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Washington National Insurance Company fax number
(800) 525-7662
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Policyholder Services
Used for: Monthly Bank Authorization for Premium Payments
Fax destination details
- Department
- Policyholder Services
- Purpose
- Monthly Bank Authorization for Premium Payments
- Form
- Bank draft/ACH authorization form — Monthly Bank Authorization for Premium Payments
- Address
- 11299 Illinois St. Suite 200, Carmel, IN 46032, USA
- Voice phone
- +1-800-525-7662
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
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- Include a cover sheet and any case, member, claim, or form reference required.
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Provide bank account owner’s name and address; bank routing number; account number; select a draft day (1st–28th). Sign and date the form and return as directed.
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