What documentation is required to file an infectious disease rider claim?

The fastest way to file an infectious disease claim is through your online account or our mobile app, AFmobile^®. 

When filing an infectious disease 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.

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.