Change Bank Information

For customers paying monthly through their checking account:

If you have changed your bank, your account number or are interested in authorizing automatic premium collection from your bank, please download and print the Automatic Premium Collection form. Please properly complete the form to avoid any processing delays.

U.S. Form (All States with the exception of New York)

New York Form

Puerto Rico Form

Mail the completed form to:

Combined Insurance
APC Services
PO Box 6704
Scranton, PA 18505-0704

To determine your routing number, refer to your personal check. The routing number is always 9 digits long and it is enclosed by colons. Your check number is not required. The location of the routing number and account number on your personal check varies depending on your bank, for example:

Back to Change Information

Adobe Acrobat Reader is required to view the PDFs in this section and throughout this site.
Print this page
My Self Service Account

The Self Service Portal provides customers instant access to view policies, payment history, and claim information. Click on the link below to manage your account online.

Refer a Friend – Combined Supplemental Insurance
Refer a Friend

Has your experience with Combined Insurance been a good one? Refer your friends and family today and we will offer them a FREE Needs Assessment.

Send To

We use this address only to tell the recipient who sent the message. We do not save or re-use it in any way.