INFORCE Life Policies EFT Authorization Form
This document provides instructions for electronic funds transfer, direct payments, and related forms. It is essential for policyholders to manage their life insurance payments systematically. Complete this form to ensure timely payments and updates to your policy.
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How do I fill this out?
To fill out this form, begin by providing your personal and policy information in the designated sections. Next, include your banking details to authorize direct payments. Review your entries for accuracy before submission.

How to fill out the INFORCE Life Policies EFT Authorization Form?
1
Provide owner and policy information including names and addresses.
2
Enter banking details such as routing and account numbers.
3
Select your payment preferences and schedule.
4
Sign and date the authorization section.
5
Submit the completed form through the specified channels.
Who needs the INFORCE Life Policies EFT Authorization Form?
1
Policyholders seeking a systematic way to make premium payments.
2
Trustees managing policies on behalf of individuals.
3
Financial advisors assisting clients with their insurance payments.
4
Companies managing group life insurance policies.
5
Individuals wishing to change their existing payment arrangements.
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Make any necessary modifications to existing text.
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What are the instructions for submitting this form?
To submit this form, you can fax it to 800 262 6976 or mail it to P.O. Box 305030, Nashville, TN 37230-5030. For overnight submissions, send it to 100 Centerview Dr., Nashville, TN 37214. Ensure all fields are filled out accurately to avoid delays in processing.
What are the important dates for this form in 2024 and 2025?
Important dates for this form include the submission deadlines for payment options set by the company. Please refer to your insurance policy for specific dates regarding premium payments for 2024 and 2025. It is crucial to stay updated on these dates to avoid any lapses in coverage.

What is the purpose of this form?
The purpose of this form is to authorize direct payments from your bank account to your life insurance policy. It ensures that premiums are paid on time, providing peace of mind and continuous coverage. By utilizing this form, policyholders can conveniently manage their payment schedule and update their banking details as needed.

Tell me about this form and its components and fields line-by-line.

- 1. Owner Information: Collects details about the policy owner, including name, address, and policy number.
- 2. Bank Information: Requires banking details necessary for processing the direct payments.
- 3. Premium Payment Options: Allows users to select payment frequency and amount.
- 4. Confirmation: A section for the owner's signature and authorization to manage payments.
What happens if I fail to submit this form?
Failure to submit this form may result in missed payments and potential lapses in coverage. It is important to ensure timely submission to maintain your policy's active status.
- Missed Payments: Without submission, premium payments may not be processed, resulting in late fees.
- Lapsed Coverage: Failure to make timely payments could lead to loss of insurance coverage.
- Inaccurate Information: Any errors from improper submission might require re-filing and delays in processing.
How do I know when to use this form?

- 1. Setting Up Direct Payments: Use this form to initiate direct withdrawals for your life insurance premium.
- 2. Updating Bank Information: Utilize the form whenever changing your bank account for payment.
- 3. Changing Payment Plans: Submit this form to modify your premium payment frequency.
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