Plan authorized 2025

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The document is an Authorized Representative Form for Geisinger Health Plan, allowing members to designate individuals who can access their protected health information (PHI). It includes sections for listing representatives, specifying types of PHI to be disclosed, and methods of disclosure. The form also addresses sensitive PHI related to substance use, mental health, and HIV/AIDS, requiring specific consent for discussion. Important information regarding the revocation of authorization and expiration terms is provided.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (85 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I find my plan administrator?

The plan administrator is the person designated to enroll employees and their dependents in insurance plans. Employers can: Contract with a private company to handle enrollments. Have a benefits office within their company that handles enrollments.

Who is the authorized plan administrator?

A 401(k) plan administrator is the entity that oversees the operation of the plan. Unless otherwise named, plan sponsors also serve as the plan administrator (and may also be the plans Named Fiduciary). Plan sponsors and plan administrators are often the same entity.

Who is considered a plan administrator?

The term plan administrator or administrator means the person specifically so designated by the terms of the instrument under which the plan is operated. If an administrator is not so designated, the plan administrator is the plan sponsor, as defined in section 3(16)(B) of ERISA.

What is an authorized plan representative?

This is referred to as an Authorized Representative. This person is only authorized to help with Medicarejoining a plan, quitting a plan, finding out information about insurance and handling claims and payments. An authorized representative cannot make decisions about personal medical care.

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