Michigan Educational Employees Mutual Insurance Company Fillable Forms
MEEMIC Insurance Company P. O. Box 217019 Auburn Hills, MI 48321-7019 Fax: 248-375-7523 AUTOMATIC PAYMENT PLAN AUTHORIZATION FORM [Separate form needed for each MEEMIC insurance policy] Please indicate if this is a: New Application Change You've Got Better Things To Do With Your Time. What is the Automatic Payment Plan? Automatic Payment Plan (APP) is an efficient electronic alternative to paper checks. When you choose APP, you authorize MEEMICŪ to have your premium payments transferred to us from your checking or savings account More[Separate form needed for each MEEMIC insurance policy]. Please indicate if this is a: □ New Application □ Change. LAST NAME. FIRST NAME. MIDDLE Less
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