Request a Call from the Policy Continuation Team

* Required

Check all that apply:




Tip!
The fastest way to request continuation of your coverage is through your online account. Log in now to complete the request form. You may also schedule an appointment with the Policy Continuation team.

Contact Information

Additional Information

By providing my phone number or email address, I agree to allow American Fidelity Assurance Company to contact me regardless of my status on any Do-Not-Contact list. Contact Terms and Conditions