| Automatic Bank Draft Payment Plan
You’ll never have to worry about your premiums not being paid on time with our automatic bank draft plan. All you need to do is print the form, complete your bank account information as requested, and mail it to us just this one time. After we receive your bank draft enrollment, you’ll be set up and worry-free!
You can find your routing number in the lower left corner of your check. Your account number is to the right of your routing number.

Click here to print out your Automatic Bank Draft form.
You may mail the form to us at:
Assurity Life Insurance Company
PO Box 82533
Lincoln, NE 68501-2533
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