Aflac accident advantage can help your employees pay for. Accident claim form instructions aflac group insurance. You dont budget for accidents if youre like most people. The emergency room doctor diagnoses a fracture and.
Plans are portable at the same rate if you retire or change jobs. Employee is totally disabled and cannot work for 6 weeks. You could suffer an accidental injury while you are working around the house or walking into. The most secure digital platform to get legally binding, electronically signed documents. Aflac group accident advantage plus insurance group accidental injury insurance high 24hour plan policy form number cai7800tx ac g introducing added protection for lifes.
Group life insurance or accidentaldeath and dismemberment insurance rider claims. Processing time is based on business days after all required. Aflac insurance plans pays you a cash benefit directly over and above what your health insurance pays to your doctorshospital. Supplemental accident insurance policies for individuals. 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. Aflac is a voluntary benefit policy that is paid entirely by the employee. We pay cash benefits directly to you unless assigned otherwise to be used however you choose. 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. 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. These provisions will apply to all of puerto rico as specified by the puerto rico insurance department. Treatment must begin within 30 days of the covered accident or discharge from the hospital.
Beneficiary over age 18 needed for accident and life insurance. Aflac insurance policies offered through your employer. An accident insurance plan provides benefits to help cover the costs associated with unexpected bills. Claims made on your aflac accident indemnity advantage 1 policy are paid fast, so unexpected bills dont have to leave you sidelined. Aflac insurance benefit book 2019 citrus county, florida. 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. 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. Just because an accident can change your health, doesnt mean it should change your lifestyle too.
The emergency room doctor diagnoses a fracture and treats you. Aflac pertains to american family life assurance company. A wellness benefit payable for routine medical exams to encourage early detection and prevention. Fill out, securely sign, print or email your aflac accident claim form instantly with signnow.
Helping you with the medical expenses that major medical doesnt coverand much more. The total amount payable will not exceed the maximum shown per accident. Whatever your supplemental insurance needs, aflac has many plans that can help with your extra medical expenses. Aflac group accident insurance policy series c70000. Nearly 20% of adults visit the er at least once a year. The policy has limitations and exclusions that may affect benefits payable. Benefits provided are supplemental and are not intended to cover all medical expenses. Continental american insurance company caic in california, coverage is underwritten by continental american life insurance company. Policy series ca7700mp this brochure is a brief description of coverage and is not a contract. Please provide a certified copy of the deceased persons birth certificate and death certificate. Treatment must take place within six months after the accident. If a covered person receives treatment for injuries sustained in a covered accident, we will pay the following. 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. Thats why aflac offers a variety of supplemental insurance plans.
Aflac group accident insurance cook county, illinois. You could suffer an accidental injury while you are working around the house or walking into work. Aflac prices are affordable at all levels of income, and afn is getting you a deep discount. Policyholderssignature date icertifythattheinformationprovidedistrueandcorrect. Aflac does not replace your medical insurance, but is designed to complement your current medical insurance coverage and short term disability plan. Take advantage of aflacs accident insurance policy to help maintain peace of mind in the event of a covered accident. Aflac is one of the largest insurance providers in the united states and offers multiple policies such as accident, vision, dental, and life insurance. Confinement must start within 30 days of the accident. If you want to cancel an aflac policy or change providers, you can easily end individual or employerprovided coverage. 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. 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.
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. See policy for more details and additional benefit not listed. Accident specificsum injuries benefit amounts plan 2. Your aflac new york policy provides one wellness benefit per covered person, per calendar year, and this. An accident insurance plan provides benefits to help cover the costs associated with. If a covered person receives treatment for injuries sustained in a covered accident. Please bring name, dob, phone and address to enrollment. Any person who knowingly and with intent to defraud any insurance company.
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. This benefit is not payable for the same visit that the accident followup treatment benefit is paid. California is a large, diverse state, whose people are every bit as varied and unique as is the states landscape. Once coverage is effective, you must be enrolled and pay for coverage before aflac will pay benefits for a covered accident. We care about aflac s policyholders affected by recent severe weather. For groups sitused in california, coverage is underwritten by continental american life insurance company. American family life assurance company of columbus aflac worldwide headquarters columbus, georgia 31999 1. Aflac herein means american family life assurance company of columbus. Pdf accident wellness benefit claim form aflac group insurance. Aflac incorporated aflac signs agreement to acquire group. Treatment must begin within 30 days of the covered accident. 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. Be prepared for lifes unexpected mishaps accidents can happen at any time. Aflac group accident insurance accident protection made for you.
For groups sitused in new york, coverage is underwritten by american family life assurance. American family life assurance company of columbus aflac. The aflac claim form is of much use when you have to claim your aflac insurance from the insurance provider. 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. Aflac accident advantage aa 2 accident only insurance option 2 policy series a36000 be prepared for. Or your child may get injured at basketball practice. Aflac pays cash benefits directly to you at the time you need it the very most. Aflac smartclaim is available for claims on most individual accident, cancer, hospital, specified health, and intensive care policies. To help provide relief for north carolinas policyholders affected by hurricane dorian, aflac. Injury facts, 2010 edition, national safety council.
Aflac insurance plans pays you a cash benefit directly over and above what your health insurance. Aflac printable claim forms fill out and sign printable. Corporate life and pensions group benefits business, which consists of group life. You injure your leg in a covered accident and go to the hospital via ambulance. Aflac is not licensed to solicit business in new york, guam, puerto rico, or the virgin islands. 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. 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. We care about aflacs policyholders affected by recent severe weather. Aflac group accident advantage insurance frequently asked.
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. Aflac americas most recognized supplemental insurance. The facts say you need the protection of the aflac accident advantage insurance policy. Accident wellness benefit claim form failure to complete all sections may result in a delay in processing this claim. If the cause of death is an injury or accident, include a copy of any related police report andor newspaper articles. Accidents can happen in an instant affecting you or a loved one. Aflac group accident insurance policy series c70000 just because an accident can change your health, doesnt mean it should change your lifestyle too. Do you know how much a trip to the emergency room could cost you. This plan does not contain comprehensive adult wellness benefits as defined by law. 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. 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. 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.
754 650 1059 243 1512 231 1410 650 467 446 157 855 291 356 1337 1056 1540 1481 1197 1507 801 51 1349 566 914 205 243 595 290 866 979 559