Enter Amount
First Name
First Name
First Name
Last Name
Last Name
Last Name
Company Name
Company Name
Business Name
Email
Email
Email
Phone
Phone
Phone
Invoice/Policy #
Invoice/Policy #
Invoice/Policy #
Card
$0.00
Bank Account
$0.00
Name on Card
Card Number
Save card for future use.
By selecting this check box, I authorize merchant to initiate a one-time charge to the credit card account provided.
CC Processing Fee 4%
$0.00
TOTAL
$0.00
Submit Payment
American Benefits Company
676 W 1200 N
Springville, UT 84663
(801) 343-0514
Secure payments
Your payment information is encrypted while it is sent and processed through our secure payment system.
Authenticate Your Account
Authenticate using your email or phone, we'll send you a one-time passcode to enter.
Email
Phone
Submit
Download Proof of Authorization Preview
Download Preview