Electronic Funds Transfer Form

The electronic funds transfer (EFT) option allows your insurance premium payment to be withdrawn from your designated account automatically if you are being directly billed for your coverage.

EFT is an option for you if you are being directly billed for the following coverages:

  • Universal Life Insurance
  • Whole Life Insurance
  • Horizon Disability Income
  • Critical Illness
  • Accident
  • Cancer
  • Group Term Life

It's easy to start the automatic EFT program - simply complete these steps:

  1. Complete the Authorization for Electronic Funds Transfer Form. Note that everyone authorized to draw on the bank account must sign the form. The policy/certificate number(s) to be drawn from this account must be listed.
  2. Attach a voided check.
  3. Return the Authorization for Electronic Funds Transfer form and voided check to our service center:

Voya™ Employee Benefits
EFT Administration, Route 8525
PO Box 122
Minneapolis, MN 55440-0122

If you have any questions about EFT, please call our Customer Service department at (800) 537-5024, Monday through Friday between 8:30 a.m. - 5:30 p.m. Central Time.

Form Name

EFT Form for certificates for Group Term Life coverage issued by ReliaStar Life Insurance Company

EFT Form for certificates / policies for any other coverage issued by ReliaStar Life Insurance Company

EFT Form for certificates / policies issued by ReliaStar Life Insurance Company of New York

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