{"version":"1.0","provider_name":"HR Letter Formats","provider_url":"https:\/\/www.yourhrworld.com\/formats","title":"Authorization to Participate in Medical Plan - HR Letter Formats","type":"rich","width":600,"height":338,"html":"<blockquote class=\"wp-embedded-content\" data-secret=\"cusuq9sJus\"><a href=\"https:\/\/www.yourhrworld.com\/formats\/hr\/authorization-to-participate-in-medical-plan\/\">Authorization to Participate in Medical Plan<\/a><\/blockquote><iframe sandbox=\"allow-scripts\" security=\"restricted\" src=\"https:\/\/www.yourhrworld.com\/formats\/hr\/authorization-to-participate-in-medical-plan\/embed\/#?secret=cusuq9sJus\" width=\"600\" height=\"338\" title=\"&#8220;Authorization to Participate in Medical Plan&#8221; &#8212; HR Letter Formats\" data-secret=\"cusuq9sJus\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\" class=\"wp-embedded-content\"><\/iframe><script>\n\/*! This file is auto-generated *\/\n!function(d,l){\"use strict\";l.querySelector&&d.addEventListener&&\"undefined\"!=typeof URL&&(d.wp=d.wp||{},d.wp.receiveEmbedMessage||(d.wp.receiveEmbedMessage=function(e){var t=e.data;if((t||t.secret||t.message||t.value)&&!\/[^a-zA-Z0-9]\/.test(t.secret)){for(var s,r,n,a=l.querySelectorAll('iframe[data-secret=\"'+t.secret+'\"]'),o=l.querySelectorAll('blockquote[data-secret=\"'+t.secret+'\"]'),c=new RegExp(\"^https?:$\",\"i\"),i=0;i<o.length;i++)o[i].style.display=\"none\";for(i=0;i<a.length;i++)s=a[i],e.source===s.contentWindow&&(s.removeAttribute(\"style\"),\"height\"===t.message?(1e3<(r=parseInt(t.value,10))?r=1e3:~~r<200&&(r=200),s.height=r):\"link\"===t.message&&(r=new URL(s.getAttribute(\"src\")),n=new URL(t.value),c.test(n.protocol))&&n.host===r.host&&l.activeElement===s&&(d.top.location.href=t.value))}},d.addEventListener(\"message\",d.wp.receiveEmbedMessage,!1),l.addEventListener(\"DOMContentLoaded\",function(){for(var e,t,s=l.querySelectorAll(\"iframe.wp-embedded-content\"),r=0;r<s.length;r++)(t=(e=s[r]).getAttribute(\"data-secret\"))||(t=Math.random().toString(36).substring(2,12),e.src+=\"#?secret=\"+t,e.setAttribute(\"data-secret\",t)),e.contentWindow.postMessage({message:\"ready\",secret:t},\"*\")},!1)))}(window,document);\n\/\/# sourceURL=https:\/\/www.yourhrworld.com\/formats\/wp-includes\/js\/wp-embed.min.js\n<\/script>\n","description":"Authorization to Participate in Medical Plan As an employee of [name of firm], I do (do not) wish to participate in the Company&#8217;s Medical Plan. [Name of firm] is hereby authorized to make the necessary deductions from my earnings or any disability benefit paid to me by the company, for the amount specified in the Group Insurance Schedule. It is my understanding that I will be eligible to participate in the Company Medical Plan as of\u00a0\u00a0[date]\u00a0\u00a0and that the monthly deductions referred to herein will begin on [date] I further understand that the acceptance of my application for participation in the"}