Using the Remittance worksheet

If a deduction is missed, and will not be made up by payroll deduction:
Write the employee's name and ID on remittance worksheet or draw a line through the employee's name on the bill and use the "MD" (missed deduction) code. We will bill the policyowner directly for the missed premium.

Differences in premium amounts:
If there is a discrepancy in what we billed and what you are collecting, there is usually a reason. Please deduct amounts currently on your bill and call your Billing Administrator.

If you are remitting premium for an employee not listed on your bill, we do not encourage payroll centers to "make-up" premium that is not billed unless the procedure is coordinated beforehand. If you are deducting for employees not on the billing report, please contact your Billing Administrator.

If an employee is leaving employment:
We can help your eligible employees retain their insurance coverage by converting their policies to individual pay at the same low, affordable rate. Please help us offer this benefit by providing us with a current mailing address for any insured leaving your employment. Please enter the employee's ID and name on the remittance worksheet and add the "DB" exception code next to the name. When the payment is remitted, we will immediately place this policy on direct billing to the policyowner. Additional bills may be printed for your account before we receive your changes. Therefore, please continue to make the change until it is reflected on your invoices.

Cancellations and refunds
When employees request to cancel their policy, please refer them to our customer service department at 1-800-537-5024. A signature will be required. If additional premium is deducted after a policy is cancelled, we will refund it directly to the employee's home address within 10 days of receipt of the cancellation request. If you wish to stop deductions upon the policyowner's/insured's request, please notify us by phone, fax, or on the remittance worksheet so that we may mail the appropriate paperwork to the policyowner/insured and remove them from the bill.

If you have any questions regarding your bill, your Billing Administrator is available to assist you at 1-800-537-5024.