Forms, Numbers, & Compliance Notifications
CONTACT NUMBERS
1-800-99-AFLAC
1-888-641-5224
1-888-641-5224
1-800-669-2668
1-800-982-7715
1-800-727-1444
Anthem.com Resources
Member Services 1-844-720-0798
Dental Services 1-866-641-7762
24/7 Nurseline 1-888-279-5449
Pre Certification 1-866-643-7087
Provider Services 1-800-676-2583
Pharmacist Questions 1-800-824-0898
Coverage While Traveling 1-800-810-2583
FORMS AND RESOURCES
TOBACCO CESSATION PROGRAM (TCP)
Files:
2026 MEDICAL SUMMARY PPO 50
2026 MEDICAL SUMMARY PPO 75
2026 DENTAL SUMMARY
2026 DENTAL INSURANCE RATES
2026 MEDICAL INSURANCE RATES (UNDER 44.5K)
2026 MEDICAL INSURANCE RATES (OVER 44.5K)
ANTHEM HEALTH BENEFIT BOOK - ACTIVE WITH CLINIC ACCESS
ANTHEM HEALTH BENEFIT BOOK - ACTIVE WITHOUT CLINIC ACCESS
ANTHEM HEALTH BENEFIT BOOK - RETIREES
EMPLOYEE CHANGE FORM APPLICATION
INJURY/ILLNESS REPORT
PRESCRIPTION DRUG LIST
MXP RETAIL MAIL ORDER FORM
UNIFORM GLOSSARY
SUMMARY OF BENEFITS AND COVERAGE (SBC) 50
SUMMARY OF BENEFITS AND COVERAGE (SBC) 75
SUMMARY OF BENEFITS AND COVERAGE (SBC) RETIREE