Also enclosed is the Premium & Enrollment statement. Premium is due on the first of every month. Please note that
premium must be remitted directly to the PO BOX address listed on the Premium & Enrollmentstatement. A
completed copy ofthis statement should be remitted with each payment.
Please review the application and notify your underwriter of any 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 nothesitate in contacting us with any questions or concerns.
If we can be offurther assistance with this group, please do not hesitate to contact either your underwriter or myself.
Regards,
Ernest Benard
Account Manager
QBE A&H
Cc: Lisandra Noto
UND3005 (11-21)
