When to Use This Form
Use the ``Premium Billing Mode Election" form to select or change the frequency and/or method in which you wish to pay your premiums.
Other than annual, available payment modes are semiannual (a payment every six months), quarterly (a payment every three months), and monthly (12 payments a year). Monthly payments can be made either by
electronic fund transfer (EFT) from your bank account or by direct bill.
(Note: The minimum payment amounts required for each payment mode are listed on the form.)
Call for More Information on Modal Payments
Please contact your Aurora Agent, or our office at (800) 265-2652, for more information about modal payments and associated administrative charges.