SECTION 7: Additional information
Where to find your Bank Routing Number and Bank Account Number
If you are including a home policy in this authorization and you currently pay for your
home insurance as part of your mortgage payment, you must contact your mortgage company to stop that
arrangement to avoid making duplicate payments.
Electronic payment bank information
"Bank" means any financial institution that allows you to write checks.
The name of the policyholder you provide must match the Bank Account Owner, or your bank may not
honor our withdrawal request.
If the date you selected falls on a holiday or non-business day, your bank will determine the actual payment
If your account does not have enough money, your bank may charge you for insufficient funds when we try
to withdraw your payment. We will try to withdraw the money up to three times. If we are unsuccessful, we
will notify you by mail of the missed payment and you may risk cancellation of this payment plan.
If you cancel your policy before the current month's payment date, we will notify you by mail of any balance
We will notify you in advance by mail, if your payment increases by more than $1.
We will notify you either in your policy package or by mail at least 10 days prior to us withdrawing the first
payment from your bank account.
Authorization & signature
MetLife Auto & Home is authorized to process payments for all policies indicated on this form and any
future policies I may add.
This authorization will remain in effect for each policy until it is cancelled, however, deductions will stop on
a policy that is cancelled.
As long as my authorization for this payment remains in effect, if a cancelled policy authorized under the
plan is reissued or reinstated, deductions will resume for that policy.
I will provide at least a
notice, verbally or in writing, to MetLife Auto & Home to change or cancel
this agreement, or I may notify my bank at least three (3) business days before the scheduled date of the
We're here to help
Please don't hesitate to contact us if you have any questions.
You can reach us at 1-855-672-3676.