Please keep in mind that Automatic Payments is only available on a monthly frequency and cannot be used to make payments toward an outstanding policy loan.
Enrolling in Automatic payments is easy!
If you, as the premium payor, are also the policyowner, you may be able to enroll online. Simply Log In to access your account online and then click the "Automatic Payments" option below your policy number.
- Download the enrollment form below by clicking the link at the bottom of this page.
- Complete, sign, and date the Request for Electronic Funds Transfer Enrollment Form and enclose your blank, voided check for the checking account you wish us to withdraw your payments from. Note: We cannot obtain acceptable banking information from deposit slips.
- Make a copy for your records or use the "Client Copy" provided.
- Return the completed signed form and the voided check to the address provided below.
PO BOX 7398
PHILADELPHIA, PA 19176
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Download the Request for Request for Electronic Funds Transfer Enrollment Form.