Electronic Funds Transfer (EFT) Authorisation Agreement Form

EFT allows you to receive your Argus payments directly into your Bank Account. To download a hard copy of the form instead, click here and submit it to us by email, mail, or in person.

Note: This form is only to be completed by the main insured person.

To complete your request you will need:

  1. Health insurance information (eg. certificate number)
  2. Banking information (eg. bank name and bank account number)
  3. Government issued photo identification. Please note: only jpeg and jpg file types may be uploaded. File size limit is 6MB

If you have any questions, please don't hesitate to send us an email at insurance@argus.bm or call 298-0888

Complete Form

Please note: The online submission of this form is secured using a Digicert EV SSL certificate. Information entered by you and sumitted to Argus using a web address beginning with "https" is encrypted and protected.

Fields indicated by an asterisk * are mandatory

Insured Information:

Please note: Only to be completed by main insured person.

Numbers only, no special characters, spaces, or dashes allowed
(must be a valid email address)
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Banking Information:

Please note: transfers may only be made to the main insured person's account.

Please ensure that all names are written as listed on account
Must be either a savings or chequing account based in Bermuda Numbers only, no special characters, spaces, or dashes allowed

Declaration:

Upload Photo Identification:

Government issues photo identification. Please note: only jpeg and jpg file types may be uploaded. File size limit is 6MB

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