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Self-funded plans and absence services are administered by CAIC in all states but NY. -_6'A_4IL[`92un&r8tH[>^"rhOWrgJZC\%6"6'k2kR6&.9EYCGWVonkFA2[(WQ.mndG'-IoKK^(VM6j):K)HmcRL+qg#Rf
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25 0 obj endobj Health care provider includes . $s?SXVcf%'C4RJ(8`-)k.!R/tmOC4@"`:#!%j`_M[6BFOHB#O$NY5c1rOEh=kBspt>`NP'>;a[EcIDPt
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Log in to to your account or Chat with us. InitialDisabilityChecklist Isdisabilityduetoasickness? (q4#=jL^)VnPi.3J&P`.^'?D&jk\gq++JIRRP;p/j8Q)Z,M')M)EjWNe^:g;JhU)j"t=W%Q@J=*Le%l7VZbQ,Dgs8NZs/^)
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If your injury occurred on the job, a first report of injury filed with your employer must be attached to the completed claim form. endstream ;asisn+J&9Y*!/5
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/Filter [/ASCII85Decode /FlateDecode] 23 0 obj In CA, CAIC does business as Continental American Life Insurance Company (CAIC NAIC 71730) 8,Y5:-bZ-;Z%c':c]*),@W=_c. Send it in to: PO Box 60676, Worcester, MA 01606, Long Term Care/Home Health Care Benefit Claim Form, Automatic Bank Draft/Electronic Funds Transfer, New York Domestic Violence Notice (For Life Insurance Policyholders). ocp#ophc,on7uVb:-MXb"*(,i/15jO-%hEWBZj$Xoi/8"O.l:b1N/N9e>iZA0.TFk&&Rn5CcH4>d6W(;
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endobj Upload the PDF you need to design. ?f48_G,BN0p=/>&*)"gUTVU[Y>F[!H0S$cH]UJRYpFnh6'Ae"7a6i,,,Lbtk3(JMM]r0XUgZr>L@0I'i
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endobj To have your claims payment direct deposited, please download and fill out this Electronic Funds Transaction Authorization form. PDF Short Term Disability Claim Form Instructions a*7QP2nR!.R_;hRHWlnl#NqY`2;1A,B&CcHbipl%. 0000003079 00000 n Online Claim Form Aflac https://www.aflac.com/file-a-claim/default.aspx When you use MyAflac filing your claim online is an easy way to get paid fast. @oGDmsuR-
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Also, if you are filing during the first year of your coverage effective date, we'll need you to provide the information requested on the Pre-Existing Investigation Statement. S`*[trI8jg7M]JT\+.`38%i%%!hk`4S6H:;p^t(C%5sr,][Cckok`Lt\9"4E`IkRu$'/ai^g,u(4jLe=m[4V59--p2Tap(*UC^8Qur;jVC%5c7VaBB+,0AUKH@dUPF5MD
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Please provide a date and complete description of your accident. 0000000446 00000 n 0000030858 00000 n (V.ea8oM1meVG5&2$R&VHdRmbM`,/jQ'iTTlk_NLi7Pu8>hqB>F6,at#]$=1\UL'_o
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Start completing the fillable fields and carefully type in required information. The employer is required to report disability benefits paid on pre-tax plans on Form 941 and the employee's Form W-2. @oGDmsuR-
Aflac Claim Forms Initial Disability Claim Form Physician's Statement ^$F!_M^D.n0(qARn(aE/AgY,iIM9"8CcNDqjSN*8m)"S@.f==Xc1]GcbA-_LZ\:A:pe2tj
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endobj A hospital indemnity claim requires supporting documentation for review of benefits, itemized bills showing medical treatment dates and diagnosed conditions, hospital admission and discharge papers for inpatient hospital admission and confinement benefits, pharmacy receipts for prescription drug reimbursement, and a signed and dated Authorization for Disclosure of Health Information (HIPAA form). Apply your e-signature to the PDF page. /Title (New Claim Form PDFs for WEB - S00224) endstream c)$el$_7T'R>`H4d?VZZ.6:FXa^5[8hKt_jJ5`+n^Hma14HF`L'+tk,U=9slnfp8]Z?2MS[;()=`R
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0000003079 00000 n 46a&g>*Zg/Di4fH;%L. There are three variants; a typed, drawn or uploaded signature. >> #DL9JXFKGJ*Nm2)51;-%FmGTIk\].Cb:\N&Y1t`i2EL[>nuN_EC`3D;^lkjT%;rd! Do Not Sell or Share My Personal Information. CAIC is not licensed to solicit business in New York, Guam, Puerto Rico, or the Virgin Islands. endobj The user-friendly drag&drop user interface makes it easy to add or relocate areas. Once completed you can sign your fillable form or send for signing. We built our online claims process to save you time and to help give you peace of mind. "tZ
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nBr?OjbmGB*-+c"Gfs=pq`pf\5/qG=9-4ag[=%5G2c]U@?7%qhqm. PDF Supplemental Claim Form (Continuing Disability) Aflac Sickness Claim Form Physician's Statement InitialDisabilityChecklist Isdisabilityduetoasickness? "DFX!Fen1$B29'W4#sWKq
File a Claim | Aflac !$"P3qfbXDLeQ[oZ1B!OZ7r(l@
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Please submit required medical documentation for the specific covered critical illness, the claimant's birth certificate, a list of the names of all doctors and hospitals in the appropriate section, as well as a signed and dated Authorization for Disclosure of Health Information (HIPAA form). _0kQ98&!$i3)qj(aoD$GE4ichZTh10fLUX?o`T)Tp(DKE$D,A)o)nXcqGjE4Kf$SW?d(38p]9$)m%!a_
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endobj 0000000326 00000 n Create your eSignature and click Ok. Press Done. k0Q'9K%4rkrrN3]cu8p8';m8q-eHY2Sa?q0DqdO_]i_5()gWNP#-%H8k&XV=Id,j>)pb@S-4-ot]OZm4
Aflac Group Policies: TJ(bq:!Ce_pc=2B1P"%7$HG=ui[FCuL+*6":'=rM2is:GPB$q%ZHU@,+FueOi0ob+.\6Ek;q7r%XbW$S
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GI<4I]m0"m@3FYSQ)X4mH$"lpr?SS"XrqNZgPRAN%fu;@WUi\JB1C[?[B?. We pay claims fast. nhH(@HB3(k..$A&2I&hNumCF[&]PjI*`R_D2M6]X>#-E#f;915&(PF6%>9Knd"E.:PO
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Learn how Aflac pays cash benefits to help with out-of-pocket expenses that your major medical may not cover. ;:9bBtb9H]qk\bkhPfIu$"+1TVJFo3OYhdrtnn;;,mTF]?KG*]5oEoE,[rmic=
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<> <> Aflac | Login Please log in New user? m-*&@,H9g(2[5#o!G;R4U9IEG=[4#Wq9g71
>> 0000000932 00000 n trailer<> Products may not be available in all states and may vary depending on state law. J"!Z$KNf!aNfZg$c3f9Eif:$>6XgnJ_+WZ+>UN`D_090Sk6pr-./XCf.RcJoIeeA$283Wm0>IEa1k;_GenLoF#=W7kAbUSPPYkck"W#[d8g/CEK/Qj&fT8,quS8O4;583SMLnm&$C16R.4cCjYs)h@>WY-)F
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Aflac may include American Family Life Assurance Company of Columbus, American Family Life Assurance Company of New York, Continental American Insurance Company (marketed as Aflac Group), Tier One Insurance Company, and any other affiliated companies (collectively, Aflac), as applicable to the entity from whom you receive insurance services. @N)SrO2ugDjIc8hNYmK#n+u6M$%s(j[C@]^p/k/%
endobj 0000000446 00000 n 0000054519 00000 n For groups sitused in California, group coverage is underwritten by Continental American Life Insurance Company. 0000000686 00000 n jPHFW8nlme]HU. Gb"/+>Ak37'`KV3/5eDEgG?/lI4LWa'$ur?W[d*V,h\7l#d?mNJ)Aq(`l\$9r]8mD9i4oAk0uTg\R00ZVV#pc.2Mpm+,=coq-^X\/^2+Ro:*!h7Bm]Cq>98`j38rMql+RHlciXDD:O-.R9_TU-%$KWJ&%EeDSQOMS%tsI0d4a7r9#Ol4'D%E4EK1ujsb..`iHm]`e$)k^"Q^#KkEYKkH,uOP(80*7Z5_G4.i#]hLJ+";I[!$12hJ91\8^[Td+XQ[mPo$8j=s\t4"S,Bl$P(;O%p!s!Ku[I>D!+-:qp&44s&b-79$g5X8KRm;i)J?CM@uJaJZ3^-Eoca:2/860Oi73ej_sH/OffcPpc'hdKu0-^ag$H2rn97h7g81oHMqEm$5MWrPmpU?7DD#UMab$5%_[b_8>?O8;6s">eu$N?n%Q3o!,Df>u?kJq2$m(FDMD"##D'#q#CTD?)CYs'$I(M@4F-U::15Q%CU1Ro3Znq41#6.+o_=5ii9S"&"'.+G;+5G!,8*WI.NQditfNp9BF#01UA\LPkPqV*j[??CiX;jR$FZSrI"OH.>ON%;Ij+oGrA6_YW^6Z:!B#$R,Fga=;d&7Zk($aUr))R"L3#^biuj386G.RNZLhK?kf]F0C&fq"inaEpKV4E2>X7d8DIY6;Od8q0GVqWGT#j0+5q;T=*+akW/tBoYQZ.c%]"Z=@H@m>d&O9S+u."e1@+;2U6W%)#".951Q^Z6=7m[06H>UTb9BB]]glBFmRjNR5\N62KH_K>KYfo+E%Frhsu6TYdn\:>Kr^8ZIITr1#;ZZF>&LhZH?p%;L"7B&5Gaa=8<>M&:elHR^d4hNj[S!V$=Me)\^I&hPmkGd0/QWmOLQegbEX,A28`%VVVgJ`0\b(?LY4aeE3T!+!4FA>+S26ZT+Ed!jr*!@8f9GrZ2q4^e]="@ec#*$7\..9,ltUZ9q^eON_e:e%(!Kr*o./j1.p&=]K^rjJBVaGFUOgr45.]M%0dIX02r,f!NFbT5k42%b2k\MC#%\(4sUMj[6p`^1<>g'nP4]>\lG^]-Q)'CTnjM'o[`6*$PjK+BrkMHD4-^)R-/Z(SRB6#G_eY*]&-Q-,K,\)d@;keV2q;l.W;?kHXKR"tW"h:3>=R$Wt$KTEFmQ7r^^[N'B^a!Sb[u7NG^1HW6hGC_j$97psFCSS((]FUF>k4CG%[Y^c^5&QoktoiXau4dM^'1J.I6gA.h-?X<8t,sDhU@I7WWUL(U)&bG*FWGeFY`f'W_-n)(^0F7WjosHEeYC,WDPPDqbj?f1Y)IC"7k_H(rZu^!\6VZ"Fac7jM>lmos.nt"CGREi"b7BHP35;PQtiF"Y1Pb/A3fP"%2/kf7(!A:",b6i%gA>LWNPaR"+2'4e"QPBY'qVb"KM^pc_eAmpUIh#*-Ln\RsSU2i:)Ldl[:U?4_b#H/MgO*cPThRX*eUeTc%[*`L%TM=2\3\BN3Z*tTlg]Y>_&0]U+n.bDg0DdPK*X)BePkCk\ms&+Dkos;Ka3=K/fXjT.?,t!-IbTfJUp=jf:8T_2&s'+(/.h=j/O9fh(^YS'Co7!4#IZV(+Pfu#A/KIARp[>2\:3q(PedG.mRZ.4B:e1fDag*F#o4Ersmuq7OH`g&f1$LYcjY7O,U0QT2BYHr_p^&[03aUoihTl0LFDN.ikW)D+ZecfR[[u4*@bg/rWb0P936uUo^J$CLiNn/3c].L=V.c).
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