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CREDIT CARD AUTHORIZATION FORM FOR PAYMENT OF INSURANCE PREMIUM I, authorize BPA Worldwide Corporation, the managing general agent of BPA Insurance Limited, to change my credit card: n MasterCard
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How to fill out premium payment authorization change

01
Step 1: Obtain premium payment authorization change form from the insurance company.
02
Step 2: Fill in your policy details, such as policy number, current premium payment method, and the requested changes.
03
Step 3: Provide your personal information, including name, address, and contact details.
04
Step 4: Indicate the effective date of the premium payment authorization change.
05
Step 5: Review and double-check all the information you have provided.
06
Step 6: Sign the form and date it.
07
Step 7: Submit the completed form to the insurance company via mail, email, or in person.
08
Step 8: Wait for confirmation from the insurance company regarding the acceptance and implementation of the premium payment authorization change.
09
Step 9: Keep a copy of the filled-out form for your records.

Who needs premium payment authorization change?

01
Anyone who wishes to change their premium payment authorization method.
02
Individuals who want to switch from one payment method (e.g., manual payments) to another (e.g., automatic bank deduction).
03
Policyholders who need to update their payment details or make adjustments to their existing premium payment authorization.
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Premium payment authorization change is a request to update or modify the method or terms of premium payment for an insurance policy.
The policyholder or authorized representative is required to file premium payment authorization change.
Premium payment authorization change can be filled out by submitting a written request to the insurance company with the necessary information and documentation.
The purpose of premium payment authorization change is to ensure that premium payments are made in a timely manner and according to the desired payment method.
Information such as policy number, desired payment method, frequency of payments, and any changes to payment terms must be reported on premium payment authorization change.
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