Also enclosed is the Premium & Enrollment statement. Premiurn is due on the first ofevery month. Please note that
premium must be remitted directly to the PO BOX address listed on the Premium & Enrollment statement. A
completed copy of this statementshould be remitted with each payment,
Please review the application and notify your underwriler ofany requested changes priorto theclient's signature. We
will promptly re-issue the paperwork with any necessary changes. We appreciate your business partnership and the
opportunity to service the needs of our mutual client.
Please do nothesilale in contacting us with any questionsorconcerns.
If we can be of further assistance with this group, please do not hesitate to contact either your underwriter or myself.
Regards.
Ernest Benard
Account Manager
QBE A&H
Cc: LisandraNoto
UND3005 (11-21)
