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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. 0000001422 00000 n endstream 8,Y5:-bZ-;Z%c':c]*),@W=_c. /Type /Font <> /XObject << !om"/\*lLc;1!=2VJY6B8M#SQkFA/PescpqBeho-)be]?.9:k-Uth]7P9'K8#,S=r#]\"XYE-i-
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aflac continuing disability claim form Summary of Benefits for Benefits Eligible Employees Mar 31, 2022 Employees are covered by long-term disability insurance, beginning on the first day of employment. eokV:dNhZMi7O%JW^7S3)e7Na-0A!>>14!l. 01Kfu^/nVO+L(Jdq73kWrp8S-B^0`qh,U[o.OS(9*S//rm]sB[#0$Ikq. 3 0 obj AkJD?1M>up>BcsX+I=_#LC$k%qGLcEUfd4i%!i&
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(D;A)'1,bTSu(P!sL=W[AP?iW[gGM endobj Life claim forms for the state of Illinois must be obtained by contacting Aflac Worldwide Headquarters at 800.992.3522 to have the appropriate forms sent to you. %%EOF, ^#$J_1B!E\jQnDo*AZEPW#Q5HmqO\,o&d+LqKX0];I^YQ!dK5/)RRb8kQ;c1SD&I_aWfY7X
Create your eSignature and click Ok. Press Done. If this is an Employer Sponsored Term Life Product with your policy number beginning with AFL, please use the forms below. endobj Choose your state of residence and select the appropriate form (s). '1L#-Ne#BOUYn.SL>
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P;j%5)jo)E)Oa&qP(Ph7/Yj! The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions. nhH(@HB3(k..$A&2I&hNumCF[&]PjI*`R_D2M6]X>#-E#f;915&(PF6%>9Knd"E.:PO
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