{"id":2840,"date":"2011-07-28T07:01:03","date_gmt":"2011-07-28T07:01:03","guid":{"rendered":"http:\/\/www.yourhrworld.com\/formats\/?p=2840"},"modified":"2011-07-28T07:01:03","modified_gmt":"2011-07-28T07:01:03","slug":"authorization-to-participate-in-medical-plan","status":"publish","type":"post","link":"https:\/\/www.yourhrworld.com\/formats\/hr\/authorization-to-participate-in-medical-plan\/","title":{"rendered":"Authorization to Participate in Medical Plan"},"content":{"rendered":"<p style=\"text-align: center;\"><strong>Authorization to Participate in Medical Plan<\/strong><\/p><div class=\"69eb924294c115e6505da44099e8df92\" data-index=\"1\" style=\"float: none; margin:10px 0 10px 0; text-align:center;\">\n<script type=\"text\/javascript\"><!--\r\ngoogle_ad_client = \"pub-0867779017855679\";\r\n\/* 300x250, created 4\/20\/11 *\/\r\ngoogle_ad_slot = \"1035864135\";\r\ngoogle_ad_width = 300;\r\ngoogle_ad_height = 250;\r\n\/\/-->\r\n<\/script>\r\n<script type=\"text\/javascript\"\r\nsrc=\"http:\/\/pagead2.googlesyndication.com\/pagead\/show_ads.js\">\r\n<\/script>\n<\/div>\n\n<p>As an employee of [name of firm], I do (do not) wish to participate in the Company&#8217;s Medical Plan.<\/p>\n<p>[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.<\/p>\n<p>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]<\/p>\n<p>I further understand that the acceptance of my application for participation in the Company Medical Plan is contingent upon my ability to meet the medical requirements determined by [name of insurance company]<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Date:________________<\/strong><\/p>\n<p><strong><br \/>\n<\/strong><\/p>\n<p><strong>Signature:_____________<\/strong><\/p>\n<p><strong><a href=\"https:\/\/www.yourhrworld.com\/formats\/wp-content\/uploads\/2011\/07\/Authorization-to-Participate-in-Medical-Plan.doc\">Click Here To Download Authorization to Participate in Medical Plan<\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>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<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[699,697,698],"class_list":["post-2840","post","type-post","status-publish","format-standard","hentry","category-hr","tag-authorization","tag-medical-plan","tag-participate"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Authorization to Participate in Medical Plan - HR Letter Formats<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.yourhrworld.com\/formats\/hr\/authorization-to-participate-in-medical-plan\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Authorization to Participate in Medical Plan - HR Letter Formats\" \/>\n<meta property=\"og:description\" content=\"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. 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