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      855.502.3522

      For existing account servicing call: 800.992.3522

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      The following changes to policy information require the policyholder to complete a Change Form. Each type of change has its own specific form.

      Aflac Change Forms:

      Name ChangeDownload the name change form.

      Change BeneficiaryDownload the form to change a beneficiary on a policy.

      Delete a Person from Policy/CertificateDownload the form to DELETE a person from a policy/certificate.

      Request for Gender Identity Change/ReassignmentDownload the form to request a gender identity change or reassignment.

      Add a Person to a Policy/Certificate – Please call Aflac toll free at 800.992.3522 to add a person to an existing policy/certificate.

      The above Change Forms must be completed by the policyholder wishing to make the change.


      Aflac New York Change Forms:

      Name ChangeDownload the name change form.

      Change BeneficiaryDownload the form to change a beneficiary on a policy.

      Delete a Person from Policy/CertificateDownload the form to DELETE a person from a policy/certificate.

      Request for Gender Identity Change/ReassignmentDownload the form to request a gender identity change or reassignment.

      Add a Person to a Policy/Certificate – Please call Aflac New York toll free at 800.336.3436 to add a person to an existing policy/certificate.

      The above Change Forms must be completed by the policyholder wishing to make the change.

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