Medical Claim Forms and Contact Information
Many of the medical claim forms are in Adobe Acrobat form and can be downloaded and filled out on the computer prior to printing. Those forms which can be filled out, either partially or totally, are noted with “AR”. Get a FREE copy of the Acrobat Reader.
| AFLAC Claim Form Instructions | Download |
| AFLAC Flex One Claim Form - AR | Download |
| AFLAC Insurance Claim Form - AR | Download |
| Superior Vision Claim Form | Download |
| Dental Plan Summary | Download |
| Plan Summary of Benefits – Overview – download here | |
| Plan Document & Summary of Plan Description for City of Stafford Health Care Benefits Plan – Download here | |
| Health Insurance Plans and Costs | |
| Back to HR Policies and Miscellaneous Forms Page | |

