Download a Paper Claim Form

NOTE: Paper claim filing is not the fastest option. 

File a claim through your online account or through our mobile app AFmobile® to get your money faster!

Do you know what documentation you need? Learn What is Required to File a Claim 

Search for the form you need, or click the name of the product to show the available forms. 

Please note, all life insurance documentation must be submitted by mail or by fax.

Mail or fax health and disability insurance product claim forms to:

American Fidelity Assurance Company
Worksite Group Benefits Department
P.O. Box 25160
Oklahoma City, OK 73125
Fax: 800-818-3453

Mail or fax reimbursement claim forms to:

American Fidelity Assurance Company
Flex Account Administration
P.O. Box 161968
Altamonte Springs, FL 32716
Fax: 844-319-3668

Mail or fax life insurance claim forms to:

American Fidelity Assurance Company
Life and Annuity - Worksite

P.O. Box 25160
Oklahoma City, OK 73125
Fax: 800-818-3453