Manufacturers' Association of Northwest Pennsylvania

Optional Premium AutoPay

No More Checks

Premium Payments Can Be Automatically Withdrawn From Your Checking Account.

You no longer need to remember to write the check to pay your health insurance premium each month.

  • Save Time
  • Save Money
  • No Checks to Write
  • No Postage

Same Benefits

Your Health and Other Insurance Benefits through the plan are exactly the same, you just have the monthly premium payment amount automatically withdrawn from your account on the eighth business day of each month.

Just Sign Up

To use this easy payment method, just download and complete the application and return it to:

Manufacturers’ Association of Northwest Pennsylvania

1250 One Gateway Center
Pittsburgh, PA 15222-1437
800-207-9307

How To Get Started

  1. Fill out the Application.
  2. Sign the Authorization at the bottom.
  3. Write “VOID” on a check for the account the premiums should be withdrawn from.
  4. Make a copy of this form for your records.
  5. Mail your completed original form to the address on the back.
  6. Continue to pay any bills received until you are notified that your Autopay is effective.
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Questions & Answers About AutoPay

When will the money be withdrawn from my account?

Withdrawals will be made on the eighth (8th) business day of each month for the next month’s coverage.
(i.e. June 8, 2005 for July coverage).

How will I verify when the payment was withdrawn?

Your regular bank statement will show the amount and the date of the withdrawal.

How will I know when my first AutoPay withdrawal will occur?

You will receive a letter advising you when the first withdrawal will be made.

Will my payment be the same each month?

The amount withdrawn is just like the current billed premium, Note that your premium billed may vary from month to month due to adjustments for additions, terminations, and/or changes. The EBDSWEB will enable you to confirm premium billed and view any activity processed that would have changed your monthly premium amount.

Will I still get a bill each month?

No, instead the EBDSWEB will enable you to confirm premium billed and view any activity processed that would have changed your monthly premium amount.

What if I change bank accounts?

Call our customer service department at the number shown below and they will send you a new authorization form.

What if I don’t tell you I changed bank accounts?

That would be like sending us a check from your old bank account. The bank will tell us that the account has been closed, and your premium will not be paid. In that event, all of the regular rules for late payment and cancellation of coverage would apply.

What if I want to terminate my AutoPay agreement?

Just send us a letter telling us to terminate your AutoPay agreement at least 30 days before the scheduled withdrawal date. After we receive your AutoPay termination notice you will begin receiving a monthly invoice again.