Service Requests

Aflac Group
Use our Service Request Form to request any of the following:

• Beneficiary change
• Name change
• Address change
• Ownership transfer
• A copy of your certificate

To ensure that your service request is handled quickly and accurately, please print the form and then do the following:

• Complete the top portion of the first page, including your certificate number, name, and contact information
• Place a check mark in the section(s) you wish to amend, and provide the required information.
• Sign and date the bottom portion of the second page.

Please scan the signed and completed form and fax it to: 866.849.2974.

You are also welcome to mail it to:

Continental American Insurance Company
Post Office Box 84075
Columbus, GA 31993

Use our Group Term Life (C91000), Short-Long-term Disability (C51000, C40000) Service Request Form Form to request any of the following related to your plan:

• Name change
• Address change
• Cancellation/ Change of Coverage

If using the Group Term Life Service Request Form please return it to:

Mail: Aflac
300 Southborough Drive,
Suite 200
South Portland, ME 04106

Fax: 877.820.5311

Need help? Call our Customer Service Center toll-free at 800.433.3036.

Continuation of Coverage

If you are no longer employed and would like to keep your current Aflac Group plans in place, you may be able to port your plans. To ensure that your portability (continuation of coverage) is handled quickly and accurately, please print the Continuation of Coverage form and then do the following:

• Complete the form in its entirety and sign and date it.
• Verify your rate from your paystub, with your employer/HR department or with your agent.
• If paying by monthly ACH/Bank Draft please mail completed forms to: American Family Life Assurance Company (Aflac) P.O Box 641629 Pittsburgh, PA 15264-1629. This payment option is only available on a monthly basis.
• If paying by check, mail the completed form along with your check to the address noted on the form. This payment option is only available for quarterly, semi-annual or annual payments.
• Submit within 31 days of your termination date.

If you have any questions, please contact our Customer Service Department Monday through Friday, 9:00 AM to 7:00 PM, Eastern Standard Time at 800.433.3036.