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Automatic Bank Draft Authorization Agreement Anthem Blue Cross and Blue Shield P.O. Box 659806 San Antonio, TX 78265-9106 Please provide the following information. Deduct premium from the following:
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What is automatic bank draft authorization?
Automatic bank draft authorization is a payment method that allows a company to withdraw funds directly from a customer's bank account on a recurring basis.
Who is required to file automatic bank draft authorization?
Any individual or business that wishes to set up automatic payments from a customer's bank account is required to file automatic bank draft authorization.
How to fill out automatic bank draft authorization?
To fill out automatic bank draft authorization, the customer must provide their bank account information, authorize the company to withdraw funds, and sign the authorization form.
What is the purpose of automatic bank draft authorization?
The purpose of automatic bank draft authorization is to facilitate recurring payments for goods or services without the need for manual intervention each time a payment is due.
What information must be reported on automatic bank draft authorization?
Automatic bank draft authorization form typically requires the customer's bank account details, authorization for fund withdrawal, and signature.
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