You may click here to obtain the Courtesy Coverage Opt-in/Opt-out Form: Courtesy Coverage opt in or out Form
Below is our Courtesy Coverage Policy so you can be fully aware before opting in to this service:

*Please remember this is a service you must qualify for, and it can take 24 to 48 hours for that to happen provided you meet the requirements listed in the 3rd paragraph above.
Please also note if you call and tell us you want to opt out of this coverage, we can remove the debit card from this coverage. To fully opt out of this program, you would need to complete the form (link above)
For more information, or assistance, please call us at 800-232-8669, option 0 for an Excite Team Member.