For Customer Support, Call 1-800-523-9100

To add coverage, call 1-877-877-8052

New York Residents call 1-800-323-4542
Call Center Hours

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Make a Payment - Credit Card

Complete and submit the form below to have a premium payment charged to a credit card. Questions? Please call 1-800-523-9100 , For NY Residents 1-800-323-4542.

Your transaction will be processed in one to three business days.

Sorry credit card billing is not available for all plans in PA.

(*) Means required field

Please complete the following information about the person we insure:

Title:

Mrs

Miss

First Name of Insured: *

Middle Initial:

Last Name of Insured: *

Suffix:

Example: Jr, Sr, III.

Street address: *

City: *

State: *

Zip/Postal Code: *

If you are not the insured, please complete the following:

First Name:

Middle Initial:

Last Name:

Relationship to the Insured:

Please provide the following:

Your E-mail: *

Example: [email protected] (no spaces)
Confirmation of your payment will be sent to the email address you provide

Your Daytime Telephone: *

( ) - -

* What Do You Wish to Pay:

Enter Company Name, Policy Number(s) and Amounts

To pay for more than one policy click the Add link.

Company Name: Please select the company name shown at the top of your premium notice. If you have policies with both companies you will need to submit two separate payment requests.

Policy Number: Payment Amount:

$ Remove

Add

Billing Information

Billing name and address is same as for Insured Person

First Name: *

Middle Initial:

Last Name: *

Suffix:

Example: Jr, Sr, III.

Street address: *

City: *

State: *

Zip/Postal Code: *

Credit Card Information

Name as it appears on
credit card: *

Credit Card: *

Credit Card Number: *

CVV Number: *

Expiration Date: *(Month,Year)

I certify that I am the account holder for the credit card named above. By clicking on I Agree, I authorize Colonial Penn Life Insurance Company to charge the insurance premium payment amount shown above to my credit card named above.

Your name, as it appears on your credit card account: *

I Agree

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Colonial Penn Life Insurance Company
Bankers Conseco Life Insurance Company

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Home of the Colonial Penn® Program

The Colonial Penn® Program is underwritten in most states by and is a registered trademark licensed by Colonial Penn Life Insurance Co, Philadelphia, PA. For policies issued in NY, the Colonial Penn® Program is underwritten by and is a registered trademark licensed by Bankers Conseco Life Insurance Co, Jericho, NY. Colonial Penn Life Insurance Co is not licensed in and does not solicit business in the state of New York. Policies underwritten by Intramerica Life Insurance Co are administered by Bankers Conseco Life Insurance Co.