Cafeteria Plan

 

Shawn-Marie Riley, Conference Benefits Administrator                     

Phone:  (817)877-5222 or (800)460-8622

Fax:  (817)338-4541 (Please call to verify receipt of time sensitive materials.)

Click here to email.

 

2010 Information 

Please note changes for 2010.  Policy(ies) you currently have will not change, nor will the monthly rate change.  

Cafeteria Plan Overview (pdf format)

Cafeteria Plan Enrollment Form 2010   (pdf format)                         SEND ENROLLMENTS TO CONFERENCE OFFICE, NOT TO AFLAC.

Dental Plan Enrollment Form 2010 (pdf format)                               SEND ENROLLMENTS TO CONFERENCE OFFICE, NOT TO AFLAC.

Short Term Disability Application 2010   (pdf format)                      SEND ENROLLMENTS TO CONFERENCE OFFICE, NOT TO AFLAC.

Aflac Voluntary Benefit Rates 2010 (pdf format) 

Short Term Disability Rates-Clerical Lay 2010 (pdf format) 

Short Term Disability Rates-Clergy/ Non-Clerical Lay 2010  (pdf format)  

 

Aflac Voluntary Benefits (Policies)

Hospital Protection   (pdf format)     Upgrade in 2007

Specified Health Event Protection   (pdf format)   Replaces Personal Recovery Plus and Intensive Care in 2007.

Dental Overview   (pdf format)

Dental Basic Plan   (pdf format)

Dental Standard Plan    (pdf format)

Dental Orthodontic Rider   (pdf format)   The rider adds extra to your dental premium.

Maximum Difference - Cancer Indemnity Insurance   (pdf format)    Replaces Personal Cancer Indemnity in 2010.

Disability Income Protection Advantage - Short Term Disability  (pdf format)   New in 2010.

Accident Indemnity Advantage    (pdf format)    Replaces Personal Accident in 2010.

 

Policy Forms

Policy Claim Forms - Click on Texas on the map (from Aflac's website)

Cancellation Aflac Policy Form  - Fax to Shawn-Marie Riley at Conference Office.  Fax No. 817-338-4541

 

Aflac FlexOne Un-reimbursed Medical (URM) & Dependent Daycare (DDC) Flexible Spending Accounts

Flexible Spending Account Participants Handbook (pdf format)  NEW

AFLAC/FLEXONE Flexible Spending Account Reimbursement Form (from Aflac's website)  NEW

Redi-Flex Direct Deposit Enrollment Form (from Aflac's website)
 

 

 

 

 

 

 

 

 

 

 

 

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