Contact Form: Insurance Claims

To contact American Fidelity's Benefits Department by e-mail please complete the form below. We are committed to your privacy and understand the importance of protecting your personal information. Please see our privacy policy for more information. An asterisk (*) indicates a required field.

Personal Information

Your Workplace Information

If applicable. Please provide your customer number or the last four digits of your social security.
If you can provide additional information, especially a policy and/or claim number. It helps us address your concern.

Quick Access

  • Your Account

    View your policies, download forms and check the status of your claims - all in one spot!

  • Claim & Flex Forms

    1Select the forms you need:

    Flex Benefits
    Accident Benefits
    Cancer Benefits
    Critical Illness
    Disability Benefits
    Hospital Indemnity
    Life Benefits
    Medical (GAP)
    HRA Benefits

    2Select your state & industry:

  • Check Claim Status
  • FAQs

    Please select a category or type your question in the box below.

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