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New Clients

Resources 

        Step by Step Checklist for New Clients
        FSA Brochure with Authorization for New Employers
        Funding Options for New Clients
        FSA Generic Proposal
        HRA Application

 

Participant Enrollment Materials

Participant enrollment materials can be found on the Aflac Media Gallery.

 

Additional Forms 

Download the following documents for renewing clients. 
Participant enrollment materials can be found on the Aflac Media Gallery.

Health Claim Form
Dependent Care Claim Form
Direct Deposit Form
HIPAA Authorization Form
Letter of Medical Necessity
Change of Status
Employer Insurance Copay Form