AFL Documents and Forms
Here you’ll find the AFL Local 5 documents and forms you need in Adobe PDF format. Don’t have Adobe Reader? Get it here
AFL Local 5 Health Plan Documents
Summary of Benefits & Coverage (SBC)Download PDF |
SBC GlossaryDownload PDF |
AFL Plan Documents (Active)Download PDF |
AFL Plan Documents (Retirees)Download PDF |
Prior Authorization ListDownload PDF |
AFL Provider DirectoryDownload PDF |
Helpful Documents and Forms
HIPAA Authorized Representative Form
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Urgent Care ListingsDownload PDF |
Coordination of Benefits (COB) QuestionnaireDownload PDF |
Akamai Way FlierDownload PDF |
AFL Vision Provider ListingDownload PDF |
AFL FAQ’SDownload PDF |