Common Contracts

3 similar Pre-Authorized Debit Agreement contracts

POLICYHOLDER PRE-AUTHORIZED DEBIT (PAD) AGREEMENT
Pre-Authorized Debit Agreement • June 7th, 2024

IMPORTANT: The pre-authorized debit agreement does not cover costs relating to the health spending account (HSA), the wellness account, the physical activity account or Cost Plus agreements. You must pay these separately by cheque or online through your financial institution.

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POLICYHOLDER PRE-AUTHORIZED DEBIT (PAD) AGREEMENT
Pre-Authorized Debit Agreement • May 22nd, 2020

IMPORTANT: The pre-authorized debit agreement does not cover costs relating to the health spending account (HSA), the wellness account, the physical activity account or Cost Plus agreements. You must pay these separately by cheque or online through your financial institution.

POLICYHOLDER PRE-AUTHORIZED DEBIT (PAD) AGREEMENT
Pre-Authorized Debit Agreement • January 20th, 2015

IMPORTANT: The pre-authorized debit agreement does not cover costs relating to the health spending account (HSA), the wellness account, the physical activity account or Cost Plus agreements. You must pay these separately by cheque or online through your financial institution.

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