AFLAC Supplemental Insurance Program


The City and County of Broomfield offer voluntary supplemental Group and Individual insurance plans available through AFLAC for full time and eligible part time employees. 

Individual Plan

Group Plans

Forms

IMPORTANT INFORMATION

Please read before enrolling....  When you elect and enroll in one or more of the AFLAC plans, understand you are agreeing to the below certification.

CERTIFICATION: I have read the completed Application and I realize any false statement or misrepresentation in the Application may result in loss of coverage under the Certificate. I understand that no insurance will be in effect until my Application is approved and the necessary premium is paid.
I understand and agree that the coverage that I am applying for may have a pre-existing condition exclusion.

I authorize my employer to deduct the appropriate dollar amount from my earnings each pay period to pay Continental American Insurance Company the required premium for my insurance.

It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company
for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines,
denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly
provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of
defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from
insurance proceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory
Agencies.


Contact our Agent


For more information on any of these programs, please contact Lisa Perry at l_perry@us.aflac.com or 303.596.6119.