Start Your Enrollment

Complete this form to start the enrollment process. After submission, the Primary Contact will receive a text/email link to complete enrollment through Aflac's secure e-app. The e-app takes only a few minutes to complete, and underwriting is typically reviewed within 1–3 business days after submission.

1

Primary Contact Information

+1
2

Coverage Selection

You may choose one coverage or both.

Total Covered: 1 person
3

Athlete Information

(0/1 max)

No athletes added yet. Click + Add Athlete to add one.

4

Final Details

5

Additional Notes (Optional)

By submitting this form, you agree to be contacted by NIL Wealth Strategies regarding supplemental coverage options. Coverage is offered through Aflac. This form begins the enrollment process and does not constitute an insurance policy or contract.

Didn't receive your confirmation text/email? Text ENROLL to (404) 369-1255 for a fresh enrollment link, or email help@nilwealthstrategies.com.

Frequently Asked Questions