In today's fast-paced world, ensuring financial protection against unexpected health events has become paramount for individuals and families alike. At the heart of this protective shield is the Aflac Interest Form, a crucial step toward availing oneself of a range of insurance plans tailored to meet diverse needs. This comprehensive document begins with the straightforward collection of personal information, prompting applicants to detail their family structure, contact information, and more, thus laying a personalized foundation for their insurance journey. Following this, the form opens up a window to a variety of available plans, ranging from individual and family options to specific coverages for accidents, cancer, hospital events, and other significant health occurrences, allowing applicants to mark their interest in learning more about each. Crucially, the form underscores the essence of how Aflac operates, emphasizing the direct payment of cash benefits to policyholders, which can be utilized for a myriad of expenses beyond medical bills - from daily living costs to maintaining financial stability during tough times. Aflac's commitment to policyholder empowerment is further highlighted through guarantees of policy renewability, portability, absence of rate increases, and a notable track record in claim processing efficiency. Apart from showcasing various insurance policies like Accident Indemnity Advantage, Dental Insurance, Short Term Disability, and Life Insurance, the form also sheds light on unique benefits each policy offers, such as initial hospitalization benefits, wellness payouts, and coverage for non-traditional treatments not covered by major medical plans. Such detailed provisions reflect Aflac's dedication to offering more than just insurance; they aim to provide peace of mind and a safety net for roughly the cost of an hour's wage per week, covering individuals and their families during life's unpredictable moments. With the Aflac Interest Form, agent Juanita Burks extends an invitation to explore these resources, promising a blend of financial support and ethical commitment recognized across the industry.
| Question | Answer |
|---|---|
| Form Name | Aflac Interest Form |
| Form Length | 1 pages |
| Fillable? | Yes |
| Fillable fields | 15 |
| Avg. time to fill out | 3 min 19 sec |
| Other names | aflac cancer forms to print, aflac interest printable, aflac interest sheet, alfac forms |
Aflac Interest Sheet
1 Personal Info **Please complete all fields**
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Job Title:______________________________________ |
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(Includes all children up to age 26) |
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Address: _____________ |
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2 Available Plans **Want more information? Just check the plan you would like to hear more about**
Individual |
Employee & Spouse |
1 Parent Family |
Family Plan____ |
Accident
Cancer
Hospital
Specified Health Event (HEART/STOKE)
Life
Dental
Vision
Short Term Disability
Disability quoted individually based on salary and other criteria.
3 How Aflac Works
AFLAC pays CASH benefits directly to you, not the doctor or hospital.
AFLAC benefits can be used to pay
AFLAC benefits are designed to pay every day living expenses like Rent or mortgage, groceries, utilities, car payments and more.
AFLAC plans are GUARANTEED renewable, meaning we will never cancel on you. AFLAC policies are PORTABLE. Even if you change jobs, you can take it with you. AFLAC has NEVER had a rate increase, so you know the cost in the future.
AFLAC pays 92% of our claims in 4 days, so you get the money when you need it most. AFLAC has been named Ethisphere’s ost ETHICAL I sura ce Co pa y 5 years i a row! AFLAC plans provide a safety net of cash for about an hour’s wage per week
AFLAC policies can be extended to cover the whole FAMILY
Your Agent: Juanita Burks, CA License # O640977
Phone:
email: Juanita_burks@us.aflac.com
4 Policy Infromation
Accident Indemnity Advantage
Covers you & your family 24/7
At work, Sports, School, Home and Commuting
Pays $1,000 initial Hospitalization benefit/$2000 Intensive Care
Hospital Confinement benefit of $250 per day
Wellness payout of $60 every 12 months for routine check ups
Dental Insurance
No
Annual benefits amounts range from $1,200 to $1,800 per person depending on plan
Benefits for Orthodontics and Cosmetic dentistry can be added.
Short Term Disability
***Guaranteed Issued ***for new policies
Benefits from $500 to $5,000 per month
Pays in 4 days compared to 30 days the state requires to process.
Benefits are own occupational payouts
Life Insurance
Plans include 10, 20, 30 year term & Whole life
Benefit amounts as high as $200,000
**If you have Major Medical you can also access these programs**
Personal Cancer Care
$6,000 initial diagnosis benefit, builds by $500 per year
$300 per day for hospitalization
$500 per week for experimental treatment, No Major Medical plan covers this
Pays you $100 per covered person in wellness every year
Hospital Advantage
***Guaranteed Issued ***for new policies
Covers hospitalizations for Accidents, Sickness and pregnancies
Pays $1000 first day of hospital confinement
Pays daily hospitalization benefit
Pays wellness benefit of $150 every year, per person covered for Medical Diagnostic & Imaging
Specified Health Event
Covers heart attack, stroke,
$5,000 initial diagnosis benefit, builds by $500 per year
$300 per day for hospitalization
$ Pays wellness benefit of $150 every year for Mammograms