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At American Fidelity Assurance Company (American Fidelity), we understand the impact the recent storms have had on you, our valued customers, in Arkansas and North Carolina. We want to express our deepest sympathies and sincerely hope you and your families are safe.

If you have been affected by the storms, we are ready to assist you in several ways, including:

  • Reviewing your insurance policy(ies) for available reimbursement opportunities.
  • Assisting with filing a claim.
  • Changing your address.
  • Reissuing a lost benefit check.
  • Canceling and reissuing a debit card.
  • Offering a copy of your insurance policy.
  • Explaining how grace periods are available for premium payments.

We want to help affected customers focus on what is important at this time, healing and rebuilding. To learn more, you may:

  • Call us at 800-323-3748 if you work in education.
  • Call us at 800-437-1011 if you work in the auto, municipal, healthcare, or other industry.

Below are helpful Q&As to better assist those affected by the recent tornados.



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Q&A

 
  • What is covered by my policy?

    Please refer to your Certificate of Insurance or Policy. The Schedule of Benefits page gives highlights and policy benefit maximums. The complete policy provides descriptions and specifications for each policy benefit. If you are unable to locate your Certificate of Insurance or Policy, you may access your most up-to-date version by using your secured Online Service Center account. After you log in or setup your account, select the "My Insurance" tab. On each line of coverage, you will find the option to "Request Policy Documentation". You can then view, print or request a copy of your most up-to-date policy.

    If you prefer a hard copy of your policy, complete the Request For Duplicate Policy form and send it to the mailing address or fax number located on the form.

  • How do I get a claim form?

    You may download claim forms here. You must first select a product type and then select your industry and state of residence to insure you receive the proper claim form.

  • How do I submit a claim?

    The mailing address for the Benefits Department is included on the claim form. You may fax your claim form and other required documents to our toll free fax number included on the claim form. To send information by overnight delivery, our physical address is: 2000 N Classen Boulevard, Oklahoma City, OK 73106-609

    There are several ways to submit your Health Flexible Spending Account (FSA), Dependent Daycare FSA, and Health Reimbursement Arrangement (HRA) reimbursements.

    1. Upload photo or scanned documentation to our Online Service Center www.americanfidelity.com/myaccount 
    2. Fax documentation to American Fidelity.
      1. If you work in the education industry, fax your document to 800-543-3539.
      2. If you work in the auto, municipal, healthcare, or other industry, fax your document to 888-243-2638.
    3. Mail documentation to American Fidelity
      1. If you work in the education industry, mail documentation to:  American Fidelity Flex Administration / PO Box 25510 /OKC, OK  73125
      2. If you work in the auto, municipal, healthcare, or other industry, mail documentation to:  American Fidelity Flex Administration / PO Box 268887 /OKC, OK  73126-8887
  • Can I view my account online?

    Through your Online Service Center account you will be able to review your current insurance policies, flex spending account activity, filing a Flex or HRA claim, view annuity balances, sign up for direct deposit, and more.

  • How do I change my address?

    If you have established an online account you can update your address by clicking on the "Account" tab top of  the Online Service Center home page. You will then select the address change icon or tab. If you have not established an online account, you can download and complete the Change Address Form.

  • How do I request a duplicate policy?

    There are several options. 

    • If you have established an online account you can access your certificates by clicking the Account Summary on the Online Service Center Home page when you login. Under the Policy Information heading, you can click on the icon and either view or print your policy document. The specified policy coverage must be active in order to view or print the document.

    • You can mail a request to: American Fidelity Assurance Company PO Box 25523 Oklahoma City, OK 73125-0253

    • You can call Customer Service at 800-654-8489 from 8:00 am to 4:45 pm CST.

    • Or, you can contact Customer Service.

  • Can I pay my insurance premiums online?

    We do not accept online payments at this time; however, you may enroll in Electronic Funds Transfer (EFT) at americanfidelity.com/mycoverage to begin bank draft for future premium payments. You can also mail your payment to: American Fidelity Assurance Company PO Box 25523 Oklahoma City, OK, 73125-0523

  • Can I make a payment over the phone?

    Yes, we do accept Visa or Mastercard payments over the phone. You can also mail your payment to: American Fidelity Assurance Company PO Box 25523 Oklahoma City, OK, 73125-0523

  • How do I replace my Flex Debit Card?
    If you need to replace your Flex Debit Card, we are happy to help. Also, customers affected by the Oklahoma Tornados will not be charged for replacement cards.

    If you work in the education industry, please call 800-325-0654.

    If you work in the auto, municipal, healthcare, or other industry, please call 800-437-1011.

  • How do I sign up for Direct Deposit for my Flex reimbursements?

    Two ways to sign up for direct deposit:

    1. Sign up immediately through your secured Online Service Center account. If you do not have an account - sign up today with express setup.
    2. Download and complete a direct deposit request form and fax to the appropriate number located on the form. 
    • If you work in the education industry, download your form here
    • If you work in the auto industry, a municipality, a healthcare facility, or another industry download your form here.
  • Can I receive my Health Savings Account (HSA) reimbursements as a bank transfer?
    Yes, visit our website for detailed information.
  • Can I view my Health Savings Account (HSA) information online?
    Yes, visit www.afhsa.com to access your secured online account.
  • How do I file a claim for Accident Only?

    We must receive:

    1. a completed claim form,
    2. office notes or medical records
  • How do I file a claim for the Hospital Intensive Care Unit Rider benefit I have under my Cancer Policy?

    To file a claim for a Diagnostic Test Benefit or a Mammogram Benefit, we must receive:

    1. a completed claim form,
    2. provider documentation of the Diagnostic Test or Mammogram.
    The documentation could be an itemized bill or the pathologist, radiologist, or physician's results of the test. The test results must include the patient's name, date of test, type of test, and the provider's name, address, and phone number. To file a claim of services relating to a Positive Diagnosis of Cancer we must receive:
    1. the pathologist's report first confirming the positive diagnosis of cancer, also
    2. a completed claim form,
    3. itemized bills, and
    4. the diagnosis for each itemized bill.
  • How do I file a claim for Disability Coverage?

    We must receive:

    1. a completed claim form, which must be completed in full and signed by you, your employer and the attending physician. Please note that failure to have all three sections completed and signed by the appropriate parties will result in a delay in processing your claim.
  • How do I file a claim for Life Coverage?

    We must receive:

    1. a completed claim form,
    2. a certified copy of the insured's death certificate.
    3. Letters of Administration or Letters Testamentary, if claim is being filed by an Executor or Administrator.
  • How do I file a Supplemental Medical (GAP)?

    We must receive:

    1. a completed claim form,
    2. itemized bills from the provider,
    3. Explanation of Benefits (EOBs) correlating with the itemized bills, and
    4. the diagnosis for each itemized bill.
  • How can I access Section 403(b) and/or 457(b) Loan forms?

    Contact Annuity Services at 405-523-2027 or 800-662-1106 for the required forms. We can fax or mail these forms to you. You also have the option of coming into our office to complete the required forms.

    These forms can be returned to our office through email at annuity.services@af-group.com, faxed to 405-523-5978 or 800-651-1751, or mailed to our office at: American Fidelity Assurance Company, P.O. Box 25520, Oklahoma City, OK 73125. After the transaction has been approved and processed, these funds can be deposited directly to your bank account, mailed to you, or you can come to our office to pick up the check.

  • How can I access my After-Tax Annuity or IRA funds?

    Contact Annuity Services at 405-523-2027 or 800-662-1106 for the required forms. We can fax or mail these forms directly to you. You also have the option of coming into our office to complete the required forms. Additionally, you can write us a letter with instructions on the amount you want to withdraw, any tax withholding instructions, and have your signature notarized. This letter can be sent to us either by emailing this form to annuity.services@af-group.com, faxed to 405-523-5978 or 800-651-1751, or mailed to our office at: American Fidelity Assurance Company, P.O. Box 25520, Oklahoma City, OK 73125.

    After the transaction has been processed, these funds can be deposited directly to your bank account, mailed to you, or you can come to our office and pick up the check.

ESB-2751-0514

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