Welcome to QualChoice Online Payment
Pay your premiums quickly, accurately and securely from your bank account. Just fill in the fields below, review and submit your payment. Your payment should be processed within two business days.
If you have received notice that your account is on pharmacy or medical hold:
It may be up to two business days after your payment has been processed before those benefits are available.
This is a one-time payment only. To set up recurring payments, please complete the correct form below:
For Group Policies:
Authorization Agreement for Automatic Payments
For Individual Policies:
IQChoice Billing and Payment Authorization Form
For MediQ65 Medicare Supplement Policies:
Billing and Payment Authorization Form
QualChoice Finance Department
P.O. Box 25610
Little Rock AR 72221
For questions or help, contact:
800.235.7111, ext. 7023