WebWELLNESS BENEFIT CLAIM FORM. Remember it is a crime to fill out this form with facts you know are false or to leave out facts you know are relevant and important. ... ABJ10367-4 Page 1 of 3 (10/19) Submit Claims to: American Heritage Life Insurance Company 1776 American Heritage Life Drive, Jacksonville, FL 32224 . Phone 1-800-521-3535 Fax 1 ... WebWELLNESS CLAIM FORM If you have any questions regarding our determination of your claim, or if you would like to appeal any determination, please contact our Customer …
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AMERICAN HERITAGE LIFE INSURANCE COMPANY …
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