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Aflac Critical Illness Insurance: Individual and Group Plans Explained

Updated November 2026

Key Takeaway

Aflac critical illness insurance pays you a one-time cash benefit when you are diagnosed with a covered condition such as a heart attack, stroke or, in many versions, internal cancer. Aflac sells it two ways: an individual policy from American Family Life Assurance Company of Columbus and Aflac Group Critical Illness from Continental American Insurance Company through employers.

2027 by the Numbers

$10K-$20K

initial diagnosis choices in Aflac individual brochures we reviewed (Series B71000)

180 days

gap needed between paid events on the individual policy (Aflac outline of coverage)

6 months

gap for a repeat or added diagnosis on Aflac Group plans (CAIC brochures)

A+

AM Best rating for American Family Life Assurance Co. of Columbus (Sept. 2025)

The name sounds like one product, but the Aflac brand covers at least two different critical illness designs. Which one you own changes the list of covered conditions, how cancer is handled and how soon a second claim can pay.

This guide walks through both versions using Aflac’s own brochures and outlines of coverage, then shows how they differ from the Aflac cancer insurance policy, which pays over the course of treatment instead of all at once. For background on the product type, see our critical illness insurance overview. Every plan here is a supplemental, limited-benefit policy. It pays cash on top of your health coverage and does not replace health insurance, an ACA plan or Medicare.

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Individual or Workplace: Which Aflac Plan Is Yours?

Aflac critical illness insurance individual policy compared with Aflac Group Critical Illness

Aflac’s individual critical illness coverage is issued by American Family Life Assurance Company of Columbus. Current brochures call it Lump Sum Specified Critical Illness, Policy Series B71000. You buy it through an Aflac agent and own the policy yourself.

Aflac Group Critical Illness is a different contract. It is underwritten by Continental American Insurance Company (CAIC), a member of the Aflac family, and the employer picks the plan design, face amounts and optional riders. Group certificates in the C22000 series cover more conditions than the individual policy, but the details change from one employer to the next.

Look at the insurer line. American Family Life Assurance Company of Columbus means an individual policy. Continental American Insurance Company means a group certificate.

Check the form number. Series B71000 points to the individual design. Series C22000 points to the group design.

Know who sets the terms. Aflac files the individual policy by state. Your employer chooses the group plan options within what CAIC offers.

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What the Individual Aflac Policy Pays

The individual policy pays an Initial Diagnosis Benefit once per covered person for the first covered event. Brochures we reviewed offer $10,000, $15,000 or $20,000 for the primary insured, with a spouse or child at 50% of that amount. Choices and prices vary by state.

BenefitWhat Aflac brochures showHow often
Initial Diagnosis (heart attack, stroke, sudden cardiac arrest, organ or bone marrow transplant, end-stage renal failure, paralysis, coma)100% of the face amount you pickOnce per person, per lifetime
Internal cancer (in the version sold with cancer)Paid under the Initial Diagnosis BenefitOnce per person, per lifetime
Noninvasive cancer (with-cancer version)25% of the face amountOnce per person, per lifetime
Nonmelanoma skin cancer (with-cancer version)$200Once per calendar year
Subsequent event50% of the face amountNo lifetime maximum
Building BenefitUp to $500 added each year, for up to 10 yearsPaid once with the first claim

Source: Aflac Lump Sum Specified Critical Illness brochures and outlines of coverage, Series B71000 (national and Georgia versions). Some state versions leave cancer out of the base policy. Your outline of coverage controls.

Two riders can be added for extra premium. A recovery rider pays $500 a month for up to three months per event, and a hospitalization rider pays daily amounts for hospital and intensive care stays. The policy is guaranteed renewable for life as long as you pay on time, but Aflac can raise rates for everyone with the same form and class in your state.

How Aflac Group Critical Illness Pays

Group plans pay a percentage of the face amount your employer lets you choose. Brochures for C22000 plans we reviewed pay 100% for internal or invasive cancer, heart attack, stroke, kidney failure, sudden cardiac arrest, major organ and bone marrow transplants, coma, paralysis, loss of sight, hearing or speech, benign brain tumor, type 1 diabetes and coronary artery bypass surgery. Non-invasive cancer pays 25%.

Repeat and added diagnoses. A different covered illness can pay after the first. The same illness can pay again when the two diagnosis dates are at least six months apart.

Skin cancer. Pays a flat amount once per calendar year. Two employer brochures listed $500 and $1,000, which shows how much plans differ.

Optional riders. Employers may add riders for progressive diseases, heart procedures, childhood conditions or serious mental illness. Aflac added the mental illness option in 2022.

Health screening. Plans reviewed pay $50 per insured, once a year, for a covered preventive screening.

Coverage check: CAIC states that its group coverage is not comprehensive and does not count as ACA minimum essential coverage. CAIC is not licensed to sell in New York, Guam, Puerto Rico or the U.S. Virgin Islands, and at least one brochure notes New Mexico residents may not be eligible.

Waiting Periods, Pre-Existing Limits and Second Claims

Timeline of Aflac critical illness insurance waiting period, pre-existing limit and repeat claim rules

Timing rules decide many Aflac critical illness claims. On the individual policy, the main rules start on your effective date and run on separate clocks.

1

First 30 days. Internal cancer diagnosed before coverage has been in force 30 days is not covered, nor is its spread or return. You may void the policy for a full premium refund instead.

2

First 12 months. A loss caused by a pre-existing condition is not covered unless it starts more than 12 months after the effective date. The filed definition looks back 12 months for treatment, medicine, tests or symptoms.

3

Each new event. A subsequent event must begin at least 180 days after the last event that was paid.

4

Cancer that returns. A recurrence of internal cancer counts only after 12 straight months free of treatment.

Group brochures we reviewed point to the certificate for waiting periods and pre-existing condition rules instead of listing them. Ask your benefits office for a copy.

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Aflac Critical Illness vs. the Aflac Cancer Policy

Aflac’s stand-alone cancer product is Cancer Protection Assurance, Policy Series B70000. It is built to pay many times during treatment, while critical illness coverage pays mostly at diagnosis. The table lines up the filed features side by side.

FeatureAflac critical illness (B71000 / C22000)Aflac Cancer Protection Assurance (B70000)
Conditions coveredHeart attack, stroke and other listed events; cancer in many versionsCancer only
How it paysLump sum at diagnosis, plus fixed extrasDiagnosis benefit, then monthly treatment and daily hospital benefits
InsurerColumbus (individual) or CAIC (group)American Family Life Assurance Co. of Columbus
Cancer that comes backCan pay again after 12 treatment-free months (individual)Initial diagnosis benefit paid once per lifetime
Screening benefit$50 a year in group plans reviewedYearly cancer screening benefit; $75 to $100 in Texas outlines
Early waiting period30 days for internal cancer (individual)30 days for a new cancer diagnosis

Built from Aflac brochures and outlines of coverage for Series B71000, C22000 and B70000. Amounts and rules vary by state, option and employer.

If cancer is your main worry and treatment could last months, a cancer policy keeps paying as bills arrive. If you want one check that also covers heart attack and stroke, critical illness is broader. Our Aflac cancer insurance plans page breaks down the cancer options in more detail.

Questions to Ask Before You Enroll

Aflac’s general product pages skip these rules, so get the brochure, outline of coverage or group certificate first.

Is cancer in the base plan? Some individual versions cover internal cancer and some do not. If cancer is missing, ask about a cancer benefit or compare a separate cancer policy.

Do benefits drop with age? Aflac’s older individual series, A73100 Lump Sum Critical Illness, cut all benefits in half at age 75. Check whether your form has a similar rule.

Can it go with you? An individual policy stays yours if you change jobs. Group certificates may allow continued coverage only under certain conditions in the certificate.

Side-by-side shopping: Other carriers use different condition lists and repeat-claim rules. The 5 best cancer insurance policies list offers a starting point for comparing Aflac with other companies.

Bottom Line

Aflac critical illness insurance comes in an individual version from American Family Life Assurance Company of Columbus and a group version from Continental American Insurance Company, and their condition lists, repeat-claim gaps and extras are not the same. Confirm which one you have, whether cancer is included and what the waiting rules say before relying on it. Like any limited-benefit plan, it works alongside real health insurance, not in place of it.

Related: Chubb critical illness insurance Which Chubb company issues the workplace plan, what it pays for cancer and how recurrence works.

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Aflac Critical Illness Insurance — Frequently Asked Questions

➤ Does Aflac critical illness insurance include cancer?

It depends on the version you hold. Aflac Group plans we reviewed pay 100% for internal cancer and 25% for non-invasive cancer, while some individual policies cover cancer only in the version sold with cancer or through a rider.

➤ Who underwrites Aflac Group Critical Illness?

Continental American Insurance Company, a member of the Aflac family of insurers, underwrites the group plans. Individual policies are issued by American Family Life Assurance Company of Columbus.

➤ How much does the individual Aflac policy pay at diagnosis?

Brochures we reviewed offer an Initial Diagnosis Benefit of $10,000, $15,000 or $20,000 for the primary insured, with spouses and children at half that amount. Choices vary by state.

➤ Can I collect more than once?

Yes, in many cases. The individual policy pays a subsequent-event benefit with no lifetime maximum if events are at least 180 days apart, and group plans can pay for a different or repeat diagnosis six months after the first.

➤ Is there a wellness or screening benefit?

Aflac Group plans we reviewed pay $50 per insured once a year for a covered preventive screening. The individual brochures we reviewed did not list one.

➤ What happens if cancer is found in the first 30 days?

On the individual policy, internal cancer diagnosed before coverage has been in force 30 days is not covered. You can void the policy and get your premium back.

➤ How is this different from the Aflac cancer policy?

Critical illness pays mainly a lump sum at diagnosis for several conditions. Cancer Protection Assurance covers only cancer but pays repeatedly during treatment, such as monthly chemotherapy and daily hospital benefits.

➤ Does Aflac critical illness insurance replace my health plan?

No. It is supplemental, limited-benefit coverage that pays cash to you. CAIC states its group plans do not meet ACA minimum essential coverage, so you still need major medical coverage.

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