Help for those affected by recent natural disasters | Learn More

A message from Aflac

To our policyholders in areas affected by wildfires in designated California counties: Butte, Lake, Mendocino, Napa, Nevada, Orange, Solano, Sonoma, and Yuba, as well as those in areas affected by recent hurricanes in Puerto Rico and the Virgin Islands, please know that the thoughts and prayers of everyone at Aflac are with you. We are working with government agencies that represent all declared disaster areas, including those under emergency order, to ensure we do everything possible to help you. Based on that guidance, we have extended the due dates for policy premiums by 60 days for those living in places that have been declared disaster areas or are under emergency order. If you have a question about your policy or need help, contact us at 800-992-3522. To help with the recovery, Aflac made a $500,000 donation to the American Red Cross, and our employees are making their own private contributions. Please be safe, as the care of you and your families is paramount.

Un mensaje de parte de Aflac

A nuestros asegurados en las áreas afectadas por los recientes huracanes, queremos que sepan que todos en Aflac estamos pensando en, y orando por, ustedes. Estamos trabajando con agencias del gobierno que representan todas las áreas declaradas como zonas de desastre, para asegurarnos de hacer todo lo posible para ayudarles. Basándonos en su consejo, hemos extendido por 60 días las fechas de vencimiento de las primas de las pólizas de aquellos que viven en áreas declaradas como zonas de desastre. Si tiene una pregunta sobre su póliza o necesita ayuda, contáctenos al 800-992-3522. Para ayudar con la recuperación, Aflac ha donado $500,000 a la Cruz Roja Americana y nuestros empleados están efectuando sus propias donaciones. Por favor cuídense, ya que su bienestar y el de sus familias está por encima de todo.

855.502.3522

For existing account servicing call: 800.992.3522

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Sample Plan Documents for current customers:

Current Sample Plan Document

Enter your Tax Identification Number and ZIP Code to download the most current Sample Plan Document in its entirety, along with your Plan Information Summary.

Note: If you have multiple plans using the same Tax Identification Number, please call your local Aflac agent to obtain your current Sample Plan Document packet.

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Special Enrollment Rights Expansion Sample Amendment

To download a sample amendment to incorporate the new special enrollment rights created by the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), click here.

Recent legislation signed into law, the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), creates new special enrollment rights for employees and dependents who lose coverage under a Medicaid or a State Children's Health Insurance Program under titles XIX and XXI of the Social Security Act. Although most cafeteria plan documents include HIPAA special enrollment rights under Code Section 9801(f), many plans likely do not allow for a 60-day election period. (As is the case with our sample cafeteria plan documents since past special enrollment rights had only a 30-day timeframe). Thus, a plan amendment would be necessary in order to reflect the provisions granted by the new law (CHIPRA).

The affect on cafeteria plans is quite minor compared to interaction with health plans, but action is needed nonetheless.