Provider Forms and Contact Information

Plan Features



The Standard Insurance Company - Evidence of Insurability Form - Florida

The Standard Insurance Company - Evidence of Insurability Form - Georgia

Aflac - Group Short Term Disability Claim Form

Aflac - Group Accident Claim Form

Aflac - Group Critical Illness Claim Form

Aflac - Group Hospital Indemnity Claim Form

Aflac - Direct Deposit of Claims Payment Form



Florida Blue

Medical Insurance

The Standard Insurance Company

Dental, Vision, Disability and Group Life Insurance

The Standard Insurance Company Evidence Of Insurability Form

Online Evidence of Insurability Form

Aflac

Voluntary Short-Term Disability, Accident, Critical Illness and Hospital Indemnity Insurance



Florida Blue

1-800-352-2583

Medical Insurance - Group 15243

The Standard

1-800-547-9515

Dental and Vision Insurance - Group 162038

The Standard

1-800-628-8600

Group Life and Employer Provided Disability - Group 162038

Aflac

1-800-433-3036

Voluntary Short-Term Disability, Accident, Critical Illness and Hospital Indemnity Insurance