Payment of your insurance premium
Fill out this form to pay your premium in full as of the effective date of your policy. The authorized amount for a single transaction ranges from $10 to $4,999.99.
Once this form has been submitted, your information will be sent to a secure third-party site not operated by Promutuel Insurance. Note that Promutuel Insurance does not store credit card numbers or other banking information, so you will have to re-enter your information for future transactions.