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Supplemental Insurance Policies Forms

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American Family Life Assurance Company (AFLAC)

Payroll Code: AI03 -- Billing Unit: American Family Life Assurance Co.

Riders:

Riders:

Riders:

American Fidelity Assurance Co.

Payroll Code: AI09

American Public Life Insurance Co.

Payroll Code: AI05 -- Billing Unit: American Public Life Insurance Co.

Assurity Life Insurance Co.

Payroll Code: AI49 -- Billing Unit: Assurity Life Insurance Co.

Bankers Fidelity Life Insurance Co.

Payroll Code: AI64 -- Billing Unit: American Trustee, Inc.

Colonial Life & Accident Insurance Company

Payroll Code: AI02 -- Billing Unit: Colonial Life Insurance and Accident Insurance Co.

Equipoint Partners/DBA Pre Med Defender

Payroll Code: AI68

Kemper Benefits

Payroll Code: AI64 - -- Billing Unit: American Trustee, Inc.

Liberty National Life Insurance Co.

Payroll Code: AI56

Manhattan Life Assurance Company of America

Payroll Code: AI69

National Teachers Associates Life Insurance Co.

Payroll Code: AI13 -- Billing Unit: National Teachers Associates Life Insurance Co.

Providential Life Insurance Co.

Payroll Code: AI24 -- Billing Unit: Pre-Paid Legal Casualty Inc.

Security Financial Life

Payroll Code: AI49 -- Billing Unit: Assurity Life Insurance Company

Washington National Insurance Co.

(formerly Conseco Health Insurance Co.) Payroll Code: AI06 -- Billing Unit: Washington National Insurance Co.

Contact

If you are a vendor or potential vendor, please use the Public Portal

If you are a state employee seeking information, please submit your request using the State Portal.

Last Modified on Oct 31, 2024
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