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Employer Name: EIN#:Initial Premium Payment Information Note: Do not cancel any current coverage you may have until your Application is approved and your new plan is effective. To use ACH for payment

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How to fill out mid-market initial premium eft

01

Locate the mid-market initial premium EFT form provided by the insurance company.

02

Fill in the policyholder's name, policy number, and contact information in the designated fields.

03

Provide the bank account details for the EFT payments, including the account number and routing number.

04

Sign and date the form to authorize the insurance company to withdraw the initial premium payments via EFT.

Who needs mid-market initial premium eft?

01

Individuals or businesses who have purchased a mid-market insurance policy and prefer to make their initial premium payments via electronic funds transfer (EFT).

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What is mid-market initial premium eft?

Mid-market initial premium eft is a form of electronic fund transfer for submitting premium payments in the middle market segment of insurance.

Who is required to file mid-market initial premium eft?

Insurance companies and policyholders in the mid-market segment are required to file mid-market initial premium eft.

How to fill out mid-market initial premium eft?

Mid-market initial premium eft can be filled out electronically through the designated platform provided by the insurance company.

What is the purpose of mid-market initial premium eft?

The purpose of mid-market initial premium eft is to streamline the payment process for insurance premiums in the mid-market segment.

What information must be reported on mid-market initial premium eft?

Mid-market initial premium eft requires reporting of policyholder information, premium amount, and payment details.

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