Use the online form below to set up secure, automatic payments. Keeping your payment details up to date helps ensure your premium payments are processed on time and without interruption to your coverage.
To make a one-time payment using a credit card, use our online bill payment service.
Prefer to submit your payment method via mail? Members can also set up automatic payments by downloading and filling out the Automatic Payment Form [PDF]. Once completed, please mail the document to the address designated on the form.
Your member information will be automatically prefilled, helping you save time and reduce errors.
Submitting your payment information today does not trigger an immediate charge.
For Credit or Debit card automatic payments and ACH Bank automatic withdrawal methods, any outstanding balance will be applied during the the next automatic payment date.