Payment Information

Success You have successfully added automatic payments from your checking account.

Success You have successfully edited automatic payments for your checking account.

Success You have successfully deleted automatic payments. Your insurance bill will no longer be paid automatically. You will be required to pay your bill manually.

Success You have successfully made a payment via . Your payment will be processed in .

Save & Print your Payment Confirmation Page.

Success You have chosen to submit your payment via mail. Don't forget to mail your invoice along with your check. Your Payment History and associated invoice will reflect your payment once we receive and process your check. This typically takes from 5 – 10 business days.

Due Date	Past Due	Current Due	Total Due		Auto-Pay
03/01/2017	$0.00	$332.00	$332.00		Auto-Pay: OFF

Past Due Amount Past due amounts must be paid immediately or you risk losing your coverage.

Payment Required First automatic payment will occur on April 1, 2017. Ensure that you make a payment for the invoice due on March 1, 2017.

Add Auto-Pay

Payment Method

Account Type

Bank routing number:

Institution Name:

Account number:

Note: First automatic payment will occur on April 1, 2017. Ensure that you make a payment for the invoice due on March 1, 2017.

Edit Auto-Pay

Payment Method

Account Type

Bank routing number:

Institution Name:

Bank Name

Account number:

Note: First automatic payment will occur on April 1, 2017. Ensure that you make a payment for the invoice due on March 1, 2017.

Make a Payment

How would you like to pay your bill?Current Balance: $147.00 / Due Date: 03/01/2017

Credit/Debit Card (one-time)

1. You will be directed to a secure, third-party site to process your payment.

2. You will be making a payment for the Total Amount Due plus a convenience charge; you cannot make a partial payment or advance payment.

3. In addition, your Total Amount Due is based on the date the transaction is processed by the bank or card issuer.

4. Your associated benefit coverage will be delayed until your payment is processed.

5. If you are making a payment with a FSA/HSA debit card, please review your FSA/HSA plan rules and restrictions.

Pay Bill

Bank Account (one-time direct debit)

Account Type:

Bank Routing Number:

Institution Name:

Account Number:

Note: Payment typically takes 3 – 5 business days to process after your payment is submitted.

Pay Bill

Mail a check or money order

To make a payment by check or money order, select and print the appropriate invoice and mail it along with your payment. It typically takes from 5 – 10 business days for us to receive and process this type of payment.

Invoice	Coverage Dates	Amount Due	Payment Received
Mar, 2017	04/01/2017 - 04/30/2017	$332.00	$332.00	Payment Details
Feb, 2017	03/01/2017 - 03/31/2017	$332.00	$332.00	Payment Details
Jan, 2016	02/01/2017 - 02/28/2017	$332.00	$332.00	Payment Details

Invoice Name	Apr, 2017
Account Number	123456789
Payment Due Date	05/01/2017
For coverage period	05/01/2017 – 05/31/2017
Amount Due	$332.00
Total Enclosed	$

Post Date	Description	Benefit	Amount
04/15/2017	Charge	Medical Plan	$212.00
04/15/2017	Charge	Dental Plan	$50.00
04/15/2017	Charge	Medical Plan - Medicare	$70.00

Invoice Name	Mar, 2017
Account Number	123456789
Payment Due Date	04/01/2017
For coverage period	04/01/2017 – 04/30/2017
Amount Due	$0.00

Post Date	Description	Benefit	Amount
03/15/2017	Charge	Medical Plan	$212.00
03/15/2017	Charge	Dental Plan	$50.00
03/15/2017	Charge	Medical Plan - Medicare	$70.00
03/31/2017	Payment		($332.00)

Health & Insurance

Payment Information

Add Auto-Pay

Edit Auto-Pay

Make a Payment

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