Brochure 2023.pdf

AFLAC Application and Payment Form.pdf

HA MBS and Telemed.pdf

Submit completed application and payment form to cleat.benefits@gmail.com

Application must be submitted before the 15th of the month for an effective date the 1st of the following month.

To change payment information, please submit the payment form above or go to paylogix.com to set up an account and make changes as necessary.