Agent Guide | Dental, Vision & Hearing
ManhattanLife Insurance and Annuity Company
Application Delivery Methods Agents Can Submit Applications By: • US Mail: ∘ Regular Mail: PO Box 924408, Houston, TX 77292-4408 ∘ Specialty Mail: DVH Dept., 10777 Northwest Freeway, Houston, TX 77092 • Fax: 713-583-0677, Attention: DVH New Business • Easy UPLOAD: Log in to the agent portal and access from the agent dashboard • Online Electronic Application: Log in to the agent portal; click on agent tools; click Individual enrollment Billing and Premium Modes The Company accepts business on the Bank Draft (EFT), List Bill and Direct methods of payment. The annual, semi-annual and quarterly modes of payment are acceptable for all forms of payments. Monthly premium notices are not available. The Company does not accept: (a) post-dated checks; (b) C.O.D. applications; (c) partial payments; (d) money orders or cashier checks; (e) applications with the date altered; (f) applications where “white-out” has been used; (g) personal checks from an agent or agency; (h) Credit Cards, Debit Cards, Prepaid Cards. All premium checks must be payable to ManhattanLife Insurance and Annuity Company. Bank Change Bank change request require an updated Bank Draft Authorization (BDA) form, or the insured can send in a letter from the bank on bank letterhead. The insured can complete the bank change request by one of the Insured can have the bank send a letter with their routing and account number. The letter must include the banks’ letterhead, a bank rep’s name, address and phone number. Or the insured can request a Bank Draft Authorization form by calling 1-800-999-2971. Bank Draft Authorization Form: Policyholder can log in to their policyholder center: Left side of the screen there is an online forms section > Click on the Bank Draft Authorization form link > Select the policies the insured would like to update and complete all required fields > Enter the Mother’s Maiden Name and click “Confirm”. The Electronic BDA will generate in Web Docs. A Premiums rep will update the information. Please advise the policyholder to allow 1-2 business days for update. Or contact customer service at 1-800-999-2971 to request one. following methods: Bank Letterhead:
Scan to download the BDA form
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