Common Contracts
1 similar Authorization Agreement contracts
’ Authorization AgreementAuthorization Agreement • October 29th, 2015
Deduct ongoing monthly premium payments from my designated checking or savings account. Drafts will be drawn on the Preferred Draft Day specified below. If the draft date falls on a non-business day or a holiday, the premium payment will be deducted from my account on the next business day. (Please note that coverage cannot be issued until the first month of premium has been received in our office, unless you have authorized BCBS to deduct the initial payment upon receipt of your application).
