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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2007 | 4.8 Satisfied (102 Votes) |
The form authorizes Primerica Life Insurance Company to deduct premiums directly from the policyowner's bank account.
The authorization remains effective until Primerica receives written notification from the policyowner to cancel it.
Primerica is not liable for any loss of insurance coverage due to rejected or dishonored fund transfers.
Policyowners must provide their bank or credit union details, including account type and desired draft day.
Changes to the monthly bank draft will be processed within 3 to 10 working days after receipt of the form.
The form requires the signature of the bank account owner to authorize deductions.
A signed voided check or deposit slip must be attached and returned to Primerica Life Insurance Company for processing.
