To serve you better, Quartz offers easy recurring payment options. You can schedule your premium payment to automatically withdraw from your business checking account. This will ensure your payments will always be up to date. Simply fill in the form below. Click on the submit button and it will be emailed to Billing@QuartzBenefits.com. If you have any questions, please call (800) 362-3310. One of our Billing Specialists will be happy to help you over the phone.

Please note: You will still receive a monthly invoice. It will show how much will be withdrawn from the account. If you have questions about recurring payments, please contact our Billing Department at (800) 362-3310.

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Please note: We recommend choosing an autopayment date between the 20th of the month and the 8th of the next month. Dates chosen in the middle of the month could cause double payments, late letters and other timing issues. For more information, please contact our Billing Specialists. They can be reached at (800) 362-3310.
Please list the email address that you want to receive monthly receipt of autopayment.
I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify Quartz in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. For ACH debits to my checking/savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. I certify that I am an authorized user of this credit card/bank account and will not dispute these scheduled transactions with my bank or credit card company as long as the transactions correspond to the terms indicated in this authorization form.