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Service Requests

Do you need to make a change to your information?

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.

For your convenience, you can scan the signed and completed form and email it to or 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

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.
  • Verify your rate from your paystub or with your agent.
  • Sign and date the form.
  • Mail to the information on the form with your check.
  • Submit within 31 days from your termination date.

If you have any questions, please contact our Customer Service Department Monday through Friday, 8:00 AM to 8:00 PM, Eastern Standard Time at (800) 433-3036.