Terms and Conditions for Electronic Payments

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Effective Date: 2025 October

I authorize Diamond Insurance Company and its affiliates to electronically debit the account on file and, if necessary, credit the account to correct erroneous debits and return audit premium.

This authorization will remain in full force for the duration of the policy. I understand that I may modify or cancel this authorization at any time by calling 847-230-1331 or emailing billing@diamondwc.com. A minimum of three days’ prior notice is required. IMPORTANT: Failure to pay premium is grounds for cancellation and/or collection action.

Payments will be entered for:

• The recurring payment plan for my workers’ compensation policy renewal. Payments will be entered on the due date. Returned payments may result in cancellation. Premium endorsements (changes) will result in changes to these amounts in the payment plan. We will notify you of these changes.
• Subsequent entries (initiated under the terms of this standing authorization) that require my affirmative action to initiate those future entries.

I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized signer on the bank account listed above and have the legal authority to enter into this ACH Authorization Agreement