Forms

Aetna Medical Claim Form
Aetna Prescription Claim Form

Kaiser Claim Form

Principal Dental Claim Form
VSP Vision Claim Form
Principal Life and AD&D Claim Form

To file a claim with American Fidelity please visit https://americanfidelity.com/claims/ or contact your American Fidelity representative listed below:

Gaby Hemphill, GBA
District Manager, Northern and Central California
American Fidelity | gaby.hemphill@americanfidelity.com
Lic: 0K57332
O: 405-416-8661 | C:510-910-5410

Claim Form