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The Savings Bank Life Insurance Company 200 Day Hill Road Windsor, CT 06095 18002527254 www.SBLI4LIFE.com Premium Payment Authorization This authorization shall apply to the following policy/application:
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How to fill out premium payment authorization

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How to fill out premium payment authorization:

01
Start by obtaining the premium payment authorization form from the insurance provider. This form is usually available on their website or can be requested from their customer service.
02
Begin by entering your personal information accurately. This typically includes your full name, address, contact details, and policy number. Make sure to double-check the information to avoid any errors.
03
Next, indicate the amount you wish to authorize for payment. This could be a specific dollar amount or a percentage of the premium cost. Be sure to follow the instructions provided by the insurance provider.
04
If required, provide details about your preferred payment method. This may include options such as credit card, bank transfer, or electronic funds transfer (EFT). Fill in the necessary information related to your chosen payment method, such as the card number or bank account details.
05
Review the authorization form thoroughly before submitting it. Look for any discrepancies or missing information. Ensure that all the fields are completed accurately to avoid delays in processing your payment.
06
Finally, sign and date the form, indicating your agreement to authorize the payment as specified. Some forms may require additional signatures, such as those of joint policyholders or authorized representatives.

Who needs premium payment authorization:

01
Policyholders who have an insurance policy and choose to authorize the payment of premiums using a specific method, such as recurring payments or pre-authorized debits, will need to complete a premium payment authorization form.
02
This form is also necessary for individuals who are making a one-time payment but prefer to provide the insurance provider with authorization to charge their preferred payment method.
03
Premium payment authorization is typically required for both individual policyholders and businesses that hold insurance policies, depending on the payment arrangement agreed upon with the insurance company.
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Premium payment authorization is a form that authorizes the payment of premiums for insurance coverage.
The policyholder or insured individual is required to file premium payment authorization.
Premium payment authorization can be filled out online or by mail, providing all necessary information about the policy and payment details.
The purpose of premium payment authorization is to ensure timely and accurate payment of insurance premiums.
Information such as policy number, payment amount, payment frequency, and payment method must be reported on premium payment authorization.
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