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 CareerGuard® Enrollment & AutoPay Debit Authorization Form, print, and sign.
2. A check for the 1st monthly premium
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Option A = $25.00
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Option B = $29.00
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Option C = $31.00
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Option D = $34.00
3. A VOIDED check
4. Mail the completed Enrollment & AutoPay Debit Authorization Form, along with the 1st month premium payment and a “voided” check to the address below:
CareerGuard®
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
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CareerGuard® Enrollment & AutoPay Debit Authorization Form [Download PDF]
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With your completed Enrollment & AutoPay Debit Authorization Form, please mail the 1st month premium payment and a “voided” check to CareerGuard®, PO Box 828, Annandale, VA 22003.
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Please allow 10 business days for processing. Your Certificate of Insurance and policy documents will be emailed to you including login Instructions for the website.
