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American Federation of Musicians TO ENROLL: GROUP ENHANCED DENTAL INSURANCE PLAN ENROLLMENT FORM Send this completed form with your premium check payable to: ADMINISTRATOR AFM GROUP INSURANCE PROGRAM
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How to fill out your premium check payable:

01
Write the date: Start by writing the current date on the line provided. Make sure it is accurate and legible.
02
Fill in the recipient's name: Write the name of the individual or organization that will be receiving your premium check payable. Double-check the spelling to avoid any confusion.
03
Include the payment amount: Write down the exact amount you wish to pay. Make sure it matches the amount you owe, including any additional fees or charges if applicable.
04
Write the payment in words: In the space next to the dollar sign, write out the payment amount in words. For example, if your payment is $100, write "one hundred dollars" or "one hundred and 00/100."
05
Sign the check: Sign your name on the bottom right corner of the check. This ensures that the payment is authorized by you.
06
Memo line (optional): If there is any specific information you want to include or if the recipient has requested a particular reference, you can write it in the memo line. This is usually optional.

Who needs your premium check payable?

01
Insurance companies: If you have any type of insurance policy, such as health insurance, car insurance, or home insurance, the insurance company will typically require premium payments to be made by check payable to them.
02
Creditors or lenders: If you have outstanding debts or loans, the creditor or lender may request premium payments to be made by check payable to them. This could apply to credit card companies, mortgage lenders, or other financial institutions.
03
Service providers: Some service providers, such as utilities or subscription-based companies, may require premium payments by check payable to their company. This ensures that payment is made directly to them and can be properly recorded.
Remember, it is always important to confirm the specific payment instructions with the recipient. Some institutions may only accept electronic payments or have their own guidelines for premium payments.

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The premium check payable is any amount due for an insurance policy premium.
The policyholder or the insured is required to file the premium check payable.
You can fill out your premium check payable by writing the amount due, the policy number, and the name of the insurance company.
The purpose of the premium check payable is to ensure that the insurance policy remains in force by paying the premium amount due.
The premium check payable should include the amount due, the policy number, and the name of the insurance company.
The deadline to file the premium check payable in 2023 is typically the due date of the premium payment, which is specified in the insurance policy.
The penalty for late filing of the premium check payable may vary depending on the insurance company's policy, but it typically incurs a late fee or could result in the policy lapsing.
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