 Member Handbook
Point-of-Service Member Handbook |
This Handbook describes
the health care benefits available to you and your covered
dependents, and will guide you in using the Plan benefits. |
Personal Representative Verification |
As required by HIPAA, the information
in this form is required by Lovelace before Private
Health Information (PHI) may be provided to a person acting as
a personal representative of a Lovelace member/participant. |
| Authorization
for Use and Disclosure of Confidential Health Information Form |
This form will allow Lovelace to
release the confidential health information specified below to
the persons or entities specified on this form |
