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Clackamas County Aflac Cancellation/Change Form Name Employee ID Please Print Employee Department I would like to cancel my after-tax Aflac coverage effective on the policies listed below this coverage can be cancelled the end of the month following receipt of the completed form Short Term Disability Policy Life Insurance coverage can be cancelled only during Open Enrollment and is effective January 1st Accident Cancer Specified Health Event Hos...
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What is aflac cancellation form?
The aflac cancellation form is a document that policyholders use to terminate their insurance coverage with AFLAC.
Who is required to file aflac cancellation form?
Any policyholder who wishes to cancel their insurance coverage with AFLAC is required to file the aflac cancellation form.
How to fill out aflac cancellation form?
To fill out the aflac cancellation form, the policyholder needs to provide their personal details, policy number, reason for cancellation, and sign the form.
What is the purpose of aflac cancellation form?
The purpose of the aflac cancellation form is to officially request the termination of insurance coverage with AFLAC.
What information must be reported on aflac cancellation form?
The aflac cancellation form requires the policyholder to provide their personal details, policy number, reason for cancellation, and signature.
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