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How long do I have to file a claim? A. There is a one-year timely filing provision in your certificate.
Please print a separate form for each additional family member or call 1-800-99-AFLAC (1-800-992-3522) to request additional forms. Claims for all other benefits covered under this policy must be filed separately using the claim forms available at aflac.com or by calling 1-800-99-AFLAC (1-800-992-3522).
Send to: Phone:(800) 433-3036. Fax:(866) 849-2970. Email: groupclaimfiling@aflac.com.
Benefits payable for fractures, dislocations, lacerations, concussions, burns, emergency dental work, eye injuries, and surgical procedures. Benefits payable for initial treatment, X-rays, major diagnostic exams, and follow-up treatments. Benefits payable for physical, speech, and occupational therapy.
Accidental death - Certified death certificate & beneficiary statement claim form. Police report - Required for MVA and any other occurrence investigated by the police. Physician's office notes. Emergency room - ER or urgent care report.

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Aflac will not pay benefits for an illness, disease, infection, or disorder that is diagnosed or treated by a Physician within the first 30 days after the Effective Date of coverage, unless the resulting Disability begins more than 12 months after the Effective Date of coverage. C.
How long do I have to file a claim? A. There is a one-year timely filing provision in your certificate.
Policy number. Policyholder's name. ... Policyholder's address. Date of injury or when symptoms first occurred. ... Definitions & acronyms. ER visit. Surgery. Operative report - Must include the type of procedure or procedure code. ... My Claims.
Accident follow-up - Treatment must be within 30 days, under the care of a physician. Physical therapy - Must be performed by a licensed physical therapist.
Hospital Intensive Care Unit Confinement Benefit: Pays $500 per day, per covered person, for up to 30 days. Daily Hospital Confinement Benefit: Pays $100 per day, per covered person, for up to 365 days.

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