Notifications from Aflac

Notifications from Aflac

To help provide relief for California policyholders residing in Los Angeles and Ventura Counties affected by the wildfires, Aflac will provide billing leniency for impacted insureds, an extension of filing deadlines for claims and leniency for any other action required under the policy.  Aflac will provide a replacement copy of the policy upon request by the policyholder. Affected members should contact Aflac at 800-992-3522 for assistance.

For Network Dental and Vision Members:

This also provides an extension of filing deadlines for claims and leniency for any other action required under the certificate. Affected members are not required to obtain prior approval when accessing appropriate out-of-network providers when in-network providers are unavailable. The cost-sharing for out-of-network will be in amount equal to cost-sharing affected members would have paid for the provision of that service in-network. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.


To help provide relief for California policyholders residing in Tuolumne and Calaveras Counties affected by the lightning-ignited fires, Aflac will provide a premium grace period starting Sept. 2, 2025, and ending Nov. 18, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.

For Network Dental and Vision Members:

This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.


To help provide relief for Alaska policyholders and certificate holders residing in Northwest Arctic Borough, North Slope Borough, Kusilvak Census Area, Bethel Census Area, Nome Census Area, and Aleutians West Census Area who are affected by the storm, Aflac will provide an extended premium grace period starting Oct. 9, 2025, and ending Dec. 15, 2025. This grace period also includes an extension of filing deadlines for claims and leniency for any other actions required under the policy or certificate. In addition, Aflac will relax prescription drug benefit guidelines to allow payment of claims when a covered prescription drug is refilled prior to the usual 30-day limit. Policyholders and certificate holders may also request a replacement copy of their policy or certificate.

For Network Dental and Vision Members:

Aflac is providing temporary relaxation of precertification and referral requirements. Members will have access to appropriate out-of-network providers if in-network providers are unavailable or if they have been displaced, and leniency will be provided for any other actions required under the certificate. Affected members should contact Aflac Benefits Solutions (formerly Argus Dental and Vision) at 855-819-1873, option 1, for assistance.


 

To help provide relief for Oregon policyholders residing in Oregon who were affected by the wildfires, Aflac will provide a premium grace period starting Sept. 3, 2025, and ending Nov. 26, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.

For Network Dental and Vision Members:

This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.


To help provide relief for Arizona policyholders residing in Gila, Mohave and Maricopa counties affected by the heavy rains, Aflac will provide a premium grace period starting Sept. 25, 2025, and ending Jan. 13, 2026. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.

For Network Dental and Vision Members:

This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.

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Aflac Helps Businesses Comply With Affordable Care Act Reporting Requirements
New offering provides business owners with resources to meet business needs

COLUMBUS, Ga., June 30, 2016 /PRNewswire/ -- Aflac, the leading provider of voluntary insurance at the worksite in the United States, today announced a service to help employers meet ongoing Affordable Care Act (ACA) compliance requirements. As part of Aflac Business SolutionsSM, a suite of value-added services that addresses the evolving and emerging needs of business owners and their employees, Aflac has partnered with Accord, NavigateHCR and Worxtime to provide much-needed support.

"Many business owners are experiencing increased responsibility to remain compliant with ongoing ACA reporting requirements," said Keith Pellerin, vice president of Product Management and Innovation at Aflac. "To help employers navigate through this complex benefits and health insurance landscape, Aflac has partnered with three top reporting companies to make it both simple and cost-effective for employers to get the compliance services they need, when they need them."

According to a recent survey conducted by Aflac, with most of the significant reporting requirements taking hold this year, nearly half of employers with 50 or more workers reported that they are only somewhat prepared to comply with IRS reporting rules in 2016.1

Aflac's ACA reporting partnerships help business owners reduce the administrative tasks related to employee health care and enable them to take advantage of services at Aflac-preferred rates. Aflac employer clients will have access to ACA compliance solutions, including:  

  • ACA phone and email hotlines to provide responses to ACA-related questions.
  • Communication support, including 1095 communications aimed at employees so they stay informed of any ACA-related notifications or changes to their coverage.
  • Electronic IRS filing services of 1094 and 1095 forms.
  • Standard and customized reports, analytics and testing to reduce risk of fines and fees.
  • Tracking and monitoring employee eligibility, including leave of absences as well as seasonal or union employees.

"We understand that our clients, policyholders and broker partners need more from their benefits provider. With this value added service, Aflac helps employers meet their needs with not just our insurance policies but also by providing them support to understand—and more importantly comply—with evolving health care regulations. Along with our nationwide network of agents, we will continue to provide employers with new tools and resources to help them satisfy ACA requirements and make smart benefits choices for their organization and employees," added Pellerin.  

To learn more about Aflac Business SolutionsSM, visit aflac.com/aflac-business-solutions or follow @aflac on Twitter.

About Aflac

When a policyholder gets sick or hurt, Aflac pays cash benefits fast. For six decades, Aflac insurance policies have given policyholders the opportunity to focus on recovery, not financial stress. In the United States, Aflac is the leading provider of voluntary insurance at the worksite. Through its trailblazing One Day PaySM initiative, Aflac U.S. can receive, process, approve and disburse payment for eligible claims in one business day. In Japan, Aflac is the leading provider of medical and cancer insurance and insures 1 in 4 households. Aflac individual and group insurance products help provide protection to more than 50 million people worldwide. For 10 consecutive years, Aflac has been recognized by Ethisphere as one of the World's Most Ethical Companies. In 2016, Fortune magazine recognized Aflac as one of the 100 Best Companies to Work For in America for the 18th consecutive year and included Aflac on its list of Most Admired Companies for the 15th time, ranking the company No. 1 in innovation for the insurance, life and health category for the second consecutive year. In 2015, Aflac's contact centers were recognized by J.D. Power by providing "An Outstanding Customer Service Experience" for the Live Phone Channel. Aflac Incorporated is a Fortune 500 company listed on the New York Stock Exchange under the symbol AFL. To find out more about Aflac and One Day PaySM, visit aflac.com or espanol.aflac.com.

About Accord

Accord Systems is a national provider of full-service Affordable Care Act tracking, reporting, filing, fulfillment and consulting services. Accord applies more than 80 years of collective benefit and data administration into the design of a Ruby on Rails-driven technology platform, which has resulted in a suite of proprietary tools to ensure data and filing accuracy for clients. Forms Patrol, Accord's lines 14-16 code validation tool, helped identify an average code combination error of 16 percent on more than 2 million employee records. Accord is based in Alpharetta, Georgia. To find out more about Accord Systems, visit accord-aca.com.

About NavigateHCR

NavigateHCR is a technology and service company that offers a solution to the newly implemented Affordable Care Act mandate, which requires all employers, regardless of employee count, to follow governmental guidelines established by the Department of Labor, Health and Human Services, and the Internal Revenue Service. NavigateHCR is the oldest ACA full-service compliance and technology company and works with all size clients across the United States. NavigateHCR has four core components: compliance communication, exposure analysis, functional data and concierge services. To find out more about NavigateHCR, visit navigatehcr.com.

About Worxtime

Worxtime is a solution for employers to plan and manage employee's hours and track employee status as mandated by the Affordable Care Act regulations. Worxtime is an ACA compliance web application, regulating employee eligibility by utilizing the "Look Back" method. Worxtime manages the measurement, administrative and stability periods, providing employers with valuable data reporting. To find out more about Worxtime, please visit worxtime.com.

 

Aflac Logo. (PRNewsFoto/Aflac)

 

Media contactKristen Fraser, 706.243.5543 or mediarelations@aflac.com

Analyst and investor contact – Robin Y. Wilkey, 706.596.3264 or 800.235.2667, FAX: 706.324.6330, or rwilkey@aflac.com

1 The 2016 Aflac WorkForces Report, conducted between Jan. 11 and Feb. 11, 2016 by Lightspeed/GMI on behalf of Aflac, accessed June 6, 2016 - http://workforces.aflac.com.

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SOURCE Aflac