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-Application

American 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