Enrollment Forms
Aflac
• Hospital Protection Brochure, Surgical Schedule, and Outline of Coverage• Personal Sickness Indemnity Plan Brochure, Surgical Schedule, and Outline of Coverage
• Hospital Intensive Care Protection Brochure, and Outline of Coverage
• Hospital Protection Application (Non-payroll)
• Personal Sickness Indemnity Plan Application (Non-payroll)
• Hospital Intensive Care Protection Application (Non-payroll)
Humana
• Hospital Cash Plan Brochure-ApplicationAmerican Public Life Ins. Co. (APL)
• HI-2200 Brochure, and Sample Proposal• Individual Combo Application
United National Life Ins. Co. (UNL)
• Benefits Plus Brochure• Hospital Confinement Indemnity Brochure
• Combo Application Basic
Claim Forms
• Instructions for Making Hospital Claims (Hospital Protection)• Instructions for Making Hospital Claims (Personal Sickness Indemnity Plan)
• Instructions for Making Office Visit Claims (Personal Sickness Indemnity Plan)
• Sickness Claim Form
• Physician Visit Claim Form
Policy Change Forms
• Address Change Form• Bank Account Change Form
• Cancellation Form
• Direct Bill Change Form
• Newborn Addition
• Reinstatement Application