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This form is designed to provide an annual cancer screening (after the first 12 months of insurance), for those who have the cancer screening benefit. Review your policy for specific benefits covered under your plan. Web 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.
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Easily fill out pdf blank, edit, and sign them. This form is designed to provide an annual cancer screening (after the first 12 months of insurance), for those who have the cancer screening benefit. Review your policy for specific benefits covered under your plan. Our customer service representatives are here to assist you monday. Save or instantly send your ready.
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Post office box 84075 * columbus, ga. Before filing a claim, make sure you register online by creating a myaflac® account. Failure to complete all sections may result in a delay in processing this claim. Use only blue or black ink while completing this entire form. Aflac also provides pap smear and mammogram benefits once per year.
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This form is designed to provide an annual cancer screening (after the first 12 months of insurance), for those who have the cancer screening benefit. Review your policy for specific benefits covered under your plan. Web 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. Please use black or blue ink only and print legibly when completing this form in its entirety.
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