
Policy series ca7700mp this brochure is a brief description of coverage and is not a contract. Aflac group accident insurance accident protection made for you. These provisions will apply to all of puerto rico as specified by the puerto rico insurance department. Aflac accident insurance aflac offers supplemental accident insurance that helps with what your health insurance plan might not cover. The aflac coverage described in this booklet is subject to plan limitations, exclusions, definitions, and provisions. For groups sitused in california, coverage is underwritten by continental american life insurance company. Aflac accident advantage aa 2 accident only insurance option 2 policy series a36000 be prepared for. An accident insurance plan provides benefits to help cover the costs associated with unexpected bills. Aflac pertains to american family life assurance company. Please bring name, dob, phone and address to enrollment. The policy has limitations and exclusions that may affect benefits payable. Aflac will not pay benefits for treatment or loss due to sickness including 1 any bacterial, viral, or microorganism infection or infestation or any condition resulting from insect, arachnid, or other. Benefits provided are supplemental and are not intended to cover all medical expenses.
Sources 1 aflacs impact of voluntary accident insurance and voluntary disability insurance on workers compensation claims and worker absenteeism study is based on a nationwide survey conducted in july 2014 by research now and aflac. The facts say you need the protection of the aflac accident advantage insurance policy. The aflac claim form is of much use when you have to claim your aflac insurance from the insurance provider. Plans are portable at the same rate if you retire or change jobs. You injure your leg in a covered accident and go to the hospital via ambulance. Or your child may get injured at basketball practice.
Aflac smartclaim is available for claims on most individual accident, cancer, hospital, specified health, and intensive care policies. The emergency room doctor diagnoses a fracture and. This plan does not contain comprehensive adult wellness benefits as defined by law. Group life insurance or accidentaldeath and dismemberment insurance rider claims. Aflac insurance policies offered through your employer. Treatment must begin within 30 days of the covered accident. Aflac is not licensed to solicit business in new york, guam, puerto rico, or the virgin islands. Aflac americas most recognized supplemental insurance. The total amount payable will not exceed the maximum shown per accident. Aflac pays cash benefits directly to you at the time you need it the very most. Personal accident indemnity plan policy series a34000 benefits are payable for a covered persons death, dismemberment, or injury caused by a covered accident that occurs on or off the job.
If you want to cancel an aflac policy or change providers, you can easily end individual or employerprovided coverage. The most secure digital platform to get legally binding, electronically signed documents. Aflac prices are affordable at all levels of income, and afn is getting you a deep discount. The emergency room doctor diagnoses a fracture and treats you. Aflac group accident advantage plus insurance group accidental injury insurance high 24hour plan policy form number cai7800tx ac g introducing added protection for lifes. What does the aflac accident advantage policy include. For groups sitused in new york, coverage is underwritten by american family life assurance company of new york. Continental american insurance company caic, a proud member of the aflac family of insurers, is a whollyowned subsidiary of aflac incorporated and underwrites group coverage.
We care about aflacs policyholders affected by recent severe weather. Policyholderssignature date icertifythattheinformationprovidedistrueandcorrect. A wellness benefit payable for routine medical exams to encourage early detection and prevention. Accident insurance from aflac means that your family has access to added financial resources to help with the cost of followup care as well. American family life assurance company of columbus aflac worldwide headquarters columbus, georgia 31999 1.
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