AMCMA Preventative Care Plans
Terms and Conditions
Payments: Monthly payments will be deducted from member’s bank account or directly billed to member’s credit card on the 1st or 15th of each month following the enrollment into a Preventative Care Plan until the end of the Preventative Care Plan has been reached. Member authorizes AMCMA and/or its third party servicer to debit/ charge the bank account / credit card of member. Member further agrees to provide updated or replacement bank account/ credit card information at least 30 days prior to any change or closure of the bank account or cancellation of the credit card. An overdraft / reprocessing fee of $25 will be billed to member for insufficient funds, over limit status or any other reason a payment is unable to be processed based on bank account / credit card information supplied by member. This authorization may be revoked by the member upon notice, but the obligation to continue to make payments to AMCMA shall continue until such time as member’s obligations with respect to the AMCMA Preventative Care Plan are paid in full (services used vs services paid for).
Information: AMCMA may share Member’s information with third parties it retains for the purpose of processing your electronic payments and other administrative services provided in conjunction with this Preventative Care Plan.
Default: In the event Member fails to pay any monthly installment on or before the due date, AMCMA has the option to cancel this agreement or discontinue the Preventative Care Plan services and declare all remaining monthly installments for the then current plan year to be immediately due and payable. After 30 days, Member’s account may be referred to a collection agency. If the Member fails to make any payment when due under this agreement, the Member shall pay AMCMA’s collection costs, whether or not a legal action is commenced. In the event of any legal proceeding (including appeals and bankruptcies), the prevailing party shall be entitled to recover its costs, disbursements and reasonable attorney’s fees as determined by the court.
Choice of Law: Jurisdiction This Agreement shall be governed by and construed in accordance with the laws of the State of Missouri, and the courts of this state shall have exclusive jurisdiction over any claim or dispute concerning the interpretation or enforcement of this Agreement. Each party consents and agrees that such courts shall have personal jurisdiction over such party. Severability: If any provision of these terms and conditions is determined by a court of competent jurisdiction to be unenforceable, the remaining provisions of these terms and conditions shall remain in full force and effect. By signing below, the undersigned acknowledges and agrees that the information provided above is true and accurate, that the undersigned has read and understands, accepts and agrees to the terms and conditions set forth above, and as a duly authorized signatory to the bank account / credit card provided authorizes AMCMA to keep the undersigned’s signature on file and to debit / charge such bank account / credit card automatic for the payments described herein.
Types of Nonpublic Personal Information We Collect: We collect nonpublic personal information necessary to carry out the transactions under this Enrollment Form, including account and credit card numbers.
Parties to Whom We Disclose Information: We do not disclose nonpublic personal information about members or former members to any third parties except as permitted under the Enrollment Agreement to carry out the transactions or as required by law.
Protecting the Confidentiality and Security of Current and Former Members’ Information: We take reasonable steps to assure the privacy of member information, including nonpublic personal information. We expect our employees to adhere to our professional standards in maintaining the confidence of member information. We also maintain physical, electronic and procedural safeguards that comply with our professional standards and any applicable laws.