Please execute the attached documents and send via e-mail to info@jhbrisk.com

WE HAVE MADE OBTAINING A QUOTE SIMPLE.

Screen Shot 2019-04-18 at 2.13.01 PM.png

DESIGNATION OF BUSINESS ASSOCIATE OF INSURED GROUP HEALTH PLAN

GROUPS OVER 100 EMPLOYEES

GROUPS OVER 100 EMPLOYEES

Screen Shot 2019-04-18 at 2.14.58 PM.png

DISCLOSURES TO OTHER BUSINESS ASSOCIATES AND THIRD PARTY ADMINISTRATORS OF THE PLANS(S)

 

WE HAVE MADE OBTAINING A QUOTE SIMPLE.

Please execute the following documents and attach via e-mail. 

AlabamaMississippiTennessee 

GROUPS 2 – 100 EMPLOYEES

DESIGNATION OF BUSINESS ASSOCIATE OF INSURED GROUP HEALTH PLAN

Screen Shot 2019-04-18 at 2.13.01 PM.png
Screen Shot 2019-04-18 at 2.13.01 PM.png

DESIGNATION OF BUSINESS ASSOCIATE OF INSURED GROUP HEALTH PLAN

GROUPS OVER 100 EMPLOYEES

Screen Shot 2019-04-18 at 2.14.58 PM.png

DISCLOSURES TO OTHER BUSINESS ASSOCIATES AND THIRD PARTY ADMINISTRATORS OF THE PLANS(S)