Get Cigna Eft Form

Filling out the Cigna Electronic Fund Transfer (EFT) Enrollment Form online is a straightforward process. This guide will help you navigate each section of the form to ensure accurate completion and submission.

Follow the steps to complete the Cigna EFT Form online.

1. Press the ‘Get Form’ button to obtain the form and open it in the appropriate editor.
2. Begin by entering your Cigna ID number if you are an existing member. Note that this field is not required for new members.
3. Complete the employee name field with your first and last name.
4. Indicate your employer’s name clearly.
5. Select the appropriate option by marking either 'Enrollment for EFT' or 'Change to existing account'.
6. Provide your daytime telephone number including area code.
7. Enter a valid email address; this will be used for deposit notifications.
8. Fill out the U.S. bank information. You will require a voided check for this part. Enter the bank name and address, making sure to include street, city, state, and postal/zip code.
9. Indicate the name on the U.S. bank account.
10. Select your account type by choosing either 'Checking' or 'Savings'.
11. Input your account number accurately.
12. Enter the bank routing code, which is a 9-digit code located on the bottom left corner of your check.
13. Review the deposit authorization statement, which confirms your agreement to allow Cigna to deposit reimbursements into your account.
14. Sign and date the document in the designated areas to validate your request. If the name on the bank account is different, the account owner must also sign.
15. Once all fields are completed and double-checked for accuracy, save your changes. You can then download, print, or share the form as necessary.

Start filling out your Cigna EFT Form online now to ensure timely processing of your claims.