Health Care Reform VIP Notification Service

American Fidelity plan sponsor customers and members of our association partners may sign up to receive updates on Health Care Reform developments. If you are not a customer or do not have an association relationship, you will not be added to the list. If you would like to learn more about American Fidelity’s products and services, click here to contact us.

Personal Information

First Name: *

Last Name: *

State of Residence: *

Phone Number:

Are you a current American Fidelity customer?

Preferred notification method:

E-mail Address: *

American Fidelity respects your privacy. We will not rent, sell or give away your personal information.

Cell Phone:

Complete only if you would like to receive updates via text message in the future.

Your Workplace Information

In what type of industry do you work? *

Employer's Name: *

Number of Employees *

State of Employer:

Select the state where your employer is based.

American Fidelity Assurance Company does not provide tax or legal advice.

Upon signing up for VIP notification, customer consents to being contacted, including by phone or email, regardless of their status on any Do-Not-Call or Do-Not-Email lists.

ESB-959(0811)

Next Steps

You’re Not Alone

We understand that these new requirements come at a time of strained budgets.
Learn how our services and products can help.

Health Care Reform Timeline

What’s Due – And When? A simple timeline breaks down the new rules for you! Learn More

HCR Video Tutorials

Watch our video tutorials and learn about specific Health Care Reform topics.

Learn More

Quick Access

Your Account
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