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10/11/05
To: All SAPOA Members
From: SAPOA Claims Advocate Services
In order to comply with the Health Insurance Portability and
Accountability Act (HIPAA) of 1996, the SAPOA Claims Advocates will
need
for each Member to complete a "Designation of Personal Representative
Form" in order to continue allowing SAPOA Claims Advocates
to assist
with or facilitate the coordination of your health benefits and
claims issues.
The member will complete a form for himself/herself and any child
under
the age of 18 years. Their spouse will need to have one of his/her
own
and sign it. If the member has a child that is 18 years or older,
that
dependent will need to sign a form in order for the advocates to
address any issues concerning their health benefits or claims issues.
Please remember to designate our Claims Advocates as your "Personal
representatives/Entity" in the space provided. Their names
are Velia
Cernota, Rosie Espinoza & Tania Rosser.
Any questions call -----SAPOA Claims Advocate Services 210-828-9616
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