Costco subrogation information 2026

1. Click ‘Get Form’ to open the Costco Subrogation Information document in the editor.
2. Begin by filling in your name and the date of the injury in the designated fields. This information is crucial for identifying your case.
3. In the Member Information section, provide your last name, first name, member ID number, and other personal details such as birthdate and address. Ensure accuracy to avoid processing delays.
4. Read through the authorization carefully before signing. This section allows Aetna to request your Protected Health Information (PHI) related to the accident.
5. Select an expiration date for the authorization or choose an event that will trigger its expiration. This helps define how long Aetna can access your information.
6. Sign and date the form at the bottom. If you are a legal representative, indicate your relationship to the member and attach any necessary documentation.
7. Finally, return the completed form to Aetna using the provided address to ensure timely processing of your claim.

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