Critical Illness Insurance Support

The fastest way to file a critical illness insurance claim is through your online account, or on our mobile app, AFmobile^®.

For more details on how to file a claim, including required documentation and a step-by-step instructional video, visit our critical illness insurance claim page.

You can download and print a paper claim form here. Please note, paper claim filing is not the fastest option. File a claim online or through AFmobile to get your money faster.

For more details on how to file a claim, including required documentation and a step-by-step instructional video, visit our critical illness insurance claim page.

When filing a critical illness insurance claim you will need to provide the following documentation:

• Statement of Insured, completed via online claim filing or paper claim form.
• Attending Physician Statement: Complete the Statement of Insured on the first page, then have the physician in charge of your care complete the remaining pages. Upload the form via your online account, or mail or fax it.
• Medical records or office notes from the date you were first treated for symptoms associated with the condition until the present date.
• If filing for occupational HIV/Hepatitis B, C, or D, you will also need to provide an incident report or notice of exposure.
• If filing for Sudden Death due to Cardiac Arrest, you will need to provide a copy of the Death Certificate of the Insured.

We may also need:

• Authorization to Disclose Information Including PHI: This form gives us authorization to get records from your medical provider(s) and others who may hold information necessary for us to review your claim. Upload the form via your online account, or mail or fax it.

For more details on how to file a claim, including a step-by-step instructional video, visit our critical illness insurance claim page.

Claims are generally processed within 5-7 business days.

However, your critical illness policy’s annual wellness screening benefit may qualify for quick processing. When you submit your wellness benefit claim online or through AFmobile, you can receive payment in as little as one day when enrolled in direct deposit, no extra documentation required.

Learn more about AFQuickClaims^® 

Exclusions may include self-inflicted injury or sickness, suicide or attempted suicide, under influence of narcotics outside of physician care, committing a felony, incarceration 30 days or longer, alcoholism or drug addiction, or diagnosis outside the United States. May vary as described in the policy. 

Log in to View Your Policy Details 

The fastest way to check the status of a claim is through your online account, or on our mobile app, AFmobile^®.

• Online
  1. Log in to your online account
  2. Click on the Claims tab
• AFmobile
  1. From the AFmobile dashboard, scroll down to Insurance Claims
  2. Choose either In Process or Processed
     • When you file a claim, it will be located under In Process until it has been processed.
     • Once your claim is processed, it will be located under Processed

A lump sum of money paid to the Insured, based upon the Benefit Amount purchased. Benefit amounts range from $10,000 to $30,000, in $10,000 increments. Children are included and covered at 25% of the employee benefit amount at no additional cost. Spousal coverage is available at 50% of the employee benefit amount at an additional cost. 

A document that details information about specific plan benefits. You can view your Schedule of Benefits in your policy document through your online account.

This benefit is payable for the Insured and spouse, if applicable, once per calendar year for annual health screening tests. Maximum of one covered test per year. Screening tests include:

• Blood test for triglycerides
• Doppler ultrasound
• Echocardiogram
• Electrocardiogram (EKG)
• Fasting blood glucose test
• Serum cholesterol test to determine HDL and LDL levels
• Exercise or Pharmacologic stress test
• Neuroimaging studies

If you (the Insured) receives a recurrent diagnosis or second occurrence date for a covered critical illness, for which the Critical Illness Benefit has been paid, we will pay an additional benefit equal to 50% of the benefit amount purchased. 

A benefit will be paid following a Heart Attack (Acute Myocardial Infarction) due to Coronary Artery disease resulting in death of a portion of the heart muscle.

A benefit will be paid for permanent damage due to a stroke. A stroke is defined as permanent neurological damage to the brain which results from an acute or sub-acute interruption of blood flow to brain tissue, including infarction of brain tissue due to blood flow to the brain tissue, including infarction of brain tissue due to embolism, thrombus, or bleeding.

A benefit will be paid for failure of major organ function diagnosed by a physician that results in placement on the United Network for Organ Sharing (UNOS) list for transplant of the heart, liver, lungs or entire pancreas.

A benefit will be paid for irreversible failure of both kidneys to function and which requires regular dialysis or renal transplantation. 

A benefit will be paid for a spinal cord injury due to a covered accident resulting in the loss of use of two or more limbs. Paralysis must be diagnosed by a physician as permanent, total and irreversible. 

As long as you were continuously covered for 12 consecutive months prior to the date your coverage under the policy ends, you can submit a request to American Fidelity within 30 days of losing eligibility, for continuation of coverage.

Learn more about keeping your coverage, or if you have any questions, please contact the Policy Continuation team online or call 800-943-2231.