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AMERICAN FIDELITY ASSURANCE COMPANY Life Division AUTOMATIC PAYMENT PLAN Here's How It Works: To ensure accurate processing, for checking accounts please TAPE a voided, blank check here. If withdrawal
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How to fill out American Fidelity Assurance Company:

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Start by gathering all relevant personal information, such as your full name, address, and contact details.
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American Fidelity Assurance Company is a provider of supplemental insurance products in the United States.
Employers offering supplemental insurance products through American Fidelity may be required to file.
Employers can fill out the required forms provided by American Fidelity Assurance Company.
The purpose of American Fidelity Assurance Company is to provide supplemental insurance coverage to employees.
Information such as employee coverage details, premiums, and claims may need to be reported on the form.
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