AFGE Enrollment by Monthly Check Service/Auto Debit

You have elected to pay your premium monthly by an automatic debit from your checking account. Please follow the below instructions and complete the attached forms for submission.

1. Complete the following AFGE CareerGuard® Enrollment & Debit Authorization Form, print, and sign.

2. A check for the 1st monthly premium

  • Option A = $25.00

  • Option B = $29.00

  • Option C = $31.00

  • Option D = $34.00

3. A VOIDED check

4. Mail the completed Enrollment & Debit Authorization Form, along with the 1st month premium payment and a “voided” check to the address below:

PO Box 828
Annandale, VA 22003

Your coverage will begin on the day we receive your enrollment form and check.  Your payment will not be pro-rated for any partial month of coverage if received other than the first of the month.  If you want your coverage effective the first of the month following enrollment, please include a note with that request.  Monthly debits are processed for coverage for the following month.

If you have any questions, please feel free to call 1-800-221-3083.

Next Steps

  • AFGE CareerGuard® Enrollment & Debit Authorization Form [Download PDF]

  • With your completed Enrollment & Debit Authorization Form, please mail the 1st month premium payment and a “voided” check to CareerGuard®, PO Box 828, Annandale, VA 22003.

  • Please allow 10 business days for processing. A Welcome Packet will be mailed to you with your Certificate of Insurance and other policy information including Login Instructions for the website.

Thank you for joining CareerGuard®.

Terms and Conditions:

Thank you for submitting your enrollment information. You will now be taken to a secure site to process your credit card payment. The total charge will include a 4% convenience fee for the credit card payment. Once your payment is processed, a Welcome Packet will be mailed to you in 3-5 business days. Thank you for joining CareerGuard.

By clicking "Accept" below, I agree to the Terms & Conditions of the policy.