Please review your bill payments

Dear policyholder,

Please refer to the payment schedule below and ensure the amount(s) owing are received in our office by the scheduled due date(s).

Contact your broker to discuss any questions you may have.

Should you want to make any changes to your insurance policy, please contact your Broker at XXX - XXX - XXXX

To make a claim, contact your Insurer at XXX - XXX - XXXX

Policy validation information


Policy Number: XXXXXXX - XXXX - XXXX

Type of Policy: XXXXXXX

Policy Effective Date: 12 June 2013

Policy Expiry Date: 11 June 2014


Postal Code: XXX XXX

Broker contact information


ABC Broker

Street Address

City, Province

Postal Code


Phone: XXX - XXX - XXXX

Email: ABCbroker@broker.com

PAYMENT SUMMARY: 1PAY

DUE DATE(S) INSTALLMENT AMOUNT
DUE DATE(S) 15 Jabuary 2014 INSTALLMENT AMOUNT $500.00
DUE DATE(S) 15 February 2014 INSTALLMENT AMOUNT $500.00
DUE DATE(S) OVERDUE - 15 February 2014 INSTALLMENT AMOUNT $500.00
DUE DATE(S) 15 February 2014 INSTALLMENT AMOUNT $500.00

Total Payable: $1,000.00

For immediate assistance, contact one of our customer service representatives at 1-800-777-7777 Mon - Fri from 8am to 9pm and Saturday from 9am to 5pm EST

Disclaimer(s) - Dispute(s) Information

Relevant disclaimer(s) go here e.g.
Payment does not necessarily guarantee coverage, if you have questions please contact your broker directly. Please note that this payment will be reflected on your insurance account in 2 business days. Payments will be applied to your oldest outstanding account balance at the time of receipt.