Pending Payments

Policy Payment Id	Family Group Number	Pay Group	Policy	Insurance Company	Payment Plan	Name	Premium Payment	Premium	Loan	IBA	Affiliate	Annuity Payment	Annuity	Other	Months To Pay	Memo	Policy Group Amounts

Family Group Number
Policy Number
Insured Last Name
Insurance Company
Premium Payment		Monthly Two Months Quarterly Semi-Annual Annual

Premium Payment

Loan Payment (If Applicable)
IBA Payment (If Applicable)
Annuity Payment (If Applicable)
Months
Premium Payment (If Applicable)
Custom Amount
Memo

Total: $0.00

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